HOLISTIC NEEDS ASSESSMENT

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HOLISTIC NEEDS ASSESSMENT

• Jan Chalkley
• Macmillan Cancer Palliative Care Lead Nurse

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BACKGROUND

• Cancer Plan
• Cancer Reform Strategy
• Improving Outcomes Guidance
• NICE Supportive and Palliative Care Guidance

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WHO SHOULD BE ASSESSED

• All patients, with a cancer diagnosis receiving
  care in any setting, should be offered a Holistic
  Needs Assessment

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WHEN

• KEY POINTS OF THE PATIENT JOURNEY
• Around the time of diagnosis
• Start of treatment
• Completion of treatment
• Disease recurrence
• At the point of incurability
• End of life
• At any other time that patient or health care
  professional may judge appropriate

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WHO

• A clinical professional with an appropriate level
  of knowledge of cancer, symptoms, treatment, and
  likely prognosis
• The assessor should have reached an agreed level
  of competence in key aspects of the assessment
  process

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WHAT

• FIVE DOMAINS
• Background information and assessment preferences
• Physical needs
• Social and occupational needs
• Psychological wellbeing
• Spiritual wellbeing

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HOW Pepsi Cola Aide Memoir
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HOW Aide Memoir cont/.
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HOW Pepsi Cola Tool
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RECORDING INFORMATION

• EACH ASSESSMENT SHOULD BE RECORDED AND SHOULD
  CAPTURE
• All identified needs
• Relevant discussion
• Overall conclusions as agreed with the patient
• A summary record of the principal findings and
  actions agreed with the patient

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SHARING

• Copy should be offered to patient
• Copy to Keyworker
• Copy to any other relevant health care
  professional, as appropriate
• The record of assessment should support sharing
  both within and across teams and the different
  agencies involved in the care of the patient.

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PATHWAY
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PATHWAYBreast Cancer
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DISCUSSION

• What do you do now?
• Is it adequate?
• What are your thoughts on Holistic Needs
  Assessments?