Continuing Education Courses

Rehabilitation for Breast Cancer Patient: Course Description

This is a two day continuing education course in which participants will gain the medical knowledge necessary to work as a competent member of an oncology team. The therapist will have a basic understanding of diagnostic tests, medical and surgical interventions to provide appropriate and optimal therapeutic interventions for breast cancer patients. The therapist will understand signs and symptoms of breast cancers to serve as early interventionists as well as provide education regarding prevention and wellness.

Chemotherapy, radiation and pharmaceutical side effects will be discussed as well as expected outcomes in order for the therapist to determine appropriate therapeutic parameters. Participants will expand their knowledge of manual therapy techniques, exercise program development for cardiovascular, musculoskeletal and lymphatic health. Recognition of early warning signs of lymphedema will be presented in order to recognize when a referral to a lymphedema specialist is warranted.

Course Objectives

Upon completion of this continuing education seminar, participants will be able to:

  1. Voice understanding of the prospective surveillance model as well as benefits and challenges of implementation for the oncologic team.
  2. Identify breast anatomy, including muscles, connective tissue, and lymphatic supply.
  3. Discuss the diagnosis, medical management and outcomes associated with breast cancers.
  4. Demonstrate fundamental knowledge of the pathophysiology of lymphedema through subjective interview and perform a baseline evaluation.
  5. Educate the patient on risk factors associated with lymphedema and preventative measures.
  6. Perform manual therapy interventions for lymphatic cording and rheudementary manual lymph drainage techniques for stage 0-1 lymphedema.
  7. Identify common impairments associated with mastectomy, lymph node dissection and reconstruction.
  8. Design an appropriate exercise program for patient’s status-post mastectomy, lymph node dissection and reconstruction.
  9. Design an appropriate exercise program for a patient with fatigue or cardiotoxicity secondary to chemotherapy.
  10. Discuss the side effects of chemotherapy and hormone therapy for breast cancer as it relates to bone and joint health as well as sexual function.
  11. Design an appropriate exercise program for a patient with osteoporosis, cardiotoxity and peripheral neuropathy.

Course Schedule

Day 1

7:30-8:00   Objectives/Introduction

8-8:30   Introduction to the Prospective Surveillance Model

8:30-9:30   Cancer Staging and Screening

9:30-9:45   Break

9:45-11:00   Surgical Procedures Part 1: Lymph node dissection and lumpectomy/mastectomy

11:00- 12:00   Surgical Procedures Part 1 Lab: Lymphatic cording

12:00-1:00   Lunch (on your own)

1:00- 2:30  Lymphedema

2:30-2:45 Break

2:45-3:45 Lab: Lymphedema

3:45 – 4:30  Lymphedema Case Scenarios

4:30-5:00  Finish: Test and Review

Day 2

8:00 – 9:00  Surgical Procedures Part 2: Reconstruction

9:00- 10:00  Surgical Procedures Part 2 Lab: Rehab s/p mastectomy and reconstruction and PMPS

10:00- 10:15  Break

10:15-11:00  Surgical Case Scenarios

11:00- 12:00  Medical Management for Breast Cancer; Chemo, radiation, hormones

12:00- 1:00  Lunch (on your own)

1:00 -2:00  Side Effects Part 1: Cardiotoxicity, fatigue and peripheral neuropathy

2:00 – 2:30  Side Effects Part 1 Lab

2:30 – 3:30  Side Effects Part 2: Osteoporosis, joint arthralgias and dyspareunia

3:30 – 4:00  Case Scenarios

4:00- 4:30  Finish: Test and Review



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