Hopelessly Devoted - Wellness and Supportive Care at the ONJ Centre Radiotherapy Department

Abstract

Abstract Introduction : The Wellness and Supportive Care Team coordinate a range of evidence-based therapies and programs. They are designed to provide support, information and offer strategies to patients and loved ones during and after cancer treatment. The Covid 19 pandemic significantly impacted the ability to access and deliver these services. Opportunity arose to evaluate and address referral pathways that were being reopened or reinvigorated, for patients receiving Radiotherapy. Objectives/Aims: Optimise timing and access to Wellness programs and therapies for Radiotherapy patients. Increase awareness and educate staff about the wellness and supportive care available currently. Description/Methodology: A review of the current processes and pathways for patients to access wellness programs, services and activities in Radiotherapy was conducted. The Nursing team and Wellness team collaborated and changed the time of screening patients with the accredited National Comprehensive Cancer Network (NCCN) Distress Thermometer and Problem List for Patients, to coincide with the best timing for referrals for patients. This is now completed at CT simulation. Results/Outcomes: With a change in timing and process, we have seen an increase in referrals and engagement. This means that patients are accessing the services earlier and at a more beneficial time during their treatment. The screening tool is also more accurate as the distress is captured before treatment has commenced and after their first stressful simulation appointment. Preliminary results in Exercise Physiology have demonstrated a more consistent rate of referrals early in treatment from nursing staff since implementing these process revisions. Conclusions: The opportunity for this review process has led change and provided direct benefit to the patients. Referrals are consistently being offered and implemented early in Radiotherapy patients, with both teams also having a better understanding of the patient experience.