SIX STEPS TO SUCCESSINCARE HOMESbyRachel Moorhouse End Of Life Care Facilitator for Care Homes0161 208 1868

Step 1 - Discussions as the end of life approaches

Step 2 - Assessment, care planning and review

Step 3 - Co-ordination of care

Step 4 - Delivery of high quality care in care homes

Step 5 - Care in the last days of life

Step 6 - Care after death

End of Life CareToolsAdapted from The North West End of Life CareModel Advance Care Planning Preferred Priorities for Care (PPC) Advance Decision to Refuse Treatment (ADRT) Lasting Power of Attorney (LPA)

ACP &Communication DayInteractive session on communication skills including practical demonstrationsDiscussing DNA/CPRAdvance Care PlanningBest Interest DiscussionsADRT

LCP Study DayAppropriate hospital admissions and Significant event analysis

Diagnosing dyingMulti- disciplinary team discussions, DNACPRNutrition/ hydrationCommunication to relatives/ carersGP reviewCommencement of the Liverpool Care of the Dying Pathway Facilitating conversations with relatives & carers Religious, spiritual and cultural careSymptom Care after death

What do we expect?Residents placed on end of life registerShared CommunicationAdvance Care PlanningEnd of life care policyReview holistic assessment to include end of life care/ wishesInvolve residents/ families/ all staffEvery resident to have an eolc key worker

All staff to know key contactsReview training needs of staffDignity ChampionReview the environmentUnderstand the LCP- last hours /days of lifeReview bereavement policyAuditCompleted portfolio

The Future 8 nursing homes to start the programme January 2013Residential cohort summer 2013McKinley training offered to all nursing homes who have completed six steps/GSFVerification of death in nursing homesBroader education and supportIntegration with hospital and community end of life care events

Thank youAny questions?

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