4 Liverpool Care Pathway – Best practice Tool used on all adult wards for patients in the last days of life where there is deemed no reversible cause for their deterioration.The use of the AMBER Care Bundle complies with the NICE Quality Standard QS013 - End of life care for adults & Peer Review Self-Assessment for clinical teams i.e. COPD/Cardiology
6 What does it do? Gap between health and dying with uncertain outcome Ability to recover or deteriorateCommunication issuesDNACPRCeiling of CareCommunicationSituationPlanChoices – PPC/PPDAdvance Decisions
7 Benefits include –improved decision makingpositive impact on multi-professional team communication & workingincrease in nurses’ confidence about approaching medical colleagues to discuss treatment planspatients are treated with greater dignity & respectgreater clarity around patient preferences & how they can be achievedreduction in unnecessary interventions & readmissions
8 Why implement AMBER on a Respiratory Ward ? Reduce the number of patient deaths on the wardTo improve the gap in the quality of care for those on the LCPSupport active treatment alongside an end of life care plan and symptom manage.FOR MANY COPD PATIENTS RECOVERY IS UNCERTAIN AND READMISSION RATES ARE HIGH, WE SHOULD BE ASKING:Is the patient deteriorating, clinically unstable and with limited reversibility?Is the patient at risk of dying in the next 1-2 months?
9 Facts :People with respiratory conditions are the most likely to die in hospital and the least likely to die at home. 14 % of all deaths in England are attributed to respiratory disease rising to 20% if lung cancer is included.69% of people with respiratory conditions (other than lung cancer) die in hospital – higher than any other condition10% of deaths involving pneumonia or acute respiratory infection die at home
10 Acute/community interface Rapid Discharge PathwayProduced an Electronic Discharge Summary pageOut of Hours FormCommunity Prescribing – PRN drugs EOLTalk at Local/National Conferences etc.
11 Contact Details for further information End of life Care Facilitators at Worcestershire Acute Hospital Trust&