1 / 17

Choice and control: ensuring patient involvement

Choice and control: ensuring patient involvement. Dr Simone Ali Consultant in Palliative Medicine South Downs Health NHS Trust / The Martlets Hospice. Choice and Control. What is Choice ? “option; alternative; selection; preference; variety; abundance” What is Control ?

steve
Download Presentation

Choice and control: ensuring patient involvement

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. Choice and control: ensuring patient involvement Dr Simone Ali Consultant in Palliative Medicine South Downs Health NHS Trust / The Martlets Hospice

  2. Choice and Control • What is Choice? • “option; alternative; selection; preference; variety; abundance” • What is Control? • “manage; organise; be in charge of; have power over; be in command of; direct; rule” • Is Choice/Control a good thing? Always?

  3. Hobson’s Choice?

  4. Initiatives which have helped to enhance choice for dying patients in Brighton and Hove • Gold Standards Framework (GSF) for primary health care teams and some nursing homes • Preferred Place of Care (PPC) • Liverpool Care Pathway (LCP) for the dying patient used and audited by all District Nursing Teams • Verification of Expected Death by District Nurses • Allow a Natural Death / Do Not Attempt Resuscitation (DNAR) Policy

  5. DNAR…do patients have a choice? • Competent patients who don’t want CPR • Yes • Competent patients who do want CPR • If futile, then no • No obligation to discuss with patient • Incompetent patients who can’t tell us • Ascertain previous wishes of patient • Ascertain whether futile

  6. Initiatives which have helped to enhance choice for dying patients in Brighton and Hove • Gold Standards Framework (GSF) for primary health care teams and some nursing homes • Preferred Place of Care (PPC) • Liverpool Care Pathway (LCP) for the dying patient used and audited by all District Nursing Teams • Verification of Expected Death by District Nurses • Allow a Natural Death / Do Not Attempt Resuscitation (DNAR) Policy • Statement of Patient’s Wishes (“Pink Sheet”)

  7. Help the Hospices and The St James’s Place Foundation Awards Programme: “Care Beyond Cancer” • “A patient led clinical directive proforma: development and dissemination” • Supported by Brighton and Hove PCT and Out-Of-Hours (OOH) team • Regular progress reports and audit

  8. Impact of Pink Sheet • Reduction in inappropriate hospital admissions • Reduction in unwanted clinical interventions • Better communication between patient, carers and professionals • Especially helpful out of hours and when patient unable to express wishes • PPC achieved for more patients

More Related