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Step 1 - Discussions as the end of life approaches Step 2 - Assessment, care planning and review

SIX STEPS TO SUCCESS IN CARE HOMES by Rachel Moorhouse End Of Life Care Facilitator for Care Homes 0161 208 1868. 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

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Step 1 - Discussions as the end of life approaches Step 2 - Assessment, care planning and review

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  1. SIX STEPS TO SUCCESSINCARE HOMESbyRachel MoorhouseEnd Of Life Care Facilitator for Care Homes0161 208 1868

  2. 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

  3. Six Steps to Success programme ‘Rapid Discharge Pathway’ (RDP) ‘Liverpool Care Pathway for the Dying’ (LCP) 1 2 3 4 5 Advancing disease Increasing decline Last Days of Life First Days after Death Bereavement 1 year 6 months Death 1 year The North West End of Life Care Model 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

  4. ACP & Communication Day • Interactive session on communication skills including practical demonstrations • Discussing DNA/CPR • Advance Care Planning • Best Interest Discussions • ADRT

  5. 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

  6. 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

  7. 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

  8. 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

  9. Thank you Any questions?

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