Macmillan Activity Promotion Programme (MAPP) South East Wales - - PowerPoint PPT Presentation

macmillan activity promotion programme mapp south east
SMART_READER_LITE
LIVE PREVIEW

Macmillan Activity Promotion Programme (MAPP) South East Wales - - PowerPoint PPT Presentation

Physical Activity & Cancer Macmillan Activity Promotion Programme (MAPP) South East Wales Helen Tyler Macmillan Therapies Manager Velindre Cancer Centre Acknowledgements Siobhan Harkin Macmillan Physical Activity Lead (0.5 wte)


slide-1
SLIDE 1

Physical Activity & Cancer Macmillan Activity Promotion Programme (MAPP) South East Wales

Helen Tyler Macmillan Therapies Manager Velindre Cancer Centre

slide-2
SLIDE 2

Acknowledgements

  • Siobhan Harkin

– Macmillan Physical Activity Lead (0.5 wte)

  • Claire Jones

– Macmillan Physical Activity Physiotherapist (0.6 wte)

  • Margretta Davies

– Macmillan Physical Activity Physiotherapist (O.4 wte)

  • Patrick Palmer

– Macmillan Physical Activity Support Worker (1 wte)

slide-3
SLIDE 3
slide-4
SLIDE 4

Improves health and wellbeing outcomes Effect size Helping people take control

‘Keeping active has helped me, and my family, through a really difficult time. It’s helped me return to a more normal way of life and has given me a real sense of achievement’.

Reduction in the relevant risk of recurrence of breast cancer:

  • Adjuvant physical activity 40- 50%
  • Adjuvant radiotherapy 59%
  • Adjuvant hormone treatment 29% (after 10

years of treatment) Physical activity guidelines

slide-5
SLIDE 5

2 million People Living with Cancer PA levels

1.6 Million not achieving recommend level

  • f PA

1.1 million are 65years and over

0.4 million achieving recommended level of PA

slide-6
SLIDE 6
slide-7
SLIDE 7

Meeting Patients Needs

Specific needs Additional support requirements Self management

10 Top tips NERS MAPP Physiotherapy Outpatients

slide-8
SLIDE 8

MAPP Aims

Promote Physical Activity Promote Healthy Living Promote Self management of Cancer related side effects To promote peer support To empower patients to use NERS/independent Activity

slide-9
SLIDE 9

MAPP setting up process

Promote Champion Develop

slide-10
SLIDE 10

Develop

  • Variety of PA sessions
  • Modify/enhance

dependent on patient feedback

  • Referral pathways-
  • Professional/self referral
  • Gateway session
  • Current PA schemes
  • NERs /Walking groups
  • Resources needed to

run MAPP, staff, equipment

  • Suitable facilities
  • Referral pathways
  • Stage of cancer care

pathway

  • Patient Measurement

tool- EQ5D,FACIT,

  • VAS,TUG

Evaluate Identify Expand Establish

slide-11
SLIDE 11

Promoting

  • Collaborate CNS

link in with Cancer support groups

  • Attended support

group meetings

  • Seminars for GPs

MAPP

  • Written to GPs
  • Meet them
  • F/U regularly
  • Emailed referrals
  • Health and

social care staff emailed

  • Learn at lunch
  • Intra net VCC
  • Raise awareness

NERS/activities local

  • Hospitals-

promotional stand

  • GP-leaflets
  • Health and well

being days for family/carer /HCP

  • VCC patient portal

Patient Family Carers MDT Community Secondary care

slide-12
SLIDE 12
slide-13
SLIDE 13

Championing

  • Brief intervention
  • HNA
  • Motivational

interviewing

  • Right type of activity
  • Facilitate sessions
  • Welcoming, friendly
  • Environment
  • Facilitate peer

support

  • Varied menu of PA
  • Within sports,

leisure providers, community room

  • Carrying pre and post

MAPP assessments

  • F/u in person/phone
  • Sign posting

Advice Education Support Behavioural change model Patient Centred Physical activity

slide-14
SLIDE 14

MAPP 6 week course 2 hours Health & wellbeing talk + Physical activity session

DIY- Home based PA Walking NERs Tai chi Relaxation Mindfulness

Beginning of the journey” – why now? Pacing, planning, energy diaries Healthy Eating Coping thoughts Confidence in moving forward with PA Local

  • pportunities

& resources

slide-15
SLIDE 15

Macmillan Activity Promotion Programme Inclusion criteria

  • All patients will be screened by a

physiotherapist prior to commencement on the MAPP.

  • All tumour sites
  • All ages 18+
  • All stages of the cancer care pathway
  • Patient has identified a desire to improve their

physical activity levels

slide-16
SLIDE 16

Macmillan Activity Promotion Programme Exclusion criteria

  • Patients who are already

physically active (we will refer directly on to NERS)

  • Acute infection
  • Febrile illness with

temperature >38 °c

  • Symptomatic severe aortic

stenosis

  • Acute myocarditis/pericarditis
  • Acute uncontrolled psychiatric

illness

  • Diarrhoea and vomiting
  • Acute chest pain
  • Dizziness and light-

headedness

  • Disorientation
  • Blurred vision
  • Unstable angina
  • Unstable/ Acute heart failure
  • Unstable diabetes
  • New/ Uncontrolled arrhythmias
  • Hypertension with a resting SBP > 180mmHg
  • r DBP > 100mmHg
  • Symptomatic hypotension
  • <24 hrs since last chemotherapy session
  • Low blood counts (neutropenia or

thrombocytopenia)

  • Acute PE
  • Acute MI/ Cardiac event
  • On antibiotics for active cellulitis
  • Patients with known MSCC to be discussed

with MAPP team on an individual basis.

Many of these exclusions will only be temporary but all must be considered

slide-17
SLIDE 17

MAPP Aims/Evaluation

Promote Physical Activity 90% attendance 1 non starter due to illness Promote Healthy Living Patients completed ‘Move More’ packs reporting additional activity Promote Self management

  • f Cancer related side

effects Health and wellbeing talk To promote peer support See patient feedback To empower patients to use NERS/independent Activity All patients referred to NERS

slide-18
SLIDE 18

Patient Feedback – MAPP 1

It has motivated me to examine how active I am. To realize that just increasing normal daily activities count too. Given me help to do more exercise and advice on other activities that could help me made me more aware of the need for exercise Made me realize doing something a little is better than nothing at

  • all. Something has clicked and I

now feel more motivated reassurance to do activities I thought might be damaging or hurt Helped me to think

  • utside the box

about physical activity and the restraints of my life “Tremendous. I have been able to improve my fatigue level through planning and using some of the activities and ideas gained from the course

slide-19
SLIDE 19

Session locations

MAPP future developments

Tuesday 2 – 3.30pm Whitchurch Rugby Club Friday 11am -1pm Cwmbran Stadium Monday am Pont Newydd Medical Centre, Porth

slide-20
SLIDE 20

THANKS Diolch Any questions?