royal wolverhampton hospitals nhs trust medical staff induction day palliative care at new cross...

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Royal Wolverhampton Hospitals NHS TrustMedical Staff Induction Day

Palliative Careat

New Cross Hospital

Dr Clare MarlowDr Benoît Ritzenthaler

Consultants in Palliative Medicine

2

Definition of Palliative Care

Active total care of patients whose disease no longer responds to curative treatment,

Focusing on quality of life and Integrating the

─ physical ─ psychological─ spiritual ─ social aspects of care

3

Palliative care

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

4

The palliative care approach

is good clinical practice

informed by a knowledge and practice of palliative care principles

should be a component of health care available to all patients who need it

5

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

The team is based in New Cross Hospitaland supported by a Team Co-ordinator

6

Why refer to the specialistpalliative care nurses?

Advice:

– For pain and symptom management

– If complex psycho-social issues identified

Help with planning a complex discharge

Identification of patients who require specialist

in-patient care within a hospice setting

7

Why refer to the palliative care social worker ?

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

8

Why refer to the specialist OTand Physiotherapist ?

Give patients some autonomy back Active rehabilitation may be key to best quality

of life For preparing a successful discharge home

with appropriate equipment Guiding family on practical issues for future

care

9

Compton Hospice

Services provided byCompton Hospice

Home Care and Hospice at Home Day Care In-Patient Admissions for:

– Pain & Symptom Control– Psychological Support– Respite– Rehabilitation– Terminal care

Bereavement Support

11

In-Patient Admissions atCompton Hospice

22 Beds for catchment area of over one Million Population

Average Stay 14 Days Waiting List operates

– Highest needs for Specialist Care take priority 60% Discharged, 40% Die in the Hospice

12

The Palliative Care Team

may be contacted on

Ext 5212(Monday - Friday)

Advice can be obtained out of hours from theOn-Call Medical Team

via Compton Hospice

(0845 2255497)

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