6.9.2 Rehabilitation

Rehabilitation may be required at any point of the metastatic care pathway, from preparing for treatment through to palliative care. Issues that may need to be dealt with include managing cancer-related fatigue, improving physical endurance, achieving independence in daily tasks, returning to work and ongoing adjustment to cancer and its sequels.

Optimising nutrition (maintaining a healthy weight and food intake/diet) during and post-treatment is important to avoid further complications such as declining nutritional status (malnutrition), negative social impacts and reduced quality of life. Patients with a NET often change their diet due to NET symptoms and therefore require support and education to ensure they are meeting their dietary needs. Referral to a dietitian for assessment and nutrition support should be considered for symptomatic patients and those reporting weight loss or a change in their diet.

Exercise is a safe and effective intervention that improves the physical and emotional health and wellbeing of cancer patients. Exercise should be embedded as part of standard practice in cancer care and be viewed as an adjunct therapy that helps counteract the adverse effects of cancer and
its treatment.