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End of Life Care

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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 ... – PowerPoint PPT presentation

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Title: End of Life Care


1
End of Life Care
  • Nottinghamshire Care Homes Forum
  • Helen Scott, Nottinghamshire County tPCT
  • September 2008

2
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

3
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

4
GSF Principles
  • Communication
  • Co-ordination of the persons care
  • Control of symptoms
  • Continuity of care
  • Continued learning
  • Carer support
  • Care of the dying

5
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

6
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

7
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

8
Plans
  • Training
  • Implementation and audit of GSF, ACP, ADRT, LCP
    in all settings
  • Anticipatory prescribing
  • Psychological support
  • Care coordination
  • Information resources

9
Questions?
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