Referral For Invasive Procedures For Cancer Pain Dr Alison Mitchell

“ Referral for Invasive Procedures for Cancer Pain – Assessment Issues” ,[object Object],[object Object],[object Object]

Assessment of Cancer Patients for Interventional Procedures ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Assessment of Cancer Pain Patients ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Assessment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Assessment- Patient ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Assessment- patient ,[object Object],[object Object],[object Object],[object Object],[object Object]

Assessment- system ,[object Object],[object Object]

Assessment- system ,[object Object],[object Object],[object Object],[object Object],[object Object]

Literature Search Cancer Pain ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Literature search-Cancer Pain ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Provide more effective pain treatment options Disease or treatment related refractory, worsening or severe pain ,[object Object],[object Object],[object Object],Reduce dose Toxicity or dependency CLINICAL SCENARIOS GOAL UNDERLYING CONCERN J. Supportive Oncol 2005 Vol 3, No 6

Literature search- CP and Cancer Pain ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Literature search- CP and Cancer Pain

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Literature search- CP and Cancer Pain

Assessment Cancer pain v chronic pain ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Assessment Cancer pain v chronic pain ,[object Object],[object Object],[object Object],[object Object],[object Object]

Assessment Cancer pain v chronic pain ,[object Object],[object Object],[object Object],[object Object]

Assessment Cancer pain v chronic pain ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Assessment Cancer pain v chronic pain ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Assessment Cancer pain v chronic pain ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Assessment Cancer pain v chronic pain ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Palliative Care 20 years ago Cancer Treatment Palliative/ Terminal Care Bereavement Patient Journey

Palliative Care Now Terminal Care Cancer treatment Palliative treatment Bereavement ,[object Object],[object Object],[object Object]

Palliative Care 2008 Condition specific care Diagnosis Investigations Treatment Follow-up Palliative Care Assessment Prevention Rehabilitation Supportive Care Bereavement Diagnosis Death Patient journey Relapse of disease Disease free

ITDD Service for GG and C Pilot Service ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

ITDD Service for GG and C Pilot Service ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Patient Assessment GGC ITDD Service ,[object Object],Yes / No Unknown Brain metastases (please circle)‏ Location of metastases Tumour type and location Date of diagnosis Physician/Surgeon And hospital base Oncologist Diagnosis

Patient Assessment GGC ITDD Service ,[object Object],Details of Oncological Treatment Proposed treatment in the future Current treatment Completed treatment to date Prognosis (Please discuss potential ITDD with oncologist to check both prognosis and planned oncological treatment schedule)‏ Prognosis

Patient Assessment GGC ITDD Service ,[object Object],Pain History (please include any relevant chronic pain or spinal surgery past medical history)‏ Comprehensive analgesia list including all medications tried to date Yes No Is Patient on anticoagulants? If Yes – give details PT/APPT/INR Comprehensive list of all other medication Previously Tried Analgesia Current Analgesia List

Patient Suitability Check List GGC ITDD Service Signed ____________________________________ (Referring Palliative Medicine Consultant) Date____________________ Signed ______________________________________(Chronic Pain Consultant)‏ Date___________________ Beatson West of Scotland Cancer Centre Palliative Medicine Cover for titration period ITDD has been discussed with the oncologist Patient understands and consents to intervention Chronic Pain on-call cover There will be 24/7 referring palliative care team consultant cover Referring palliative care team are willing to participate in refill programme Letter to community team (GP and DN), informing them of the possibility of ITDD, has been sent at the same time as patient referral made Patient has someone at home 24/7 Integrated Clinic Please date and sign Referring Palliative Medicine Consultant

Patient Assessment GGC ITDD Service ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

ITDD Service for GG and C Implications of HDL ,[object Object],[object Object],[object Object],[object Object]

Patient Assessment for Invasive Procedures for Cancer Pain ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Referral For Invasive Procedures For Cancer Pain Dr Alison Mitchell

Recomendados

Recomendados

Mais conteúdo relacionado

Mais procurados

Mais procurados (18)

Semelhante a Referral For Invasive Procedures For Cancer Pain Dr Alison Mitchell

Semelhante a Referral For Invasive Procedures For Cancer Pain Dr Alison Mitchell (20)

Mais de epicyclops

Mais de epicyclops (20)

Último

Último (20)

Referral For Invasive Procedures For Cancer Pain Dr Alison Mitchell