Follow-up care at home

  • PSYCHOLOGICAL SUPPORT

    For patients, finding out that they have cancer can come as a shock for them and their families. It is important that they have a space in which to talk. Patients and their families who wish to have a private meeting with a psychologist can do so at the Eugène Marquis Centre.

    Meetings can take place while patients are at the Eugène Marquis Centre for a consultation, a hospital stay, chemotherapy or radiotherapy.

    Our psychologists also run a number of workshops. To register for a workshop, contact the Meetings and Information Centre (ERI) [Espace de Rencontres et d’Information] or call (+31) 02992 53029:

    • “Now What?” workshop, for patients who have finished treatment
    • “Hormone Therapy” workshop, for women with breast cancer who are undergoing hormone therapy
    • “By The Way” workshop, a conversation group for parents (one of whom is ill) and a space for their children to express themselves

    Our team of clinical psychologists:

    Anne-Sophie Jacquemin
    Lélia Johns
    Agnès Zanzola-Roussey

    Meetings can be arranged between 9 am and 1 pm and between 2 pm and 5 pm, Monday to Friday.

  • ADAPTED PHYSICAL ACTIVITY

    Adapted physical activity (APA) greatly improves patient well-being. Patients are advised to start or continue a suitable form of physical activity adapted to their capabilities even during treatment. Studies show that adapted physical activity (APA) can help to reduce the side effects of treatment and illness such as fatigue, pain and weakness.

    The Eugène Marquis Centre works with Rennes University Teaching Hospital and the Anti-Cancer League [Ligue Contre le Cancer] to provide APA through a retraining programme at a level adapted to patients’ physical condition.

    Care:

    A consultation with a nurse is held to assess the patient’s level of autonomy and quality of life and to prepare their medical report. A medical consultation is also held to determine the limits of their capabilities and develop a personalised exercise programme.

    The patient is then referred to a sports educator.

    Registration is free. All patients must register at the sports doctor’s reception desk at Rennes University Teaching Hospital on (+31) 02992 84133.

    Committee 35 (Ille-et-Vilaine department) of the Anti-Cancer League [Ligue Contre le Cancer] also offers various workshops:

    • Light gymnastics
    • Walking sessions
    • Yoga workshops

    There are a number of associations that offer APA; the Meetings and Information Centre (ERI) [Espace de Rencontres et d’Information] can provide you with a list.

  • PAIN UNIT

    The Centre’s healthcare teams offer multidisciplinary care (involving doctors, nurses, physiotherapists, psychologists, etc.) to help patients maintain good quality of life, manage their pain, improve their sleep and perform adapted physical activity with little or no side effects from the pain medication prescribed.

    In 2011, the Eugène Marquis Centre was certified by the Regional Health Agency (ARS) [Agence Régional de Santé] as a chronic pain treatment centre specialising in cancer.

    The Centre’s Pain Control Committee (CLUD) [Comité de Lutte contre la Douleur] develops and coordinates pain management throughout the establishment, working with specialists in each department.

    Care teams should always seek to minimise patients’ pain:

    Pain should be treated medically in combination with integrative non-medication treatments.

    The aim of pain treatment in cancer patients is to: manage their pain, improve their sleep and allow them to perform adapted physical activity with little or no side effects from the pain medication prescribed. SOR (Standards, Options and Recommendations 2002) to help patients enjoy the best possible quality of life

    METHODS

    Analgesics are medicines that help relieve pain.Morphine and its derivatives are some of the most powerful and most commonly used painkillers at the Eugène Marquis Centre. Some types of pain require other medications, however.

    Other integrative approaches may be used where recommended following medical assessment of the patient: technical approaches such as interventional radiology, radiotherapy and anaesthetic techniques; non-medication-based approaches such as transcutaneous neurostimulation, heat therapy (hot and cold), physical activity, physiotherapy, psychological support, hypnosis and osteopathic manipulative medicine.

    Patient participation is always essential in managing pain at all stages of care, in coordination with the patient’s general practitioner.

    ORGANISATION:

    • medical consultations available for all patients receiving treatment in the oncology department who are experiencing pain, upon request from their attending doctor
    • nurse consultations for inpatients and/or outpatients
    • telephone follow-ups with the specialist pain nurse in coordination with the pain doctor and the patient’s attending doctors
    • hospital admission for assessment and/or treatment of pain
    • a multidisciplinary team meeting (RCP) [Réunion de Concertation Pluridisciplinaire] on pain in patients with complex cancers and bone metastases, which takes place every Tuesday
    • also available: surgery (neurological, orthopaedic), classic or stereotactic radiotherapy, interventional radiology (phenolisation, embolisation, cementoplasty, percutaneous osteosynthesis), anaesthetic techniques using an intrathecal catheter, etc.
    • These services help improve quality of life and reduce reliance on opioids.

     

    Pain unit team:

    Dr Estelle Botton (Algologist):  (+31) 02992 53179

    Specialist pain nurse: (+31) 02992 53229 9 am to 5 pm, Monday to Friday

  • CLINICAL NURSE

    As part of your patient’s care, their oncologist may have prescribed them a course of oral targeted therapy.

    To help the patient better manage their treatment and any side effects, they will be offered consultations with a specialist nurse, including:

    –     An initial support consultation

    –     Weekly telephone consultations during the first few weeks of treatment, and

    –     One or more follow-up consultations before the consultation with their oncologist

    During these consultations, the nurse discusses with the patient how their treatment will be carried out, what side effects they may experience and what steps they can take to limit them. The patient’s tolerance to the treatment will be assessed during these consultations.

    To help you manage your patient’s side effects, the information sheet on the targeted therapy that your patient is receiving is available on the website of the Brittany and Pays de la Loire Medications, Medical Devices and Therapy Innovation Observatory (OMEDIT) [Observatoire des Médicaments, Dispositifs Médicaux et Innovations Thérapeutiques].

    You can check whether your patient is following their full course of treatment by consulting their pharmacist.

    Depending on your patient’s needs and expectations, they will be offered the opportunity to participate in our therapeutic education programme entitledManaging oral targeted therapies and preventing side effects.

    These consultations are an important opportunity to identify as early as possible any support care needs that your patient may have. Your patient may subsequently be referred to members of the oncology patient support care department (DISSPO) [Département Interdisciplinaire des Soins de Support pour le Patient en Oncologie], such as the dietician or psychologist.

    On matters related to your patient’s oral targeted therapy, the specialist nurse is your first point of contact at the Eugène Marquis Centre. They also coordinate with your patient’s oncologist and with the healthcare professionals outside the Centre (such as your patient’s general practitioner, their pharmacist and independent nurses).

     

    Team:

    Amel M’sadek, clinical nurse

    Elodie Ventroux, nurse