The Domiciliary and At-Home Cancer Care Department is dedicated to extending specialized, hospital-level cancer support directly into the comfort and familiarity of the patient's home. Our comprehensive program focuses on maximizing quality of life, easing the burden on caregivers, and preventing unnecessary hospital readmissions. Services range from skilled nursing care and expert pain management to psychosocial support and rapid response for symptoms, ensuring continuity of compassionate, high-quality care throughout the entire treatment journey and survivorship.
Domiciliary care recognizes that the home environment is often the best setting for healing and maintaining a sense of normalcy, especially during demanding cancer treatments. Our department coordinates the logistical and clinical needs required to support complex medical care outside the traditional hospital walls.
Our department is dedicated to providing comprehensive, compassionate home-based cancer care that enhances quality of life, supports caregivers, and ensures continuity of specialized medical support in the comfort of home.
Our primary goal is to provide symptom control and supportive care in the patient's familiar setting, reducing the stress and fatigue associated with frequent hospital visits and ensuring the patient's emotional and physical comfort.
We serve as the direct link between the oncology treatment team and the patient's home environment. This ensures seamless transitions after discharge and continuous monitoring of complex medical issues, preventing crises and unnecessary emergency room visits.
A critical component is supporting the family and caregivers, who are often navigating complex medical tasks at home. We provide education, respite, psychological support, and practical assistance to the entire unit.
Our services are delivered by a dedicated interdisciplinary team, including specialized oncology nurses, physicians, social workers, and rehabilitation therapists.
Provides professional nursing services for complex tasks, including monitoring vital signs, managing intravenous (IV) lines and central ports, administering medications (e.g., subcutaneous injections), complex wound and drain management, and managing post-operative care.
Hospital Care at Home: Our specialized oncology nurses visit you to handle all the complex medical tasks, like managing your IV lines, changing dressings, and ensuring your medications are correctly administered. This reduces your need to travel back to the hospital.
Experts in adapting Palliative Care principles to the home setting, focusing on prompt assessment and effective management of symptoms such as breakthrough pain, nausea, fatigue, and bowel issues. We coordinate prescription refills and adjustments for optimal comfort.
Relief, Where You Need It: We ensure expert pain and symptom management in your home. Our team can quickly adjust your medication and give you the support you need to control side effects like nausea and fatigue, allowing you to focus on living well.
Provides counseling, emotional support, and coordination with community resources. We offer assistance with activities of daily living (ADLs), practical tasks, and respite care for primary caregivers to prevent burnout.
Support for the Whole Family: Cancer affects everyone. Our social workers and support staff provide counseling, help coordinate practical needs (like equipment or resources), and give your family and caregivers necessary breaks.
Arranging and coordinating physical, occupational, and speech therapy services delivered in the patient's home. This facilitates continuous rehabilitation, minimizing functional decline and maximizing independence during and after treatment.
Therapy Delivered to Your Door: We coordinate physical and occupational therapists to visit your home. Continuing your rehabilitation in your own setting helps you maintain strength and mobility throughout your recovery.
Our home care nurses and physicians are specially trained in the complex needs of oncology patients (e.g., managing chemotherapy side effects, neutropenic precautions, and BMT recovery needs). This specialized knowledge minimizes the risk of complications compared to general home health services.
We implement proactive monitoring protocols and provide direct communication lines to the oncology team. This rapid identification and management of acute symptoms (e.g., fever, sudden pain) has been shown to reduce avoidable emergency department visits and hospital admissions.
Our domiciliary service ensures that the personalized care plan developed by the hospital's Palliative Care team is seamlessly transitioned and executed in the home, maintaining the highest standard of symptom management and quality of life.
We provide tailored education and training for caregivers on complex tasks, medication management, and symptom reporting, empowering them to confidently participate in the patient's care journey.
Receiving clinical care at home significantly enhances the patient's emotional well-being and comfort, allowing them to spend more time with loved ones and maintain autonomy.
We coordinate appointments and visits around the patient's needs and energy levels, respecting their dignity and individual preferences throughout the course of treatment.
MBBS, MD-Anaesthesiology (2015), Post Doctoral Fellowship - Regional Anaesthesia & Pain Management (Dec 2017), Fellowship in Chronc Pain Management (Feb 2021)
ConsultantPain and Palliative Care Medicine
MBBS, MD-Physiology (Oct 2008), Fellowship Palliative Care (July 2019)
ConsultantPain and Palliative Care Medicine