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A Guide to Pilgrims Therapy Centres Wellbeing and Social Programme There’s a misconception of hospices as being frightening places, but now I have experienced it for myself I will have absolutely no hesitation in coming back if I need more support. Tony I had always thought of hospices as only being for those who needed care at the very end of life but I could not have been more surprised. I’ve had access to support services, complementary therapies and social activities. I feel more balanced and safe. Shelagh Dad first came to the hospice just six months after being diagnosed because he needed expert help. They were able to give him the right support to help to keep him independent. The care for our family didn’t end there, we were all offered support too. Holly 2 HOW TO TAKE PART To join our programmes your GP or healthcare professional will need to refer you. Please turn to page 18 to find out more. Contents About Pilgrims Wellbeing and Social Programme page 4 Wellbeing and Social Programme page 6 Therapeutic Programmes page 6 Creative Programmes page 10 Social Programmes page 11 Activity Calendar page 12 Education Programmes page 14 Carers Programmes page 15 Bereavement Programmes page 17 How Can I Access the Programme? page 18 Frequently Asked Questions page 20 Referral Information for GP’s and Healthcare Professionals page 22 Contact Information page 24 www.pilgrimshospices.org 3 Welcome About Pilgrims Wellbeing and Social Programme alongside your GP or healthcare professional to help you identify the best option for you. All the programmes are flexible to allow you the right This new Pilgrims programme is available support when you need it most. for patients in east Kent who are in the We can offer: later stages of a life limiting illness and their families. It aims to enhance their • Therapeutic programmes: Our wellbeing, in mind and body. team of therapists run a range Are you, or is someone close to you, coping with a life limiting illness? The Wellbeing and Social Programme is free for anyone who has been referred by their GP or healthcare professional. It is held at Pilgrims Therapy Centres in Canterbury, Thanet and Ashford. We know that having the support you need can help you stay independent, improve symptoms and make a difference in enabling you to live each day well. What matters most to you? These programmes have been designed with you in mind. Each programme is tailored to the individual. We work 4 HOW TO TAKE PART of programmes to help you feel better and do more. Many of the sessions take place in one of our therapy gyms, where you can keep active and independent with gentle exercises taught by these therapists. Other sessions allow you to learn medication-free ways to manage your symptoms, such as breathlessness and anxiety. • Creative programmes: Music and art are increasingly recognised as having potential to enhance individual wellbeing. To join our programmes your GP or healthcare professional will need to refer you. Please turn to page 18 to find out more. • Social programmes: A chance to meet and connect with other patients and to gain an understanding of the full range of Pilgrims services available. These popular sessions take place in a relaxed social environment with practical advice to enable you to maintain your independence. • Education programmes: Pilgrims Advance Care Planning education programme allows you to plan your future care and share your wishes with friends, family and healthcare professionals involved. Read on This booklet aims to give you and your GP or healthcare professional the information you need to talk through your options and decide on the right programme of support for you. Towards the back of the booklet you will find information on how to be referred, as well as giving you a few Frequently Asked Questions. We look forward to meeting you soon. www.pilgrimshospices.org/wellbeing [email protected] • Carer programmes: We believe family and friends play an essential role in supporting patients. Pilgrims Wellbeing and Social Programme provides practical, emotional and social support for carers. This support extends into our bereavement programme too. I’m treated as an individual. www.pilgrimshospices.org 5 Therapeutic Programmes Wellbeing and Social Programme Feeling Good Pamper Morning Our qualified Pilgrims therapists offer a choice of treatments that can promote relaxation, reduce stress and improve self confidence when you are coping with a life limiting illness. These include massage, reiki, manicures, foot spas, facials and beauty treatments. This is a very informal and relaxed session and like all our sessions is free of charge. i Who it’s for Patients, and carers are welcome. When is it available? Mon (am) Ashford Fri (am) Canterbury Tues (am) Thanet How many sessions are there? This is a single three hour session and a light lunch will be provided. Anxiety Management and Relaxation Worry and anxiety is common when you or someone you support is coping with a life limiting illness. It can affect our quality of life and ability to cope. This supportive group is run by our trained Pilgrims professionals. You will learn about what anxiety is, and how you can manage it more effectively in your life to promote relaxation and find new ways of coping. i 6 Who it’s for Patients, and carers are welcome. HOW TO TAKE PART When is it available? Tues (pm) Ashford Mon (am) Canterbury Tues (pm) Thanet How many sessions are there? Four