CANCER REHABILITATION PATHWAY - HAEMATOLOGY
|
|
- Veronica Gibson
- 5 years ago
- Views:
Transcription
1 CANCER REHABILITATION PATHWAY - HAEMATOLOGY Statement: To be used in conjunction with Brain and CNS Rehabilitation Care Pathway as appropriate Diagnosis and Care Planning: The following symptom pathways may be useful at this stage of the pathway: Fatigue Management Breathlessness Lympohoedema Mobility and Loss of Function Pain Metastatic Spinal Cord Compression D1 Information/Support a Obtain collateral information on social situation & support network b Assess information needs for patients & provide suitable verbal & written advice including local support groups c Provide family & carer support & education as required d Provide contact details for relevant AHPs e Provide relevant information prescription f Ensure key worker is allocated and contact details provided D2 Nutrition a Ensure nutritional screening is implemented using a validated tool b Assess nutritional requirements & status and factors affecting nutritional intake including patient s circumstances & ability to act on dietetic advice c Provide practical dietary advice, including written information tailored to individual s needs, prognosis,circumstances d Liaise with other health professionals in the haematology team
2 e Provide ongoing monitoring & support to patient, family & carers f Formulate and provide nutritional care plans to achieve optimal nutritional status g Where necessary, consider alternative methods of nutrition support & provide advice & support for health care professionals, patients & relatives h Influence organisational approach to provision of food D3 Referral/Liaison a Liaise with MDT & internal & external agencies as appropriate b Assessment of multiple myeloma patients to include the possibility of pathological fracture and spinal cord compression. D4 Respiratory Function a Identify patient with or without pre-existing respiratory disease if it is likely to impact on treatment b Assess respiratory status and impact on function c Commence chest physiotherapy to suit individual requirements d Optimise physical & respiratory fitness if it is likely to impact on treatment e Assess, advise and implement seating and postural management D5 Skin Care a Assess for & arrange provision of pressure relieving cushions/ mattresses to optimise comfort & minimise the risk of developing or exacerbating existing pressure sores b Minimise the risk of developing or exacerbating existing pressure sores c Initial complex seating and pressure management aiming to improve sitting tolerance in the initial stages D6 Work, Leisure & Activities of Daily Living a Undertake risk assessment for falls & manual handling b Undertake assessment of patients ability in all daily care including bathing & showering, providing equipment as required c Undertake baseline assessment of patients mobility, including stairs and transfers. Provide appropriate equipment to facilitate independence (refer to mobility and loss of function pathway) d Assess & advise on hand dexterity, eye sight & cognitive abilities where difficulties may be anticipated e Assess levels of fatigue & advise as necessary (refer to fatigue care pathway) f Maintain restorative exercise and health promotion as possible pre operatively g Undertake assessment of domestic care ability h Undertake assessment of work and leasure activities i Assess communication - including vocal cord dysfunction. Treatment: The following symptom pathways may be useful at this stage of the pathway: Fatigue Management Breathlessness
3 Lympohoedema Mobility and Loss of Function Pain Continence Anorexia and Cachexia Dysphagia Metastatic Spinal Cord Compression T1 Assessment & Support a Complete holistic initial assessment including respiratory, mobility, moving and handling risk assessment and physical condition using a recognised assessment tool b Negotiate goals with patient & allocate appropriate outcome measures c Undertake baseline assessment including physical fitness & treatment of patient and review subsequently as required d Assess respiratory function, mobility, social history f Agree & implement goal specific treatment plan g On going monitoring and support to patient, family and carers h Assess fatigue and implement management strategies i Monitor degree of immune suppression T2 Cognitive & Psychological Factors a Assess psychological needs of patients & families/ carers & refer/ advise appropriately b Complete holistic initial assessment looking at social situation, functional cognitive & perceptual areas c Assess & plan anxiety management programme in order to provide confidence for patient &/ or carers in management of condition d Help patients to explore their feelings around body image, self identity, self esteem, sexuality & relationships e Assess and advise strategies to manage role adjustment and refer on to other agencies f Assess for and arrange provision of memory aids, family support and home adaptations in relation to safety and falls management T3 Equipment Provision a Provide aids & equipment to support daily living & self management techniques to optimise management of activities of daily living b Ensure equipment to facilitate independence &/ or care is provided in a timely service according to local guidance c Ensure equipment required to enable independence in activities of daily living is delivered & fitted prior to discharge T4 Exercise & Physical Well Being a Teach patient exercises for maintenance of circulation and general muscle strength if patient is acutely unwell b Teach patient exercises for maintenance of circulation & general muscle tone if patient is unable to mobilise c Advise patient about effective exercise, lifting & general activity, with written support materials if required d Provide exercise intervention for all patients undergoing high dose chemotherapy with or without stem cell transplantation
