3.  Activity or manner of moving, changing position  Impulse, Progression, Convergence,  descent/ascent, Plunging, Rotation  A main division of an extended musical composition  The suggestion of motion by a work of art  Action whether organised and consciously propagated or a mere drift

6.  In 2008, just over 650,000 cases of cancer were diagnosed in Africa, with over 500 000 deaths. Professor Isaac Adewole, Vice Chancellor at the Universityof Ibadan in Nigeria and President-Elect of AORTIC.  The number of new cases of cancer in Africa is expected to double by 2030  In Africa, there is a general lack of cancer awareness, which leads to late presentation of cancer.  Most African health care systems are not in a good position to address the cancer problem Professor Serigne Gueye : current AORTIC President

7.  Ferlay J, Shin HR, Bray F, Forman D, Mathers C and Parkin DM. GLOBOCAN 2008, Cancer Incidence and Mortality Worldwide: IARC CancerBase No. 10 [Internet]. Lyon, France: International Agency for Research on Cancer; 2010.  http://globocan.iarc.fr

8. BreastCervixOvary North Africa Incidence Mortality 33.6% 26.3% 6.4% 5.6% 5.1% 5.3% West Africa Incidence Mortality 26.4% 21% 25.9% 24.9% 3% 3.4% Central Africa Incidence Mortality 22.1% 20.4% 22.0% 14.1% 4.6% 5.2% East Africa Incidence Mortality 14.9% 11.3% 26.2% 24.5% 2.6% 3.6% Southern Africa Incidence Mortality 16.1% 21.0% 22% 24.4% 3.4% 3.2%

12.  Surgery  Chemotherapy  Radiotherapy  Hormone therapy

13.  Post-operatively  Pre-radiotherapy  Post treatment

14. Quality of life, perceived by the patient, is constantly changing throughout a Rehabilitative process, and is dependent on personality traits- “expectancy of success”, adaptability, attitude to problem solving and acceptance (Eales 2000).

15. Goals of rehabilitation are to use a variety of measures in a specific time frame to Improve mental, physical and social aspects of an impaired person’s life (United Nations 1983).

21. Changes in:  Surgery scars, muscles, joints and ligaments  Lymphatic fluid drainage from the skin to the heart  Nerves gliding in their sheaths  Balance and co-ordination

23.  Education and preventive advice  Stretches  Skincare  cellulitis

24.  Stretches  Myofascial releases  Exercises- balance, toning, return to function  Self massage  Neural glides  Gait re-education  Sport specific co-ordination and training  Multi-tasking exercises for cognitive rehab

25.  Cancer Related Fatigue  Cognitive issues and the office  Postural changes in : office, hobbies, intimacy  Lymphoedema

30. " People who have had treatment for cancer are as productive as people who have not had cancer – they take less time off work than other employees, and in general, perform well in the workplace.“ Schultz, P. et al (2002), Cancer Survivors – Work-related Issues, American Association of Occupational Health Nurses Journal.

38. "There are two big taboos in conversations about breast cancer. One is death. The other is sex." ( Marc Silver) Breast Cancer Husband, How to Help Your Wife (and Yourself) Through Diagnosis, Treatment and Beyond.

42. “ Too often we underestimate the power of a touch, a smile, a kind word, a listening ear, an honest compliment, or the smallest act of caring, all of which have the potential to turn a life around.” (Leo Buscaglia)

43.  Take your time choosing your cancer team  www.saphysio.co.za for a physio in your area www.saphysio.co.za  Know your rights and responsibilities as a patient  Know your benefits and how to activate them  10 mins walking every 2 nd day reduces CRF  Radiotherapy stretches must be done for 2 years after radiotherapy  Lymphoedema risk can be reduced with appropriate treatment  Cancer has a gift for everyone, it takes time to discover the gift.

45. Thank You for your time D Ness Physio Solutions nessphysiosolutions@gmail.com

47.  Multi tasking  Memory  Caring for self  Time out

50.  Chemo and the office  Radiotherapy and the office  Posture  Advocacy  Disability act  Reports  Medical boarding

51.  Campaign for Cancer www.campaign4cancer.co.za  Good practice for disability in RSA 1345 Employment Equity Act (55/1998): Code of Good Practice: Key Aspects on the Employment of People with Disabilities  Patient Rights Charter www.doh.gov.za/docs/misc/healthcharter.pdf

55.  First Line Practitioner  Scope of Practice  HPCSA / SASP  Patient Rights and Responsibilities  Advocacy