Abstract
Cancer pain has been shown to have a significant negative impact on health-related quality of life (HRQoL) for people experiencing it. This is also true for patients admitted to inpatient rehabilitation facilities (IRFs). An interdisciplinary approach is often needed to fully address a person's pain to help them attain maximum functional independence and to ensure a safe discharge home. Improving a patient's performance status in an IRF may also be a crucial determinant in their ability to continue receiving treatment for their cancer. However, if a person is determined to no longer be a candidate for aggressive, disease modulating treatment, IRFs can also be utilized to help patients and family's transition to comfort directed care with palliative or hospice services. This article will discuss the interventions of the multidisciplinary inpatient rehabilitation team to address a person's pain.
Highlights
There were over 1.8 million new cancer diagnoses in the United States (US) in 2020 [1] and as of January 2019, there were 16.9 million cancer survivors in the US with that number anticipated to grow to 22.2 million by the year 2030 [2]
The following will provide an overview of the interventions that may be utilized in inpatient rehabilitation facilities to address and treat pain in the oncology patient
Chronic pain, inflammatory and neuropathic pain is a manifestation of neural plasticity in Oncology Pain Management Inpatient Rehabilitation the peripheral (PNS) and central nervous system (CNS)
Summary
There were over 1.8 million new cancer diagnoses in the United States (US) in 2020 [1] and as of January 2019, there were 16.9 million cancer survivors in the US with that number anticipated to grow to 22.2 million by the year 2030 [2]. With the growing number of people alive with a cancer diagnosis, rehabilitation services are often utilized to address treatment-related or diagnosis specific impairments for patients across the post-acute care spectrum (Figure 1). Despite the relatively small number of patients accessing inpatient services, improvement in health-related quality of life (HRQoL) has been well-established when the rehabilitation team addresses impairments such as pain, fatigue, anxiety/depression and physical functioning [4]. The following will provide an overview of the interventions that may be utilized in inpatient rehabilitation facilities to address and treat pain in the oncology patient. This framework can be tailored in a person-centered manner with considerations for medical diagnoses, patient perceptions and preferences in regard to the interventions listed
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