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

DAY THERAPY CENTRE

The ethos of the St David’s Hospice Therapy Centre is to enable those with life limiting illness to live well and to live fully. To discover new talents, rediscover old talents and interests; experience various forms of relaxation, alongside a personalised activity program to suit all abilities, all with the support of the Therapy Team.

What services do you offer?

Complementary Therapy

Such as massage, aromatherapy massage, reiki, reflexology and gentle Indian head massage. Complementary Therapy is beneficial for the management of symptoms such as anxiety, breathlessness and pain.

Physiotherapy

A personalised exercise programme will be developed during an initial assessment with the Physiotherapist. You will have access to a fully equipped therapy gym including; Motomed, treadmill, Bobath plinth and parallel bars.

Breathlessness Management

An individualised management plan will be developed by the Physiotherapist to enable you to learn the skills to manage your breathlessness.

F.A.B (Fatigue, Anxiety and Breathlessness) Group

This group session is led by the Physiotherapist and the Occupational Therapist to learn and develop the skills required to manage the fatigue and breathlessness associated with many lung conditions.

There are two parts to each session including group discussion, exercise therapy, such as home exercise plans, and relaxation. This takes place as an outpatient group and requires a referral from your health care professional e.g. District Nurse, GP, Respiratory Consultant or Palliative Care Nurse.

Diversional Therapy

The benefits of Diversional Therapy are to retain skills, knowledge and interests (or discover new ones!). It provides physical exercise, enables socialisation and formation of friendships through shared experiences. It can stimulate the senses, provide expression of feelings, and enhance spirituality, dignity, respect and self-worth through the art of creativity and pleasure.

Group Exercise

Such as group indoor tennis, bowling and various ball games, as well as the use of the Nintendo Wii, so you can get as competitive as you want without leaving your chair!

Gardening Project

A form of Diversional Therapy through the medium of gardening.

Accessible to all including wheelchair access, the court yard area will be covered so it can be accessed come rain or shine!

Group Talks on any subject requested

This helps to retain old memories, gain new knowledge through group discussions, poetry or storytelling.

Group Relaxation sessions

Guided relaxation through visualisation.

Personalised Non-touch Relaxation Therapy

A non-touch therapy that utilises the body’s energy fields to aid relaxation and a sense of wellbeing.

Music Therapy

Music Therapy is a mindful activity which takes the focus away from illness.

It can be provided as a group session or as a personalised one to one session.

The aim of Music Therapy is to provide support for coping with illness and stress by reducing anxiety, encouraging social participation and interaction. It provides the opportunity for spontaneity, creativity and the expression of oneself enabling people to feel energised and uplifted. Music Therapy can also encourage physical activity and build confidence.

You can sing, play an instrument, make a CD of your favourite tunes for yourself or your family or simply just listen and enjoy.

Symptom Management

Ongoing management of any symptoms you may be experiencing will be available Mon-Fri with access to the Advanced Nurse Practitioner/ Clinical Nurse Specialist or Speciality Doctor.

All clinical reviews will be communicated to the health professionals currently involved with your care, (e.g.GP, District Nurse, Macmillan nurse) with your consent.

Outreach

The Outreach service is a new service that will enable the continued symptom management of those who have been unable to attend the Therapy Centre during their eight week course, due to increasing symptoms such as pain, nausea, breathlessness or immobility. The Outreach Team can also monitor any medication changes made whilst attending the Therapy Centre.

The Outreach team comprises of the Advanced Nurse Practitioner, the Clinical Nurse Specialist and a Senior Health Care Support Worker.

You may still require further assessment from your GP and referral to other health care professionals.

Occupational Therapy

You can be referred to the Occupational Therapist for an assessment of functional difficulties, such as getting in/out of your home, bathing and/or difficulties managing around the home, enabling you to remain independent within your home.

Social Worker

You can have access to the Hospice Social Worker (Mon-Thurs) if you require advice on any issues affecting you, such as housing, carers, financial advice. She may liaise with your community Social Worker if you have one.

Family Support Service

This includes one-to-one counselling, family counselling and pre-bereavement counselling.

Bereavement Counselling

Chaplaincy

The Hospice Chaplain can be available if you wish to discuss any spiritual or religious views, concerns or questions.

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.

INPATIENT UNIT

The clinical team is available to help with symptom control, pain management, end of life care, respite, psychological and emotional support and to deal with any concerns you may have. We also offer support to families and carers. The team communicates with your GP/Consultant, Community Specialist Palliative Care Nurse, Marie Curie, Hospice at Home and Community Nurse to make sure that we have all the relevant information to care for you properly.

A Multi-Disciplinary Team Meeting will be held weekly to discuss your care-plan with all the professionals involved. If you have concerns about the sharing of your information then please let us know.

As a Specialist Unit, we have weekly input from Consultants in Palliative Care and Speciality Doctors who are available throughout the week. St David’s Hospice benefits from having a full multi-disciplinary team. Our nursing team provides a 24-hour service to inpatients and a 10am until 3.30pm, Monday to Friday service in the Day Therapy unit. Our dedicated team has specialist qualifications and a wealth of experience.

Who’s Who

We have a team of experienced, trained nurses who will be caring for you 24 hours a day. The nurse in charge of your care on each shift will introduce him/herself to you, and your carers/family are welcome to discuss any care issues with them with your permission.

An experienced team of Health Care Support Workers also ably assist the trained nurses. They can help you with meals, drinks and hygiene needs and certain nursing tasks, for example, taking your temperature and pulse, under guidance of a trained member of staff.

Other people you may meet include our Consultants/Doctors, Physiotherapists, Occupational Therapists, Senior Social Worker, Administrative Staff, Housekeepers, Kitchen Staff, Maintenance Staff, Fundraisers, Chaplains, Dietician, and of course our friendly helpful team of Volunteers.

Social Worker

The Social Worker provides a professional Social Work service to the inpatients, day patients, carers and bereaved families known to the Hospice, plus ongoing support to patients, their families and carers. Assisting in care at home through liaising with community care coordinators or arranging care packages when patients are discharged. The Social Worker will also assist with sourcing appropriate finance for home care and nursing home care where available and appropriate.

Physiotherapists

Physiotherapists are available to assist with problems such as pain, swelling, breathlessness and mobility. The aim of the treatment is to help you be as independent as possible.

Occupational Therapist

The Occupational Therapist can help you adapt your home/surroundings in a way which enables you to carry out your activities of daily living safely. They can also aid with managing feelings of fatigue and how to pace your day effectively.

Pharmacist

A fully qualified Pharmacist from the local hospital visits the Hospice to check drugs and give advice.

Dietician

The Dietician will give you nutritional advice and help with any special diet you may be on. The Dietician will also help those who are artificially fed.

Chaplaincy

A Hospice Chaplain and other chaplains from local churches/chapels visit regularly during the week. Please ask if you would like to have a chaplain, of any denomination, to visit you.

Bereavement Service

Many members of the team at St David’s Hospice have counselling qualifications and offer a bereavement follow-up for families and carers.

Further information: https://stdavidshospice.org.uk/services-we-provide/bereavement/

Complementary Therapy

These services are provided by qualified therapists and have been shown to improve patients’ feelings of well-being, reducing stress and anxiety, so aiding relaxation. Aromatherapy and massage are but two therapies on offer, please ask for the full range of therapies that are available.

Inpatient Guidebook

INPATIENT UNIT – Gallery

Many thanks to Mike Shields of Mike Shields Photography for taking these photograghs

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

FURTHER INFORMATION

If you require any further information about the Hospice Therapy Centre or the Inpatient Unit please contact us on 01492 879058.