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Facilitator: Step 3

Facilitator: Step 3. Review / Recap. Step 2 workshop review Review of ‘To Do’ List Reflection discussions. Objectives. Step 3 objectives: Identify the value of good communication systems in end of life care

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Facilitator: Step 3

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  1. Facilitator: Step 3

  2. Review / Recap • Step 2 workshop review • Review of ‘To Do’ List • Reflection discussions

  3. Objectives Step 3 objectives: • Identify the value of good communication systems in end of life care • Recognise the importance of sharing information with the wider multi-disciplinary team • Recognise the key features and values of the role of the key worker • Be aware of aspects of anticipatory needs at the end of life • Identify necessary and unnecessary admissions to acute care

  4. Step 3 Co-ordination of care “Once a care/support plan has been agreed, it is important that all services are effectively co-ordinated, especially across service boundaries, and good communication systems are in place.” The Route to Success in End of Life Care – achieving quality in domiciliary care

  5. Communication systems • Multi-disciplinary teams • Referral systems • 24/7 cover • Methods of communication • 2 way communication

  6. Good communication Benefits of effective communication in end of life care V Risk of ineffective communication in end of life care Discussion point

  7. Key Worker A key worker is defined as: “A person who, with the patient’s consent and agreement, takes a key role in coordinating the individual’s care and promoting continuity, ensuring the patient knows who to access for information and advice” (NICE, 2004)

  8. The role of the Key Worker • Review of needs • Communication link • Support • Advocate

  9. Anticipatory needs • Being ready to meet the individual’s needs without delay: • Individual, changed or increased needs • Medications • Equipment provision

  10. Anticipatory needs • Referral to relevant others • Specific medications for relief (pain, distress, breathing difficulties, bowel upset, nausea/sickness, etc) • Equipment to improve quality of life and comfort • Active communication and co-ordination

  11. Hospital admissions Group activity: Hospital admission case study: • Did the person die in the appropriate setting? • Was the setting of their choice?

  12. Objectives Step 3 objectives: • Identify the value of good communication systems in end of life care • Recognise the importance of sharing information with the wider multi-disciplinary team • Recognise the key features and values of the role of the key worker • Be aware of aspects of anticipatory needs at the end of life • Identify necessary and unnecessary admissions to acute care

  13. Onwards... • ‘To Do’ List • Reflective practice • Evaluation of session • Next session: Step 4: Delivery of high quality care in domiciliary care

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