4 e Advise patients on increasing levels of physical activity & the benefits there of f Refer to exercise classes to improve fitness & wellbeing g Complete risk assessment in relation to any manual handling difficulties h Provide tailored exercise intervention appropriate to all patients throughout the treatment pathway T5 Information/Support a Issue appropriate information to ensure patient is supported post discharge b offer support and information to carers T6 Mobility a Assess patient s functional ability to manage at home including stairs (refer to mobility pathway) b Supply mobility equipment required prior to discharge c Undertake & complete moving & handling risk assessment documentation d Educate & demonstrate use of equipment & techniques for safe moving & handling to patients & carers and provide written information f Assess for musculo-skeletal problems and treat as appropriate T7 Nutrition a Implement nutritional screening using validated tool b Continue to Assess and monitor nutritional requirements & status c Continue to Assess and monitor factors affecting nutritional intake including nausea and vomiting, diarrhoea and dysphagia, refer to speech and language as appropriate d Continue Assess and monitor patient s circumstances & ability to act on dietetic advice e Provide practical dietary advice, including written information tailored to individual s needs, prognosis & circumstances & neutropenic diet and mouth care f Formulate care plan and continue to review nutritional care plans to achieve optimal nutritional status g Where necessary, consider alternative methods of nutrition support & provide advice & support for health care professionals, patients & relatives liase with home enteral feeding team as appropriate h Monitor and identify biochemistry, full blood count and electrolyte disturbance, renal function and refeeding syndrome and advise/refer as appropriate i Assess and monitor for signs of graft versus host disease (GVHD) j Advise on fatigue, weight maintenance, alternative diets, vitamin, minerals and herbal supplements k Educate and apply appropriate food safety restrictions l Dietary advice for renal dysfunction (low potassium, low phosphate, sodium and fluid restrictions) as appropriate T8 Referral/Liaison a Arrange outpatient or community physiotherapy and OT if required after discharge b Give patient contact name & telephone number of physiotherapy and OT services to contact between discharge & outpatient appointment in case of problems with mobility & function c Liaise with other health professionals in the oncology/ haematology team, MDT & refer onto other agencies as appropriate d Arrange dietetic and speech and language follow up after discharge and provide appropriate contact numbers
5 T9 Respiratory Function a Assess respiratory status b Provide respiratory treatment as indicated T10 Skin Care a Assess for & arrange provision of pressure relieving cushions/ mattresses to optimise comfort & minimise the risk of developing or exacerbating existing pressure sores b Minimise the risk of developing or exacerbating existing pressure sores c Assess, educate and advise on daily skin care d On-going graded seating and pressure care management T11 Work, Leisure & Activities of Daily Living a Maintain awareness of wider issues of cancer prognosis & impact of treatment on self image b Provide ongoing monitoring & support to achieve patient s goals and work towards independence in all activities of daily living including return to work, leisure activities and lifestyle c Assess bathing/ showering to address possible continence issues & provision of equipment as indicated d If required, advise patient about managing continence problems through pelvic floor exercises, with written support materials (refer to continence pathway) e Conduct home assessment if indicated & implement recommendations f Conduct post-discharge & follow up if indicated g Provide advice on energy conservation & techniques in activities of daily living h Provide equipment to facilitate independence with hygiene needs i Help with access & mobility to the toilet j Assess levels of fatigue & advise as necessary (refer to fatigue care pathway) T 12 Mouth care a Assess condition of mouth including mucosa and pain b Assess impact on nutritional status c Encourage oral hygiene and use of mouth washes d Liaise with medical team for analgesia as required e Establish treatment plans & realistic goals with patient & carers including priorities for intervention Post Treatment: The following symptom pathways may be useful at this stage of the pathway: Fatigue Management Breathlessness Lympohoedema
6 Mobility and Loss of Function Pain Continence Anorexia and Cachexia Dysphagia Metastatic Spinal Cord Compression PT1 Assessment a Complete holistic initial assessment including respiratory, mobility, moving and handling, risk assessment and physical condition, nutrition and communication using validated assessment tools b Complete social, psychological functional cognitive perceptual assessment c Establish treatment plans and realistic goals with patient and carers including priorities for intervention d Complete outcome measures e Monitor degree of immune suppression PT2 Cognitive and Psychological Factors a Assess & plan anxiety / psychological management programme in order to provide confidence for patient &/ or carers in management of condition b Address issues concerning patients sense of body image, self esteem, self identify, confidence and sexuality d Assess and advise on strategies to manage role adjustment e Assess and implement cognitive rehabilitation f Advise on coping mechanisms using cognitive behavioural therapy techniques and anxiety management strategies PT3 Exercise & Physical Well Being a Advise general exercise and acivity tailored to patients individual requirements b Include/ invite to a fitness programme as an out-patient c Advise on home exercise programme as appropriate d Work on optimising functional mobility and physical condition e Assessment of fitness, physical, psychological & musculo-skeletal problems that would include urinary/ faecal incontinence f Provide exercises for areas affected by treatment to ensure reduction in pain, return of movement & to improve function h For patients with lymphoedema refer to the lymphoedema pathway i Assess levels of fatigue & advise as necessary PT4 Information/Support a Provide ongoing monitoring & support to patient, family & carers using available media b Repeat outcome measures PT5 Mobility
7 a Educate & demonstrate use of equipment & techniques for safe moving & handling to patients & carers b Ensure equipment to facilitate independence &/ or care is provided in a timely service according to local guidance PT6 Nutrition a Implement nutritional screening using a validated tool b Continue to assess and monitor factors affecting nutritional intake including patients circumstances and ability to act on dietetic advice c Provide practical dietary advice, including written information tailored to individual s needs, prognosis & circumstances d Formulate and review care plan to achieve optimal nutritional status e Where necessary, consider alternative methods of nutrition support & provide advice & support for health care professionals, patients & relatives f Liaise with home enteral feeding team for artifical feeding as appropriate g Advise on fatigue, weight maintenance, diet, and supplements as necessary h Educate and apply appropriate food safety restrictions i Dietary advice for renal dysfunction (low potassium, low phosphate, sodium