Oncology Rehabilitation Course Objectives
- At the completion of Day 1, participants will be able to accurately list four anatomical/physiological body systems from the "body systems" approach identified in the PORi course manual to be included the evaluation and treatment of oncology patients within the survivorship model of care
- At the completion of Day 1, participants will be able to relate a comprehensive plan of care for patients with oncological/chronic health conditions to the three domains of the "International Classification of Function, Disability and Health" (ICF), presented in the PORi course manual.
- At the completion of Day 1, participants will be able to document at least three accurate and appropriate ICD-10 codes, CPT codes, and G-codes from the CMS Fee Schedule and the Medicare Practice Guidelines for Physical Therapists and Occupational Therapists, to reflect the skilled rehabilitation services provided to patients participating in oncology rehabilitation.
- At the completion of Day 2, participants will be able to incorporate two "medically necessary" criteria, highlighted in the PORi course manual, into the documentation guidelines for patients with oncological/chronic conditions as stated by the Medicare Amendment of December 2013
- At the completion of Day 2, participants will be able to differentiate between the key treatment goals of systemic chemotherapy regimens versus targeted treatment regimens based on their knowledge of cancer pathogenesis and the functional behavior of tumor cells.
- At the completion of Day 2, given any one of six clinically relevant chemotoxic sequelae of patients undergoing cancer treatment (e.g myelosuppression, cancer related fatigue, cardiotoxicity, chemo-induced peripheral neuropathy, hormone changes and cognitive changes), participants will be able to accurately list at least two major related rehabilitation-related side effects
- At the completion of Day 2, participants will be able to design a weight-bearing status-appropriate exercise program for an oncology patient with bone metastases that has spread to weight bearing bones that ensures safety and stability of vulnerable bones.
- At the completion of Day 3, participants will be able to explain a clinical foundation of management for individual cancer patients using four elements of predictability of care related to tumor behavior (in-situ, invasive, node involvement, and metastatic) based on the AJCC Staging and Grading of cancer pathology.
- At the completion of Day 3, in reviewing invasive and metastatic cancer behavior, participants will be able to connect at least two clinical signs and/or symptoms of differential diagnosis in oncology patients with metastatic cancer spread, namely bone metastases and lung metastases
- At the completion of Day 3, participants will be able to describe the clinical presentation of two or more Oncologic Emergencies in each of four categories of structural, metabolic, hematologic, and infectious emergencies as described in the PORi course manual
- At the completion of Day 3, participants will be able to relate the comprehensive "4-constants" algorithm developed for successful early intervention and management of patients with cancer-related surgery and/or radiation therapy to the live patient demonstrations in the lab sessions of the course.
- At the completion of this course, the participant will justify 3 acceptable manual therapy techniques adapted and integrated into the lympho-neuro-musculoskeletal treatment model practiced in extensive lab sessions to ensure successful clinical outcomes in patients with cancer-related surgical and radiation side effects
- At the completion of this course, participants will be able to competently screen post-surgical patients and radiation therapy patients for musculoskeletal, neuromuscular, and lymphovenous impairments.
- At the completion of this course, using the clinical decision making skills developed in the live patient case presentations, the participant will be able to formulate an evaluation or re-evaluation of a patient with cancer-intervention related side effects including surgeries, breast reconstruction surgeries (e.g. expanders, implants, TRAM Flap and DIEP Flap surgeries), and radiation, chemotherapy and adjuvant therapy.
- At the completion of this course, a participant will be able to justify the appropriate phase of treatment application and goal setting for patients with an impaired lymphatic system based on the three phases of healing post tissue injury (surgery and radiation therapy) in conjunction with the three stages of lymphedema.
- At the completion of this course, develop a progressive treatment plan based on integrating the manual therapy and exercise techniques (as demonstrated in the live patient presentations) with the goal of strengthening the function of the lymphatic system during Stage 0-1 lymphedema to mitigate a lifetime risk of irreversible lymphedema
- At the completion of this course, the participant will be able to list at least one evidence-based Functional Outcome Measurement Tool appropriate to the patient's cancer diagnosis in line with APTA EDGE recommendations for the evaluation and treatment of the cancer patient population
- At the completion of this course, participants will be able to master four appropriate documentation skills presented in the PORi course manual that promote medical necessity and the necessity for skilled intervention within the protracted survivorship needs the oncology patient population
- At the completion of this course, participants will be able to describe at least three marketing strategies to launch or grow a comprehensive oncology rehabilitation program.
- At the completion of this course, participants will be able justify the need for patients to be referred into a comprehensive oncology rehabilitation program (including “prehab”, rehabilitation during active cancer treatment and rehabilitation commencing around 3 weeks post-surgery) as opposed to only referring patients with a clinical lymphedema.
- At the completion of this course, participants will be able implement an oncology rehabilitation program using key PORI algorithms, PORI protocols, and evidence-based clinical practice presented in the course manual that is within the scope of professional practice