Location
LSU Health Science Center - New Orleans
Event Website
https://alliedhealth.lsuhsc.edu/admin/sahpresearchday.aspx
Document Type
Event
Start Date
8-4-2024 3:00 PM
End Date
8-4-2024 5:00 PM
Description
Introduction: Esophageal cancer occurs via malignant cancer cells forming in the tissues of the esophagus and there are 4 stages depending on the severity of the diagnosis. This case report follows the progress of a 48 year old male air force veteran diagnosed with stage 1 esophageal cancer who remained hospitalized for 1 month post-surgery. Purpose: The purpose of this case report is to follow the PT management of a middle-aged male admitted for esophagectomy surgery for removal of malignant neoplasm and jejunostomy tube (J-tube) placement. Methods: Bed mobility, transfer, gait, and stair training were each administered to the patient through a blocked practice schedule with declarative instruction following sternal precautions with chest tube following esophagectomy. Subjective and objective outcome measures were utilized to follow veteran's progress and improvements with aerobic capacity and cardiovascular endurance. Results: The numeric pain rating scale (NPRS), EQ-5D-5L health questionnaire, 10MWT, and 6MWT were assessed to follow veteran’s progress. NPRS results were 3/10 pain right now, 5/10 pain previous week, 0/10 at best, and 7/10 at worst. 5Q-5D-5L results were mobility: 1/5, self-care: 2/5, usual activities: 2/5, pain/discomfort: 2/5, and anxiety/depression: 5/5. 10MWT result was an average of 0.825m/s suggesting improvement to community level ambulation(12). 6MWT result was 310.61m suggesting improved cardiovascular endurance. Discussion: Management of esophageal cancer requires a comprehensive evaluation and targeted treatment plan in order to improve outcomes and reduce the need to return to hospitalized care. Throughout hospital treatment, the veteran made progress in all 4 outcome measures suggesting skilled physical therapy improved his condition.
Recommended Citation
Bienvenu, Joshua, "Physical Therapy Management of a Middle-Aged Male with Stage 1 Esophageal Cancer Post Esophagectomy and Jejunostomy Tube Placement" (2024). School of Allied Health Professions Research Day. 6.
https://digitalscholar.lsuhsc.edu/ahrd/2024/2024/6
Included in
Physical Therapy Management of a Middle-Aged Male with Stage 1 Esophageal Cancer Post Esophagectomy and Jejunostomy Tube Placement
LSU Health Science Center - New Orleans
Introduction: Esophageal cancer occurs via malignant cancer cells forming in the tissues of the esophagus and there are 4 stages depending on the severity of the diagnosis. This case report follows the progress of a 48 year old male air force veteran diagnosed with stage 1 esophageal cancer who remained hospitalized for 1 month post-surgery. Purpose: The purpose of this case report is to follow the PT management of a middle-aged male admitted for esophagectomy surgery for removal of malignant neoplasm and jejunostomy tube (J-tube) placement. Methods: Bed mobility, transfer, gait, and stair training were each administered to the patient through a blocked practice schedule with declarative instruction following sternal precautions with chest tube following esophagectomy. Subjective and objective outcome measures were utilized to follow veteran's progress and improvements with aerobic capacity and cardiovascular endurance. Results: The numeric pain rating scale (NPRS), EQ-5D-5L health questionnaire, 10MWT, and 6MWT were assessed to follow veteran’s progress. NPRS results were 3/10 pain right now, 5/10 pain previous week, 0/10 at best, and 7/10 at worst. 5Q-5D-5L results were mobility: 1/5, self-care: 2/5, usual activities: 2/5, pain/discomfort: 2/5, and anxiety/depression: 5/5. 10MWT result was an average of 0.825m/s suggesting improvement to community level ambulation(12). 6MWT result was 310.61m suggesting improved cardiovascular endurance. Discussion: Management of esophageal cancer requires a comprehensive evaluation and targeted treatment plan in order to improve outcomes and reduce the need to return to hospitalized care. Throughout hospital treatment, the veteran made progress in all 4 outcome measures suggesting skilled physical therapy improved his condition.
https://digitalscholar.lsuhsc.edu/ahrd/2024/2024/6