Rehabilitation of the cancer patient: experience in a neurological unit

Neurorehabilitation and Neural Repair
Peter GarrardE Diane Playford

Abstract

We performed a retrospective review of all patients admitted to a neurological rehabilitation unit over a 5-year period to identify the benefits and problems associated with inpatient rehabilitation of patients with a life-limiting illness. Twenty-one patients (14 men; mean age 54 years) with primary or nonprimary neurological malignancy resulting in disability were studied. For each patient the following data was extracted: gender, age, diagnosis, source of referral, mechanism of disability, prognosis at time of referral, length of inpatient stay, disability on admission and discharge, and the place of discharge. All patients made functional gains, and all but 2 were discharged home. One patient died and 4 required readmission to an acute unit because of worsening discomfort or debility within a month of discharge. Patients with life-limiting illness resulting in neurological disability can benefit from inpatient rehabilitation. Optimal management of such patients demands careful liaison with palliative care teams.

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Citations

Jul 10, 2009·Current Pain and Headache Reports·Christopher Loiselle, Jason Rockhill
Apr 25, 2006·Journal of Palliative Medicine·Shalini DalalEduardo Bruera
Aug 30, 2011·PM & R : the Journal of Injury, Function, and Rehabilitation·Mark E Huang, James A Sliwa
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Oct 17, 2013·European Journal of Cancer Care·M NelsonY Guo
Jul 7, 2015·PM & R : the Journal of Injury, Function, and Rehabilitation·James A SliwaPatrick Semik
Sep 2, 2009·Annals of Physical and Rehabilitation Medicine·A PalacioF Beuret-Blanquart
Sep 2, 2008·The Lancet Oncology·Susan CattLesley Fallowfield
Jan 29, 2011·American Journal of Physical Medicine & Rehabilitation·Ying GuoJ Lynn Palmer
Sep 26, 2017·PM & R : the Journal of Injury, Function, and Rehabilitation·Jack B FuYing Guo

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