Lessons from Haiti: A Reflection on Pressure Injury Care
Fiona Stephenson reflects on treating complex pressure injuries in Haiti and how it shapes her expert witness work today.
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Expert witnesses share how mesothelioma care needs evolve - and what goes into creating tailored, future-focused care plans.
Mesothelioma is a life-limiting illness that presents unique challenges for both patients and their families. As an aggressive cancer with no cure, it requires careful planning to make sure the right support is in place from diagnosis through to end-of-life care.
Our expert witnesses specialise in assessing the care needs of those diagnosed with mesothelioma, providing detailed Care, Aids and Equipment reports that support the needs of the individual.
But what are the key factors in assessing care for mesothelioma? And how do care needs change over time?
Predicting how mesothelioma will progress in an individual is one of the biggest challenges in care assessments. Some can be active and independent for much of their illness, while others will deteriorate much faster.
Care assessments must therefore balance current needs with future possibilities, taking into account medical evidence, statutory services, private care provision and family circumstances when making recommendations.
“Each person with mesothelioma will have a different trajectory of illness; for example, they may remain relatively well and active until say the last two weeks of life, or they may experience significant side effects from treatment and become increasingly unwell at a much earlier time point.” – Caroline Bear
While some care provisions may never be needed, expert assessments help create a comprehensive care plan to be sure that appropriate support is available at every stage.
Mesothelioma care requirements change as the disease progresses, which means when assessing for care our associates need to factor in not only the individual’s current capabilities but also anticipated deterioration over time.
“Each individual has a different disease trajectory, and it is essential during the care assessment to get accurate and detailed facts about the person’s abilities before and after diagnosis and how these have changed as the disease has progressed.” – Joan Gowans
Factors that influence care planning include:
Palliative care plays a vital role in managing an individual’s symptoms, supporting their emotional wellbeing and prioritising their comfort. It can include pain management, psychological support, and help with practical matters such as financial advice and accessing hospice care.
“The specialist palliative care team provides a coordinated team-based approach to help the individual through their journey. This support includes symptom management, social, practical, financial, physical, psychological, social and spiritual support.” – Nicola Reid
Services differ by location, so expert witnesses must consider what statutory and third-sector resources are available when making their care recommendations.
Mesothelioma care is not one size fits all.
Each patient’s care requirements are influenced by factors such as treatment responses, pre-existing conditions and personal independence.
“Care requirements can be vastly different for patients with mesothelioma. This is very individual.” – Joanne Clark
Some patients may require significant support from an early stage, while others might stay independent for longer. Emotional and psychological factors, such as anxiety and depression, also play a role in care planning.
Estimating care costs for mesothelioma patients involves assessing life expectancy, required support and the availability of services.
Expert witnesses provide detailed reports outlining necessary provisions, including palliative care, agency support and adaptations for the home environment.
“Individuals with mesothelioma receive care from a variety of sources, including the NHS for symptom control, hospices for palliative care, gratuitously from their family and friends or commercially through private care agencies.” – Karen Holmes
Each case is considered individually, taking into account statutory support and available funding options. Expert witness assessments provide our instructing parties with the accurate, researched and justifiable care cost evaluations.
Every mesothelioma case is unique. Patients require different levels of care depending on their individual circumstances – expert assessments mean that the right support can be put in place at the right time.
Our experienced expert witnesses provide detailed, clinically informed reports to assist with legal claims.
If you require an expert witness to assess a mesothelioma-related case, get in touch at info@tessagough.co.uk or view all our expert witnesses.
Fiona Stephenson reflects on treating complex pressure injuries in Haiti and how it shapes her expert witness work today.
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