ASPECTS OF TEACHING REHABILITATION IN ONCOLOGICAL PRACTICE AT THE DEPARTMENT OF ONCOLOGY TO THE STUDENTS OF "PHYSICAL THERAPY, ERGOTHERAPY'' WITHIN THE REQUIRED STAGE OF COMPREHENSIVE TREATMENT OF PATIENTS WITH MALIGNANT TUMOURS OF MAMMARY GLAND

The article is an investigation into rehabilitation in oncological practice, characterized by a complex of medical, psychological, professional and legal measures on recovery of the autonomy, working capacity and health of the patients with limited physical abilities after specialized radical or palliative medical treatment for malignant tumours of the mammary gland. The incidence of breast cancer for women is growing rapidly and is a leading type among women's oncological diseases. The approach to comprehensive treatment of this pathology according to international standards in-volves recommendations and consultations of a multi-disciplinary committee, which includes physician of physical rehabilitation medicine, physical therapist, ergo-therapist. Despite the development of contemporary health care and surgical methods of treatment, post-operative complications are common in about 20% of cases. Return to a full-time job for people who fully or partially lost their working capacity because of the dis-ease or the trauma, entails significant cost savings that the government would have to compensate in social security. The main tasks in the work with patients after a comprehensive treatment of breast cancer involve adherence to the stages of physical and psychological rehabilitation. The main focus for the students is to understand the key tasks of both components of rehabilitation. Special treatment, which includes surgery, radia-tion, chemotherapy or their combination, usually results in complications and the need for physical recovery of the body. To remove them, special complexes of remedial physical exercises that must be performed under the supervision of the expert, are applied. The optimization of the methods of conduction rehabilitation exercises presupposes approximation of the practical training to the everyday practice of the would-be specialist. Contemporary training of rehabilitation specialists requires a confident transition from awareness raising training to the training that provides free research activity of the student and mastery of practical skills. Test questions and discussion topics of the pa-tients' rehabilitation features that we recommend using in the teaching at rehabilitation classes: • determination of the physical rehabilitation stages • main aspects of psychological rehabilitation • naming the criteria for conducting efficient re-habilitation methods • characterizing everyday components of setting up the rehabilitation program taking into account the breast cancer pathology. • clarifying to students the importance of early start, continuity, comprehensiveness and phasing of rehabilitation of breast cancer patients. • individual approach in the treatment and re-covery of lost functions. Control of the types of rehabilitation: preventive, recuperative, supportive and palliative. The teaching of students on the example of indi-vidual approach to the patient is crucial in understanding all the components of the rehabilitation of oncological patients, since one of the key aspects in the treatment is the quality of life and social adaptation. Practical orientation of teaching, which is based on the evidentiary medicine principles broadens the worldview of the medical student and enables the future doctor to provide the necessary high quality treatment irrespective of their major and in accordance with international education standards.