and fluid restrictions) as appropriate PT7 Referral/Liaison a Liaise with other members of the team according to referral criteria and refer as necessary b Ensure that appointment is available for any intervention in a timely manner PT8 Skin Care a Assess for & arrange provision of seating/pressure relieving cushions/ mattresses to optimise comfort, support posture & minimise the risk of developing or exacerbating existing pressure sores b Minimise the risk of developing or exacerbating existing pressure sores c Assess and monitor for GVHD d Assess, educate and advise on daily skin care e Provide advice and splinting for peripheral neuropathies PT9 Work, Leisure and Activities of Daily Living a Assess home environment where appropriate in relation to treatment plan including functional mobility and stairs b Undertake bathing/ showering/ toilet assessment & provision of equipment as required c Address issues such as clothing that requires minimum effort to get on & is comfortable particularly with patients with prosthetics/stomas/ lines/ drains d Provide equipment to facilitate independence with hygiene e Provide vocational rehabilitation and advice on return to work as appropriate f Assess and advise strategies to manage role adjustment g Assess fatigue and implement management strategies PT10 Mouth care
8 a Assess condition of mouth including mucosa and pain b Assess impact on nutritional status c Encourage oral hygiene and use of mouth washes d Liaise with medical team for analgesia as required e Establish treatment plans & realistic goals with patient & carers including priorities for intervention Monitoring & Survivorship: The following symptom pathways may be useful at this stage of the pathway: Fatigue Management Breathlessness Lympohoedema Mobility and Loss of Function Pain Continence Anorexia and Cachexia Dysphagia Metastatic Spinal Cord Compression M1 Assessment a Complete holistic assessment using a recognised assessment tool b Undertake MDT assessment/ review & allocate key lead/ key worker c Complete outcome measures d Monitor degree of immune suppression M2 Cognitive and Psychological Factors a Assess & plan anxiety / psychological management programme in order to provide confidence for patient &/ or carers in management of condition b Help patients to explore their feelings around body image, self esteem and self identity & sexuality, realtionships and religious values c Offer up to level 2 psychological support throughout assessment and treatment d Identify psycho-social needs to establish a base line measurement & promote psychological adjustment & well being e Teach relaxation techniques as part of anxiety management f Provide ongoing physical & psychological functional assessment in relation to activities of daily living g Assess and advise strategies to manage role adjustment h Assess fatigue and implement management strategies M3 Exercise & Physical Well Being a Assess and review physical fitness and refer to exercise programme as appropriate
9 b Refer on to community based exercise prescription M4 Information/Support a Help improve general health and wellbeing b Provide ongoing monitoring & support to patient, family & carers c Provide appropriate information prescription M5 Mobility a Undertake & complete moving & handling and falls risk assessment documentation b Educate & demonstrate use of equipment & techniques for safe moving & handling to patients & carers c Assess mobility and access around the home environment M6 Nutrition a Implement nutritional screening using validated tool b Continue to assess and monitor nutritional requirements & factors affecting nutritional intake including patient s circumstances & ability to act on dietetic advice c Provide practical dietary advice, including written information tailored to individual s needs, prognosis & circumstances d Advise on healthy eating, fatigue, weight maintenance, alternative diets, vitamin, minerals and herbal supplements e Formulate & review nutritional care plans to achieve optimal nutritional status f Where necessary, consider alternative methods of nutrition support & provide advice & support for health care professionals, patients & relatives g Dietary advice for renal dysfunction (low potassium, low phosphate, sodium and fluid restrictions) as appropriate M7 Skin Care a Assess for & arrange provision of seating/pressure relieving cushions/ mattresses to optimise comfort, support posture & minimise the risk of developing or exacerbating existing pressure sores b Minimise the risk of developing or exacerbating existing pressure sores c Assess and monitor for GVHD d Assess, educate and advise on daily skin care M8 Referral/Liaison a Liaise with other members of the team according to referral criteria & refer onto other agencies as appropriate M9 Work, Leisure and Activities of Daily Living a Advise on adaptive techniques to enhance independence in functional tasks b Assess home environment where appropriate in relation to treatment plan c Establish treatment plans & realistic goals with patient & carers including priorities for intervention d Provide pressure relieving cushions to optimise comfort & minimise the risk of developing or exacerbating existing pressure sores e Assess patients for needs such as psychological support & other support groups f Advise on maintaining role at work or re-engaging in work place
10 g Support patients to re-engage in community and leisure activities h Ensure equipment to facilitate independence &/ or care is provided in a timely service according to local guidance i Assess fatigue and implement management strategies j Provide ongoing support to facilitate work activities k Assess levels of fatigue & advise as necessary J. Arends et al Espen Guidelines on enteral nutrition: non surgical oncology. Clinical Nutrition (2006) 25, NICE Guidelines 2003 (?guidance for artificial nutritional support or enteral)
National Cancer Action Team. Rehabilitation Care Pathway Brain CNS
National Cancer Action Team Rehabilitation Care Pathway Brain CNS Rehabilitation Care Pathway Brain CNS Diagnosis & Care Planning Drop Down Pathways Dysphagia Mobility/ loss of function Intervention D1
More informationNational Cancer Action Team. Rehabilitation Care Pathway Poor Mobility and Loss of Function
National Cancer Action Team Rehabilitation Care Pathway Poor Mobility and Loss of Function Diagnosis & Care Planning Assess respiratory status especially in people with preexisting respiratory disease
More informationZoe and her mother s Macmillan nurse Margaret
Zoe and her mother s Macmillan nurse Margaret How to use this file This PDF works best when it is opened in Adobe Reader. Click on the lists on the right edges of the pages to go to a specific section.
