Transcript End of Life Care
End of Life Care
Nottinghamshire Care Homes Forum Helen Scott, Nottinghamshire County tPCT September 2008
What is End of Life Care?
• • • • Adults with any advanced, progressive, incurable illness Care given in all settings Care given in the last year(s) of life Patients, carers, family members
End of Life Care tools • • • Gold Standards Framework Liverpool Care Pathway Advance Care Plans; inc Advance Decisions to Refuse Treatment and Preferred Priorities for Care
GSF Principles • • • • • • • Communication Co-ordination of the person’s care Control of symptoms Continuity of care Continued learning Carer support Care of the dying
Liverpool Care Pathway • • • Empowers health and social care professionals to deliver high quality proactive care to dying patients and their relatives regardless of diagnosis Provides goals of care for the last few days of life 3 sections: initial assessment, ongoing assessment, care after death
Advance Care Planning • • • • Ongoing, holistic process Encompasses Advance Decisions to Refuse Treatment and Preferred Priorities for Care Explores wishes and preferences Must be documented and communicated to be effective
End of Life Care Skills • • • • • Foundations in palliative care Symptom control; MTCN guidelines, LCP guidelines, pocketbooks Syringe driver competence Terminal care; LCP goals Teamwork; residents, carers, professionals
Plans • • • • • • Training Implementation and audit of GSF, ACP, ADRT, LCP in all settings Anticipatory prescribing Psychological support Care coordination Information resources