Comprehensive Rehabilitation Services for Cancer Late Effects and Brachial Plexus Injuries
The complex cancer late effects rehabilitation service (CCLERS) and breast radiation injury rehabilitation service (BRIRS) offer specialized care for individuals experiencing chronic pain, reduced limb function, and psychological distress following cancer treatment. BRIRS provides support for brachial plexus injuries resulting from breast cancer radiotherapy. Referral criteria include being 12 months post-cancer treatment and meeting specific complex needs. The services involve multidisciplinary assessments, pain management, aids for daily living, and psychological support. Patients can access telephone triage assessments, clinics, residential programs, and ongoing consultations with clinical nurse specialists and allied health professionals throughout their care pathway.
- Rehabilitation services
- Cancer late effects
- Brachial plexus injury
- Chronic pain
- Multidisciplinary care
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Presentation Transcript
Complex Cancer Late Effects Rehabilitation Service. Lucy Cooper Chronic Pain Nurse CCLERS
What is BRIRS? Breast Radiation Injury Rehabilitation Service. LC 01/18
BRIRS - Developing a service 1995The Maher Committee guidelines: Specialist MDT assessment, pain management, aids for daily living and psychological support. 2006 RAGE Yesterdays Women Report. 2009 Getting It Right: Piloting specialist care for people with radiation-related problems 2012 BRIRS established (RNHRD, Barts, Christie) 2017 BRIRS at the RNHRD funded by NHS England LC 01/18
A national service funded by NHS England for people living with brachial plexus injury following breast cancer radiotherapy treatment LC 01/18
Clinical Presentation What is the Brachial Plexus? Network of nerves originate in the neck region branch off to form most of the other nerves that control movement and sensation in the upper limbs, including the shoulder, arm, forearm, and hand. The radial, median, and ulnar nerves originate in the brachial plexus. LC 01/18
What is CCLERS ? Complex Cancer Late effects Rehabilitation Service. LC 01/18
Referral Criteria BRIRS CCLERS 12 month post cancer treatment 12 month post cancer treatment Brachial Plexus Injury following radiotherapy treatment for breast cancer Chronic pain Reduced limb function Chronic pain Psychological distress Reduced upper limb function Considered to be complex by local / regional pain services. Psychological distress LC 01/18
Referral to CCLERS Discuss with referrer and/ or relevant health care professional Referral meets criteria ? NO YES Clinical Nurse Specialist Telephone Triage Assessment MDT CLINIC Appropriate for Residential programme ? MDT Summary sent to patient and GP with recommendations YES NO 3 month CNS led Telephone Review Residential Programme 3 month Clinic Review CNS/ OT/ Physio 6 month Ad hoc consultations with the CNS or AHPs can be accessed at any point in the pathway Telephone Review CNS 12 month LC 01/2018 Telephone Review CNS
USE HEADER & FOOTER TO INSERT TITLE HERE Residential Programme 2 week Residential programme Specialist, tailored rehabilitation Positively impacts on: self-efficacy, functional performance and quality of life The residential rehabilitation programme includes: Occupational Therapy Physiotherapy Hydrotherapy Psychology access Pain Consultant access LC 01/2018
Any Questions Effective rehabilitation is vital in minimising consequences of treatment and improving quality of life for someone with cancer. Achieving world-class cancer outcomes: A strategy for England 2015-2020 LC 01/18
All Referrals should be sent to: Professor Candy McCabe Royal National Hospital for Rheumatic Diseases Upper Borough Walls Bath BA1 1 RL Email: k.cuss@nhs.net BRIRS Administrator- 01225 473481 LC 01/18