More informationRatified by: Care and Clinical Policies Date: 17 th February 2016
Clinical Guideline Reference Number: 0803 Version 5 Title: Physiotherapy guidelines for the Management of People with Multiple Sclerosis Document Author: Henrieke Dimmendaal / Laura Shenton Date February
More informationBackground and Context
Background and Context People affected by cancer need information that is timely and relevant to enable them to make decisions. It can be difficult for patients and others affected by cancer to identify
More informationThey are updated regularly as new NICE guidance is published. To view the latest version of this NICE Pathway see:
Chronic fatigue syndrome myalgic encephalomyelitis elitis overview bring together everything NICE says on a topic in an interactive flowchart. are interactive and designed to be used online. They are updated
More informationSurvivorship Guidelines. September 2013 (updated August 2015)
Survivorship Guidelines September 2013 (updated August 2015) CONTENTS Contents 1 Introduction... 3 2 Background... 3 3 Recommendations and Rationale... 4 Appendix 1: Holistic Needs Assessment... 9 Appendix
More informationNATIONAL REHABILITATION HOSPITAL SPINAL CORD SYSTEM OF CARE (SCSC) OUTPATIENT SCOPE OF SERVICE
NATIONAL REHABILITATION HOSPITAL SPINAL CORD SYSTEM OF CARE (SCSC) OUTPATIENT SCOPE OF SERVICE Introduction: The Spinal Cord System of Care (SCSC) at the National Rehabilitation Hospital (NRH) provides
More information2018 OCN Keywords January 22, 2018 Subject Area Weight Keywords
Subject Area Weight Keywords Care Continuum 19% Care Continuum Coordination of Care Navigation Psychosocial Symptom Management Health Promotion/Screening and Early Detection Disease Prevention High-Risk
More informationTable to Demonstrate a method of working through Triggered CAPs.
CAP Problem Goals Triggers Guidelines Physical Activities increase hours of exercises Reports less than 2 hours Personal choice Promotion and physical activity activity in last 3 days Instrumental Activities
More informationNutritional Protocol for Blood and Bone Marrow Transplantation (BMT)
Nutritional Protocol for Blood and Bone Marrow Transplantation (BMT) Scope This protocol details pre, during and post BMT nutritional assessment and management for all forms of BMT undertaken by OxBMT,
More informationNorth of England Bone and Soft Tissue Tumour Service
North of England Bone and Soft Tissue Tumour Service Guidelines for rehabilitation after replacement of the proximal femur Proximal femoral replacement surgery is usually carried out as part of treatment
More informationNATIONAL REHABILITATION HOSPITAL (NRH) THE SPINAL CORD SYSTEM OF CARE (SCSC) PROGRAMME INPATIENT SCOPE OF SERVICE
NATIONAL REHABILITATION HOSPITAL (NRH) THE SPINAL CORD SYSTEM OF CARE (SCSC) PROGRAMME INPATIENT SCOPE OF SERVICE NATIONAL REHABILITATION HOSPITAL SCOPE OF SERVICE FOR THE SPINAL CORD SYSTEM OF CARE PROGRAMME
More informationArtificial nutrition and rehabilitation for head and neck cancer patients in the community setting
Artificial nutrition and rehabilitation for head and neck cancer patients in the community setting Mary Mc Clenaghan Advanced Specialist Head and Neck Dietitian, South London Community Head and Neck Team,
More informationNZ Organised Stroke Rehabilitation Service Specifications (in-patient and community)
NZ Organised Stroke Rehabilitation Service Specifications (in-patient and community) Prepared by the National Stroke Network to outline minimum and strongly recommended standards for DHBs. Date: December
More informationRealising the potential of AHPs to support those with cancer in the future
Realising the potential of AHPs to support those with cancer in the future June Davis National cancer rehabilitation lead Macmillan Cancer Support 1 st June 2016 The shifting pattern of survival Total
More informationLung Cancer and Rehabilitation
Lung Cancer and Rehabilitation Report to Lung NSSG Sally Donaghey Macmillan AHP Lead, Ang CN sally.donaghey@suffolkpct.nhs.uk/tel: 01638 608218 Lung Cancer and Rehabilitation Evidence based Rehabilitation
More informationTotal knee replacement: The enhanced recovery programme
INFORMATION FOR PATIENTS Total knee replacement: The enhanced recovery programme This leaflet aims to explain the enhanced recovery programme after total knee replacement surgery, to outline certain common
More informationAudit and Implementation Guide: Clinical guidelines for the pre and post operative physiotherapy management of adults with lower limb amputations
2nd Edition- 2016 Audit and Implementation Guide: Clinical guidelines for the pre and post operative physiotherapy British Association of Chartered Physiotherapists in Amputee Rehabilitation NICE has accredited
More informationPatient Stroke Recovery
Patient Stroke Recovery Aboriginal Health Workers Audiologists Chiropractors Dietitians Exercise Physiologists Mental Health Nurses Mental Health Social Workers Occupational Therapists Osteopaths Physiotherapists
More informationRehabilitation following your hip fracture
Page 1 of 8 Rehabilitation following your hip fracture Introduction The information in this leaflet is a general guide to help you to have the best recovery following your hip fracture. If you have any
More informationContents Introduction Context nationally and locally What is a health and wellbeing event?... 4
Living With and Beyond Cancer Merseyside and Cheshire Health and Wellbeing Clinic Event Guidance January 2017 Contents 1 1. Introduction... 2 2. Context nationally and locally... 3 3. What is a health
More informationManagement of chronic fatigue syndrome myalgic encephalomyelitis
Management of chronic fatigue syndrome myalgic encephalomyelitis A NICE pathway brings together all NICE guidance, quality standards and materials to support implementation on a specific topic area. The
More informationSpecialist Palliative Care Referral for Patients
Specialist Palliative Care Referral for Patients This guideline covers referrals for patients with progressive terminal illness, whether due to cancer or other disease. For many patients in the late stages
More informationPhysical Activity, Lifestyle and Wellbeing
Unit 11: Physical Activity, Lifestyle and Wellbeing Unit code: L/601/1869 QCF level: 4 Credit value: 15 Aim The aim of this unit is to give learners the skills, knowledge and understanding to assist individuals
More informationPRINCIPLES OF SYMPTOM MANAGEMENT. Dr Eve Lyn TAN Liverpool Hospital NSW, Australia
PRINCIPLES OF SYMPTOM MANAGEMENT Dr Eve Lyn TAN Liverpool Hospital NSW, Australia .an approach that improves the quality of life of patients and their families facing the problem associated with life-threatening
More informationCommunity and Mental Health Services. Palliative Care. Criteria and
Community and Mental Health Services Specialist Palliative Care Service Referral Criteria and Guidance November 2018 Specialist Palliative Care Service Referrals These guidelines cover referrals for patients
More informationSpecialist care for chronic fatigue syndrome myalgic encephalomyelitis
Specialist care for chronic fatigue syndrome myalgic encephalomyelitis A NICE pathway brings together all NICE guidance, quality standards and materials to support implementation on a specific topic area.
