Evidence is growing that a rehabilitative approach can enhance the quality of life for people with advanced, progressive diseases (NICE, 2004). Rehabilitation within palliative care may be viewed as an educational, problem-solving process that focuses on optimising activity, social participation and well-being within the context of a life-limiting progressive illness (Wade, 2005). This process is cognoscente of the needs of both the individual and those who matter to them.

Over 30 years ago, Dietz (1981) identified four types of rehabilitation intervention for cancer populations which have equal relevance within the advanced stages of any incurable progressive illness.

Preventive interventions lessen the effect of expected disabilities through early identification of adjustment issues to allow for prompt intervention, for example, providing early advice on maintaining muscle strength and function for those at risk of developing cachexia.