Version June 2024
| CR | CORE |
| Patient assessment | Review cancer therapies and potential side effects |
| Assess health conditions impairing exercise | |
| Assess for lymphedema, ostomy, and infection risks | |
| Review for metastatic disease, presence/stage, and readiness for exercise versus cancer rehabilitation if bony metastasis | |
| Review complete blood cell count | |
| Screen for depression, fatigue, and quality of life | |
| Perform cardiopulmonary assessment | |
| Nutrition counseling | Cancer-specific nutritional recommendations (eg, NCCN) |
| Involve dietitians who specialize in cancer | |
| Weight management | Assess weight management issues (weight loss, loss of lean muscle mass, and gain in fat mass) that are cancer specific |
| Tailor aerobic and resistance training accordingly | |
| BP management | Review chemotherapeutic agents and molecularly targeted drugs causing hypertension, such as VEGF signaling pathway inhibitors |
| Appropriately screen and reassess for those on active therapy | |
| Lipid/lipoprotein management | Primary CVD prevention setting: ACC and AHA cholesterol guidelines for lipid management, which recommend statin therapy for CVD risk score ≥7.5% over a 10-year period |
| Recognize settings when CVD risk score is not valid | |
| Diabetes mellitus management | Recognize chemotherapeutic agents that worsen glucose control |
| Tobacco cessation | Provide referral to smoking cessation program within cancer center |
| Psychosocial management | Develop referral network of social work and mental health professionals who support the care and treatment of patients with cancer |
| PA counseling | Emphasize the health risks of prolonged periods of sitting; goal is an increase in habitual lifestyle PA and a decrease in sedentary time |
| Exercise training | Aerobic and resistance exercise training prescription based on ACSM guidelines specific to patients with cancer |
| Supervised exercise training in the CORE setting | |
| Incorporation of behavioral change strategies demonstrated effective for cancer patients and survivors |
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