More informationWorking together to prevent falls
Quality Care - for you, with you Working together to prevent falls Introduction Falling is a common problem throughout our lifetime but as we get older the risk of injury from falls unfortunately gets
More informationCONTINENCE MODULE 3 MIMIMUM STANDARDS FOR SPECIALIST ASSESSMENT & CONSERVATIVE MANAGEMENT OF CONSTIPATION AND FAECAL INCONTINENCE
CONTINENCE MODULE 3 MIMIMUM STANDARDS FOR SPECIALIST ASSESSMENT & CONSERVATIVE MANAGEMENT OF CONSTIPATION AND FAECAL INCONTINENCE The minimum standards required to initiate specialised conservative treatment
More informationNorth of England Bone and Soft Tissue Tumour Service
North of England Bone and Soft Tissue Tumour Service Guidelines for rehabilitation after proximal tibial replacement Proximal tibial replacement surgery is usually carried out as part of treatment for
More informationUpdate on Management of Malignant Spinal Cord Compression. Heino Hugel Consultant in Palliative Medicine University Hospital Aintree
Update on Management of Malignant Spinal Cord Compression Heino Hugel Consultant in Palliative Medicine University Hospital Aintree Current Guidelines The symptoms of MSCC may be subtle and therefore careful
More informationLOTHIAN LUMBAR SPINE PATHWAYS
LOTHIAN LUMBAR SPINE PATHWAYS Patient Completes STarT Back form Assess patient and screen for Red Flags. If present refer to Appendix 1 Establish if Neurogenic. If so refer to Appendix 2 Children under
More informationSouth East Coast Operational Delivery Network. Critical Care Rehabilitation
South East Coast Operational Delivery Networks Hosted by Medway Foundation Trust South East Coast Operational Delivery Network Background Critical Care Rehabilitation The optimisation of recovery from
More informationNational Occupational Standards
What this unit is about This unit is about the skills involved in providing head and body massage treatments. It covers manual massage of the head and body, as well as mechanical body massage techniques.
More informationENHANCED RECOVERY CARE PROGRAMME FOR ABDOMINAL-BASED BREAST RECONSTRUCTIONS (MS-TRAM/DIEP)
St Andrews Centre for Plastic Surgery ENHANCED RECOVERY CARE PROGRAMME FOR ABDOMINAL-BASED BREAST RECONSTRUCTIONS (MS-TRAM/DIEP) INTRODUCTION This leaflet aims to help you understand the Enhanced Recovery
More informationMAJOR TRAUMA REHABILITATION PRESCRIPTION
MAJOR TRAUMA REHABILITATION PRESCRIPTION Core Information Date Commenced: Time Commenced: Commenced By: GP: Date of Injury: Insert label or: Surname: First Name: MTC: Current Location: Date of Birth: Key
More informationMy hip fracture care: 12 questions to ask A guide for patients, their families and carers
My hip fracture care: 12 questions to ask A guide for patients, their families and carers About this guide This guide is aimed at patients who have a hip fracture, and their families and carers. It explains
More informationSpecialist Palliative Care Service Referral Criteria and Guidance
Specialist Palliative Care Service Referral Criteria and Guidance Specialist Palliative Care Service Referrals These guidelines cover referrals for patients with progressive terminal illness, whether
More informationCONTINENCE MODULE 1 MIMIMUM STANDARDS FOR THE SPECIALIST ASSESSMENT & CONSERVATIVE MANAGEMENT OF FEMALE LOWER URINARY TRACT SYMPTOMS
CONTINENCE MODULE 1 MIMIMUM STANDARDS FOR THE SPECIALIST ASSESSMENT & CONSERVATIVE MANAGEMENT OF FEMALE LOWER URINARY TRACT SYMPTOMS The minimum standards required to initiate specialised conservative
More informationItem No: 10. Meeting Date: Wednesday 20 th September Glasgow City Integration Joint Board. Alex MacKenzie, Chief Officer, Operations
Item No: 10 Meeting Date: Wednesday 20 th September 2017 Glasgow City Integration Joint Board Report By: Contact: Alex MacKenzie, Chief Officer, Operations Anne Mitchell, Head of Older People & Primary
More informationCONTINENCE MODULE 1 MIMIMUM STANDARDS FOR THE BASIC ASSESSMENT & CONSERVATIVE MANAGEMENT OF BLADDER AND BOWEL SYMPTOMS
CONTINENCE MODULE 1 MIMIMUM STANDARDS FOR THE BASIC ASSESSMENT & CONSERVATIVE MANAGEMENT OF BLADDER AND BOWEL SYMPTOMS The minimum standards required to initiate a basic continence assessment of bladder
More informationOrthopaedic Therapy Service inpatient guide. Information for patients MSK Orthopaedic Inpatients (Therapy)
Orthopaedic Therapy Service inpatient guide Information for patients MSK Orthopaedic Inpatients (Therapy) This leaflet is designed to answer any queries you may have about the Orthopaedic Therapy Service.
