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Chapter 4 Organization\u000D4.1 Roles, tasks and responsibilities\u000DEach of the treating disciplines (here presented in alphabetical order) determines (specific, measurable, acceptable, realistic, time-based; SMART) treatment goals with the patient within their discipline.\u000D\u2022 Case manager/ Head and neck oncology nurse\u000DApplication of patients, providing patients with information on oncological treatments/care paths and overseeing the treatment process, patient contact person, outcome evaluations of the rehabilitation programme.\u000D\u2022 Creative therapist / Activity coordinator\u000DTherapeutic guidance of rehabilitating patients, who have trouble coping with cancer or treatment effects. Activity coordination aims to help patients engage in leisure activities they enjoy.\u000D\u2022 Dietician\u000DProviding information on healthy, high energy and/or protein food, monitoring the patient\u0027s weight (weight changes resulting from treatment), screening for possible malnutrition (SNAQ), determining the need for nutritional support (supplements/feeding tube, etc. Providing patients with guidance in terms of nutrition and weight gain or loss. Evaluation of dietary counselling.\u000D\u2022 Head and neck radiotherapist\u000DDetection of rehabilitation issues, application of potential new patients and determining treatment goals.\u000D\u2022 Head and neck surgeon / oncologist (with additional expertise in rehabilitation)\u000DDetection of rehabilitation issues and application of potential new patients. Performing the intake, assessing patient eligibility for the rehabilitation programme and determining treatment goals. Oversees the treatment process and outcome evaluation, together with the rehabilitation specialist.\u000D\u2022 Occupational therapist\u000DPerformance of tests on daily functioning. Analysis of test outcomes and treatment of problems in sensibility, functioning, coordination and daily functioning. Guidance of patients in their return to work. Evaluation of treatment outcome.\u000D\u2022 Office assistant/planner\u000DTaking the minutes of the MDT meetings and monitoring the patient file; setting and planning appointments.\u000D\u2022 Physical therapist/ lymphedema therapist\u000DPerformance of tests on patients\u0027 level of balance, physical fitness, mobility, strength and/or function. Analysis of test outcomes and treatment of problems in the area of physical fitness, shoulder function, jaw mobility and/or lymphedema. Guidance of patients throughout the physical therapy treatment. Evaluation of treatment outcome. Treatment of oedema in the head and neck area.\u000D\u2022 Programme coordinator\u000DCoordination, reporting and evaluation of the content of the rehabilitation programme and MDT meetings. Gathering and analysis of test outcomes and other relevant information. Participation in treatment.\u000D\u2022 Consultant psychiatric nurse\u000DGuidance of and information-giving to patients and their partners on potential psychiatric problems that they may experience as a result of, or during, treatment.\u000D96\u000D