Education resource to support introduction of All Wales Care Decisions for the Last Days of Life All...
-
Upload
magdalen-payne -
Category
Documents
-
view
218 -
download
0
Transcript of Education resource to support introduction of All Wales Care Decisions for the Last Days of Life All...
![Page 1: Education resource to support introduction of All Wales Care Decisions for the Last Days of Life All Wales palliative care education group © All Wales.](https://reader035.fdocuments.in/reader035/viewer/2022062315/5697bfa61a28abf838c982f8/html5/thumbnails/1.jpg)
Education resource to support introduction of All Wales
Care Decisions for the Last Days of Life
All Wales palliative care education group
© All Wales Palliative Care Education Group 2015 1
![Page 2: Education resource to support introduction of All Wales Care Decisions for the Last Days of Life All Wales palliative care education group © All Wales.](https://reader035.fdocuments.in/reader035/viewer/2022062315/5697bfa61a28abf838c982f8/html5/thumbnails/2.jpg)
Aims of the session
• To describe the new supporting tool ‘ Care Decisions for the last days of life’ to help deliver care in the last days of life
• Improve your confidence in understanding the new document
© All Wales Palliative Care Education Group 2015 2
![Page 3: Education resource to support introduction of All Wales Care Decisions for the Last Days of Life All Wales palliative care education group © All Wales.](https://reader035.fdocuments.in/reader035/viewer/2022062315/5697bfa61a28abf838c982f8/html5/thumbnails/3.jpg)
VIDEO
© All Wales Palliative Care Education Group 2015 3
![Page 4: Education resource to support introduction of All Wales Care Decisions for the Last Days of Life All Wales palliative care education group © All Wales.](https://reader035.fdocuments.in/reader035/viewer/2022062315/5697bfa61a28abf838c982f8/html5/thumbnails/4.jpg)
Learning outcomes
By the end of the session you should be able to:•Describe the new tool ‘ Care decisions for the last days of life ‘ to a colleague•Effectively explain the rationale for its use to patients and those important to them•Describe, to a more junior colleague, the 5 priorities of care that support effective care in the last days of life
© All Wales Palliative Care Education Group 2015 4
![Page 5: Education resource to support introduction of All Wales Care Decisions for the Last Days of Life All Wales palliative care education group © All Wales.](https://reader035.fdocuments.in/reader035/viewer/2022062315/5697bfa61a28abf838c982f8/html5/thumbnails/5.jpg)
The story so far…. • 1990’s in UK , a need to extend the gold standard of palliative care and ‘ hospice’
care into general hospitals and for non cancer patients resulted in the development of the Liverpool Care Pathway (LCP) in NHS England
• Wales – pathway developed into ‘Care priorities ‘ with annual quality and monitoring review
• 2012 first concerns in NHS England about use of LCP• 2013 major review of LCP and its withdrawal in England • 2013 Neuberger report – ‘ More care less pathway’• 2014 ‘ One chance to get it right’ NHS Leadership Alliance for care of the dying
person recommendations for England • 2014 in Wales – major review of the Integrated Priorities of care for the last days
of life – review of documentation, and survey of use in generalist setting• 2015 in Wales - launch of Care Decisions for the last days of life
© All Wales Palliative Care Education Group 2015 5
![Page 6: Education resource to support introduction of All Wales Care Decisions for the Last Days of Life All Wales palliative care education group © All Wales.](https://reader035.fdocuments.in/reader035/viewer/2022062315/5697bfa61a28abf838c982f8/html5/thumbnails/6.jpg)
Group discussion
• What information do families need to know when a patient is thought to be in the last days of their life ?
• Who is best placed to give this information ?• How does this process currently work in
practice?
© All Wales Palliative Care Education Group 2015 6
![Page 7: Education resource to support introduction of All Wales Care Decisions for the Last Days of Life All Wales palliative care education group © All Wales.](https://reader035.fdocuments.in/reader035/viewer/2022062315/5697bfa61a28abf838c982f8/html5/thumbnails/7.jpg)
Priorities as outlined in ‘One Chance to get it right’ NHS England
© All Wales Palliative Care Education Group 2015 7
![Page 8: Education resource to support introduction of All Wales Care Decisions for the Last Days of Life All Wales palliative care education group © All Wales.](https://reader035.fdocuments.in/reader035/viewer/2022062315/5697bfa61a28abf838c982f8/html5/thumbnails/8.jpg)
Key priorities of care in the last days of life
• Good Communication – good communication with patient and those important to them is essential.
• Good Symptom control – first priority for 85% of patients is to be pain free.
• Holistic care – need to consider all aspects of caring i.e. physical, psychological, social, and spiritual needs – for patient and those important to them.
• Individualised care – everyone has different priorities and concerns.
• Implicit in these, is the goal of involvement of patient and those important to them.
