Transcript Palliative care - The Royal Wolverhampton NHS Trust

Royal Wolverhampton Hospitals NHS Trust
Medical Staff Induction Day
Palliative Care
at
New Cross Hospital
Dr Clare Marlow
Dr Benoît Ritzenthaler
Consultants in Palliative Medicine
Definition of Palliative Care
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Active total care of patients whose disease no
longer responds to curative treatment,
Focusing on quality of life and
Integrating the
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physical
psychological
spiritual
social aspects of care
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Palliative care
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Cancer and non-cancer
requires a collaborative (multi-professional)
approach
follows the patient:
Provided at home, in nursing homes, in
residential care, in hospitals and in specialist
units
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The palliative care approach
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is good clinical practice
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informed by a knowledge and practice of
palliative care principles
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should be a component of health care
available to all patients who need it
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Hospital Support
Specialist Palliative Care Team
3 Specialist Palliative Care Nurses
 2 Consultants (sessional input) and 1 SpR in
Palliative Medicine
 2 Specialist Occupational Therapists
 1 Palliative Care Social Worker
 2 Specialist Physiotherapists
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The team is based in New Cross Hospital
and supported by a Team Co-ordinator
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Why refer to the specialist
palliative care nurses?
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Advice:
– For pain and symptom management
– If complex psycho-social issues identified
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Help with planning a complex discharge
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Identification of patients who require specialist
in-patient care within a hospice setting
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Why refer to the palliative care
social worker ?
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Patients with palliative social care needs:
– To plan and organise social care after discharge
– To assist with the transition into palliative care
nursing homes
– For financial advice for both patient and carers
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Why refer to the specialist OT
and Physiotherapist ?
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Give patients some autonomy back
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Active rehabilitation may be key to best quality
of life
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For preparing a successful discharge home
with appropriate equipment
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Guiding family on practical issues for future
care
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Compton Hospice
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Services provided by
Compton Hospice
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Home Care and Hospice at Home
Day Care
In-Patient Admissions for:
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Pain & Symptom Control
Psychological Support
Respite
Rehabilitation
Terminal care
Bereavement Support
In-Patient Admissions at
Compton Hospice
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22 Beds for catchment area of over one
Million Population
Average Stay 14 Days
Waiting List operates
– Highest needs for Specialist Care take priority
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60% Discharged, 40% Die in the Hospice
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The Palliative Care Team
may be contacted on
Ext 5212
(Monday - Friday)
Advice can be obtained out of hours from the
On-Call Medical Team
via Compton Hospice
(0845 2255497)
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