Rehabilitation for Symptom Management for Patients with Cancer at the End of Life: Current Evidence and Barriers to Care

Abstract

The goal of this review is to highlight recent literature that addresses the role of rehabilitation for managing symptoms for patients with cancer near the end of life. Current literature supports the integration of rehabilitation interventions as part of comprehensive symptom management in patients with advanced cancer near end of life. Research is needed to clarify the impact and timing of specific rehabilitation techniques. There is also a need for robust education for both palliative and rehabilitation clinicians about the role for rehabilitation. In this article, we review evidence for the use of rehabilitation interventions to address symptoms commonly experienced by patients with advanced cancer — dyspnea, pain, depression, anxiety, and fatigue. We also touch on communication strategies important for assessing and addressing the complex needs of the patient and caregiver. Finally, we describe barriers to the use of palliative rehabilitation and explore strategies for improving implementation across care settings.