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

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Adapted from The North West End of Life Care Model

• Advance Care Planning
• Preferred Priorities for Care (PPC)
• Advance Decision to Refuse Treatment
• (ADRT)
• Lasting Power of Attorney (LPA)

End of Life Care Tools
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• ACP
• Communication Day
• Interactive session on communication skills
  including practical demonstrations
• Discussing DNA/CPR
• Advance Care Planning
• Best Interest Discussions
• ADRT

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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

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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

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• 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

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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

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• Thank you
• Any questions?