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Royal Wolverhampton Hospitals NHS Trust Medical Staff Induction Day. Specialist Palliative Care at New Cross Hospital. Dr Clare Marlow Consultant in Palliative Medicine. Definition of Palliative Care. Active total care of patients whose disease no longer responds to curative treatment,
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Royal Wolverhampton Hospitals NHS TrustMedical Staff Induction Day Specialist Palliative Care at New Cross Hospital • Dr Clare Marlow • Consultant in Palliative Medicine
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
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
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
3 Specialist Palliative Care Nurses 2 Consultants (sessional input) and 1 Specialty Registrar in Palliative Medicine 1 Palliative / End-of-Life Care Facilitator 2 Specialist Occupational Therapists 2 Palliative Care Social Workers 2 Specialist Physiotherapists The team is based in New Cross Hospital and supported by a Team Co-ordinator Hospital Support Specialist Palliative Care Team
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
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
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
Services provided byCompton Hospice • Home Care and Hospice at Home • Day Care • In-Patient Admissions for: • Pain & Symptom Control • Psychological Support • Rehabilitation • Terminal care • Bereavement Support
In-Patient Admissions atCompton Hospice • 18 Beds for catchment area of over one Million Population • Average Stay 14 Days (not a long stay facility) • Waiting List operates • Highest needs for Specialist Care take priority • 60% Discharged, 40% Die in the Hospice
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)