1. 1 Milestones: making a difference when last days of life are in hospital

2. 2 Welcome Note of caution o Talking about last days of life is hard – professionally as well as personally o This session is designed to help you so you can help your patients and those important to them o If you feel upset or emotional that is okay – you are encouraged to stay and we will help but if you must leave please speak to a friend or colleague so you have some support Introduction and note of caution

3. 3 Session outline Task Introduction and ‘health warning’ Learning outcomes Film & individual activity Small group activity Whole group feedback Take home messages Evaluation

4. 4 Objectives Describe what was done well and what could be improved in an example of care at the end of life Explain the principles of conversations about end of life care including Do Not Attempt Cardiopulmonary Resuscitation (DNACPR) Consider this learning in relation to your own experiences of caring for patients who are dying and identify suggestions for improvement Commit to changes you will make in how you care for people who are dying Identify who you need to talk to in your workplace to improve end of life care

5. 5 Milestones: making a difference when last days of life are in hospital James Aldridge (patient) Grace Aldridge (daughter) Stephen (nurse) Dr Jeffrey (junior doctor) Dr Evans (consultant)

6. 6 Small group activity and whole group feedback 1.How do each of you think your allocated person would have described what happened in the film? What was done well and what could have been improved? Try to think about the words and body language used 2.As a group list what is essential to include when talking to patients and those important to them about end of life care, including DNACPR 3.Did this story remind you of any experiences you have had at work when looking after dying patients? – have you noticed similar things happening? 4.What have you learned as a result of watching this film and discussing it together? 5.What will you change about how you care for people who are dying to make a positive difference? 6.What else should happen to improve end of life care where you work? Who can you discuss this with?

7. 7 When someone is at the end of life what more can you do?

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9. 9 Milestones: making a difference when last days of life are in hospital