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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
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
