Cancer rehabilitation inpatients, like many advanced cancer patients, can suffer from significant symptom burdens that can affect activity and function.49 Common cancer related symptoms encountered by rehabilitation professionals include fatigue, pain, nausea, cognitive dysfunction and cachexia. Symptom severity can negatively impact function while improving symptom burden can predict better functional status and less disability.50,51,52 Reducing cancer symptom severity is a priority for inpatient rehabilitation physiatrists. Not only can it impact functional improvement but it can impact a patient’s ability to tolerate therapy. This is particularly important in an IRF where participation in three hours of therapy per day is mandatory. Inpatient rehabilitation patients have also shown to demonstrate statistically significant improvements in their cancer related symptoms from IRF admission to discharge possibly due to pharmacologic management by the physiatry team or due to physical activity.53,54 Furthermore, a study has shown that symptomatic improvements were maintained six months after inpatient rehabilitation discharge.