Step 1: dicussions as end of life approaches
Not all care home residents are in the last year of life. The first step on the route to success is about
identifying residents who are thought to be in their last year of life so that discussions around end of
life care and advance care planning can be initiated.
Time: Half day
Aim: The care home representative will identify residents who are entering
the last year of life so discussions on end of life care can take place at the
appropriate time
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Objectives:
By the end of the session the Care Home Representative will be able to: • Identify how the North West End of Life Care Model and Tool supports an End of Life Care Register • Identify when is the appropriate time to undertake end of life care discussions considering capacity and communication barriers • Develop further the Care Home End of Life Care Policy. |
Supporting Documents: This basic register can be used at any events and workshops to keep a record of delegates.
Ongoing post death information audit All the audit resources can now be found in the expanded Six Steps Audit section. For guidance and tools around this audit please click here.
The programme is based on the Routes to Success and this document can provide further background to the programme.
The North West End of Life Care Model This is a model of delivery of end of life care advocated by the North West Clinical Pathway Groups.
This is a learning tool which centres around the understanding and the application of the North West End of Life Care Model.
The North West Tool facilitator guidance This document provides guidance to facilitators using the North West Tool.
This learning aid provides a case study around a patient with cancer and can be used in conjunction with the programme work plans.
This learning aid provides a case study around a patient with dementia and can be used in conjunction with the programme work plans.
Step 1 case study - Long term conditions This learning aid provides a case study around a patient with long term conditions and can be used in conjunction with the programme work plans.
North West End of Life Care Register This useful tool can be used to register and track individuals who may require end of life care. (Copy without example
Gold Standards Framework 2008 This guide aids the identification of adult patients with advanced disease, in thelast months/year of life, who are in need of supportive and palliative care.
This is a simple prompt which can be used to support prognostication.
Planning for your future care - A guide This booklet provides a simple explanation about advance care planning and the different options open to people approaching the end of life.
This document contains practical guidance for Best Interests Decision Making and Care Planning at End of Life.
This support sheet provides information on the Mental Capacity Act (2005).
This support sheet provides information on best interest decision making.
This provides a checklist of actions which should be completed before the next workshop.
This evaulation form can be used to allow delegates to provide any feedback. This feedback will help facilitators to continually develop and improve the delivery of the programme.
Useful Links:
Understanding the Mental Capacity Act This provides useful inforamtion on Advance Care Planning and the Mental Capactiy Act (2005) from Directgov
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End of Life Care Strategy:
Best Interests at end of life: Advance Care Planning: Preferred Priorities for Care