1. Spinal Cord Compression WPH Macmillan Occupational Therapist Lesley Crowther

2. SCC – Occupational Therapy  Aim to maintain pt at their optimum level of functional independence to enable their maximum quality of life  Concerned with the functional implications of SCC symptoms and the psychological impact that loss of role and function can have on an individual

3. Occupational Therapy  National Cancer Rehab Care pathway for MSCC recommends referral to OT within 24/48 hours of admission.  Explain role of OT and undertake initial holistic assessment.

4. OT - Assessment Initial interview  To establish previous/current level of function  To discuss home environment  To discuss their functional roles i.e. father, main family earner, carer  To ascertain what their expectations are of treatment outcome and functional ability

5. OT Functional Assessment  Including physical/cognitive/psychological aspects  Functional Transfers/mobility  Feeding/drinking  Personal & domestic activities  Access/Home assessments  Leisure/hobbies/work activities

6. OT - Rehab  Set achievable short term goals  Provide equip for during admission  Personal/domestic activity retraining  Fatigue management and pacing  Working with carers with use & provision of equip/adaptations  Management of anxiety & relaxation  Psychological adjustment to function loss

7. Discharge and Post Discharge intervention.  Support/prepare pt and carers for dc  Refer for continued rehab  Help pt optimise functional potential  Facilitate adjustment to change of ability  Continual re-assessment of function and home environment

8. Conclusion OT considers the impact that MSCC symptoms have on the person’s functional ability. Then together problem solve to reduce the impact and prioritise what makes that individual’s day purposeful to maintain quality of life.