Page 5 - HHR-HNR 2.0

MULTIDISCIPLINARY HEAD AND NECK CANCER REHABILITATION (HNR)........................83\u000DCHAPTER 1 INTRODUCTION .......................................................................................................................... 84 1.1 Background ................................................................................................................................. 84 1.2 Head and Neck Rehabilitation programme................................................................................ 84 1.3 Evaluation and distribution ........................................................................................................ 85\u000DCHAPTER 2 HEAD AND NECK REHABILITATION PROGRAMME ............................................................................. 86 2.1 Target group ............................................................................................................................... 87 2.2 Selection of the target group ..................................................................................................... 87 2.3 Care needs of the target group .................................................................................................. 87 2.4 Desired outcomes.......................................................................................................................88 2.5 Rehabilitation care view ............................................................................................................. 88 2.6 Inclusion and exclusion criteria .................................................................................................. 89 2.7 Timing and amount of information ............................................................................................ 89\u000DCHAPTER 3 TREATMENT PLANNING ............................................................................................................... 90 3.1 Rehabilitation pathways ............................................................................................................. 90 3.1.1 New applications.................................................................................................................90 3.1.2 Intake with the rehabilitation physician ............................................................................. 90 3.1.3 Multidisciplinary HNR team meeting.................................................................................. 90 3.1.4 HNR team ............................................................................................................................ 91 3.1.5 Digital report ....................................................................................................................... 92 3.2 Schematic overview head and neck rehabilitation (HNR) care path.........................................93 3.3 Members of the multidisciplinary rehabilitation team..............................................................94 3.4 Rehabilitation modules............................................................................................................... 94 3.5 Length and frequency of the rehabilitation pathway ................................................................ 94 3.6 Evaluation of rehabilitation processes ....................................................................................... 94 3.7 Communication .......................................................................................................................... 95 CHAPTER 4 ORGANIZATION .......................................................................................................................... 96 4.1 Roles, tasks and responsibilities ................................................................................................. 96 4.2 Specific expertise ........................................................................................................................ 97 4.3 Preconditions .............................................................................................................................. 97 4.4 Evaluation of programme content ............................................................................................. 97 CHAPTER 5 SCIENTIFIC EVIDENCE FOR HEAD AND NECK REHABILITATION.............................................................. 98 5.1 Multidisciplinary rehabilitation .................................................................................................. 98 5.1.1 Rehabilitation needs of patients with head and neck cancer ............................................ 98 5.1.2 International Classification of Functioning, Disability and Health ..................................... 98 5.1.3 Effectiveness of multidisciplinary head and neck rehabilitation ....................................... 99 5.1.4 Cost-effectiveness of multidisciplinary collaboration ........................................................ 99 5.1.5 Evidence and self-evaluation ............................................................................................ 100 5.2 Case manager / oncological nurse ........................................................................................... 100 5.2.1. The role of the head and neck oncology nurse / case manager.....................................100 5.2.2. Screening and referral upon rehabilitation needs .......................................................... 101 5.2.3. Effectiveness ....................................................................................................................102 5.3. Logopaedics ............................................................................................................................. 103 5.3.1 Swallowing problems (dysphagia) resulting from head and neck cancer........................103 5.3.2 Voice disorders resulting from head and neck cancer.....................................................107 5.3.3 Speech problems resulting from head and neck cancer..................................................111 5.3.4 Deterioration of olfaction after laryngectomy ................................................................. 113 5.3.5 Peripheral facial palsy resulting from head and neck cancer ..........................................115 5.4 Dietician .................................................................................................................................... 118 5.4.1 Hydration and nutritional problems in head and neck cancer patients .......................... 118 5.4.2 Screening for malnutrition and dehydration....................................................................120\u000D4\u000D