2017
DOI: 10.1016/j.pmrj.2017.07.073
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Integrating Function‐Directed Treatments into Palliative Care

Abstract: The growing acceptance of palliative care has created opportunities to increase the use of rehabilitation services among populations with advanced disease, particularly those with cancer. Broader delivery has been impeded by the lack of a shared definition for palliative rehabilitation and a mismatch between patient needs and established rehabilitation service delivery models. We propose the definition that, in the advanced cancer population, palliative rehabilitation is function-directed care delivered in par… Show more

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Cited by 35 publications
(31 citation statements)
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“…Therefore, even though the physical activity is not associated with HRQOL, it should be encouraged because it is a factor associated with recurrence and mortality. However, because physical activity is not simply related to physical impairment, but also to psychological factors and social economy status, it is important to have a multidisciplinary team approach rather than a single rehabilitation clinic (Cheville et al, 2017;Leclerc et al, 2017;Nottelmann et al, 2019). (Nottelmann et al, 2019).…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…Therefore, even though the physical activity is not associated with HRQOL, it should be encouraged because it is a factor associated with recurrence and mortality. However, because physical activity is not simply related to physical impairment, but also to psychological factors and social economy status, it is important to have a multidisciplinary team approach rather than a single rehabilitation clinic (Cheville et al, 2017;Leclerc et al, 2017;Nottelmann et al, 2019). (Nottelmann et al, 2019).…”
Section: Discussionmentioning
confidence: 99%
“…Especially, the content of palliative rehabilitation is to improve HRQOL through improvement of function. Cheville, Morrow, Smith, and Basford (2017) introduced the concept of palliative rehabilitation, which included function-directed care of cancer patients. Nottelmann, Jensen, Vejlgaard, and Groenvold (2019) suggested using a new model that provides a tailored multidisciplinary palliative rehabilitation programme for patients during cancer-related treatment.…”
mentioning
confidence: 99%
“…Palliative care and rehabilitation professionals are trained to diagnose and treat complex problems through multidisciplinary interventions with the goal of improving quality of life. Rehabilitation services are underutilized among people with advanced cancer [9] even though maintenance of functional independence is central to quality of life and rehabilitation services tend to be most effective when initiated before the cancer related functional loss is too severe [10].…”
Section: Palliative Rehabilitationmentioning
confidence: 99%
“…Cheville et al likewise reported that less than 30% of outpatients with cancer and women with advanced cancer who had functional limitations used rehabilitation services . The reasons for low utilization include a workforce shortage of rehabilitation physicians and therapists trained in oncology and a low familiarity and recognition on behalf of patients and referring providers as to the need, value, and function of cancer rehabilitation …”
Section: Introductionmentioning
confidence: 99%
“…13 The reasons for low utilization include a workforce shortage of rehabilitation physicians and therapists trained in oncology 11,14 and a low familiarity and recognition on behalf of patients and referring providers as to the need, value, and function of cancer rehabilitation. 11,15 Research has indicated that individual treatments delivered by rehabilitation professionals can reduce impairments or functional limitations of cancer survivors. 16,17 For example, meta-analyses or systematic reviews support the use of exercise to reduce fatigue 18 and to improve physical fitness, physical and emotional function, and quality of life 19 ; education to manage pain 20 and fatigue 21,22 ; nonpharmacological interventions 23 or neuropsychological interventions 24 to improve cognitive functioning; groupbased self-management programs to improve physical functioning 25 ; massage therapy to improve pain, fatigue, and anxiety 26 ; and manual lymphatic drainage to manage lymphedema.…”
Section: Introductionmentioning
confidence: 99%