RESUMO
Telemedicine has clear benefits to the cancer population, including reducing the risk of contracting communicable disease, reaching remote populations, and added convenience. With adequate preparation, cancer rehabilitation telemedicine can serve as a suitable substitute for in-person encounters in several situations. There are limits with technologic deficits, reimbursement questions, and the inability to conduct hands-on physical examinations. It is important to appropriately triage patients to the most suitable visit type, whether telemedicine or in person, with aims of reducing unnecessary risks, monitoring for potential complications, and having productive encounters.
Assuntos
Acessibilidade aos Serviços de Saúde , Neoplasias/complicações , Neoplasias/reabilitação , Telerreabilitação/métodos , COVID-19/epidemiologia , COVID-19/prevenção & controle , Humanos , Hospedeiro Imunocomprometido , Pandemias , SARS-CoV-2RESUMO
BACKGROUND: Patients diagnosed with advanced cancer often differ from the traditional patient typically seen in the inpatient rehabilitation setting. PURPOSE: To identify differences in care while highlighting the considerable similarities between the complementary specialties of palliative care and rehabilitation, and to provide rehabilitation clinicians with knowledge and skills to enhance care for palliative care patients and their families. METHODOLOGY: Narrative literature review describing common functional losses in patients diagnosed with advanced cancer, followed by articulation of the intersection of palliative care with traditional rehabilitation approaches and goals. CONCLUSION: The evidence supports implementation of a distinct body of skills and knowledge, referred to as "palliative rehabilitation," among inpatient rehabilitation providers. CLINICAL IMPLICATIONS: Implementing palliative rehabilitation skills can improve the quality of care within the inpatient rehabilitation setting for patients with advanced cancer.