Table 4 Standard hospital based paramedical care

Nutritional support

• All cancer patients are screened for weight loss at the beginning of each treatment. In case of significant weight loss the patient is referred to a dietician

Physical support

• The patient can be referred to the hospital physiotherapist. The main reason is significant lymphedema

• In cooperation between clinical oncology nurses and hospital physiotherapists patients having a high performance level are offered an extensive group based training program 4 times a week for 6 weeks

Phsycosocial support

• The outpatient clinic employs psychologists and social workers, and the hospital has a priest. The mean waiting time for a patient referred to a psychologist is currently 3 weeks