FOR PATIENTS

St David’s Hospice: providing the highest quality specialist palliative care

FAQs Day Therapy Centre

Who can attend?

Any person with a life limiting diagnosis, at any stage of their illness.

Why do people attend?

People attend the Therapy Centre for a variety of reasons, such as specialised symptom management from the clinical team, respite for themselves and the family, peer support, and physical, emotional, spiritual and psychological support.

How do I access the Hospice Therapy Centre?

You can be referred to the Therapy Centre by any health care professional, such as your GP, District Nurse, Macmillan/Specialist Nurse, Social Worker, Occupational Therapist or Physiotherapist.

Once a referral has been received, the Sister-in-Charge of the unit will contact you for an initial assessment.

What will the initial assessment involve?

You will be invited to come to the Therapy Centre to see the Advanced Nurse Practitioner (ANP) or the Clinical Nurse Specialist (CNS) to discuss how the Centre can best support your needs. A medical history and on occasions, a basic clinical examination may be required (e.g. blood pressure, pulse, heart and chest examination).

An initial plan will be outlined and a taster day/session booked. This process will take approximately an hour and a half.

What should I bring to the initial assessment?

  • You will be asked to bring your most recent medication list.
  • Your medical history can be obtained via the referrer and/or GP.
  • You may bring a relative or a friend with you for the initial assessment.

What will the initial assessment involve?

You will be invited to come to the Therapy Centre to see the Advanced Nurse Practitioner (ANP) or the Clinical Nurse Specialist (CNS) to discuss how the Centre can best support your needs. A medical history and on occasions, a basic clinical examination may be required (e.g. blood pressure, pulse, heart and chest examination).

An initial plan will be outlined and a taster day/session booked. This process will take approximately an hour and a half.

When can I attend?

You can attend the Therapy Centre as an outpatient or for the full day on certain days.

The hours of attendance for the full day would be between 10am and 3.30pm.

Lunch will be provided free of charge.

This will be decided on your initial assessment to ensure you have the best programme to suit your requirements.

How long will I attend?

The programme will be on average 8 weeks.

The length of the programme is personalised to your needs.

Following discharge you will be referred back to your Macmillan Nurse or lead professional.

If you require any further information about the Hospice Therapy Centre please contact us on 01492 879058 Ext 5.

FREQUENTLY ASKED QUESTIONS – INPATIENTS

Do patients have to pay for their stay?

No, all care, meals and treatments are offered completely free of charge to patients.

Is it similar to a nursing home?

St David’s Hospice is not a nursing home and we do not provide long term care. We are a Specialist Palliative Care Centre providing symptom control, respite care, and care for those at the end of their life.

What is palliative care and is it suited to me?

It is total care of the patient including emotional, spiritual and physical care. Palliation is designed to alleviate symptoms when an illness is incurable.

When can a patient be admitted?

Patients are admitted from Monday to Friday, between the hours of 9:00am and 4:00pm, and also on Saturday and Sunday between 9:30am until 12:00pm, depending on transport needs.

How long can I stay?

This depends on the reason for your admission and your general health. Respite care is offered for one week depending on the bed availability.

What happens after my stay?

You may return home with the help of your carers/family/GP/Community Nurses. If this is difficult for you, other options such as admission to a nursing home will be discussed.

What treatment can I have at the Hospice?

We can treat pain, vomiting, diarrhoea, anxiety, depression and many other symptoms. We can give blood transfusions and certain intravenous therapies. There are a number of complementary therapies available including aromatherapy and massage.

How will my religious/spiritual beliefs be met?

We have an interdenominational chapel available and can call in various clergy to visit you if you desire. Please feel free to discuss your needs with a member of staff. We try to help patients of all religions and spiritual beliefs.

Are there facilities for emergency treatment in the event of sudden illness?

We aim to seek patients’ views on the treatment and care that is most appropriate for them, depending on their condition.  This might include discussion and decisions about what to do in the event of a sudden change, for example, transfer to acute hospital or cardiopulmonary resuscitation.  Patients may wish to tell the staff if they have made any advance care plans or decisions about their care.  The Hospice does not have emergency facilities as in an acute hospital but can call an ambulance to support the staff if this is appropriate.