weekly sessions each lasting two hours. To join our programmes your GP or healthcare professional will need to refer you. Please turn to page 18 to find out more. Therapeutic Programmes Energise Exercise Group This group, held in the therapy gym, can help you improve your quality of life and stay active through exercise. We use gentle circuit training exercises and full body workouts to strengthen your cardiovascular fitness (stamina). The programme is adapted to your individual needs and capability. i Who it’s for Patients. When is it available? Weds (am) Ashford Fri (am) Canterbury Thurs (am) Thanet How many sessions are there? Six sessions each lasting an hour. Breathlessness Management Group If you have the symptom of breathlessness, this group can help to improve your quality of life. The programme uses medication free methods of Breathlessness Management, including controlled breathing techniques. We will also help you practice relaxation and anxiety management. i Who it’s for Patients, and carers are welcome. When is it available? Mon (am) Ashford Mon (pm) Canterbury Tues (am) Thanet My first experience of Pilgrims Therapy Centre was to come for a pamper day, it was lovely. How many sessions are there? Three weekly sessions each lasting an hour. www.pilgrimshospices.org 7 Therapeutic Programmes Oops a Daisy, Stop That Fall Oops a Daisy, Stop That Fall is an educational and exercise group for people at risk of falling. It involves seated and standing exercises designed to strengthen your legs and improve your balance. Together we talk you through a range of topics and techniques for falls prevention. You will also learn exercises you can continue with at home, after you have completed the programme. i Who it’s for Patients. When is it available? Tues (am) Ashford Thurs (am) Canterbury Wed (am) Thanet How many sessions are there? Eight weekly sessions each lasting an hour. Maintenance Gym Group This group is for you if you have already attended one of the other exercise groups and feel you would like to continue with supervised exercise in our therapy gym. Our team will be on hand to give you guidance and advice. i 8 Who it’s for Patients. HOW TO TAKE PART When is it available? Fri (pm) Ashford Wed (pm) Canterbury Fri (pm) Thanet How many sessions are there? Weekly sessions lasting up to two hours. To join our programmes your GP or healthcare professional will need to refer you. Please turn to page 18 to find out more. This is a seated exercise programme led by physiotherapists. The aim of the group is to strengthen, maintain movement and function. The group is held in our therapy gym using a range of exercise equipment. You will also learn exercises you can continue with at home after you finish the programme. i Who it’s for Patients. When is it available? Thurs (am) Ashford Tues (am) Canterbury Mon (am) Thanet Therapeutic Programmes Sit Down, Get Fit, Have Fun Exercise Group How many sessions are there? Eight weekly sessions each lasting an hour. Fatigue Management Group Fatigue can affect people in different ways. You may feel an overwhelming tiredness or weakness, or you might struggle to concentrate and find everyday activities take much more effort than usual. This group aims to help you and your carer to understand these symptoms better, and introduces you to a range of coping strategies so you feel more in control. i Who it’s for Patients, and carers are welcome. When is it available? Fri (pm) Ashford Thurs (am) Canterbury Tues (am) Thanet How many sessions are there? Three weekly sessions each lasting an hour. The facilities are excellent. www.pilgrimshospices.org 9 Creative Programmes Music for Wellbeing Music can be very powerful in affecting the way we think, feel and act. It is increasingly recognised as having the potential to support wellbeing in people with life limiting illnesses. Pilgrims vibrant Music for Wellbeing programme combines a range of singing and musical techniques, supported by gentle physical and vocal exercises. As well as a chance to express yourself and enjoy some fun, the sessions can help you achieve better relaxation in this calm environment. You can also learn some simple breathing techniques to take home too. No musical talent is necessary! i Who it’s for Patients, and carers are welcome. When is it available? We will be in touch once a referral has been made. Art for Wellbeing Expression through art can powerfully improve quality of life for people with a serious illness. This varied programme gives you the opportunity to experiment creatively and unwind in a relaxed space. Being part of the group can also give you a chance to socialise. Many of those who have experienced the sessions tell us it has boosted their self esteem and given them a new sense of achievement and enjoyment. No artistic talent is required! i 10 Who it’s for Patients. HOW TO TAKE PART When is it available? Tues (am) Ashford Wed (am) Canterbury Mon (am) Thanet How many sessions are there? Eight weekly sessions each lasting up to two and a half hours. To join our programmes your GP or healthcare professional will need to refer you. Please turn to page 18 to find out more. Social Programmes Day Hospice Group A support group for patients with a life limiting illness. Facing change and uncertainty can have an impact on how you cope with your daily life and the future. This structured 12 session programme can help you to access a range of services in a relaxed, social environment. You can take part in creative activities, talk