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Palliative care

  

Palliative care is a multidisciplinary approach to specialized medical care for people with serious illnesses.


CASTLE Website for Palliative Care Support

The palliative care website for Coventry and Warwickshire is http://www.c-a-s-t-l-e.org.uk/

For guidance on medication, advance care plans, individual care plans and using ReSPECT forms

Palliative Medications – see links right for comprehensive guidance and contact information for Coventry or Rugby

The British National Formulary (BNF) also has helpful advice on prescribing in palliative care, including symptom control and continuous subcutaneous infusions.

Dieticians and Lymphoedema

WAYS TO BOOST FOOD INTAKE – click here for a leaflet giving first line advice to patients and their carers. Maybe print some copies to take on home visits?

SIP FEED GUIDANCE FOR PRIMARY CARE TEAMS, USING THE MUST SCORE – click here (page 1 for MUST score, page 2 for what to do next).

Macmillan contacts for patients

The MacMillan Support Line is free on 0808 808 00 00, open Mon-Fri 09:00-20:00. Textphone 0808 808 0121, or Text Relay, for people with hearing impairment. Interpreters are available for non-English speakers. For patients and carers,  friends and families. The team can provide information about cancers, emotional support and welfare advice.

ReSPECT forms

  • ReSPECT is a process that creates personalised recommendations for a person’s clinical care in a future emergency in which they are unable to make or express choices
  • The plan is created through conversations between a person and their health professionals.
  • The plan is recorded on a form and includes their personal priorities for care and agreed clinical recommendations about care and treatment that could help to achieve the outcome that they would want, that would not help, or that they would not want.

 

About the ReSPECT process

For clinicians click here

For patients click here

For a sample form

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Coventry Guidance

Coventry Community Specialist Palliative Care Team
Based at Newfield House, Kingfield Road, Foleshill, Coventry CV1 4NZ
Tel: 024 7623 7001
Fax: 024 7623 7047

The specialist palliative care service is for people with an advanced progressive illness including cancer and other illnesses such as heart, lung and neurological conditions. It is provided alongside other active medical treatment in order to improve quality of life, focusing on what is important to the patient and their wishes.

The team is multidisciplinary with:

  • Specialist palliative care nurses
  • Palliative medicine consultant
  • Palliative medicine registrar on rotation
  • Physiotherapist
  • Occupational therapist
  • Clinical psychologist
  • Palliative support healthcare assistants
  • The Head of Service Debbie Nash.

 

Dr Claire Magee is the Community Consultant in Palliative Medicine (0.9 WTE). She supports the palliative care clinical nurse specialists by reviewing complex patients on home visits and in an outpatient clinic at Newfield House (Friday morning). GPs can contact her for advice on 02476 237010. Email: claire.magee@covwarkpt.nhs.uk

There are three aspects to the service:

1. Clinical assessment (Mon-Fri 08:30-16:30) – The team assess the physical, psychological, social and spiritual needs of each patient and their families/carers. They offer home visits, outpatient appointments and telephone support. Expert advice can be provided on the management of pain and other troublesome symptoms. They can talk through concerns whether emotional, practical or spiritual, and give advice on other services available.

2. Care delivery (Seven days 08:00-22:00) – A team of palliative support carers deliver ‘hands on’ care for patients in the last 2-4 weeks of life. 

3. Education and support – The team contribute to education and development in palliative care for key staff working in the community.

Please see right for the links to the Palliative referral form and pathway.

Contact details for Secondary Care – Coventry

MYTON HOSPICE – see the hospice website for referral forms and other information http://www.mytonhospice.org/

UNIVERSITY HOSPITAL – the direct line for the hospital MacMillan nurses is 024 7697 5498, useful if you want to discuss a palliative patient who has been admitted to hospital.

Dr Alison Franks is a consultant in Palliative Medicine, with expertise in oncology. She also has an interest in cancers of unknown primary origin. If you are dealing with metastatic disease where the primary source is unkown, please contact her without delay. Dr Franks offers out-patient and in-patient services for symptom control and palliative chemo/radiotherapy, as long as the patient is not under another oncologist. GPs can contact her by bleep at UHCW, alternatively phone her secretary on 024 7696 5500. Email alison.franks@uhcw.nhs.uk

Serious complications of chemotherapy? Call one of the numbers below:

  • Chemotherapy Nurse at UHCW (Mon-Fri 0900-1700) tel 024 7696 4000, bleep 1641
  • Chemotherapy Suite at UHCW (Mon-Fri 0900-1800) tel 024 7696 7272
  • Oncology Ward at UHCW (Ward 35) tel 024 7696 5528/5525, 24 hours.
Rugby Guidance

Palliative Care Team

08:30 – 16:30 Week Days Only

Out of Hours Specialist Palliative Care Clinical Telephone advice for staff managing palliative care patients is available via Warwick Myton Hospice (01926 492 518 or via switchboard) for evenings, weekends and Bank Holidays.

We see consenting in-patients (& Dr Franks offers an out-patient service) with advanced progressive life-limiting diseases at University Hospitals. We are also very happy to give telephone advice as needed.

Please see following link for more information for Rugby Palliative Care Nurses. www.mededcoventry.com/JDH/Combined_Specialties/MacMillan.aspx

Contact details for Secondary Care – Rugby

Rugby Myton Hospice, Barby Road, Rugby, CV22 5PY. Tel: 01788 550085

(At the entrance to St Cross Hospital, Rugby)

The day hospice runs Monday to Friday. Staff are on site from 8:30am until 4:30pm and patients stay between 10am and 3pm.

Macmillan Nurses Rugby: Tracey Evans and Annie Chesters Tel: 01788 577132

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