Think MovementPhysiotherapy & Cancer

DONNEE NESSMANIP. PHYSIOTHERAPIST

MSc(UK) BSc (RSA)VRT (USA) CLT (USA)

Movement (noun) Activity or manner of moving, changing position

Impulse, Progression, Convergence,

descent/ascent, Plunging, Rotation

A main division of an extended musical composition

The suggestion of motion by a work of art

Action whether organised and consciously propagated or a mere drift

Statistics: Battle talk

www.aortic-africa.org

In 2008, just over 650,000 cases of cancer were diagnosed in Africa, with over 500 000 deaths. 

Professor Isaac Adewole, Vice Chancellor at the Universityof Ibadan in Nigeria and President-Elect of AORTIC. 

The number of new cases of cancer in Africa is expected to double by 2030

In Africa, there is a general lack of cancer awareness, which leads to late presentation of cancer. 

Most African health care systems are not in a good position to address the cancer problem Professor Serigne Gueye : current AORTIC President

Female cancer statistics in Africa:Incidence and mortality.

Ferlay J, Shin HR, Bray F, Forman D, Mathers C and Parkin DM.GLOBOCAN 2008, Cancer Incidence and Mortality Worldwide: IARC CancerBase No. 10 [Internet].Lyon, France: International Agency for Research on Cancer; 2010.

http://globocan.iarc.fr

Breast Cervix Ovary

North Africa

Incidence

Mortality

33.6%

26.3%

6.4%

5.6%

5.1%

5.3%

West Africa

Incidence

Mortality

26.4%

21%

25.9%

24.9%

3%

3.4%

CentralAfrica

Incidence

Mortality

22.1%

20.4%

22.0%

14.1%

4.6%

5.2%

East Africa

Incidence

Mortality

14.9%

11.3%

26.2%

24.5%

2.6%

3.6%

Southern Africa

Incidence

Mortality

16.1%

21.0%

22%

24.4%

3.4%

3.2%

The diagnosis: descent, plunged

shattering apart ...... piecing together

Allowing colour and texture

Adjuvant Oncology Treatment

Surgery

Chemotherapy

Radiotherapy

Hormone therapy

Strategic times to focus on movement

Post-operatively

Pre-radiotherapy

Post treatment

Quality of life

Quality of life, perceived by the patient, is constantly changing throughout aRehabilitative process, and is dependenton personality traits- “expectancy ofsuccess”, adaptability, attitude to problemsolving and acceptance

(Eales 2000).

Rehabilitation

Goals of rehabilitation are to use a variety

of measures in a specific time frame toImprove mental, physical and socialaspects of an impaired person’s life

(United Nations 1983).

It’s all about teamwork

Post operatively

progression

Life gets back to normal.....a “new” normal

Post surgery

Changes in:

Surgery scars, muscles, joints and ligaments

Lymphatic fluid drainage from the skin to the

heart

Nerves gliding in their sheaths

Balance and co-ordination

Pre radiotherapy

Education and preventive advice Stretches Skincare cellulitis

Self-Treatment strategies at any stage

Stretches Myofascial releases Exercises- balance, toning, return to function Self massage Neural glides Gait re-education Sport specific co-ordination and training Multi-tasking exercises for cognitive rehab

Post all treatment issues

Cancer Related Fatigue Cognitive issues and the office Postural changes in : office, hobbies, intimacy Lymphoedema

Have you ever been this tired?

CRF (Cancer Related Fatigue)

Cognitive function: Action whether organised and consciously propagated or a mere drift

Cancer, women and her work place

"People who have had treatment for cancer are as productive as people who have not had cancer – they take less time off work than other employees, and in general, perform well in the workplace.“

Schultz, P. et al (2002), Cancer Survivors – Work-related Issues, American Association of Occupational Health Nurses Journal.

Ergonomics

Work Station postural issues

Thinking “out the box”

Femininity

The suggestion of motion by a work of art

What matters most is how you see yourself

Sexuality: A main division of an extended musical composition

Sexuality

"There are two big taboos in conversations about breast cancer. One is death. The other is sex." (Marc Silver)

Breast Cancer Husband, How to Help Your Wife (and Yourself) Through Diagnosis, Treatment and Beyond.

Changing position

Dancing to a different tune

“Too often we underestimate the power of a touch, a smile, a kind word, a listening ear, an honest compliment, or the smallest act of caring, all of which have the potential to turn a life around.” (Leo Buscaglia)

In conclusion...

Take your time choosing your cancer team www.saphysio.co.za for a physio in your area Know your rights and responsibilities as a patient Know your benefits and how to activate them 10 mins walking every 2nd day reduces CRF Radiotherapy stretches must be done for 2 years

after radiotherapy Lymphoedema risk can be reduced with

appropriate treatment

Cancer has a gift for everyone, it takes time to discover the gift.

Thank Youfor your time

D Ness Physio Solutionsnessphysiosolutions@gmail.com

A woman’s role or many roles

Multi tasking Memory Caring for self Time out

However unusual or unexpected that may be

Plan of action

Chemo and the office Radiotherapy and the office Posture Advocacy Disability act Reports Medical boarding

Cancer in the workplace

Campaign for Cancerwww.campaign4cancer.co.za

Good practice for disability in RSA1345 Employment Equity Act (55/1998): Code ofGood Practice: Key Aspects on the Employment ofPeople with Disabilities

Patient Rights Charterwww.doh.gov.za/docs/misc/healthcharter.pdf

Lets get down to the business

Never forget you are superwoman even if you never show it

First Line Practitioner

Scope of Practice

HPCSA / SASP

Patient Rights and Responsibilities

Advocacy