spinal cord compression
Swallowing assessment for patient having had radical head and neck surgery
Management of severe/complicated lymphoedema
AHPs working predominately or exclusively with patients with cancer and with higher level training as specialist practitioners
assessment from expert AHP
patients having radical surgery, patients with advanced disease, patients with functional impairment, patients undergoing combination therapies and /or patients with complex end of life issues.
Currently there is limited involvement of AHP’s within Multidisciplinary Teams with particular rehabilitation expertise in cancer or palliative care. A recent mapping exercise undertaken locally, demonstrated involvement within specialist palliative care teams occurs at St Ann’s Hospice with delivery of direct clinical care. Allied health professionals participate in the Hospital and Community specialist palliative care MDTs as extended team members. Generic Allied Health Professionals contribute to the care of individuals in the community and on the wards in relationship to assessments and participation in case conferences. Identification of rehabilitation needs is currently made on an ad-hoc basis and is dependent on the referrer’s knowledge and experience.
Significant gaps have been identified across both City of Salford with regards to the provision of a comprehensive rehabilitation service.
Local Specialist Supportive and Palliative Care Complementary Therapy services
Complementary Therapies are available at all St Ann’s Hospice sites (including the Neil Cliffe Cancer Care Centre) and the Trafford Macmillan Centre providing dedicated facilities.
Bereavement can be defined as ‘the situation of anyone who has lost a person whom they are attached’ Grief is the ‘psychological and emotional reaction to bereavement’. It cannot be emphasised enough grief is a natural reaction to human loss. The majority of people find sufficient resources to respond and adapt to the life transition, but some find it too difficult and traumatic without additional support. The NICE Guidance1recommends a three –component model of bereavement.
All bereaved people should be offered information about grief and how to access the support services.
A proportion will require additional support.
A small proportion will require specialist intervention including mental health and psychological support.