1 / 11

Dr Diane Laverty Macmillan Nurse Consultant Palliative & EoLC London Ambulance Service NHS Trust

LAS Strategy for Palliative & End of Life Care. Dr Diane Laverty Macmillan Nurse Consultant Palliative & EoLC London Ambulance Service NHS Trust. What Do We Do ? (1.4.17- 31.3.18). Almost 2 million calls to 999 Attended 1.1 million incidents PC coded calls – 3111

sandra_john
Download Presentation

Dr Diane Laverty Macmillan Nurse Consultant Palliative & EoLC London Ambulance Service NHS Trust

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. LAS Strategy for Palliative & End of Life Care Dr Diane Laverty Macmillan Nurse Consultant Palliative & EoLC London Ambulance Service NHS Trust

  2. What Do We Do? (1.4.17- 31.3.18) • Almost 2 million calls to 999 • Attended 1.1 million incidents • PC coded calls – 3111 • 31% average of PC calls conveyed to ED

  3. Ambulance Clinicians Training • The 3 P’s: • Preserve life • Promote recovery • Prevent deterioration

  4. Resuscitation decisions Decision Making Bereavement Paediatrics Advance care planning Reversible emergencies Symptom Control Communication National strategy Holistic care

  5. The EoLCChallenge for LAS • Non expert clinicians • Time pressured situations • No pre-existing knowledge of patient/family • Limited documentation/information • Variable OOH provision for specialist support

  6. What information can help us look after your patients? How can we stop unnecessary conveyances to ED & keep patient at home – if that is their wish?

  7. Coordinate my Care (CMC) • CMC plan, detailing: • Personal & professional contact details • PPC/PPD/DNACPR decisions • Patient/family awareness • Treatment escalation plans • Symptom control hints & tips, including non pharmacological interventions

  8. Anticipatory Medications • Anticipatory medications when it is clear your patient is nearing end of life • Paramedics CAN administer anticipatory medications • Clear, unambiguous drug prescription / authorisation chart & stock balance chart

  9. Advice, Collaboration & Support • Creation of Appropriate Care Pathways (ACP’s) • Collaboration between hospices and LAS • Identifying SPA / 24/7 advice & support service If you know/think you have one, please contact us!

  10. What Can You Do? • Can you be sure that your patients who are nearing EOL have a CMC care plan and anticipatory medications available? • Do you have a system/process OOH for access to advice & support? Can we create an appropriate care pathway together? • Would you be able to offer paramedic placement opportunities for shared learning ?

  11. THANK YOU!

More Related