to our team of professionals and develop new friendships with other group members. Our experienced team can also give you practical advice to help you manage your condition to maintain your independence. Lunch is included. i Who it’s for Patients. When is it available? Wed (10am-3pm) Ashford Tues (10am-3pm) Canterbury Thurs (10am-3pm) Thanet How many sessions are there? Twelve weekly sessions each lasting up to five hours. Patient Pop-In This relaxed and friendly group offers a chance to meet and connect with other patients and learn about other services on offer. The group is supported by Pilgrims staff and volunteers. You can drop in at any time during the session and bring a family member if you want to. You will also have the chance to look around the hospice if you wish. i Who it’s for Patients, and carers are welcome. When is it available? Thurs (am) Ashford Mon (pm) Canterbury Mon (pm) Thanet It is a joyful environment and makes me feel very calm and happy. How many sessions are there? Alternate weekly sessions each lasting up to two hours. www.pilgrimshospices.org 11 Activity Calendar ASHFORD CANTERBURY AM PM AM Breathlessness Management Group (weekly) Advance Care Planning (alternate weeks) Feeling Good Pamper Morning (every 3 months) Anxiety Management & Relaxation Group (alternate weeks) MON Art for Wellbeing (weekly) Anxiety Management & Relaxation Group (alternate weeks) Sit Down, Get Fit, Have Fun Exercise Group (weekly) Oops a Daisy, Stop That Fall (weekly) Carers Skills Group (alternate weeks) Day Hospice Group (weekly) Day Hospice Group (weekly) Art for Wellbeing (weekly) Advance Care Planning (alternate weeks) Fatigue Management Group (weekly) Carers Wellbeing Group (alternate weeks) Oops a Daisy, Stop That Fall (weekly) TUES Day Hospice Group (weekly) WED Energise Exercise Group (weekly) Sit Down, Get Fit, Have Fun Exercise Group (weekly) THURS Patient Pop-In (alternate weeks) Carers Café (alternate weeks) Maintenance Gym Group (weekly) FRI Music for Wellbeing (every 3 months) 12 HOW TO TAKE PART Feeling Good Pamper Morning (every 3 months) Fatigue Management Group (weekly) Energise Exercise Group (weekly) Music for Wellbeing (every 3 months) To join our programmes your GP or healthcare professional will need to refer you. Please turn to page 18 to find out more. For details of our Bereavement Groups, we will be in touch once a referral has been made. “I am so pleased to have found the care, support and friendship I have at Pilgrims.” THANET PM AM PM Art for Wellbeing (weekly) Patient Pop-In (alternate weeks) Sit Down, Get Fit, Have Fun Exercise Group (weekly) Carers Café (alternate weeks) Breathlessness Management Group (weekly) Patient Pop-In (alternate weeks) Carers Café (alternate weeks) Fatigue Management Group (weekly) Day Hospice Group (weekly) Feeling Good Pamper Morning (every 3 months) Maintenance Gym Group (weekly) Carers Wellbeing Group (alternate weeks) Breathlessness Management Group (weekly) Oops a Daisy, Stop That Fall (weekly) Anxiety Management & Relaxation Group (alternate weeks) Advance Care Planning (alternate weeks) Carers Skills Group (alternate weeks) Carers Wellbeing Group (alternate weeks) Day Hospice Group (weekly) Day Hospice Group (weekly) Carers Skills Group (alternate weeks) Energise Exercise Group (weekly) Maintenance Gym Group (weekly) Music for Wellbeing (every 3 months) KEY Therapeutic programmes Creative programmes Social programmes Carers programmes Education programmes 13 Education Programmes Advance care planning: Planning for the Future When you have a life limiting illness, it is important to consider your preferences for future care and share these wishes with friends, family and the healthcare professionals involved. This process, known as ‘Advance Care Planning’, helps you plan for end of life and supports you to live well in the moment. 14 i ho it’s for W Patients, and carers are welcome. HOW TO TAKE PART Pilgrims Advance Care Planning session talks you through this, and shares some important documents to be aware of. It will also give you ideas for how to express your preferences and wishes to those that need to know. When is it available? Thurs (pm) Ashford Mon (am) Canterbury Tues (pm) Thanet How many sessions are there? This is a single session lasting up to two hours. To join our programmes your GP or healthcare professional will need to refer you. Please turn to page 18 to find out more. Carers Programmes If you are a carer of a hospice patient, Pilgrims Carers programmes are designed to support you with the practical and emotional issues you may experience. Many people who give unpaid care or support for a friend or family member approaching the end of life do not think of themselves as a carer, but the support you provide is vital. Caring can have positive and rewarding aspects, at the same time there are lots of reasons why caring can leave you needing support. You may not always consider your own needs or be aware of the help that’s available. At Pilgrims we recognise that carers play an essential role in the journey of our patients and believe you should be supported throughout this. If you would like to attend one of the carer programmes but may worry about the person you care for being on their own turn to page 20 for details of how we can help with this too. A truly caring, family atmosphere, the group means a lot to me. www.pilgrimshospices.org 15 Carers Programmes Carers Wellbeing This group aims to reduce the sense of isolation of being a carer. It