What if patient needs an X-ray or to see a Consultant?

We aim to seek patients’ views on the treatment and care that is most appropriate for them, depending on their condition.  This might include discussion and decisions about what to do in the event of a sudden change, for example, transfer to acute hospital or cardiopulmonary resuscitation.  Patients may wish to tell the staff if they have made any advance care plans or decisions about their care.  The Hospice does not have emergency facilities as in an acute hospital but can call an ambulance to support the staff if this is appropriate.

Can family eat and drink whilst visiting ?

Hot drinks are available in the relatives’ lounge. Please consume them there and dispose of cups etc. in the bins provided.

If your loved one has mobility issues, or is distressed, then a member of staff will bring them a drink. Loved ones can eat with you in your room, if appropriate or for a special occasion.  Visitors are encouraged to eat in the café or in the Plaza and meals/snacks can also be purchased from the Hospice’s Café Dewi on Mondays to Fridays 10am – 4pm.   St David’s do not routinely offer meals at weekends or after 4pm.  If visitors have a problem accessing meals please speak to a member of staff.

Can family eat and drink whilst visiting ?

Hot drinks are available in the relatives’ lounge. Please consume them there and dispose of cups etc. in the bins provided.

If your loved one has mobility issues, or is distressed, then a member of staff will bring them a drink. Loved ones can eat with you in your room, if appropriate or for a special occasion.  Visitors are encouraged to eat in the café or in the Plaza and meals/snacks can also be purchased from the Hospice’s Café Dewi on Mondays to Fridays 10am – 4pm.   St David’s do not routinely offer meals at weekends or after 4pm.  If visitors have a problem accessing meals please speak to a member of staff.

Can children visit?

Yes, but they must be accompanied by an adult. A toy box is available and is located in the relatives’ lounge. We do ask that there is to be no running or shouting within the building.

Can pets visit?

Yes, if well behaved, house trained and wormed/inoculated as appropriate. We would ask that you discuss bringing your pet into the Hospice with the nursing team so that arrangements can be made accordingly.

REFERRAL TO ST DAVID’S HOSPICE

For further information about our services or a referral speak to your G.P. or call St David’s on 01492 879058

COMMENTS AND COMPLAINTS

How can I comment on services?

A suggestion box is available near the inpatient entrance. The Hospice also participates in the ‘I Want Great Care system, where comments on our service are invited. This is available at http://www.iwantgreatcare.org For recent comments and our responses please refer to the information board on the Inpatients ward.

You are also always welcome to speak to the nurse in charge about any aspect of the service.

What if I have a comment or complaint to make about my care?

St David’s Hospice hopes to create an atmosphere where people are not afraid to voice their concerns and to complain if necessary. It has been shown that the sooner issues of concern are discussed, the sooner they can be addressed. It is helpful to everyone if complaints can be made at the time of the incident when memories are fresh, or as soon as possible.
For concerns regarding clinical issues or patient care, see or write to write to the Chief Executive of the Hospice, St David’s Hospice, Abbey Road, Llandudno, LL30 2EN.
If you are not satisfied after taking the above action, then please write to the Chairman of the Board of Directors, who will make sure that your concern/complaint is investigated by the Hospice Complaints Committee.
It is our policy to investigate all complaints thoroughly.

Acknowledgement of written complaints will be sent within two working days and a full response within 20 working days. If this is not possible, you will be sent further communications with reasons for the delay.

If the issues have not been resolved by the above, and you would like to take the matter further, contact:

Health Inspectorate Wales
Government Buildings
Rhydycar Business Park
Merthyr Tydfil
CF48 1UZ
Tel: 0300 062 8163

Email: hiw@wales.gsi.gov.uk

 

Or

Public Services Ombudsman for Wales 1 Ffordd yr Hen Gae,

Pencoed, CF35 5LJ

Tel: 0300 790 0203

Can I have access to my medical records?

The Data Protection Act 1998 allows patients to find out what  records are held about them. Please ask for further information.
The Hospice is regulated by Healthcare Inspectorate Wales and was last inspected in March 2016. The inspection report is available at www.hiw.org.uk

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