SIX STEPS TO SUCCESS
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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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SIX STEPS TO SUCCESSINCARE HOMESbyRachel MoorhouseEnd Of Life Care Facilitator for Care Homes0161 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

  • Step 4 - Delivery of high quality care in care homes

  • Step 5 - Care in the last days of life

  • Step 6 - Care after death


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


ACP

&

Communication Day

  • Interactive session on communication skills including practical demonstrations

  • Discussing DNA/CPR

  • Advance Care Planning

  • Best Interest Discussions

  • ADRT


Lcp study day
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


What do we expect
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


  • 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


The future
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


Thank you

Any questions?


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