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CSH Surrey. Julie Doughty Community Hub Manager East Elmbridge and Community Hospice at Home Nursing Service. Carers Experiences in End of Life Circumstances. Community Services: AT HOME Community Matrons Specialist Nurses District Nurses Last Year of Life Last 2-3 months of Life
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CSH Surrey Julie Doughty Community Hub Manager East Elmbridge and Community Hospice at Home Nursing Service
Carers Experiences in End of Life Circumstances • Community Services: AT HOME • Community Matrons • Specialist Nurses • District Nurses • Last Year of Life • Last 2-3 months of Life • Last 2-3 days of Life
Carers Experiences in End of Life Circumstances • AT HOME • Dementia • PD • MND • COPD • HR • MS • Frailty
Carers Experiences in End of Life Circumstances • Barriers: AT HOME • Physical Changes • Emotional Changes • Environmental Changes • Activity of Daily Living • Responsiveness - When • Who to Contact • Conversations – How, Why, What • Expectations
Carers Experiences in End of Life Circumstances • Trying to Overcome Barriers: AT HOME • Discussions with appropriate experts - GP, Specialists, Friends/Family, Solicitor, Yourself, the person you are caring for. • Time • Knowledge - Being prepared?? • Equipment and Environment Preparation • Support caring package • From Hospital to Home (Hospice) • Medication - Palliation – Right Medication at the Right Time
Carers Experiences in End of Life Circumstances • Thoughts……. • Achieving Dignity and Comfort • Expectations for Yourself - do unto to others…. • Questions • And Thank You.