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Cancer Rehabilitation in Iceland
Past-Present-Future
Agnes Smáradóttir, MD
Department of Medical Oncology
Landspitali, University hospital
Reykjavík, Iceland
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Landspitali-University hospital
Reykjavik, Iceland
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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
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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
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Outpatient rehabilitation
center
General satisfaction with the service
Measurable results on CARES-SF and COPM scales
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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
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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
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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
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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
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Other treatment options
Inpatient rehabilitation programs
– Grensás/Kristnes
– Hveragerði, private, fee Private physical therapy centers
– Take referrals for cancer patients
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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
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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
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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
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SUMMARY
We had a outpatient cancer rehabilitation center, due to different reasons it has closed
We have the reasources
Lack of organisation
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