Privacy and Dignity matters whether you are dying or deceased'' - PowerPoint PPT Presentation

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Privacy and Dignity matters whether you are dying or deceased''

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Privacy and Dignity matters whether you are dying or deceased'' – PowerPoint PPT presentation

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Title: Privacy and Dignity matters whether you are dying or deceased''


1
Privacy and Dignity matters whether you are dying
or deceased..
  • Jo Wilson
  • Macmillan Consultant Nurse Practitioner
    Palliative Care

2
(No Transcript)
3
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4
Pathway of Care of the Deceased Patient
Returning Patents property
To relatives
Certification of cause of death
Last Offices
Letter to GP
Patient dies is verified dead
Disposal arrangements
Transfer to mortuary
Patient is dying
Transfer to Undertaker
Patients Wishes about Care arrangements
Coroners
Care of the family / carer
5
A Good Death
  • The concept is contentious who is the death good
    for? (Walters 2004)
  • A good death doesnt end when the patient die .
    (Neuberger 2004, Sandman 2005)
  • Six Characteristics symptom management, clear
    decision making, preparation for death,
    completion, contributing to others and
    affirmation of the whole person. Steinhauser
    2000)
  • May involve struggle (Walters 2004)
  • Retaining control, and privacy and dignity
    afforded to relatives (Smith 2000 Sque et al
    2007)

6
Percentage of Death by Cause (ONS 2009)
7
Examples of the Accidental Deaths (ONS 2009)
8
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9
Improving Environments for Care at the End of
Life (Kings Fund 2009)
  • Literature review found the need for a
    therapeutic environment
  • Home-like environments
  • Single rooms
  • Facilities for families
  • Natural light
  • Design that incorporates nature, soothing
    colours, windows with views, access to outside
    space.

10
Not to be forgotten
  • Journey to and location of the mortuary
  • Viewing rooms
  • Dealing with deceased persons property
  • Managing the empty bed.
  • All staff should be accountable for the
    personhood of the dead in all areas and
    departments of the organisation

11
Palliative Care Suite United Bristol Health Care
NHS Trust (Before)
From DH (2009)
12
Palliative Care Suite United Bristol Health Care
NHS Trust (after)
From DH (2009)
13
Last Offices
14
Deceased Patients Leak..
15
Need equipment that is fit for purpose
  • Shrouds
  • Body bags
  • Trolleys/beds to transfer to the ward
  • Mortuary facilities
  • and informed attitudes
  • to ensure dignity

16
A trolley used for moving deceased patients to
the mortuary.
17
An example of a trolley cover
18
Need property that is well packed...
19
It makes a difference.
20
Well Packed Property..
21
Need supportive after death processes.
  • Death certificates returned in timely fashion
  • GPs informed within one working day
  • Hospital and ambulance appointments cancelled
  • Families given option to ask questions / make
    sense
  • Families having access to information regarding
    the process surrounding death processes.
  • Families having access to bereavement support if
    required.
  • Culturally/spiritually relevant care
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