© All Wales Palliative Care Education Group 2015 8
![Page 9: Education resource to support introduction of All Wales Care Decisions for the Last Days of Life All Wales palliative care education group © All Wales.](https://reader035.fdocuments.in/reader035/viewer/2022062315/5697bfa61a28abf838c982f8/html5/thumbnails/9.jpg)
© All Wales Palliative Care Education Group 2015 9
Page 1
![Page 10: Education resource to support introduction of All Wales Care Decisions for the Last Days of Life All Wales palliative care education group © All Wales.](https://reader035.fdocuments.in/reader035/viewer/2022062315/5697bfa61a28abf838c982f8/html5/thumbnails/10.jpg)
© All Wales Palliative Care Education Group 2015 10
Page 2
![Page 11: Education resource to support introduction of All Wales Care Decisions for the Last Days of Life All Wales palliative care education group © All Wales.](https://reader035.fdocuments.in/reader035/viewer/2022062315/5697bfa61a28abf838c982f8/html5/thumbnails/11.jpg)
© All Wales Palliative Care Education Group 2015 11
Page 3
NB, don’t forget the DNACPR form
![Page 12: Education resource to support introduction of All Wales Care Decisions for the Last Days of Life All Wales palliative care education group © All Wales.](https://reader035.fdocuments.in/reader035/viewer/2022062315/5697bfa61a28abf838c982f8/html5/thumbnails/12.jpg)
© All Wales Palliative Care Education Group 2015 12
Page 4
![Page 13: Education resource to support introduction of All Wales Care Decisions for the Last Days of Life All Wales palliative care education group © All Wales.](https://reader035.fdocuments.in/reader035/viewer/2022062315/5697bfa61a28abf838c982f8/html5/thumbnails/13.jpg)
© All Wales Palliative Care Education Group 2015 13
Symptom Assessment Sheet
![Page 14: Education resource to support introduction of All Wales Care Decisions for the Last Days of Life All Wales palliative care education group © All Wales.](https://reader035.fdocuments.in/reader035/viewer/2022062315/5697bfa61a28abf838c982f8/html5/thumbnails/14.jpg)
© All Wales Palliative Care Education Group 2015 14
Individual case review sheet
![Page 15: Education resource to support introduction of All Wales Care Decisions for the Last Days of Life All Wales palliative care education group © All Wales.](https://reader035.fdocuments.in/reader035/viewer/2022062315/5697bfa61a28abf838c982f8/html5/thumbnails/15.jpg)
© All Wales Palliative Care Education Group 2015 15
Symptom guidance is also provided
![Page 16: Education resource to support introduction of All Wales Care Decisions for the Last Days of Life All Wales palliative care education group © All Wales.](https://reader035.fdocuments.in/reader035/viewer/2022062315/5697bfa61a28abf838c982f8/html5/thumbnails/16.jpg)
Care Decisions Community PRN chart
![Page 17: Education resource to support introduction of All Wales Care Decisions for the Last Days of Life All Wales palliative care education group © All Wales.](https://reader035.fdocuments.in/reader035/viewer/2022062315/5697bfa61a28abf838c982f8/html5/thumbnails/17.jpg)
© All Wales Palliative Care Education Group 2015 17
Subcutaneous syringe driver chart
![Page 18: Education resource to support introduction of All Wales Care Decisions for the Last Days of Life All Wales palliative care education group © All Wales.](https://reader035.fdocuments.in/reader035/viewer/2022062315/5697bfa61a28abf838c982f8/html5/thumbnails/18.jpg)
Aims of the session
• To describe the new supporting tool ‘ Care Decisions for the last days of life’ to help deliver care in the last days of life
• Improve your confidence in understanding the new document
• Consider how the document could be utilized in your area
© All Wales Palliative Care Education Group 2015 18
![Page 19: Education resource to support introduction of All Wales Care Decisions for the Last Days of Life All Wales palliative care education group © All Wales.](https://reader035.fdocuments.in/reader035/viewer/2022062315/5697bfa61a28abf838c982f8/html5/thumbnails/19.jpg)
Learning outcomes
By the end of the session you should be able to:•Describe the new tool ‘ Care Decisions for the last days of life ‘ to a colleague•Effectively explain the rationale for its use to patients and those important to them•Describe, to a more junior colleague, the 5 priorities of care that support effective care in the last days of life
© All Wales Palliative Care Education Group 2015 19
![Page 20: Education resource to support introduction of All Wales Care Decisions for the Last Days of Life All Wales palliative care education group © All Wales.](https://reader035.fdocuments.in/reader035/viewer/2022062315/5697bfa61a28abf838c982f8/html5/thumbnails/20.jpg)
Summary
• Care Decisions tool is to help support decision making about effective and compassionate care in the last days of life
• It is not a substitute for clinical assessment , decision making and review by the team looking after the patient
© All Wales Palliative Care Education Group 2015 20
![Page 21: Education resource to support introduction of All Wales Care Decisions for the Last Days of Life All Wales palliative care education group © All Wales.](https://reader035.fdocuments.in/reader035/viewer/2022062315/5697bfa61a28abf838c982f8/html5/thumbnails/21.jpg)
How will your practice change or develop as a result of today?
© All Wales Palliative Care Education Group 2015 21
![Page 22: Education resource to support introduction of All Wales Care Decisions for the Last Days of Life All Wales palliative care education group © All Wales.](https://reader035.fdocuments.in/reader035/viewer/2022062315/5697bfa61a28abf838c982f8/html5/thumbnails/22.jpg)
Thank you
WWW Search for:• Dying matters• More care less pathway ( 2013)• One chance to get it right ( 2014)
www.pallcare.info
Your local palliative care team © All Wales Palliative Care Education Group
2015 22