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Medical Disability Advisor  >  Cancer Pancreas  >  Rehabilitation

Cancer, Pancreas


Related Terms


  • Cancer of the Pancreas
  • Carcinoma of the Pancreas
  • Pancreatic Cancer

Differential Diagnoses


  • Cancer of another organ that has metastasized to the pancreas
  • Cancer of the bile duct
  • Harmless (benign) growth of the pancreas
  • Inflammation of the pancreas (pancreatitis)

Specialists


  • Endocrinologist
  • Gastroenterologist
  • General Surgeon
  • Oncologist
  • Radiology Oncologist

Comorbid Conditions


  • Digestive disorders (e.g., Crohn's disease or colitis)
  • Prolonged malnutrition
  • Systemic diseases such as diabetes

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Factors Influencing Duration


Factors that may influence the length of disability include the site and stage of the tumor at initial diagnosis. For individuals with pancreaticoduodenectomy or Whipple procedure, duration depends on extent of resection. Disability may be permanent.

Medical Codes


ICD-9-CM:
157 - Cancer, Pancreas
157.0 - Neoplasm, Head of Pancreas, Malignant
157.1 - Neoplasm, Body of Pancreas, Malignant
157.2 - Neoplasm, Tail of Pancreas, Malignant
157.3 - Malignant Neoplasm of Pancreas; Pancreatic Duct; Duct Of: Santorini, Wirsung
157.4 - Malignant Neoplasm of Pancreas; Islets of Langerhans; Islets of Langerhans, Any Part of Pancreas
157.8 - Malignant Neoplasm of Pancreas; Other Specified Sites of Pancreas; Ectopic Pancreatic Tissue; Malignant Neoplasm of Contiguous or Overlapping Sites of Pancreas Whose Point of Origin Cannot be Determined
157.9 - Cancer, Pancreas, Part Unspecified

Rehabilitation


Long-term rehabilitation is not a consideration for most individuals with pancreatic cancer as the condition is usually fatal. For those individuals who have had Whipple's procedure, intermittent positive pressure breathing exercises may be useful in preventing postoperative pulmonary complications. Certain exercises may also be performed to reduce postoperative pain and speed recovery including progressive relaxation and deep breathing techniques. This is especially valuable during the first 48 hours after surgery and may continue until recovery from surgery is complete and pain is no longer noticeable while walking or breathing.

If the individual receives chemotherapy, the therapist performs various techniques of range of motion exercises to address joint stiffness resulting from general inactivity and fatigue. This helps return joint mobility and also reduces pain resulting from a stiff joint (contractures). Stretching exercises consist of the therapist moving the affected limb with no effort initiated by the individual.

Supportive rehabilitation allows individuals to gain some control over the ordinary activities of life and helps them cope emotionally. Palliative rehabilitation allows individuals in advanced stages of the disease to achieve some level of physical comfort and provides emotional support and assistance in day-to-day functioning.

The frequency and duration of the rehabilitation program varies among individuals with pancreatic cancer. Intensity and progression of the exercise depend on the prognosis, if surgery was performed, if the individual is receiving any current cancer treatment, the extent of the disease, and the individual's overall health.

Source: Medical Disability Advisor






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