Procedure | Method | Content |
---|---|---|
1st consultation | Assessment of needs: setting goals/measures according to standardised procedure (CM control system/self-management) Provision of information Ambulant rehabilitation Approach: Motivational counselling Resource-oriented Empathic conduct | Get to know patient, establish relationship, clinical recording of overall situation: symptoms, side effects of therapies, psychosocial situation and distress, impairment of quality of life. If required by patient: clarification on rehabilitation offered, contact person in case of queries and problems |
2nd consultation 3rd consultation | Counselling/Instruction Guidance based on targets &measures Approach as above 'Define task/needs' | Develop 'program' in collaboration with patient. Counselling: dealing with symptoms etc. Arrange a therapists, services, e.g. Swiss Cancer League, via GP/oncologist: physiotherapy, nutritional advice, psycho-oncologist, if patient is unable to organise himself. Contact person in case of queries and problems |
Telephone follow-up at least once per month for approx. 30 minutes during the first 6 months, afterwards reduction if needed. Availability of rehabilitation coaches if required/office hours | Evaluation, possibly new goals, planning Approach as above | Summarising of outcomes, poss. summarise reports of therapists for patient, GP/oncologist. Counselling to encourage self- management. Contact person in case of queries/problems |
4th consultation | Evaluation | Concluding interview |