offers a supportive environment for you to discuss and explore how it feels to be a carer. We look at how caring can affect your emotions and mood. The sessions also focus on the importance of self care and gives you some techniques to try to reduce the impact of caring on your own health and wellbeing. i Who it’s for Carers of Pilgrims patients are invited to attend. When is it available? Thurs (pm) Ashford Thurs (pm) Canterbury Wed (pm) Thanet How many sessions are there? Four sessions on alternate weeks each lasting two hours. Carers Skills This practical programme is aimed at empowering carers through information and interaction, delivered by members of the hospice team and dedicated volunteers. Sessions include: practical support with equipment and maintaining a patient’s independence; financial information; understanding some common symptoms, nutrition and planning ahead. i 16 Who it’s for Carers of Pilgrims patients are invited to attend. HOW TO TAKE PART When is it available? Tues (pm) Ashford Thurs (pm) Canterbury Wed (pm) Thanet How many sessions are there? Five sessions on alternate weeks each lasting two hours These To joinprogrammes our programmes are run your forGP carers or healthcare of Pilgrims professional patients. will need toturn Please refer toyou. pagePlease 18 to turn find to outpage more. 18 to find out more. Carers Programmes Carers Café The aim of the Carers Café is to provide a safe and social space for carers to meet and develop peer support and coping strategies with fellow carers. Carers will have the opportunity to discuss the full range of services provided by the hospice and in the wider community including health, social care and voluntary organisations. Who it’s for Carers of Pilgrims patients are invited to attend. When is it available? Thurs (am) Ashford Mon (pm) Canterbury Mon (pm) Thanet How many sessions are there? Sessions run on alternate weeks, each lasting two hours. Bereavement Groups Although grieving is a natural response to the death of someone close, it can by very distressing and traumatic. Many people need extra support to get through this time. Our Bereavement Groups offer support for the whole family and close friends of those who have died while receiving end of life care from Pilgrims. Supported groups allow people to talk about feelings and share experiences in a confidential setting. We also find people benefit a great deal from meeting others going through a similar experience. i Who it’s for Bereaved carers of hospice patients invited to attend by letter. Bereavement Programmes i When is it available? We will be in touch once a referral has been made. Going to the group has helped me to think about the future. I’m feeling much more in control. www.pilgrimshospices.org 17 18 To find out more the programme email To joinabout our programmes youryou GP can or healthcare professional will [email protected]. To read this need to refer you. Please turn to page more 18 to about find out more. and Pilgrims wide range of services visit www.pilgrimshospices.org How can I access the programme? I am a patient or carer – how do I access the Pilgrims Therapy Centres Wellbeing and Social Programme? 1 2 3 The first step – talk to your GP Selecting the right programme for you The first step is to talk to your GP or healthcare professional. They can advise if you are at the appropriate stage of your illness to access the service. Everyone’s needs are different so we encourage you to talk this through with your GP or healthcare professional to find the right support for you. The Pilgrims team can also help by looking at your individual needs once the referral has been made. What happens next? Once we have received a referral you will be contacted by a member of the Pilgrims Therapy Centre team to discuss the next steps. At this stage you will be able to ask further questions. “I had to experience Pilgrims services to see what was offered and it’s changed my point of view. I’m not treated as though I’m fragile because of my illness – I’m treated as an individual.” www.pilgrimshospices.org 19 Frequently Asked Questions Who can access the Wellbeing and Social Programme? However at certain times the car parks can be very busy. This service is for people who are in the later stages of a life limiting illness and their carers. Your GP or healthcare professional will then be able to advise as to whether you are at the appropriate stage to access the service. See page 18 for more details. What access and facilities are available for people with a disability? Where does the Wellbeing and Social Programme take place? I am a carer and would like to attend a carer event but may worry about the person I care for being on their own. Can you help? At Pilgrims Therapy Centres located at our three main hospice buildings in Canterbury, Ashford and Thanet. How do I get to the Pilgrims Therapy Centre? Most patients and carers arrange their own transport wherever possible. If you do not have access to transport please ask, we have a small team of volunteer drivers who may be able to help. Please discuss this with us as soon as possible, especially if you have difficulty getting in and out of a car. Is there free parking? Yes there is free parking at each site. 20 HOW TO TAKE PART Accessible parking is available alongside each of the main hospice buildings. Guide dog and assistance dog owners are welcomed. Each site also has facilities and full access for people with a disability. We work very closely with