Cognitive Rehabilitation & Support Following Cancer Treatment

Abstract

INTRODUCTION

35% of patients treated for cancer will experience cancer-related cognitive changes (CRCC). These cognitive difficulties are potentially long term affecting home life, relationships and employment; additionally, impacting significantly on quality of life, self-confidence and independence. The aim was to provide cognitive rehabilitation, enabling self-management for all those experiencing CRCC.

METHOD

To achieve our aim we:-provided training to health, social care, 3rd sector colleagues and OH departments to give guidance on the management of CRCC.-developed information resources for use in primary care and community settings, outlining cognitive rehabilitation strategies relevant to CRCC.- delivered a group-based intervention for patients presenting with more complex CRCC and their caregivers to provide psycho-education around the nature of CRCC, and supported them in the implementation of evidence-based cognitive compensatory strategies. This provided the opportunity for attendees to receive peer and professional support.The group was delivered in hospital and community-based settings ensuring optimal access.

AIMS/ OBJECTIVES

We aimed to improve awareness of CRCC in professionals throughout the care process, providing them with information resources and training to equip them to support patients experiencing CRCC. Through group intervention we aimed to improved their quality of life using validation, understanding and development of cognitive strategies.

RESULTS/ OUTCOMES

Fifty-nine individuals have attended the programme. Initial analysis indicates a reduction in distress levels associated with cognitive changes. Participants have described benefitting from the programme in helping them understand and self-manage cognitive changes post treatment. They reported that developing cognitive compensation strategies has contributed to increasing their confidence in everyday functioning.