1 / 7

Kidney Pre-hab pilot at NBT

Kidney Pre-hab pilot at NBT. Urology CNS Team October 2015. Background. Preventative rehabilitation delivered before and during cancer treatment has the potential to reduce the future clinical and non clinical needs of a person with cancer

johnhughes
Download Presentation

Kidney Pre-hab pilot at NBT

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Kidney Pre-hab pilot at NBT Urology CNS TeamOctober 2015

  2. Background • Preventative rehabilitation delivered before and during cancer treatment has the potential to reduce the future clinical and non clinical needs of a person with cancer • This could in turn reduce the cost to the health and social care system associated with later stage and more serious interventions Achieving World Class Outcomes – A Strategy for England 2015-2020

  3. Kidney Prehab Pathway Patient advised about Prehab clinic/ POAC by CNS and/or medical team WLC books patient into theatre slot, Prehab clinic & POAC Patient attends Prehab clinic (alt Tues mornings NGS Macmillan Wellbeing Centre) Baseline measures of Sit to Stand 60, FACT-G & nutritional screening NB: POAC appointment will be ideally on same day in the afternoon Patient has surgery as per ERP (approx 4-6 weeks after Prehab clinic) Patient contacted by CNS (6-8/52 post-op) Repeat measures of STS60 & FACT-G Holistic Needs Assessment and Care Plan

  4. Results to date • 32 patients have attended Prehab clinic between April and Oct 2015 • Approx 3-6 patients have attended each session • Completed data for 9 patients • Trend towards increased physical function (sit to stand 60) and improved QOL (FACT-G) • Physical and emotional wellbeing sections of FACT-G show largest improvements

  5. Successes • Positive engagement from CNS, ERP teams and Cancer Support Workers • Support from kidney MDT, Cancer Services and AHP’s • Use of NGS Macmillan Wellbeing Centre space/ environment • Positive patient feedback – ‘I recovered much quicker from this operation’ (Previous partial nephrectomy patient)

  6. Issues • Engagement with WLC’s has been challenging – resulting in patients not routinely booked into the pre-hab clinic • Still not capturing all patients – further work required with WLC’s • Initially unable to align Prehab clinic with POAC but now improving

  7. Future • Review of data in November • Poster to be placed in outpatients to prompt patients to ask about Prehab clinic • Follow up appointment at 6-8 weeks post-op with Macmillan Cancer Support Worker to undertake post-op assessment and offer holistic needs assessment • Plan roll-out to all urology patients in Jan 2016 and run weekly clinic

More Related