Abstract
Introduction
Physical medicine and rehabilitation (PMR) cares are limited in practice in France. The complexity of treatments and their potential effects on disability, life expectancy, constitute some chronic factors of the cancer diseases. This chronic evolution is more and more indication of PMR interventions to limit deficiency or disability.
Objectives
To present the PMR modalities at different situations of the cancer diseases evolutions.
Methodology
This paper reports the orientation in our outpatient unit, the modalities for cares in PMR, the role of PMR doctors and the different technological or competent needs for cancer patients with deficiency or disability.
Discussion
A new and important reflexion with information, studies and acquired experiences are necessary. Organization of cares, institutions and cooperation must be developed in this specific domain of the rehabilitation for cancer patients with disability.
Résumé
Introduction
La prise en charge d’une rééducation et d’une réadaptation des affections cancérologiques reste encore limitée. La complexité croissante du traitement des cancers, l’espérance de vie, en faisant une maladie chronique, justifient de développer des programmes de rééducation et de réadaptation.
Objectifs
Évoquer les modalités d’une prise en charge en médecine physique et de réadaptation (MPR) selon les différentes phases d’évolution: phase aiguë, phase secondaire ou phase tardive.
Méthodologie
Ce travail rapporte les éléments constituant les critères d’orientation et de prise en charge en MPR, selon l’évolution, dans le champ des maladies cancéreuses, faisant état du rôle des médecins de MPR et des différents moyens techniques à mettre en oeuvre pour ces patients, en fonction des localisations, des complications et prenant en compte l’ensemble des dimensions: déficiences, incapacités, handicaps.
Discussion
Au-delà de cette volonté de prise en charge de ce type de patients, un travail d’information et de formation, de modélisation des prises en charge mais aussi des outils de rééducation, des structures ambulatoires, de la constitution de filières sur l’ensemble de la prise en charge dans ce champ spécifique, semble nécessaire à mettre en place.
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Calmels, P., Genty, M., Wirotius, JM. et al. Critères de prise en charge en médecine physique et de réadaptation et pathologies cancéreuses. Oncologie 12, 543–549 (2010). https://doi.org/10.1007/s10269-010-1934-3
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DOI: https://doi.org/10.1007/s10269-010-1934-3