In the palliative unit of the clinic Hemp patients are admitted, whose cancer is advanced and can not be
cured. The aim of the treatment is to alleviate the symptoms, improve the quality of life and maintain
sufficient physical and mental stability.

In addition to the treatment of physical ailments, our work focuses on the careful, patient-oriented care
and psychological support and social counseling of patients and relatives. It goes without saying that the
wishes and needs of patients and their relatives are involved in the planning and execution of the
therapy and we work closely with the GPs and nursing services of our patients. Living wills and
precautionary powers are conscientiously implemented. We support our patients as well as their
relatives in order to facilitate the acceptance of death as treatment and end of life and accompany them
during the dying phase.

The palliative unit is integrated into the Department of Radiotherapy and Oncology and has rooms for
discussions and accommodation for relatives. Our palliative unit is one of the model institutions in
Germany and is known through numerous publications in Europe and the USA. Our employees are
trained and trained for these special tasks. The palliative unit was accredited by the ESMO (European
Society for Medical Oncology) as a Center of Integrated Oncology and Palliative Care in 2004 and
recertified in 2007, 2010 and 2013.

How we communicate diagnoses

We discuss all findings and treatment options with our patients or their attending physicians because
they must be able to make well-founded decisions for or against treatment. That is why we inform you
as often as you wish about all the insights that we have.

Sometimes we have to ask our patients for a bit of patience to evaluate all the test results and to draw
the right conclusions from them, we sometimes need some time.

We basically tell our patients what we know. But we can not look to the future. What is important to us
is truthfulness towards our patients. That is, we do not hold back anything you need to know or want to
know.

Psychooncology

Cancer not only affects the body or a single organ but has many implications for thoughts and feelings,
the soul and, of course, the patient's family and overall social environment.

In this situation, the psycho-oncologists at the clinic offer Give their help and support to the patients and
their relatives. They have been part of the treatment team for decades and work closely with nurses and
all physicians. They advise and inform our patients on all social, medical and psychological questions.
Treatments: Specialized Outpatient Palliative Care
The specialized ambulatory palliative care of the clinic Hancken is run by us, a multi-professional,
specialized team of palliative care professionals and palliative care professionals.

Our mission is to assist and support people living with a very advanced, incurable condition with limited
life expectancy and needing special care, as well as their relatives in their familiar environment.
The focus is on the promotion of quality of life and self-determination of the patients as well as the
alleviation of symptoms and suffering.

We see ourselves as a cooperative complement of already existing structures, such as GPs, Nursing
Services or Nursing Homes and work closely with all stakeholders.

The contents of our Specialized Outpatient Palliative Care are:

Coordination of the care and those involved in the care
Support and guidance of relatives
Relief of specific ailments and symptoms
e.g. Pain, difficult wound care, etc.
Social counseling and psychological support
24h emergency and crisis preparedness 7 days a week
The SAPV is prescribed by the attending family doctor or clinician. A team member visits the affected
person in his familiar environment, individual support is planned together with all concerned.

Treatments: CT-guided pain therapy

Back pain represents for many people a significant reduction in their quality of life. The causes of the
complaints are varied and are based for the most part on poor posture or incorrect stress on the spine.
This results in signs of wear on the small vertebral joints and on the intervertebral discs. This narrows
the nerves leaving the spinal canal. As a result, there is a swelling of the nerves and the surrounding
tissue, which leads to increased pain by increasing pressure.

For the patients, these processes are manifested by pain in the back, inguinal region or pain in the arms
or legs. Other sensations such as numbness or tingling in the extremities is possible.

The treatment methods we offer are Peri-Radicular Therapy (PRT) and Facet Blockade (CT-FB).

The treatment consists of administering a drug to the site at which the nerve is irritated with millimeter
precision under computer tomographic visual inspection. The drug leads to a reduction in nerve
sensitivity and a swelling of the nerve.