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Role of the Integrated Specialist Palliative Care Team

Role of the Integrated Specialist Palliative Care Team. Juliet Cross – Palliative Care CNS (community) Sara Smith – Nurse Practitioner- End of Life Care. Definition.

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Role of the Integrated Specialist Palliative Care Team

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  1. Role of the Integrated Specialist Palliative Care Team Juliet Cross – Palliative Care CNS (community) Sara Smith – Nurse Practitioner- End of Life Care

  2. Definition • “An approach that improves the quality of life of patients and their families facing the problem associated with life threatening illness, through the prevention and relief of suffering by a means of early identification and impeccable assessment and treatment of pain and other problems physical, psychosocial and spiritual” • World Health Organisation (2006)

  3. Role of the Specialist Palliative Care Nurse • Improving the quality of life of patients and their families • Identify needs, priorities and preferences • Providing co-ordinated seamless services • Ensuring appropriate support for carers (Day Hospice) • Support integrated care pathways found to improve care and dignity at the • end of life • Supporting professionals involved in their care • Providing a high quality service in the last days of life and after death • To ascertain and respond to the educational needs of healthcare professionals • To promote and develop audit and research in areas relating to palliative care • Charlton (2002)

  4. Nurse Practitioner – End of Life Care • Work within the integrated palliative care team • Care for patients in the last days of life • Support family • Support ward staff with symptom control • Refer to Specialist nurse for complex needs • Education • Audit and monitor end of life care in the hospital • Refer patients/families for bereavement/pre bereavement support • Identify and support preferred place of care at end of life • (St Giles/Nursing homes/own home/Hospital) • Liaise with community teams to ensure smooth transition of care

  5. Palliative Care Services • Integrated Palliative Care Team – community/hospital inc. consultants, CNS’ & OT • Palliative Therapies • Complementary Therapies • Volunteers • Specialist Lymphoedema • Fair Oaks Day Hospice • Bereavement Service • Chaplain Service • Clinical Psychology

  6. St. Giles Walsall Hospice (SGWH) • St Giles Walsall Hospice is a 12 bed facility • providing palliative and end of life care, alongside • respite support for patients at an earlier stage of illness. • Integrated Palliative Care Team work very closely with SGWH • refer patients • Specialist MDT

  7. Palliative care/ EOL Initiatives • Transform: Transforming end of life care in hospital • AMBER care bundle • Advance care planning • EOL care plan • Electronic patient register (EPaCCs/GSF) • Rapid discharge home to die • DNAR: Development of a cross services policy • Diversionary pathway : Access to St Giles hospice Walsall for treatment (2-3 days) • Arboretum Nursing Home- diversionary beds

  8. Thank you for listening Any questions?

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