Title: Privacy and Dignity matters whether you are dying or deceased''
1Privacy and Dignity matters whether you are dying
or deceased..
- Jo Wilson
- Macmillan Consultant Nurse Practitioner
Palliative Care
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4Pathway 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
5A 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)
6Percentage of Death by Cause (ONS 2009)
7Examples of the Accidental Deaths (ONS 2009)
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9Improving 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.
10Not 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
11Palliative Care Suite United Bristol Health Care
NHS Trust (Before)
From DH (2009)
12Palliative Care Suite United Bristol Health Care
NHS Trust (after)
From DH (2009)
13Last Offices
14Deceased Patients Leak..
15Need equipment that is fit for purpose
- Shrouds
- Body bags
- Trolleys/beds to transfer to the ward
- Mortuary facilities
- and informed attitudes
- to ensure dignity
16A trolley used for moving deceased patients to
the mortuary.
17An example of a trolley cover
18Need property that is well packed...
19It makes a difference.
20Well Packed Property..
21Need 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