More informationSPORT AND PHYSICAL ACTIVITY
2016 Suite Cambridge TECHNICALS LEVEL 3 SPORT AND PHYSICAL ACTIVITY Unit 11 Physical activity for R/507/4462 Guided learning hours: 30 Version 5 - revised September 2018 *changes indicated by black line
More informationDepartment of Nutrition & Dietetics: Adult Outpatient Referral Criteria
Department of Nutrition & Dietetics: Adult Outpatient Referral Criteria Who can refer Referrals are accepted from: Medical practitioners Nursing staff Allied Health Professionals, e.g. Speech & language
More informationUrinary dysfunction assessment tool (community)
Addressograph label CHI:... Name:... Address:...... Urinary dysfunction assessment tool (community) Past medical history: Is the patient on medications which can affect bladder function? If, please list
More informationPatient Information. Epworth Allied Health Clinic
Patient Information Epworth Allied Health Clinic Epworth Allied Health Clinic The Epworth Allied Health Clinic is a private outpatient clinic providing a range of services. These include: physiotherapy
More informationSkull Base Tumour Service. The Multi-Disciplinary Team (MDT) Explained. Jan 2018 v1
Skull Base Tumour Service The Multi-Disciplinary Team (MDT) Explained Jan 2018 v1 Skull base tumours grow in the bones of the skull that form the bottom of the head and the body ridge between the nose
More informationFreedom of Information Act Request Physiotherapy Services for Neurological Conditions
Freedom of Information Act Request Physiotherapy Services for Neurological Conditions 1. In total how many physiotherapists does C&V UHB employ? s services 33 qualified paediatric physiotherapy staff in
More informationProvide body massage treatments
Provide body massage treatments A/600/7462 Learner name: Learner number: VTCT is the specialist awarding body for the Hairdressing, Beauty Therapy, Complementary Therapy and Sport and Active Leisure sectors,
More information24 Hour Positioning, Passive Movements, Shoulder pain, Splinting, Use of Assistive Technology, Early Mobilisation, and the Home Environment.
24 Hour Positioning, Passive Movements, Shoulder pain, Splinting, Use of Assistive Technology, Early Mobilisation, and the Home Environment. Christine Hogg Physiotherapy Team Leader and Vicky Thomas Senior
More informationROLE OF THE DIETITIAN. Aims of Dietetic Treatment NUTRITIONAL ISSUES WHY? MALNUTRITION NUTRITONAL MANAGEMENT OF MOTOR NEURONE DISEASE.
NUTRITONAL MANAGEMENT OF MOTOR NEURONE DISEASE. ROLE OF THE DIETITIAN SALLY DARBY NEUROLOGY DIETITIAN Not just tube feeding Referral soon after diagnosis Advise on healthy eating for MND Monitor nutritional
More informationV2.1 Cluster 2 Acute Care to Rehab & Complex Continuing Care (CCC) Referral
Referral Destination Referral to Rehab: (Please check one) HTSD / Regular stream LTLD/slowstream Either (Receiving facility to determine) Referral to Complex Continuing Care (CCC) (For LTLD / slowstream
More informationNORTHWICK PARK DEPENDENCY SCORE
NORTHWICK PARK DEPENDENCY SCORE PATIENT DETAILS: Surname:... Forename(s):... Hosp No:... Sex: Male/Female Date of birth:... Diagnosis:... NHS No:. OCCASION: Admission / Fortnightly review /Discharge Date
More informationThey are updated regularly as new NICE guidance is published. To view the latest version of this NICE Pathway see:
bring together everything NICE says on a topic in an interactive flowchart. are interactive and designed to be used online. They are updated regularly as new NICE guidance is published. To view the latest
More informationMANAGEMENT OF PATIENTS WITH METASTATIC SPINAL CORD COMPRESSION
CLINICAL POLICY MANAGEMENT OF PATIENTS WITH METASTATIC SPINAL CORD COMPRESSION DOCUMENT REF: PCLASCORD (Version No. 1.4) Name and designation of policy author(s) Approved by (committee, group, manager)
More informationCarry out massage using pre-blended aromatherapy oils
Carry out massage using pre-blended aromatherapy oils K/600/7523 Learner name: Learner number: VTCT is the specialist awarding body for the Hairdressing, Beauty Therapy, Complementary Therapy and Sport
More informationOxford Kidney Unit A guide to conservative kidney management. Information for Healthcare Professionals
Oxford Kidney Unit A guide to conservative kidney management Information for Healthcare Professionals What is conservative kidney management? Some people with advanced kidney disease (chronic kidney disease
More informationPARTICULARS, SCHEDULE 2- THE SERVICES, A- SERVICE SPECIFICATIONS. A08/S/d Colorectal: Faecal Incontinence (Adult)
A08/S/d 2013/14 NHS STANDARD CONTRACT FOR COLORECTAL: FAECAL INCONTINENCE (ADULT) PARTICULARS, SCHEDULE 2- THE SERVICES, A- SERVICE SPECIFICATIONS Service Specification No. Service Commissioner Lead Provider
More informationSERVICE SPECIFICATION 6 Conservative Management & End of Life Care
SERVICE SPECIFICATION 6 Conservative Management & End of Life Care Table of Contents Page 1 Key Messages 2 2 Introduction & Background 2 3 Relevant Guidelines & Standards 2 4 Scope of Service 3 5 Interdependencies
More informationFrailty and falls assessment and intervention tool
Frailty and falls assessment and intervention tool Contents Frailty and falls 4 Social circumstances 5 Mental health 6 Environment 7 Nutrition 8 Dizziness or blackout 9 Medications 10 Mobility and balance
More informationAppendix 1: Service self-assessment
Appendix 1: Service self-assessment Frailty Screening Are we delivering high-quality care for frail older people? We are assessing for frailty in people aged 65+ at every entry into the service using a
More informationUrinary dysfunction assessment tool (care home)
Addressograph label CHI:... Name:... Address:...... Urinary dysfunction assessment tool (care home) Past medical history: Is the patient on medications which can affect bladder function? If, please list
More informationNATIONAL INSTITUTE FOR CLINICAL EXCELLENCE SCOPE. Nutrition support in adults: oral supplements, enteral and parenteral feeding.
