gms | German Medical Science

27. Deutscher Krebskongress

Deutsche Krebsgesellschaft e. V.

22. - 26.03.2006, Berlin

Rehabilitation needs and goals in the oncological rehabilitation of breast cancer patients

Meeting Abstract

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27. Deutscher Krebskongress. Berlin, 22.-26.03.2006. Düsseldorf, Köln: German Medical Science; 2006. DocIS047

Die elektronische Version dieses Artikels ist vollständig und ist verfügbar unter: http://www.egms.de/de/meetings/dkk2006/06dkk047.shtml

Veröffentlicht: 20. März 2006

© 2006 Heim.
Dieser Artikel ist ein Open Access-Artikel und steht unter den Creative Commons Lizenzbedingungen (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.de). Er darf vervielfältigt, verbreitet und öffentlich zugänglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden.


Gliederung

Text

Breasr cancer is the most frequent female malignancy in Germany and can be followed by numerous disease- and treatment-related functional deficits and substantial disability.Disorders of body structure, body functioning, activities and participation such as restricted range of motion in the shoulder, pain, weakness, fatigue, depression, anxiety, symptoms of hormonal ablation, and social withdrawal can impair the quality of life considerably. Secondary lymphedema can affect up to 30% of breast cancer patients after local surgical and radiation treatment. Resulting disability may be minimized by initiating medical rehabilitation as soon as possible.The first step of the rehabilitation cycle is the assessment of functional impairments and disabilities and the definition of treatment goals and appropriate follow-up tests. Rehabilitative goals are multidimensional and include somatic, functional, psycho-social, mental, and educative goals. Patients are assigned to a complex rehabilitation program with individualized interventions. The results of the treatment are monitored and evaluated to make adaptation of interventions possible. In addition the initiation of vocational rehabilitation is a major task for the pension insurance financed rehabilitation. Results of case control studies, cohorts, and randomized controlled trials demonstrate the effectiveness of breast cancer rehabilitation. Examples for evidence-based rehabilitation are given.