Beaumont have been part of the HFH Programme for 8 years.
We’ve had many opportunities during that time to build on what was already there and to develop new initiatives and participate in the full range of programmes on offer
Hospital has huge pride in the work it does around End of Life and Bereavement Care
Committed team who are always looking for opportunities to improve the journey for patients and their families.. ‘champions’ have been key to this
Need for continuous review of the work we do in relation to EOL care and Bereavement
As :
Staff change ..........
Ongoing competing agendas ......
Importance of maintaining ‘buy in’.....
Need for’ new’ champions
Excellent pockets of practice.........
Move out of our professional silos......
The Wish video has been the cornerstone of a lot of the education done in the hospital
Our steering group members felt we needed now the make
‘THE WISH ....’
‘OUR WISH .......’
Form a inter disciplinary team to plan and organise an engagement workshop with ALL staff of the hospital
Move forward locally but use ‘corporate’ organisation
Use the Education / Development Department
Engage with the QI agenda
‘We are continually faced with great opportunities which are brilliantly disguised as unsolvable problems’
Margaret Mead
............ Listen to our patients and their
families ............ To hear what they were saying about
their experience ............. To act and make changes
accordingly
AND ............To listen to each other , to work
together and make the changes happen
The model for improvement
What are we trying to accomplish ?
How will we know that a change is an improvement ?
What changes can we make that will result in the improvements we want ?
Testing the changes
Aims
Measurements
Change idea
Our families experiences.....
What supports you in delivering compassionate end of life care ?
What gets in the way or prevents this from happening ?
What else can we do to support the delivery of compassionate end of life care?
When a room is available
When efforts are made to get private space
even if you can’t
Having the same key people involved as much as possible
for patient and family
New mortuary and gardens
Resources including
leaflets and information
packs
Good effective role models who lead by
example
Good MDT’s
Just having time
No private space
Always competing with
infectious cases
No place for families on
wards
Pressure for beds
Lack of experience and opportunities to
learn from others
Cultural blindness
‘Ward alters’
Being too busy to listen
Not asking families to help with EOL care
Find ways to protect time for staff with
families
Make Final journeys
compulsory
Make a hospital wish list
for a good dignified death is
Have clear pathways for EOL care and
implement
it
Listen to patients
last wishes Ask questions about
patients wishes
Don’t be judgemental
To work at making EOL care an ongoing priority in the hospital
To build on and implement the recommendations of workshop
To engage more local champions at local level
To implement our ‘Care of the deceased patient’ by a range of QI initiatives
To learn from our mistakes
To be open to the solution often being a simple small change
To work together to improve continuously
https://www.youtube.com/watch?v=GPeeZ6viNgY
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