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FACET - European Journal of Cancer Care December 2006 Effective integration of complementary therapies in cancer and palliative care Hill, H. 1 Effective integration of complementary therapies in cancer and palliative care

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FACET - European Journal of Cancer Care

December 2006

Effective integration of complementary therapies in cancer and palliative care

Hill, H.1

Effective integration of complementary therapies in cancer and palliative care

What do we mean by complementary therapies and what are the issues that surround initiating, developing and integrating complementary therapies within a health care setting?

Slide One

*Click on “View”; “Notes Page” for explanatory notes

slides available at: www.blackwellpublishing.com/ecc


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FACET - European Journal of Cancer Care

December 2006

Effective integration of complementary therapies in cancer and palliative care (continued)

  • Is there room in the National Health Service (NHS) for CAM therapies?

    • Complementary therapies are growing in popularity

    • Therapies are increasingly used in healthcare settings

    • Therapy uptake – estimated figures

Slide Two

*Click on “View”; “Notes Page” for explanatory notes

slides available at: www.blackwellpublishing.com/ecc


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FACET - European Journal of Cancer Care

December 2006

Effective integration of complementary therapies in cancer and palliative care (continued)

  • How do health professionals regardCAM therapies

    • Report by the BMA (1993)

    • Update by the BMA (2003)

Slide Three

*Click on “View”; “Notes Page” for explanatory notes

slides available at: www.blackwellpublishing.com/ecc


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FACET - European Journal of Cancer Care

December 2006

Effective integration of complementary therapies in cancer and palliative care (continued)

  • What issues need to be addressed before complementary therapies can become more accepted within health care settings?(1)

    • Efficacy of the therapies

    • Service delivery

Slide Four

*Click on “View”; “Notes Page” for explanatory notes

slides available at: www.blackwellpublishing.com/ecc


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FACET - European Journal of Cancer Care

December 2006

Effective integration of complementary therapies in cancer and palliative care (continued)

  • What issues need to be addressed before complementary therapies can become more accepted within health care settings? (2)

    • Safety aspects

    • Funding the service

Slide Five

*Click on “View”; “Notes Page” for explanatory notes

slides available at: www.blackwellpublishing.com/ecc


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FACET - European Journal of Cancer Care

December 2006

Effective integration of complementary therapies in cancer and palliative care (continued)

  • What need has been expressed for the service?

    • Patients or health professionals requesting the service

    • Does the therapy meet the patient’s needs?

    • Look at the evidence base

    • Explore integration models

Slide Six

*Click on “View”; “Notes Page” for explanatory notes

slides available at: www.blackwellpublishing.com/ecc


Slide7 l.jpg

FACET - European Journal of Cancer Care

December 2006

Effective integration of complementary therapies in cancer and palliative care (continued)

  • What key people should you involve?

    • Involve the teams who will be accessing or referring to the service

    • Role of the service co-ordinator

    • Is everyone on the team aware of the plans?

Slide Seven

*Click on “View”; “Notes Page” for explanatory notes

slides available at: www.blackwellpublishing.com/ecc


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FACET - European Journal of Cancer Care

December 2006

Effective integration of complementary therapies in cancer and palliative care (continued)

  • Co-ordinating and promoting the service

    • Roles and responsibilities of the co-ordinator

    • Raising awareness of the service

Slide Eight

*Click on “View”; “Notes Page” for explanatory notes

slides available at: www.blackwellpublishing.com/ecc


Slide9 l.jpg

FACET - European Journal of Cancer Care

December 2006

Effective integration of complementary therapies in cancer and palliative care (continued)

  • Who will deliver the therapies?

    • Practitioners:

      • healthcare professionals

      • or

      • complementary therapists

    • Knowledge and skills

Slide Nine

*Click on “View”; “Notes Page” for explanatory notes

slides available at: www.blackwellpublishing.com/ecc


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FACET - European Journal of Cancer Care

December 2006

Effective integration of complementary therapies in cancer and palliative care (continued)

  • Which therapies are appropriate for the clinical setting?

    • Are the treatments appropriate for the patient population?

    • Look at the evidence base

    • Incorporate risk assessments

Slide Ten

*Click on “View”; “Notes Page” for explanatory notes

slides available at: www.blackwellpublishing.com/ecc


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FACET - European Journal of Cancer Care

December 2006

Effective integration of complementary therapies in cancer and palliative care (continued)

  • What are the clinical governance issues?

    • Regulation

    • Supervision framework

    • On-going audit and evaluation of services

Slide Eleven

*Click on “View”; “Notes Page” for explanatory notes

slides available at: www.blackwellpublishing.com/ecc


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FACET - European Journal of Cancer Care

December 2006

Effective integration of complementary therapies in cancer and palliative care (continued)

  • What needs to be in place to ensure there are no barriers or restrictions to introducing the service?

