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Cancer and Exercise Pilot Luton Jan – Dec 2012. By Louise Bolton Primary Care Oncology Macmillan Nurse. Pilot delivered in partnership between Macmillan, CCS, L&D Hospital and Active Luton
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Cancer and Exercise Pilot LutonJan – Dec 2012 By Louise Bolton Primary Care Oncology Macmillan Nurse
Pilot delivered in partnership between Macmillan, CCS, L&D Hospital and Active Luton • Aim to develop an integrated physical activity care pathway to defined groups of cancer patients with a single cancer diagnosis. • Supporting individuals to be active during and after treatment based on NICE Public Health Guidance and evidence from American College of Sport Medicine demonstrating that physical activity during and after cancer treatments associated with improved physical and psychological wellbeing.
Inactivity is the world’s 4th biggest killer. • 70% of patients post cancer treatment struggle with side effects… physical activity may reduce some of these. Including: Fatigue Depression Bone thinning Muscle wasting Cardio toxicity Lymphoedema
Benefits of supporting cancer survivors to become active during and after treatment is overwhelming • Activity also reduces the risk of other co-morbidities and there is emerging evidence that being active can reduce tumour recurrence for some cancers (breast, colorectal and prostate). Despite the evidence promotion of physical activity is not currently an integrated part of routine care of cancer patients. • But… diagnosis of cancer provides a ‘teachable moment’ when discussion about diet and physical activity could be had and be well received by the patient
Cancer patients have been shown to demonstrate an enhanced motivation to change lifestyles behavior especially, within a year after diagnosis. • Any Movement counts whether it be gardening, walking to the shops, as long as it is a level of exertion, that raises your heartbeat but you are still able to hold your conversation. • A CNS can raise the importance of being active with their patients and signpost them onto Active Luton. • Active Luton will provide a health assessment, motivational interviewing and deliver the intervention based on patient choice and need.
Share some of the results so far from January to October 2012: • 76 patients have signed up to the pilot • The chart (below) shows the majority of our referrals have come from the CNS’s
65% of referrals are female, but interestingly a higher percentage of males attend our weekly “drop-in” to find out more about the pilot – ladies seem happier to commit straight to a health assessment.
Over 50% of referrals are breast cancer patients; 17% are Urology of which 12% have prostate cancer; Upper GI, Head and Neck and Haematology make up approximately 5%. We have had our first lung patient too.
The patients have an individual health assessment – physical and a psychological questionnaire. This is then repeated after their 12 free sessions (free as funded by Macmillan). The results show: 100% of patients have loss of body fat and BMI 65% reduced their blood pressure 100% have increase their speed and distance on the treadmill • Psychologically patients felt more motivated and less anxious improvements we noted in low mood and sleep difficulties. With everyone having and increased feeling of well being.
The Pilots future... • We have put in a bid to Macmillan for further funding which has been approved by the regional meeting and has been passed on to Macmillan’s Executive Team for consideration of funding.
