SIX STEPS TO SUCCESS IN CARE HOMES by Rachel Moorhouse End Of Life Care Facilitator for Care Homes 0161 208 1868.

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Presentation transcript:

SIX STEPS TO SUCCESS IN CARE HOMES by Rachel Moorhouse End Of Life Care Facilitator for Care Homes 0161 208 1868

SIX STEPS T0 SUCCESS 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

Adapted from The North West End of Life Care Model ‘Liverpool Care Pathway for the Dying’ (LCP) Last Days of Life First Days after Death 1 year Advancing disease Bereavement 6 months 1 2 3 5 The North West End of Life Care Model 4 Death Increasing decline ‘Rapid Discharge Pathway’ (RDP) Six Steps to Success programme Advance Care Planning Preferred Priorities for Care (PPC) Advance Decision to Refuse Treatment (ADRT) Lasting Power of Attorney (LPA) End of Life Care Tools

ACP & Communication Day Interactive session on communication skills including practical demonstrations Discussing DNA/CPR Advance Care Planning Best Interest Discussions ADRT

LCP Study Day Appropriate hospital admissions and Significant event analysis Diagnosing dying Multi- disciplinary team discussions, DNACPR Nutrition/ hydration Communication to relatives/ carers GP review Commencement of the Liverpool Care of the Dying Pathway Facilitating conversations with relatives & carers Religious, spiritual and cultural care Symptom Care after death

What do we expect? Residents placed on end of life register Shared Communication Advance Care Planning End of life care policy Review holistic assessment to include end of life care/ wishes Involve residents/ families/ all staff Every resident to have an eolc key worker

All staff to know key contacts Review training needs of staff Dignity Champion Review the environment Understand the LCP- last hours /days of life Review bereavement policy Audit Completed portfolio

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

Thank you Any questions?

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