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Step 3: coordination of care

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Step 3 Workshop

Time: Half day

Aim: A system is in place to ensure coordination of care takes place.

Objectives: By the end of the session the end of life domiciliary care organisation representative will be able to:

  • Identify the value of good communciation within the organisation
  • Recognise the importance of sharing information with the wider multi-professional team
  • Explore/redefine the role of a Key Worker to include end of life care
  • Develop further the Domiciliary Care Organisation's End of Life Policy

Resources

Attendance register - Register.

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

Support Sheet 1 - provides a template to develop a directory of key contacts.

Support Sheet 10 - flow chart for supportive care.

Support Sheet 14 - provides information on using the NHS continuing health care fast track pathway tool.

End of Life Care Good Practice Guide - provides guidance on good practice in end of life care.

End of Life Care Review Sheet - useful assessment sheet covering the 5 stages of the North West End of Life Care Model.

Role of the key worker - description of the role of the key worker in end of life care.

End of Life Care Key Worker Guide - guidance around the key worker's role applying to the delivery of both supportive and palliative care.

Supportive Care Record - useful template to record and monitor individuals who require end of life care.

Presentation - Overview of Step 3 of the workshop: coordination of care.

PREPARED - Support Sheet - communication aid.

Support Sheet 2 - infomation on principles of good communication.

Case Study - learning aid around a patient with heart failure.

Case Study Facilitator Guide - provides guidance to the facilitator on the case study.

Case Study Transcripts - transcription of the conversation in the case study between the patient and care worker.

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

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