Occupational Therapy for the Head and Neck Cancer Patient

Part of the Cancer Treatment and Research book series (CTAR, volume 174)


Occupational therapy is a health profession concerned with promoting health and well-being through occupation. A diagnosis of head and neck cancer (HNC) often invokes fear and anxiety because of the potential negative impact of the diagnosis and/or treatment on lifestyle and well-being. Occupational therapists perform a unique and important role in addressing quality of life concerns for HNC patients through applied expertise in lifestyle management, facilitating the use of positive coping strategies and daily routine management. Occupational therapy concurrently assists HNC patients to effectively manage the debilitating stress and anxiety associated with HNC diagnosis, treatment, and recovery while facilitating a return to prior or adapted daily routines.


Occupational therapy Lymphedema Prehabilitation Complete decongestive therapy Survivorship 


  1. 1.
    Kielhofner G, Burke JP, Igi CH (1980) A model of human occupation, part 4. assessment and intervention. Am J Occup Ther 34(12):777–788CrossRefPubMedGoogle Scholar
  2. 2.
    American Occupational Therapy Association (2014) Occupational therapy practice framework: domain and process, 3rd edn. Am J Occup Ther 68(Suppl 1): S1–S48, March/April 2014.
  3. 3.
    Semple C, Parahoo K et al (2013 July) Psychosocial interventions for patients with head and neck cancer. Cochrane Database Syst Rev 16(7), July 2013Google Scholar
  4. 4.
    Silver JK, Baima J, Mayer RS (2013) Impairment-driven cancer rehabilitation: an essential component of quality care and survivorship. CA Cancer J Clin 63:295–317CrossRefPubMedGoogle Scholar
  5. 5.
    De Boer EN, McCormick LK, Pruyn JFA, Ryckman RM, van den Borne BW (1999) Physical and psychosocial correlates of head and neck cancer: a review of the literature. Otolaryngol Head Neck Surg 120:427–436CrossRefPubMedGoogle Scholar
  6. 6.
    National Comprehensive Cancer Network (2016) Available via
  7. 7. (2007) Accessed 8 Sept 2016
  8. 8.
    Lowe D, Rogers SN (2012) University of Washington quality of life questionnaire (UW-QOL v4). Available via
  9. 9.
    Pressman SD, Matthews KA et al (2009) Association of enjoyable leisure activities with psychological and physical well-being. Psychosom Med 71(7):725–732Google Scholar
  10. 10.
    The Montreal Cognitive Assessment (1996) Available via
  11. 11.
    Zigmond AS, Snaith RP (1983) The hospital anxiety and depression scale. Acta Psychiatrica Scandinavica 67:361–370Google Scholar
  12. 12.
    The Canadian Occupational Performance Measure (2017) Accessed 5 July 2017
  13. 13.
    Kielhofner G, Mallinson T (2004) OPHI II-The occupational history performance interview. University of Illinois at Chicago, ChicagoGoogle Scholar
  14. 14.
    Berger AM, Abernathy AP, Atkinson A et al (2010) Cancer-related fatigue. J Natl Compr Canc Netw 8(8):904–930Google Scholar
  15. 15.
    Keeney CE, Head BA (2011) Palliative nursing care of the patient with cancer-related fatigue. J Hospice Palliat Nurs 13(5):270–278Google Scholar
  16. 16.
    Fu MR (2014) Breast cancer related lymphedema: symptoms, diagnosis, risk reduction and management. World J Clin Oncol 5(3):241–247. Published online 10 Aug 2014.
  17. 17.
    Sember A et al (2016) Prehabilitation for lymphedema in head and neck cancer patients at a community cancer center. J Community Support Oncol, 30 Nov 2016Google Scholar
  18. 18.
    Foldi M, Foldi E (2006) Lymphostatic diseases. In: Strossenruther RH, Kubic S (eds) Foldi’s textbook of lymphology for physicians and lymphedema therapists. Urban and Fischer, Munich, Germany, pp 224–240Google Scholar
  19. 19.
    Hwang EJ, Lokietz NC, Lozano RL, Parke MA (2015) Functional deficits and quality of life among cancer survivors: implications for occupational therapy in cancer survivorship care. Am J Occup Ther 69:6906290010CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  1. 1.City of Hope National Medical CenterDuarteUSA

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