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Step 1: discussions as the end of life approaches







Step 1 Workshop

Time: Half Day

Aim: To commence the Six Steps to Success Programme.  The domicilary care worker will recognise when changes in an individual's signs and symptoms indicate their condition is deteriorating.

Objectives: By the end of the session the End of Life domiciliary care worker will be able to:

  • Identify the national, regional and local end of life care drivers
  • Recognise the Six Steps to Success Programme
  • Have knowledge of their role and responsibilities caring for service users who are end of life
  • Recognise how the North West End of Life Care Model underpins the Supportive Care Record
  • Recognise when is the appropriate time and who should be involved in undertaking end of life care discussions
  • Identify the necessary communication skills required for Domiciliary Care Workers in end of life discussions


Attendance Register - register.

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

Programme Overview - gives an overview of the programme workshops.

Knowledge, Skills and Confidence Audit Pre-Programme - allows delegates to self-assess their knowledge, skills and confidence pre-programme.

Role and responsibilities handout - gives information on the Domiciliary Care Worker's roles and responsibilities.

6C's Handout - values and behaviours that care workers should adhere to.

Presentation - Overview of Step 1 workshop.

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

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

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

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

LT Conditions Case Study - learning aid providing a case study around a patient with a long term condition.

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

Supportive Care Record - to be used to identify and record where each case study would be on the Supportive Care Record.

Prognostic Indicators Guidance -  aids the identification of adult patients at end of life who are in need of supportive palliative care.

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

Communication Good Practice - provides information on good practice around communicating with an individual in end of life care.

Active Listening Skills - provides guidance on developing listening skills.

Carers Role - information on the care worker's role in discussions at end of life.

Home Activity Sheet - aid to allow the care worker to consider what makes a good death.

To Do List - checklist of actions to be completed prior to the next workshop.

Workshop Evaluation - allows the delegate to provide feedback to the facilitator, which will help to improve future workshops.