    • A formal strategy for integration

    • Agreement by management teams

    • Policy development

    • Specific criteria for referral

Slide Twelve

*Click on “View”; “Notes Page” for explanatory notes

slides available at: www.blackwellpublishing.com/ecc


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FACET - European Journal of Cancer Care

December 2006

Effective integration of complementary therapies in cancer and palliative care (continued)

  • What are the costs of setting up a complementary therapy service?

    • Initial set up costs

    • On-going service delivery

Slide Thirteen

*Click on “View”; “Notes Page” for explanatory notes

slides available at: www.blackwellpublishing.com/ecc


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FACET - European Journal of Cancer Care

December 2006

Effective integration of complementary therapies in cancer and palliative care (continued)

  • Funding a complementary therapy service

    • Look at research and local grant funding options

    • If grant funded, have a exit strategy and details of future sustainability funding

Slide Fourteen

*Click on “View”; “Notes Page” for explanatory notes

slides available at: www.blackwellpublishing.com/ecc


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FACET - European Journal of Cancer Care

December 2006

Effective integration of complementary therapies in cancer and palliative care (continued)

  • Conclusion

    • Effective integration of complementary therapies within health care can be successful.

    • Preparation, communication and team working are all key to successful, sustainable integration.

Slide Fifteen

*Click on “View”; “Notes Page” for explanatory notes

slides available at: www.blackwellpublishing.com/ecc


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FACET - European Journal of Cancer Care

December 2006

Effective integration of complementary therapies in cancer and palliative care (continued)

  • References and further reading

  • British Medical Association (BMA) (1993) Complementary Medicine: New Approaches to Good Practice. British Medical Association/Oxford University Press. Oxford, UK.

  • The Prince of Wales’s Foundation for Integrated HealthComplementary Healthcare: a guide for patients. (2005)The Prince of Wales’s Foundation for Integrated Health. London. www.fih.org.uk/

  • British Medical Association (BMA)Complementary and alternative medicine - submission to public petitions committee 13 January 2003www.bma.org.uk/ap.nsf/Content/publicpetitioncam

  • Royal College of Nursing (2003) Complementary therapies in nursing, midwifery and health visiting practice. RCN guidance in integrating complementary therapies into clinical care. Royal College of Nursing. London, UK.

Slide Sixteen

*Click on “View”; “Notes Page” for explanatory notes

slides available at: www.blackwellpublishing.com/ecc


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FACET - European Journal of Cancer Care

December 2006

Effective integration of complementary therapies in cancer and palliative care (continued)

  • References and further reading (continued)

  • Ernst E & White A (2000) The BBC survey of complementary medicine use in the UK. Complementary Therapies in Medicine 8, 32-36 (data provided by ICM Research Ltd).

  • MacDonald G (1999) Medicine Hands; Massage Therapy for People with Cancer. Findhorn Press, Scotland, UK.

  • Mackereth P & Tiran D (2002) Clinical reflexology: a guide for health professionals. Churchill Livingstone. Edinburgh, UK.

  • Ong C-K & Banks B (2003) Complementary and alternative medicine the consumer perspective. London: The Prince of Wales’s Foundation for Integrated Health. London, UK.

  • Price S & Price L (1995) Aromatherapy for Health Professionals. Churchill Livingstone. Edinburgh, UK.

  • Prince of Wales’s Foundation for Integrated Health (PoWFIH) (2003) Setting the agenda for the future. The Prince of Wales’s Foundation for Integrated Health. London, UK.

Slide Seventeen

*Click on “View”; “Notes Page” for explanatory notes

slides available at: www.blackwellpublishing.com/ecc


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FACET - European Journal of Cancer Care

December 2006

Effective integration of complementary therapies in cancer and palliative care (continued)

  • References and further reading(continued)

  • Russo H (2000) Integrated healthcare: a guide to good practice. Prince of Wales’s Foundation for Integrated Health. London, UK.

  • Tavares M (2003) National guidelines for the use of complementary therapies in supportive and palliative care. The Prince of Wales’s Foundation for Integrated Health & National Council for Hospice & Specialist Palliative Care Services. London, UK.

  • Tavares M (2005) Guide for Writing Policies, Procedures and Protocols – Complementary Therapies in Supportive and Palliative Care. Second Edition. Help the Hospices, London, UK.

  • Thomas K, Nicholl J & Coleman P (2001) Use and expenditure on complementary medicine in England: a population based survey. Complementary Therapies in Medicine 9, 2-11.

  • Zollman C & Vickers A (1999) ABC of Complementary Medicine. BMJ Books 2000, London, UK.

Slide Eighteen

*Click on “View”; “Notes Page” for explanatory notes

slides available at: www.blackwellpublishing.com/ecc


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