Select Committee on Science and Technology Appendices to the Minutes of Evidence


Living With Cancer

A Charter for People With Cancer

CHEMOTHERAPY

  People who are receiving chemotherapy have a right to:

    (a)  receive this treatment in comfortable surroundings;

    (b)  receive this treatment from a team of staff who have received relevant education and training and are sensitive to their needs;

    (c)  begin treatment within 30 minutes of the appointed time; be given explanations in the event of delays in beginning or completing treatment.

TRANSPORT

  People who have cancer and qualify for transport on medical grounds have the right to transport to and from home at weekends, as well as at the beginning and end of treatment.

EMOTIONAL SUPPORT/COUNSELLING

  People who have cancer have a right to emotional support for a period of at least 12 months after their diagnosis. This includes the right to:

    (a)  at least two home visits by an appropriate health professional who will provide emotional support and information on local support services including cancer counselling service.

LIFE-STYLE

  People who have cancer have the right to receive care in a non-judgmental way, regardless of their life-style, with emphasis on the future rather than the past. They have the right to:

    (a)  support in the community for changes in their life-style which they may wish to make, eg stopping smoking, change in diet;

    (b)  receive health promotional literature which is helpful, positive and non-judgmental;

    (c)  receive sound information on the range of therapies and treatments which they may wish to use in dealing with their cancer.

PALLIATIVE CARE

  Those who unfortunately require palliative care have the right to appropriate support in their home. In addition they have the right:

    (a)  to be placed in contact with the Foyle Hospice if requested;

    (b)  to hospital access as required for treatment and care which can no longer be provided in the community;

    (c)  to die at home with professional support for themselves and their family carers.

INTRODUCTION

  This Charter is being presented by us from our own experiences, both good and bad, in the hope that it will bring a greater awareness to the health care professions of the fears and anxieties of people diagnosed with cancer, that they, in turn, will be treated with the respect and sensitivity they deserve.

THE CHARTER IS IN NINE POINTS

  1.  Diagnosis

  2.  Information

  3.  Staff Training

  4.  Physical Changes

  5.  Chemotherapy

  6.  Transport

  7.  Emotional Support/Counselling

  8.  Life-Style

  9.  Palliative Care

DIAGNOSIS

  While respecting the professional judgment of the clinician and the individual's wishes, people receiving a cancer diagnosis have a right to.....

    (a)  be given their diagnosis by a medical member of staff in a caring and sensitive way;

    (b)  be given their diagnosis in privacy with an opportunity to discuss the implications of the diagnosis. The diagnosis should not be given during a routine ward round;

    (c)  have personal or professional support during and after they have been informed of their diagnosis and have access to a private area in which to discuss their diagnosis with family members;

    (d)  be given their diagnosis personally, not by letter or telephone.

INFORMATION

  People who have cancer have a right to information, both verbal and written:

    (a)  on cancer in general and their own in particular;

    (b)  on treatments, their effects and side effects.

STAFF TRAINING

  People who have cancer have the right to receive their care from staff who have received basic and on-going training in the field of cancer and its effects.

PHYSICAL CHANGES

  No person should be expected to leave hospital until they have had the opportunity to discuss physical changes which they may have experienced. Where follow up care of wounds is requested or required, the appropriate arrangement will be made by ward staff for community nursing staff to visit the patient at home. The person also has the right to:

    (a)  be shown their wound;

    (b)  be given information on care of their wound including appropriate clothing and washing;

    (c)  be told honestly of the possibility of baldness if they are having chemotherapy, and the availability of wigs, etc.

    (d)  patients who require prosthesis and/or a wig should be treated with sensitivity by staff who are mindful of the patient's possible emotional distress.


 
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