Katie McGovern and Dr Sally Rogers

1

• Katie McGovern and Dr Sally Rogers
• Katharine House Hospice
• Adderbury
• OX17 3NL
• 01295 811866

2
Aims of this session

• Tackle some common symptoms. Eg nausea and
  vomiting
• Find out about syringe drivers
• Review palliative care strategies
• Know how to access specialist palliative care

3

Gold Standards Framework

• Practice based system to improve organisation and
  quality of life for all patients in the last 6-
  12 months of life.
• Key themes identify, assess and plan
• Head, Hands, Heart
• QOF points

4
GSF - 5 Goals

• G1 Symptom free
• G2 Preferred place of care
• G3 Feel safe and supported
• G4 Carers supported, involved
• G5 Staff more confident

5
GSF - 7 C'S

• Communication
• Co-ordination
• Control of symptoms
• Continuity (OOH)
• Continued learning
• Carer support
• Care in dying phase

6
Liverpool Integrated Care Pathway(LCP)

• A template of care for very end of life
• Used by all health care professionals
• Identifies key goals
• Variance

7
Thinking ahead

• Advance Decisions
• Preferred Place of Care (PPC)
• Mental Capacity Act 2005
• diagnostic impaired or distubed mind?
• functional can s/he understand,weigh and
  communicate?