At St Andrew’s Outpatient Services, we aim to be open and responsive to patients who require specialist palliative care while still living in their own home but may be experiencing difficult symptom management issues and/or complex psychological, social or spiritual needs.
Following referral to our Outpatient Service, the specialist palliative care nurse-led service will undertake a holistic assessment to identify patients’ individual needs and based on the needs identified, will allocate patients to the appropriate service or services. Some patients may only require to attend one service, however others may require help and support from different members of our team and may meet with different members of our team when they attend.
Our multidisciplinary team is made up of Doctors, Nurses, Physiotherapists, Therapeutic Councillors, Occupational therapist, Complementary therapists, Support workers and Volunteers.
Medical Outpatient clinics with a Consultant in Palliative Care Medicine are available and are suitable for patients with a life limiting illness who have complex symptom control issues that may benefit from assessment. Patients must be well enough to attend in an outpatient capacity.
Medical Domiciliary Review
In some circumstances, a review by a palliative medicine specialist in the patient’s own home, normally in conjunction with a community Macmillan nurse, may be appropriate.
Domiciliary review may be most appropriate for patients who are too unwell to attend the clinic. The doctor making an initial visit may refer to the Macmillan nursing team for ongoing follow up.
Specialist Nurse Review
Patients with moderate to complex symptom issues such as pain, nausea, vomiting, constipation or breathlessness can be given Specialist Nurse Review appointment to assess their individual needs.
Nursing assessments offer an optimal service to suit patients’ needs. We agree individual care plans which will be assessed on a regular basis. At the nursing clinic, we can offer blood transfusions and IV therapies.
Our physiotherapists can offer a range of service both for individual patients as well as group therapy:
- Breathlessness management
- Respiratory physiotherapy
- Advice on exercise, activity and mobility
- Postural re-education
- Advice and supply of walking aids
- Wheelchair assessment / referral
- Neurological rehabilitation
- TENS hot and cold therapy
- Acupuncture for pain relief
- Lymphoedema management
There are ranges of therapies that go hand in hand with the care provided by other healthcare professionals.
- Relaxation techniques
- Meditation techniques
Our Occupational Therapist focuses on helping people with their everyday activities including:
- Anxiety management
- Breathlessness management
- Fatigue management
- Lifestyle management
- Advice on home environment
- Advice on aids and adaptations
- Goal setting
Our Support Services Team respond to and address the emotional, psychological, social and spiritual needs of patients and families coping with the implications of the patient’s illness and prognosis.
Counselling, Psychotherapy, Cognitive Behavioural Therapy and Spiritual Care are offered to people suffering with emotional, spiritual and psychological distress when symptoms arise as a result of the diagnoses of a life limiting illness. People may have a variety of difficulties such as:
- Struggling with adjustment
- Post-traumatic stress (PTSD)
- Low self-esteem
- Internal conflicts
- Lingering resentments and difficulties with others
Drop In Group
In addition to the Outpatient Services detailed above, a Drop In group which offers social support, information sharing and carer support meets on the first and third Thursday of each month between 10.30am – 12.30pm.
We have limited availability of transport at the Hospice and request, where possible, that service users travel by their own means.
Lanarkshire Cancer Care and Getting Better Together may provide transport.
All service users will be reviewed at the weekly multidisciplinary team meeting and outcome measures will help determine the discharge plan. This will be communicated to the GP and other healthcare professionals involved in a person’s care.