申論題

第八大題: 請依照以下文章,簡要述針對乳癌患者的復健評估原則與方式(10%)
 Prehabilitation Protocol: Evaluation and Intervention
 Evalnation
 An cvidencc-based protocol for prehabilitation services begins with a screening process to establish a client's baseline functional mcasures and proactively identify any modifiahle lifcstyle factors associated with poorer outcomes (Silver. 2014). OT's can regularly scrcen clients to monitor indicators ot functional decline to cnsure maximum recovery in the shortest amount of time (AOTA. 2012). By conducting an in-depth occupational profile interview. the OT can gather intormation on roles. routines. client priorities. and available assistance to consider each client's unique status while creating collaborative goals to facilitate participation in valued occupations despite illness.
Specitic measurements related to obesity and sarcopenia risk (c.g.. body Fat percentage. body mass indcx. skelctal muscle mass. Iymphedema index.grip strength. capacity for physical activity) could be taken and compared with normative data to determnine which clients are more susceptible to poorer outcomes during and atter cancer treatments. Given cancer's physical and emotional burden and associated sequelae. a client's QOL and perceived sense of' well-being must be recorded. monitored. and taken into consideration during clinical decision making (Nguyen et al.. 2015 ). Two widely used. breasi cancer-specific QOL assessments are the European Organization For Rescarch and Treatment of Canver (EORTC: n.d.) Quality of Life Questionnaire C30 (EORTC QLQ-C30) and the Functional Assessment of Cancer Therapy-General (FACT-G: Nguyen ct al.. 2015). The EORTC QLQ-C30 has been translated and validated in more than 100 Ianguages. is used regularly in research studies. and includes hreast cancer-specific questionnaires fi.e. QLQ-BR23. QLQ-BR45. QLQ-BRECON23). The FACT-G is a free. validated. 27-item questio nnaire that assesses four primary Q0L domains (physical. socialitamily. emotional. functional), has been widely used in research. and includes a breast cancer--specific questionnaire ti.e.. FACT-B: Functional Assessment of Chronic Iiness Therapy Manage ement System. n.d.). Low scores on either of these assessments may indicate a nced for further evaluation of a client's QOL to best tailor goals a and interventions. Based on outcome predictors relared to smoking and die. clients could also be asked about their smoking history and dictary habits.
 Additional assessments to scree en for symptonn-specific deticits mav include the Brief Fatigue Inventory ( BFI: Mendoza ct al.. 1999). the Pamn Visual Analog Scales or Bricf Pain Inventory (Harrington et al.. 2014). the Timed Up-and-Go Test (TUG: Fisher et al.. 2015). the Malnutrition Seree ning Tool (MST: Ferguson et al. 1999). and Beck Anxiety Inventory (BAI: Beck ct al. 1988) or Beck Depression Inventorv (BDI-I1: Beck et al.. 1961 ). Patient Reported Outcome Measurcment Intormation System (PROMIS) mcasures of pain. fatigue. atfecl. physical function. and social function also demonstrate validity among scveral chronie conditions. including cancer
 (Cook et al.. 2016).
( 文章來源:Madeline Harcrow.Elena Espiritu. and Andrea Cooper: Occupational Therapy's Role in Breast Cancer Prehabilitation: Protocol Recommendations to Enhance Clients' Function. https://www.aota.otg/Publications-News/otp/Archive/2020/breast-cancer-prehab)