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as comfortable and productive as possible and she/he can function at a minimum level of dependency regardless of life expectancy”

Rehabilitation services are provided by a range of allied health professionals (AHPs) and other professionals, including:

Orthotics

Dieticians

Lymphoedema therapists

Occupational therapists

Oral health specialists such as dental hygienists

Physiotherapists

Speech and language therapists

Stoma therapists

Therapy radiographers

The NICE Guidance recommended model of rehabilitation for each care setting.

Figure 2 : Recommended model of rehabilitation services

Level

Patient Needs (examples)

Group providing input

Assessment

Intervention

1

Simple energy conservation techniques

Simple or first-line dietary advice

Advice to patients regarding skin care and risks of developing Lymphoedema

Patients and carers

General nursing staff

Therapy radiographers

Assistant practitioners/

support workers

Recognition of the needs for help and support based on assessment of function

Basic interventions, including self management, and care strategies initiated by generalist health care professionals

2

Post-operative physiotherapy following breast surgery

Dietary advice for patients having enteral feeding regime

Generalist AHPs

Routine assessment of rehabilitation needs

Interventions provided for commonly presenting rehabilitation needs – post-operative inputs plus management of commonly presenting side-effects of treatment or functional impairment

3

Post-operative physiotherapy following breast surgery

Dietary advice for patients having enteral feeding regime

Experienced AHPs with basic level training in cancer rehabilitation working at a senior level

Specialist assessment from an experienced AHP

Interventions provided by professionals with knowledge and experience of effects of cancer treatment and aetiology; interventions requiring knowledge of impact of disease

4

Management of patient with

Advanced practitioner

Highly specialist

Highly specialist interventions for

26

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