other local carers organisations, such as Crossroads Care and Carers Support, who may be able to arrange specific support for you. We will be happy to help you make these arrangements, which will need to be planned in advance. Will there be any refreshments available? Each hospice has a small cafe area where you can buy a selection of light refreshments. Hot and cold drinks are always available free of charge. To join our programmes your GP or healthcare professional will need to refer you. Please turn to page 18 to find out more. I take regular medication each day – what should I do? You will need to bring in all your own medication that you normally take during the day. This includes any additional ‘top up’ medications for nausea or pain that you may sometimes need to take in addition to your normal medications. They remain your property and responsibility while you are with us. We cannot supply any medication to attendees at our programmes. I may need help with some aspects of personal care while I am attending Pilgrims Therapy Centre. Can someone help me? Our team will be available to support your needs while you are with us. Can I smoke? Pilgrims Therapy Centres are smoke-free with the exception of a smoking shelter in each of the grounds which you can use if considered medically fit to smoke alone. Can I use the internet? Free WiFi is available at all of our centres. What does it cost to use the service? All of our services are provided to patients and carers free of charge. As an independent charity, we are largely dependent on the generosity of the local community to fund our services. Turn to the back page to read more. to a particular Pilgrims group or programme you will have the opportunity to come for a certain number of sessions, many of which take place weekly. If you miss a week, or a session, you can simply join us next time until you have completed the programme. If you feel unwell before you attend please remain at home and contact your GP or other healthcare professional if needed. If you feel unwell while you are attending, please talk to a member of the Pilgrims team. Do I need a cancer diagnosis to use Pilgrims services? No. Anyone in the later stages of a life limiting illness can be referred. See page 18 for more information on how to access the services. Can I speak to anyone at Pilgrims before I begin the programme? Before starting your programme at the Pilgrims Therapy Centre you will be contacted by one of the team for an initial assessment. This may be by phone, or you may be invited in for an appointment. This will give you a chance to ask any questions you or your carers/ family may have. For more information Visit www.pilgrimshospices.org or email [email protected] What if I feel unwell before I attend? We understand that how you feel may be different day to day. When you are referred www.pilgrimshospices.org 21 22 To see our full criteria or make a referral please visit To join our programmes your GP or healthcare professional will www.pilgrimshospices.org/referral or you can email need to refer you. Please turn to page 18ustowith find out more. queries at [email protected] Information for GPs and healthcare professionals The referrals process The programme is for people with a life limiting illness thought to be in the last year of life, and with specialist palliative care needs. It offers patients and their carers support to live well in mind and body through a range of programmes including physical, psychological, spiritual and social support. If an individual may benefit from more than one of the programmes please mention this on the referral form. You can find Pilgrims full referral criteria and an electronic form at www.pilgrimshospices.org Please ensure that the referral has been discussed with the patient and is aware that Pilgrims will be making contact. Only family and friends of patients who have been referred to Pilgrims services may access the carer programmes. www.pilgrimshospices.org 23 About Pilgrims Pilgrims Hospices was established 33 years ago and has gone on to touch the lives of one in four people in east Kent. made possible because of the support we receive from our hugely generous community. Our charity’s vision is of a community where people across east Kent with a terminal illness and their families are supported to live well in mind and body when they need us. Whether through donations, fundraising, supporting our shops, leaving a legacy, playing our lottery, volunteering or participating in one of our events – every act of kindness from you helps us to give our care where and when it’s needed which provides an amazing 77% of our income. We have an extensive range of services available free of charge. Most people know about the care Pilgrims nurses and specialists offer 24/7 to patients on our wards – less talked about is the support that our team gives in people’s own homes, in the community and through our Pilgrims Therapy Centres Wellbeing and Social Programme. All of this is pilgrimshospices 56 London Road, Canterbury, Kent CT2 8JA Connect with your local fundraising team at [email protected] or www.pilgrimshospices.org @PilgrimsHospice Hythe Road, Willesborough Ashford, Kent TN24 0NE Ramsgate Road, Margate, Kent CT9 4AD Pilgrims Hospices in East Kent is a company limited by guarantee. Registered office 56 London Road, Canterbury CT2 8JA. Registered charity no 293968 and as a company in England no 2000560. Published August 2016. www.pilgrimshospices.org [email protected]