What are some talking points that you use with patients to encourage them to exercise?
Answer
I often use the saying, “A body in motion stays in motion. A body at rest stays at rest.” It is very simple. I also tell them that they are not going to get any stronger lying in bed. That is just not the way that the body works. The body needs to be moved. Their heart, their lungs, their muscles need to move. If they are not moving them, they are going to get weaker and weaker. If the patient is lying in bed, sometimes you really have to explain to them that they are putting themselves at risk of being there long-term if they do not get up.
Most patients who have cancer have a great fear of dying. They know that people die from cancer, and these patients don’t want to. Convincing them to move is very different than explaining to someone who is mobile that they should be on an exercise program. As we all know, there are a lot of people in our country who are not exercising, but if they are up and moving around, sometimes it is harder to convince them to get on a true exercise program. People who are sitting in bed much of the day are sometimes easier to get up and going. It is like going from 0 to something with the next step being a true exercise program.
Andrea Branas, PT, MSE, MPT, CLT
Andrea Branas is a lead physical therapist at Good Shepherd Penn Partners in Philadelphia, PA. Andrea works in the Abramson Cancer Center at the University of Pennsylvania Health System providing patient care, education, leadership and training in the area of cancer rehabilitation. Andrea’s areas of clinical expertise include lymphedema, pelvic floor rehabilitation, breast cancer rehabilitation and exercise for cancer related fatigue. In her current role, Andrea uses her expertise to help cancer survivors reach their physical potential by promoting rehabilitation starting at the time of cancer diagnosis. She is currently a collaborator on an NIH Funded Dissemination grant to look at strength training for survivors of breast cancer. Andrea has served as a guest lecturer for women’s health and cancer content at Arcadia and Widener Universities and the University of Medicine and Dentistry in New Jersey DPT programs. Andrea received her Masters degree in Physical Therapy from the University of the Sciences in Philadelphia in 1998 and her Master’s of Science in Engineering degree from the University of Pennsylvania in 1991. She is currently working towards her transition DPT at Arcadia University.
Related Courses
1https://www.physicaltherapy.com/pt-ceus/course/cancer-related-comorbidities-and-adverse-3592Cancer Related Comorbidities and Adverse Treatment EffectsCancer and its treatment are known to cause survivors to experience a number of comorbidities and adverse effects. Because physical therapy management of the cancer survivor must either focus on these comorbidities/adverse effects or treat them, physical therapists must have a fundamental understanding of the most common of conditions. This course is directly related to the practice of physical therapy and is therefore appropriate for the PT/PTA.auditory, textual, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlyPhysicalTherapy.comwww.physicaltherapy.comCancer Related Comorbidities and Adverse Treatment EffectsCancer and its treatment are known to cause survivors to experience a number of comorbidities and adverse effects. Because physical therapy management of the cancer survivor must either focus on these comorbidities/adverse effects or treat them, physical therapists must have a fundamental understanding of the most common of conditions. This course is directly related to the practice of physical therapy and is therefore appropriate for the PT/PTA.3592OnlinePT120M
Cancer and its treatment are known to cause survivors to experience a number of comorbidities and adverse effects. Because physical therapy management of the cancer survivor must either focus on these comorbidities/adverse effects or treat them, physical therapists must have a fundamental understanding of the most common of conditions. This course is directly related to the practice of physical therapy and is therefore appropriate for the PT/PTA.
2https://www.physicaltherapy.com/pt-ceus/course/oncologic-pharmacology-for-rehabilitation-professional-3894Oncologic Pharmacology for the Rehabilitation ProfessionalA vast array of drugs are used to treat patients with cancer. This webinar will introduce the attendee to the basic pharmacology of these drugs, the mechanism of action of different classes of these drugs, and frequently observed adverse effects of these drugs. This course is directly related to the practice of physical therapy and is therefore appropriate for the PT/PTA.auditory, textual, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlyPhysicalTherapy.comwww.physicaltherapy.comOncologic Pharmacology for the Rehabilitation ProfessionalA vast array of drugs are used to treat patients with cancer. This webinar will introduce the attendee to the basic pharmacology of these drugs, the mechanism of action of different classes of these drugs, and frequently observed adverse effects of these drugs. This course is directly related to the practice of physical therapy and is therefore appropriate for the PT/PTA.3894OnlinePT120M
A vast array of drugs are used to treat patients with cancer. This webinar will introduce the attendee to the basic pharmacology of these drugs, the mechanism of action of different classes of these drugs, and frequently observed adverse effects of these drugs. This course is directly related to the practice of physical therapy and is therefore appropriate for the PT/PTA.
