Neoplasm of the spinal cord: Implications for clinical care to improve symptom management and functionality

Abstract

Individuals suffering from spinal cord neoplasm have shown improved survival however long term plans of care designed to improve functionality, quality of life, and symptom control are not well defined. Many practitioners may not be aware of nursing and rehabilitation interventions that can improve quality of life (QOL) and functionality in this patient population. The purpose of this review is to provide an overview of the primary sources of spinal cord tumors, understand general medical interventions, define treatment options that may improve symptom management, and explain how treatment options and physical rehabilitation can improve functionality and quality of life. An extensive literature review was performed using multiple databases, including pubmed.gov and Ovid, as well as individual journal and textbook articles. Several studies were examined, and it was found that patients experienced improvement in functionality, mood, quality of life, and survival after participation in rehabilitation programs. However, plans of care must factor account for prognosis and medical co-morbidities for maximal improvement in outcomes.