NATIONAL INSTITUTE FOR CLINICAL EXCELLENCE 1 Guideline title SCOPE Nutrition support in adults: oral supplements, enteral and parenteral feeding. 1.1 Short title Nutrition support 2 Background a) The National
More informationSouth Tees Hospitals NHS Foundation Trust. Excellence in dementia care across general hospital and community settings. Competency framework
South Tees Hospitals NHS Foundation Trust Excellence in dementia care across general hospital and community settings. Competency framework 2013-2018 Written and compiled by Helen Robinson-Clinical Educator
More informationMetastatic Spinal Cord Compression (MSCC) Clinical guidelines and pathway
Metastatic Spinal Cord Compression (MSCC) Clinical guidelines and pathway Version 2: May 2012 To be read in conjunction with NICE CG75 Developed by consensus by: Dr Peter Robson, Consultant Oncologist,
More informationGuideline for the Prescribing of Oral Nutritional Supplements in Adults (NUT2)
Guideline for the Prescribing of Oral Nutritional Supplements in Adults (NUT2) Author Medicines Optimisation Team, Sunderland CCG Approved by Sunderland Medicines Optimisation and Guideline Group Current
More informationEssex and Barking, Havering & Redbridge Supra-Network. In-patient and Community Neurological Rehabilitation Operational Policy
Essex and Barking, Havering & Redbridge Supra-Network Brain & CNS NDSG In-patient and Community Neurological Rehabilitation Operational Policy Version 1.3 March 2012 Review Date March 2013 Author Kate
More informationHealth and Social Care Act 2008 (Regulated Activities) Regulations
Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 12 Policy Statement The human body is essentially unstable; a vertical column on a narrow base. To be able to remain standing upright
More informationCAPPAGH NATIONAL ORTHOPAEDIC HOSPITAL, FINGLAS, DUBLIN 11. The Sisters of Mercy. Hip Resurfacing
1.0 Policy Statement... 2 2.0 Purpose... 2 3.0 Scope... 2 4.0 Health & Safety... 2 5.0 Responsibilities... 2 6.0 Definitions and Abbreviations... 2 7.0 Guideline... 3 7.1 Pre-Operative... 3 7.2 Post-Operative...
More informationRehabilitation & Exercise. For Renal Patients
R E N A L R E S O U R C E C E N T R E Rehabilitation & Exercise For Renal Patients Rehabilitation & Exercise for Renal Patients The Importance of Rehabilitation for Renal Patients Most people diagnosed
More informationPalliative Care Asking the questions that matter to me
Palliative Care Asking the questions that matter to me THE PALLIATIVE HUB Adult This booklet has been developed by the Palliative Care Senior Nurses Network and adapted with permission from Palliative
More informationCare in the Last Days of Life
Care in the Last Days of Life Introduction This guideline is an aid to clinical decision making and good practice in person-centred care for patients who are deteriorating and at risk of dying. The patient
More information2: Symptoms and management
2: Symptoms and management This section will help you to find out about the likely symptoms of motor neurone disease (MND) and how these can be managed. The following information is an extracted section
More informationTransanal irrigation. Toolbox for neurogenic bowel management. Information for patients Spinal Injuries
Transanal irrigation Toolbox for neurogenic bowel management Information for patients Spinal Injuries Neurogenic bowel dysfunction A number of people with a spinal injury experience faecal incontinence
More informationThe challenges faced by people with a stoma and dementia
The challenges faced by people with a stoma and dementia A holistic approach to person-centred care Rebecca Fossett, Colorectal Nurse Specialist (2018) Safe & Effective Kind & Caring Exceeding Expectation
More informationLondon Strategic Clinical Networks. My AKI. Guidance for patients with, or recovering from, acute kidney injury
London Strategic Clinical Networks My AKI Guidance for patients with, or recovering from, acute kidney injury Supporting the delivery of equitable, high quality AKI care through collaboration www.londonaki.net
More informationProfessional Development Workshops
Training Professional Development Workshops Pressure Injury Prevention & Management Breakfast in Bed Are You Sitting Comfortably Move It, Move It! Meet your presenter... Julia Salmon is a highly experienced
More informationPaediatric Physiotherapy Donna-Marie Jones Paediatric Physiotherapy Chelmsley Wood Primary Care Centre Crabtree Drive Chelmsley Wood Solihull B37 5BU
Solihull Community Children s Services Name of service Service manager Contact details Paediatric Physiotherapy Donna-Marie Jones Paediatric Physiotherapy Chelmsley Wood Primary Care Centre Crabtree Drive
More informationECN Rehabilitation Board Rehabilitation Needs Assessment
1 ECN Rehabilitation Board Rehabilitation Needs Assessment (Peer Review Measure 11-1E-114v) Agreement Cover Sheet 2 The ECN Rehabilitation Needs Assessment has been agreed by: Position Name Organisation
More informationSCOTTISH MUSCLE NETWORK DUCHENNE MUSCULAR DYSTROPHY TRANSITION SOME USEFUL THINGS TO KNOW ABOUT HEALTH AROUND ADOLESCENCE
