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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

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Page 1: Royal Wolverhampton Hospitals NHS Trust Medical Staff Induction Day Palliative Care at New Cross Hospital Dr Clare Marlow Dr Benoît Ritzenthaler Consultants

Royal Wolverhampton Hospitals NHS TrustMedical Staff Induction Day

Palliative Careat

New Cross Hospital

Dr Clare MarlowDr Benoît Ritzenthaler

Consultants in Palliative Medicine

Page 2: Royal Wolverhampton Hospitals NHS Trust Medical Staff Induction Day Palliative Care at New Cross Hospital Dr Clare Marlow Dr Benoît Ritzenthaler Consultants

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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

Page 3: Royal Wolverhampton Hospitals NHS Trust Medical Staff Induction Day Palliative Care at New Cross Hospital Dr Clare Marlow Dr Benoît Ritzenthaler Consultants

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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

Page 4: Royal Wolverhampton Hospitals NHS Trust Medical Staff Induction Day Palliative Care at New Cross Hospital Dr Clare Marlow Dr Benoît Ritzenthaler Consultants

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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

Page 5: Royal Wolverhampton Hospitals NHS Trust Medical Staff Induction Day Palliative Care at New Cross Hospital Dr Clare Marlow Dr Benoît Ritzenthaler Consultants

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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

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

Page 6: Royal Wolverhampton Hospitals NHS Trust Medical Staff Induction Day Palliative Care at New Cross Hospital Dr Clare Marlow Dr Benoît Ritzenthaler Consultants

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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

Page 7: Royal Wolverhampton Hospitals NHS Trust Medical Staff Induction Day Palliative Care at New Cross Hospital Dr Clare Marlow Dr Benoît Ritzenthaler Consultants

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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

Page 8: Royal Wolverhampton Hospitals NHS Trust Medical Staff Induction Day Palliative Care at New Cross Hospital Dr Clare Marlow Dr Benoît Ritzenthaler Consultants

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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

Page 9: Royal Wolverhampton Hospitals NHS Trust Medical Staff Induction Day Palliative Care at New Cross Hospital Dr Clare Marlow Dr Benoît Ritzenthaler Consultants

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Compton Hospice

Page 10: Royal Wolverhampton Hospitals NHS Trust Medical Staff Induction Day Palliative Care at New Cross Hospital Dr Clare Marlow Dr Benoît Ritzenthaler Consultants

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

Page 11: Royal Wolverhampton Hospitals NHS Trust Medical Staff Induction Day Palliative Care at New Cross Hospital Dr Clare Marlow Dr Benoît Ritzenthaler Consultants

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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

Page 12: Royal Wolverhampton Hospitals NHS Trust Medical Staff Induction Day Palliative Care at New Cross Hospital Dr Clare Marlow Dr Benoît Ritzenthaler Consultants

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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)