1. “All the things I never thought I’d do again – I’m doing them!”
Breast Radiotherapy Injury Rehabilitation Service
Complex Cancer Late Effects Rehabilitation Service
Managing cancer as a long term condition
Specialist, intensive, tailored rehabilitation for those living with complex late effects of cancer

2. Breast Radiotherapy Injury
What are the problems and what do we do?
Therapeutic Aim
For the person to:-
Achieve full functional potential
Identify unhelpful strategies which have developed over time and become confident to take action to correct them
Become autonomous in managing the impact of pain and other symptoms on daily life
Re-engage in meaningful and purposeful occupations which promote increased health and wellbeing
Develop self efficacy
Breast Radiotherapy Injury
Common presentation
Neuropathic pain
Atrophy
Altered sensation
Decreased power
Decreased range of movement
Altered biomechanics
Fatigue
Breathlessness
Reduced function
Emotional difficulties consistent with living with a long term pain condition following cancer treatment

3. Service Model CNS Triage Assessment 2 day clinic
2 week therapy led residential programme
3,6,12 month follow up
Rehabilitation Programme
Groups, workshops, 1:1 work
Daily Occupational Therapy
Daily Physiotherapy
Daily Hydrotherapy
Psychology access
Pain Consultant access
Clinical Nurse Specialist access

4. Outcomes
100% ↑ in performance of valued tasks 100% ↑ in satisfaction of how they were managing these tasks
70% demonstrate clinically significant performance outcomes 100% demonstrate clinically significant satisfaction outcomes

5. Macmillan funded pilot scheme: Complex Late Effects
20 patientsclinic 19 women, 1 man Av age 60 years Av 12 years post D 42% had recurrence Half attended programme Refs: self, CNS, surgeon
Outcomes 49% ↓ GP visits 34% ↓ pain Drs 20% ↓ pain severity 38% ↓ pain interference 57% ↓ depression 24% ↑ clinically sig UL function

6. “my faith in anything happening had gone, my attitude was just to try and get on with it, but it’s given me the understanding that things can change”
Breast Radiotherapy Injury Rehabilitation and Complex Cancer Late Effects Rehabilitation Services
Tel: Kim on to refer – it’s simple!