The clinical decision‐making process of healthcare professionals within a personalized home‐based rehabilitation program during sequential chemoradiotherapy for stage III non‐small lung cancer: A case study.

Introduction: The purpose of this case study was to demonstrate the clinical decision‐making process of healthcare professionals within a rehabilitation program during chemoradiotherapy (CHRT) for a high‐risk patient diagnosed with stage III non‐small cell lung cancer (NSCLC). The course of CHRT and...

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Publicado en:Physiotherapy Research International Vol. 28; no. 2; pp. 1 - 18
Autores principales: Voorn, Melissa J. J., Schröder, Carin D., Boogaart, Vivian E. M. van Kampen‐van den, Willems, Wendy, Bongers, Bart C., Janssen‐Heijnen, Maryska L. G.
Formato: algorithm case study tables/charts Journal Article
Publicado: Wiley-Blackwell Apr2023
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Apr2023
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      pub: Wiley-Blackwell
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        atl: The clinical decision‐making process of healthcare professionals within a personalized home‐based rehabilitation program during sequential chemoradiotherapy for stage III non‐small lung cancer: A case study.
      aug:
        au:
          Voorn, Melissa J. J.
          Schröder, Carin D.
          Boogaart, Vivian E. M. van Kampen‐van den
          Willems, Wendy
          Bongers, Bart C.
          Janssen‐Heijnen, Maryska L. G.
        affil: Department of Clinical Epidemiology, VieCuri Medical Centre, Venlo, The Netherlands
      sug:
        subj:
          Carcinoma, Non-Small-Cell Lung Rehabilitation
          Home Rehabilitation
          Individualized Medicine
          Decision Making, Clinical
          Chemoradiotherapy Adverse Effects
          Neoadjuvant Therapy Adverse Effects
          Aged
          Male
          Aerobic Exercises
          Resistance Training
          Breathing Exercises
          Nutritional Counseling
          Support, Social
          Caregiver Support
          Exercise Intensity
          Physical Therapy
          Patient Compliance
          Patient Preference
          Arthritis, Rheumatoid
          Hypertension
          Melanoma
          Positron-Emission Tomography
          Tomography, X-Ray Computed
          Magnetic Resonance Imaging
          Lung Ultrasonography
          Carcinoma, Non-Small-Cell Lung Diagnosis
          Multidisciplinary Care Team
          Exercise Test, Cardiopulmonary
          Grip Strength
          Exercise Test
          Health Services Accessibility
          Aged: 65+ years
          Male
      ab: Introduction: The purpose of this case study was to demonstrate the clinical decision‐making process of healthcare professionals within a rehabilitation program during chemoradiotherapy (CHRT) for a high‐risk patient diagnosed with stage III non‐small cell lung cancer (NSCLC). The course of CHRT and patient's preferences, facilitators, and barriers were considered. Case‐description: The patient was a 69‐year‐old man with a history of rheumatoid arthritis diagnosed with stage III NSCLC. Intervention: A home‐based, personalized, and partly supervised rehabilitation program during CHRT, including aerobic, resistance, and breathing exercises, as well as nutritional counseling. Outcomes: The patient suffered from side effects of CHRT, which required adjustments in the context and intensity of the exercises. An important facilitator for the patient was encouraged by his wife in following the home‐based rehabilitation program. During home visits, the patient and physiotherapists performed the exercises together to help him to overcome the burden and motivate the patient to adhere to the rehabilitation program. Conclusion: This case study demonstrates that physical exercise training could be performed by adjusting training intensity and the way in which the physical exercise training was delivered, while the patient experienced side effects from CHRT. In addition, the involvement and support of (in)formal caregivers seems essential for adherence to rehabilitation.
      pubtype: Academic Journal
      doctype:
        algorithm
        case study
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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