SCOTTISH MUSCLE NETWORK DUCHENNE MUSCULAR DYSTROPHY TRANSITION SOME USEFUL THINGS TO KNOW ABOUT HEALTH AROUND ADOLESCENCE 02 Changes in our lives can be stressful and leaving school and moving into the
More informationShared Care Agreement for Donepezil
ESCA: for the treatment of Alzheimer s disease SECONDARY CARE SECTION TO BE COMPLETED BY INITIATING DOCTOR Patient s Name: Date of Birth: NHS Number: ESCA Date: One copy of information leaflet given to
More informationTherapy following a neck of femur fracture
INFORMATION FOR PATIENTS Therapy following a neck of femur fracture Name of patient: ffffffffffffffffffffffffffffffffffffffffffff Procedure: ffffffffffffffffffffffffffffffffffffffffffffffffffff Consultant:
More informationDeveloping spinal cord compression care guidelines at WPH
Developing spinal cord compression care guidelines at WPH Spinal cord compression team: Sue Banks, Jean Buchanan, Bernie Foran, Suzanne Hodson, Jane Mason, Rebecca Mills, Jan Siddall, Rebecca Walsh, Clare
More informationAcute pancreatitis. Information for patients Hepatobiliary
Acute pancreatitis Information for patients Hepatobiliary What is acute pancreatitis? Acute pancreatitis is an inflammation of the pancreas gland. The main symptoms are: severe abdominal pain severe back
More informationNational Occupational Standards
What this unit is about This unit is about the skills involved in providing hot and cold stone therapy treatments. It covers both massage and the placing of stones on the head, face and body. The ability
More informationIncontinence in neurological disease
nice bulletin Incontinence in neurological disease NICE provided the content for this booklet which is independent of any company or product advertised NICE Bulletin - Incontinence in neurological disease.indd
More informationEnhanced Recovery Programme Liver surgery
Enhanced Recovery Programme Liver surgery General Surgery Patient information leaflet Introduction When you are admitted to hospital for your surgery you will be taking part in an enhanced recovery programme.
More informationWhat is Occupational Therapy? Introduction to Occupational Therapy. World Federation of Occupational Therapists 2012
World Federation of Occupational Therapists 2012 Introduction to Occupational Therapy Suki HUI Occupational Therapist I Statement on Occupational Therapy Occupational therapy is a client-centred health
More informationIntegrated Continence Service Policy. January SafeCare Council January Carol Giffin, Continence Advisor
Policy No: OP51 Version: 1.0 Name of Policy: Integrated Continence Service Policy Effective From: January 2008 Approved by: SafeCare Council January 2008 Next Review Date: January 2010 Reviewed by: Carol
More informationPATHWAY MANAGEMENT OF METASTATIC SPINAL CORD COMPRESSION (MSCC) THE CHRISTIE, GREATER MANCHESTER & CHESHIRE
PATHWAY MANAGEMENT OF METASTATIC SPINAL CORD COMPRESSION (MSCC) THE CHRISTIE, GREATER MANCHESTER & CHESHIRE Procedure Reference: Document Owner: Dr V. Misra Version: Accountable Committee: V3 MSCC Network
More informationPlease make sure that you complete a self-assessment survey for each type of rehab program that your organization provides.
Oncology Rehab s Framework Self-Assessment Tool Inpatient Rehab Survey for Oncology Rehab INTRODUCTION: In response to a changing rehab landscape in which rehabilitation is offered in many different settings
More informationBath Centre for Pain Services Complex Regional Pain Syndrome (CRPS) Service
Bath Centre for Pain Services Complex Regional Pain Syndrome (CRPS) Service Royal National Hospital for Rheumatic Diseases Inpatient Programme Patient Information Leaflet Version 4.1 Date: March 2015 Author:
More informationWelcome to the Cancer Centre at Guy s Hospital The Cancer Centre brings together many services under one roof.
Welcome to the Cancer Centre at Guy s Hospital The Cancer Centre brings together many services under one roof. The building is divided into individual Villages rather than traditional floors. Each village
More informationNATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE SCOPE
NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE 1 Guideline title SCOPE The management of faecal incontinence in adults 1.1 Short title Faecal incontinence 2 Background (a) (b) (c) The National Institute
More informationInterventions to reduce emergency hospital admissions for falls. Cath Lewis. Liverpool Public Health Observatory
Interventions to reduce emergency hospital admissions for falls Cath Lewis Liverpool Public Health Observatory Observatory Report Series number 81 clewis@liverpool.ac.uk January 2010 ACKNOWLEDGEMENTS Fran
More informationAppendix 3: Specialist Rehabilitation Prescription Proforma (example).
Appendix 3: Specialist Rehabilitation Prescription Proforma (example). For patients with complex rehabilitation needs requiring Specialist (Level 1 or 2) Rehab services. The specialist rehabilitation Prescription
More informationLumbar decompression or discectomy
Information and exercises Lumbar decompression or discectomy Introduction A lumbar decompression or discectomy is done to relieve pressure on the nerves in order to relieve pain and altered sensation.
More information