3https://www.physicaltherapy.com/pt-ceus/course/mindfulness-beyond-guided-meditation-3902Mindfulness: Beyond Guided MeditationMindfulness can be a really powerful cognitive-behavioral tool and has many relevant applications when treating patients with pain, especially chronic pain. Many courses for rehabilitation professionals teach guided meditation, which is an amazing tool. However, mindfulness has many other applications and opportunities for use in the treatment of patients with pain. This session discusses the history and science behind mindfulness, as well as provides a variety of practical mindfulness tools for the everyday practitioner. This course is directly related to the practice of physical therapy and is therefore appropriate for the PT/PTA.auditory, textual, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlyPhysicalTherapy.comwww.physicaltherapy.comMindfulness: Beyond Guided MeditationMindfulness can be a really powerful cognitive-behavioral tool and has many relevant applications when treating patients with pain, especially chronic pain. Many courses for rehabilitation professionals teach guided meditation, which is an amazing tool. However, mindfulness has many other applications and opportunities for use in the treatment of patients with pain. This session discusses the history and science behind mindfulness, as well as provides a variety of practical mindfulness tools for the everyday practitioner. This course is directly related to the practice of physical therapy and is therefore appropriate for the PT/PTA.3902OnlinePT120M
Mindfulness can be a really powerful cognitive-behavioral tool and has many relevant applications when treating patients with pain, especially chronic pain. Many courses for rehabilitation professionals teach guided meditation, which is an amazing tool. However, mindfulness has many other applications and opportunities for use in the treatment of patients with pain. This session discusses the history and science behind mindfulness, as well as provides a variety of practical mindfulness tools for the everyday practitioner. This course is directly related to the practice of physical therapy and is therefore appropriate for the PT/PTA.
4https://www.physicaltherapy.com/pt-ceus/course/medical-screening-part-3-adult-4475Medical Screening – Part 3 AdultThis course focuses on medical screening for the physical therapist and is Part 3 of a four-part series on screening. Part 3 addresses pathology in the adult portion of the lifespan. Part 1 is recommended prior to part 3. Editor's Note: Regarding Pennsylvania credits, this course is approved by the PA State Board of Physical Therapy for 2 hours of Direct Access CE credit.auditory, textual, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlyPhysicalTherapy.comwww.physicaltherapy.comMedical Screening – Part 3 AdultThis course focuses on medical screening for the physical therapist and is Part 3 of a four-part series on screening. Part 3 addresses pathology in the adult portion of the lifespan. Part 1 is recommended prior to part 3. Editor's Note: Regarding Pennsylvania credits, this course is approved by the PA State Board of Physical Therapy for 2 hours of Direct Access CE credit.4475OnlinePT120M
'It reviewed medical conditions that we generally don't treat but should have awareness of signs and symptoms to help identify these conditions and refer these patients to the appropriate providers if required'Read Reviews
This course focuses on medical screening for the physical therapist and is Part 3 of a four-part series on screening. Part 3 addresses pathology in the adult portion of the lifespan. Part 1 is recommended prior to part 3.
Editor's Note: Regarding Pennsylvania credits, this course is approved by the PA State Board of Physical Therapy for 2 hours of Direct Access CE credit.
5https://www.physicaltherapy.com/pt-ceus/course/20-novel-ideas-for-using-500020 Novel Ideas for Using the Kitchen Table as a Progressive Resistive Exercise Environment: An OT and PT PrimerPatients who spend a lot of time in their homes can now be challenged with table-based exercises and activities that are as challenging as those in the gym. PT and OT providers will learn 20+ novel ways to use the kitchen table as a progressive resistive exercise tool.auditory, textual, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlyPhysicalTherapy.comwww.physicaltherapy.com20 Novel Ideas for Using the Kitchen Table as a Progressive Resistive Exercise Environment: An OT and PT PrimerPatients who spend a lot of time in their homes can now be challenged with table-based exercises and activities that are as challenging as those in the gym. PT and OT providers will learn 20+ novel ways to use the kitchen table as a progressive resistive exercise tool.5000OnlinePT120M
Patients who spend a lot of time in their homes can now be challenged with table-based exercises and activities that are as challenging as those in the gym. PT and OT providers will learn 20+ novel ways to use the kitchen table as a progressive resistive exercise tool.
