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Step 1: discussions as end of life approaches

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Step 1 Workshop

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.

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 supports a Supportive Care Record
  • Identify when is the appropriate time to undertake end of life care discussions considering capacity and communication bariers
  • Develop further the Care Home End of Life Care Policy

Resources

Attendance register - Register.

Ongoing Post Death Information Audit Form - allows the care home representative to continue to audit practice and demonstrate that outcomes are maintained.

The Route to Success - The programme is based on the Route to Success and guides each workshop.

North West End of Life Care Model and Good Practice Guide - model of delivery of end of life care advocated by the North West Clinical Pathways Group.

North West Model Template - learning aid which supports the education around the understanding and application of the North West End of Life Care Model.

North West Model Facilitators Guide - provides guidance to facilitators using the North West End of Life Care Model.

Cancer Case Study - learning aid providing a case study around a patient with cancer.

Dementia Case Study - learning aid providing a case study around a patient with dementia.

Long Term Conditions Case Study - learning aid providing a case study around a patient with COPD.

Supportive Care Record - allows the care home representative to record and monitor patient care.

Prognostic Indicator Guidance - aids the identification of adult patients with advanced disease in the last year/months of life who are in need of advanced supportive and palliative care.

Surprise Question - simple prompt that can be used to support prognostication.

Planning for your future care - provides a simple explanation of advance care planning and the different options open to people approaching end of life.

Mental Capacity Act Guide - provides information on the Mental Capacity Act for those working in Heath and Social Care.

Best Interests at End of Life - practical guidance for best interests decision making and care planning at end of life.

Support Sheet 12 - provides information on the Mental Capacity Act.

Support Sheet 13 - provides information on best interest decision making.

To Do List - provides a checklist of actions that should be completed before the next workshop.

Workshop Evaluation - provides feedback to the facilitators, which will help continually develop and improve the delivery of the programme.