cancer rehabilitation in iceland past-present-future · 2015. 4. 26. · 29. september 2010 cancer...

29. september 2010

Cancer Rehabilitation in Iceland

Past-Present-Future

Agnes Smáradóttir, MD

Department of Medical Oncology

Landspitali, University hospital

Reykjavík, Iceland

29. september 2010

Landspitali-University hospital

Reykjavik, Iceland

29. september 2010

Cancer rehabilitation in Iceland

The past

In 2002 an outpatient rehabilitation center opened

Multidisiplenary team: Oncologist, nurse

Physical therpy

Occipational therapy

Psychologist and social worker

Swimming

Group therapies as well as individual therapy

29. september 2010

Outpatient rehabilitation

center

Referrals mainly from oncologists and nurses

Rehabilitation programs were individualized

People with different kind of cancer, different stage

Largest group were women with breast cancer

29. september 2010

Outpatient rehabilitation

center

General satisfaction with the service

Measurable results on CARES-SF and COPM scales

29. september 2010

Outpatient rehabilitation

center

2005 the center is relocated to general rehabilitation ward

Space smaller

Fewer staff, mainly physical therapy and occipational therapy

Cancer rehabilitation center dissolved in 2009

29. september 2010

Cancer rehabilitation at Landspitali

Today

Cancer rehabilitation had to be re-organized

No central rehabilitation service for cancer patients

Physcial therapy in group sessions

No occipational therapy

29. september 2010

Cancer rehabilitation at Landspitali

Today

Psychology interviews but not part of the team

Social workers

Cooporation with other rehabilition services within

the hospital for example: Lung rehabilitation, neuro

rehabilitation

29. september 2010

Cancer rehabilitation at Landspitali

Today

Other options outside Landspitali

– Privately run organisation, Ljósid a

non-profit open center for patients

and families

– Icelandic Cancer society runs

counselling services and support

groups

29. september 2010

Other treatment options

Inpatient rehabilitation programs

– Grensás/Kristnes

– Hveragerði, private, fee Private physical therapy centers

– Take referrals for cancer patients

29. september 2010

Cancer rehabilitation at Landspitali

Today

Distress scale

– Measures levels of distress both

physical and emotional and distress

within the family

– Nurses in the outpatient setting offer

patients the by evaluated

– Helps to assess services that the

patient needs

29. september 2010

Distress scale

Distress scale is translated and adjusted from National comprehensive cancer network (NCCN) guidelines on this subject

Simple scale from 1-10

List of different causes of distress for example:

– Practical, family, psychological, and physical

29. september 2010

Cancer rehabilitation in Iceland

Future

Restore a multidisiplenary team which

organizes cancer rehabilitation within the

hospital and can be consultation to others

Have a clear goals

Develope clinical guidelines

Research oportunities

29. september 2010

SUMMARY

We had a outpatient cancer rehabilitation center, due to different reasons it has closed

We have the reasources

Lack of organisation

29. september 2010