Subacute Rehabilitation Does Have Benefits for Patients With Advanced Cancer

Morgan, Deidre; Marston, Celia; Garner, Jill; Currow, David C.

doi:10.1016/j.jpainsymman.2017.10.012

Cited by 4 publications

(7 citation statements)

References 14 publications

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“…6,7 It supports people towards optimal independence and participation in society throughout their disease, including during functional decline towards the end of life. 8 It adopts a holistic and personcentred approach, comprising multi-professional assessment and mainly non-pharmacological interventions 9,10 such as goal directed symptom management, 11 physical activity and exercise, [12][13][14] mindful movement 15,16 and enablement in activities of daily living. 17,18 Rehabilitation plays a crucial role within palliative care to meet physical, psychosocial and spiritual needs of people with advanced, progressive disease.…”

Section: Introductionmentioning

confidence: 99%

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Understanding the impact of the Covid-19 pandemic on delivery of rehabilitation in specialist palliative care services: An analysis of the CovPall-Rehab survey data

et al. 2021

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Background: Palliative rehabilitation involves multi-professional processes and interventions aimed at optimising patients’ symptom self-management, independence and social participation throughout advanced illness. Rehabilitation services were highly disrupted during the Covid-19 pandemic. Aim: To understand rehabilitation provision in palliative care services during the Covid-19 pandemic, identifying and reflecting on adaptative and innovative practice to inform ongoing provision. Design: Cross-sectional national online survey. Setting/participants: Rehabilitation leads for specialist palliative care services across hospice, hospital, or community settings, conducted from 30/07/20 to 21/09/2020. Findings: 61 completed responses (England, n = 55; Scotland, n = 4; Wales, n = 1; and Northern Ireland, n = 1) most frequently from services based in hospices (56/61, 92%) providing adult rehabilitation. Most services (55/61, 90%) reported rehabilitation provision becoming remote during Covid-19 and half reported reduced caseloads. Rehabilitation teams frequently had staff members on sick-leave with suspected/confirmed Covid-19 (27/61, 44%), redeployed to other services/organisations (25/61, 41%) or furloughed (15/61, 26%). Free text responses were constructed into four themes: (i) fluctuating shared spaces; (ii) remote and digitised rehabilitation offer; (iii) capacity to provide and participate in rehabilitation; (iv) Covid-19 as a springboard for positive change. These represent how rehabilitation services contracted, reconfigured, and were redirected to more remote modes of delivery, and how this affected the capacity of clinicians and patients to participate in rehabilitation. Conclusion: This study demonstrates how changes in provision of rehabilitation during the pandemic could act as a springboard for positive changes. Hybrid models of rehabilitation have the potential to expand the equity of access and reach of rehabilitation within specialist palliative care.

show abstract

Section: Introductionmentioning

confidence: 99%

“…17,18 Rehabilitation plays a crucial role within palliative care to meet physical, psychosocial and spiritual needs of people with advanced, progressive disease. 8,10…”

Section: Introductionmentioning

confidence: 99%

Understanding the impact of the Covid-19 pandemic on delivery of rehabilitation in specialist palliative care services: An analysis of the CovPall-Rehab survey data

et al. 2021

View full text Add to dashboard Cite

show abstract

“…It supports people towards optimal independence and participation in society throughout their disease, including during functional decline towards the end of life. 6 It adopts a holistic and person-centered approach, comprising multi-professional assessment and mainly non-pharmacological interventions 7,8 such as goal directed symptom management, 9 physical activity and exercise, [10][11][12] mindful movement 13,14 , and enablement in activities of daily living. 15,16 Rehabilitation plays a crucial role within palliative care to meet physical, psychosocial, and spiritual needs of people with advanced, progressive disease.…”

Section: Introductionmentioning

confidence: 99%

“…15,16 Rehabilitation plays a crucial role within palliative care to meet physical, psychosocial, and spiritual needs of people with advanced, progressive disease. 6,8 Guidelines recommend specialist palliative care services provide rehabilitation, 17,18 through physiotherapists and occupational therapists as core team members, and access to dietitians and speech and language therapists. However, rehabilitation in palliative care is not universally prioritised, with ad hoc and limited provision within specialist services.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Understanding the impact of the Covid-19 pandemic on delivery of rehabilitation in specialist palliative care services: An analysis of the CovPall-Rehab survey data

Bayly

Bradshaw

Fettes

et al. 2021

Preprint

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Background: Palliative rehabilitation involves multi-professional processes and interventions aimed at optimising patients symptom self-management, independence, and social participation throughout advanced illness. Rehabilitation services were highly disrupted during the Covid-19 pandemic. Aim: To understand rehabilitation provision in palliative care services during the Covid-19 pandemic, identifying and reflecting on adaptative and innovative practice to inform ongoing provision. Design: Cross-sectional national online survey. Setting/participants: Rehabilitation leads for specialist palliative care services across hospice, hospital, or community settings, conducted from 30/07/20 to 21/09/2020. Findings: 61 completed responses (England, n=55; Scotland, n=4; Wales, n=1; and Northern Ireland, n=1) most frequently from services based in hospices (56/61, 92%) providing adult rehabilitation. Most services (55/61, 90%) reported rehabilitation provision becoming remote during Covid-19 and half reported reduced caseloads. Rehabilitation teams frequently had staff members on sick-leave with suspected/confirmed Covid-19 (27/61, 44%), redeployed to other services/organisations (25/61, 41%) or furloughed (15/61, 26%). Free text responses were constructed into four themes: (i) fluctuating shared spaces; (ii) remote and digitised rehabilitation offer; (iii) capacity to provide and participate in rehabilitation; (iv) Covid-19 as a springboard for positive change. These represent how rehabilitation services contracted, reconfigured, and were redirected to more remote modes of delivery, and how this affected the capacity of clinicians and patients to participate in rehabilitation. Conclusion: This study demonstrates how changes in provision of rehabilitation during the pandemic could act as a springboard for positive changes. Hybrid models of rehabilitation have the potential to expand the equity of access and reach of rehabilitation within specialist palliative care.

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Older patients with active cancer have favorable inpatient rehabilitation outcomes

Bilek

Borodin

Carmi

et al. 2021

Journal of Geriatric Oncology

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Subacute Rehabilitation Does Have Benefits for Patients With Advanced Cancer

Cited by 4 publications

References 14 publications

Understanding the impact of the Covid-19 pandemic on delivery of rehabilitation in specialist palliative care services: An analysis of the CovPall-Rehab survey data

Understanding the impact of the Covid-19 pandemic on delivery of rehabilitation in specialist palliative care services: An analysis of the CovPall-Rehab survey data

Understanding the impact of the Covid-19 pandemic on delivery of rehabilitation in specialist palliative care services: An analysis of the CovPall-Rehab survey data

Older patients with active cancer have favorable inpatient rehabilitation outcomes

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