Transcript Document
WMQRS Good Practice Event Implementing Amber Care Bundle to improve End of life care. The use of the AMBER Care Bundle complies with the NICE Quality Standard QS013 - End of life care for adults & Peer Review SelfAssessment for clinical teams i.e. COPD/Cardiology Liverpool Care Pathway – Best practice Tool used on all adult wards for patients in the last days of life where there is deemed no reversible cause for their deterioration. What does it do? • Gap between health and dying with uncertain outcome • Ability to recover or deteriorate • Communication issues • DNACPR • Ceiling of Care • Communication – – – – Situation Plan Choices – PPC/PPD Advance Decisions Benefits include – • improved decision making • positive impact on multi-professional team communication & working • increase in nurses’ confidence about approaching medical colleagues to discuss treatment plans • patients are treated with greater dignity & respect • greater clarity around patient preferences & how they can be achieved • reduction in unnecessary interventions & readmissions Why implement AMBER on a Respiratory Ward ? • Reduce the number of patient deaths on the ward • To improve the gap in the quality of care for those on the LCP • Support active treatment alongside an end of life care plan and symptom manage. FOR MANY COPD PATIENTS RECOVERY IS UNCERTAIN AND READMISSION RATES ARE HIGH, WE SHOULD BE ASKING: Is the patient deteriorating, clinically unstable and with limited reversibility? Is the patient at risk of dying in the next 1-2 months? Facts : • People with respiratory conditions are the most likely to die in hospital and the least likely to die at home. • 14 % of all deaths in England are attributed to respiratory disease rising to 20% if lung cancer is included. • 69% of people with respiratory conditions (other than lung cancer) die in hospital – higher than any other condition • 10% of deaths involving pneumonia or acute respiratory infection die at home Acute/community interface • Rapid Discharge Pathway • Produced an Electronic Discharge Summary page • Out of Hours Form • Community Prescribing – PRN drugs EOL • Talk at Local/National Conferences etc. Contact Details for further information End of life Care Facilitators at Worcestershire Acute Hospital Trust [email protected] & [email protected]