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Appendix 1E: Rehabilitation modules\u000DRehabilitative Specialist\u2019 and Allied Health Disciplines\u2019 modules presented in order of frequency of modular interventions being applied in the HNR program  \u000DAbbreviations: HNN \u2013 Head and Neck Nurse; RS \u2013 Rehabilitation Specialist Nt P Nutritionist; OTP Occupational Therapist; PT \u2013 Physical Therapist; SLP \u2013 Speech Language Pathologist; SW \u2013 Social Worker; AT \u2013 Art Therapist ADL \u2013  Activities  of  Daily  living;  NAIM  \u2013  Nasal  AirflowP  Inducing  Maneuver;  SMART  \u2013  Specific,  Measurable,  Assignable,  Realistic,  TimePrelated,  ICF  \u2013  International  Classification  of  Functioning  Disability  and  Health;  HRPQoL  \u2013  health  related quality of life;   \u000DHNN Module \u000DTarget problem /symptom \u000D1, 2 ICF code  \u000DIntervention \u000D3 Intended global outcome  \u000DScreening rehabilitation  needs \u000D \u000DMental and physical problems due to  treatment of head and neck cancer  interfering with activities and participation  influenced by personal and environmental  factors. \u000DB Body functions  S Body structures  D Activities and participation  E environmental factors \u000DValidated screening instruments and  assessment HRPQoL.  \u000DAdequate inclusion and exclusion  in the rehabilitation program.  Adequate diagnostics and followP up. \u000D RS Module \u000DTarget problem /symptom \u000D1, 2 ICF code  \u000DIntervention \u000D3 Intended global outcome  \u000DCompiling, defining and  followPup rehabilitation  goals \u000DMental and physical problems due to  treatment of head and neck cancer  interfering with activities and participation  influenced by personal and environmental  factors. \u000DB Body functions  S Body structures  D Activities and participation  E environmental factors \u000DStructured case history to list  functioning according to the ICF  model. Defining treatment demand  and rehabilitation goals.  Motivational interviewing.  Coordinating patient care within the  multidisciplinary team. \u000DAdequate inclusion and exclusion  in the rehabilitation program.  Referral to allied health disciplines.  Optimized HRPQoL. \u000DSLP Modules \u000DTarget problem /symptom \u000D1 \u000DICF code\u000DIntervention \u000D3\u000DIntended global outcome  \u000DVoice and speech  rehabilitation \u000DImpaired voice and speech functions.  Structure of the mouth, nose, pharynx and  larynx. Communication problems.  \u000DB310 Voice functions   B320 Articulation functions    S320 Structure of the mouth   S330 Structure of the pharynx   S340 Structure of the larynx   D330 Speaking \u000DBreathing exercises. Vocal training.  Articulation exercises. Tongue  exercises. Communication options.  Speech rehabilitation after a total  laryngectomy. \u000DImproved voice and/or speech  quality. Improved tongue mobility  and function. Improved  communication. \u000DSwallowing rehabilitation \u000DStructure of the mouth, pharynx and larynx  Eating and Drinking  \u000DB5105 Swallowing   S320 Structure of the mouth   S330 Structure of the pharynx   S340 Structure of the larynx   D550 Eating  \u000DD560 Drinking \u000DSwallowing exercises. Compensatory  techniques. Advice on a safe oral  intake. Advice on nutritional  consistencies.  \u000DImproved swallowing function.  Reduced aspiration risk.   Obtaining and maintaining an  optimal and safe oral intake.  \u000DSmell rehabilitation \u000DStructure of the Larynx, loss of smell after a  total laryngectomy.  \u000DS340 Structure of the larynx   B1562 Olfactory perception \u000DOlfaction rehabilitation by using the  NAIM technique. Manometer for  visual feedback. Transfer to daily  life. \u000DRestoring and maintaining  olfactory function. \u000DTrismus treatment* \u000DLimited mouth opening due to impairments  in structure of the mouth and/or jaw, or  related to muscle tone or power functions.  \u000DS320 Structure of the mouth   B280 Sensation of pain   D330 Speaking    D5201 Caring for teeth   D550 Eating \u000DMouth opening exercises. Advice on  pain and oral hygiene. \u000DIncreased mouth opening.  Reduction of pain. Increased oral  hygiene/oral intake. Improved  communication \u000DHearing training/advice \u000DTreatmentPinduced hearing loss in patients  with head and neck cancer. \u000DB230 Hearing function   D115 Listening   D310 Communicating with P receiving P  spoken messages \u000DHearing test. Advice on  communication in daily life. Hearing  aid.  \u000DImproved communication in daily  life. \u000DNT Modules \u000DTarget problem /symptom \u000D1 \u000DICF code\u000DIntervention \u000D3\u000DIntended global outcome  \u000DNutritional advice \u000DFunctions related to ingestion functions.  SelfPcare related to eating and drinking \u000DB510 Ingestion functions   B5105 Swallowing functions  S320 Structure of the mouth   S330 Structure of the pharynx   S340 Structure of the larynx   D550 Eating  \u000DD560 Drinking \u000DGeneral advice and nutritional  advice based on patient symptoms  and nutritional history.  \u000DObtaining and maintaining  adequate nutritional status. \u000DWeight monitoring \u000DFunctions related to ingestion functions.  SelfPcare related to eating and drinking  \u000DB510 Ingestion functions   B5105 Swallowing functions  S320 Structure of the mouth   S330 Structure of the pharynx   S340 Structure of the larynx   D550 Eating  \u000DD560 Drinking \u000DStructured weight monitoring.  General advice and nutritional  advice based on patient symptoms  and nutritional history.   \u000DObtaining and maintaining  adequate nutritional status.  Prevention of weight loss. \u000DAdditional Nutrition \u000DFunctions related to ingestion. Swallowing  problems due to alterations in the  structure of the mouth, pharynx, larynx.  SelfPcare related to eating and drinking. \u000DB510 Ingestion functions   B5105 Swallowing functions  S320 Structure of the mouth   S330 Structure of the pharynx   S340 Structure of the larynx   D550 Eating  \u000DD560 Drinking \u000DSpecific nutritional advice on  complementary nutritional drinks.  Determining type and quantity of  additional nutritional drinks. \u000DObtaining and maintaining  adequate nutritional status.  Prevention of weight loss. \u000DFeeding tube \u000DFunctions related to ingestion. Severe  functional swallowing problems due to  alterations in the structure of the mouth,  pharynx, larynx.  \u000D \u000DB510 Ingestion functions   B5105 Swallowing functions  S320 Structure of the mouth   S330 Structure of the pharynx   S340 Structure of the larynx   D550 Eating  \u000DD560 Drinking \u000DNutritional advice on using tube  feeding. Determining type and  quantity of tube feeding.  \u000DObtaining and maintaining  adequate nutritional status.   \u000D  \u000D140\u000D


































































































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