Practice improvement as a result of an end of life care programme for care homes

2017 ◽  
Vol 29 (3) ◽  
pp. 23-27
Author(s):  
Angela Springett
Keyword(s):  
End Of Life ◽  
End Of Life Care ◽  
Care Homes ◽  
Life Care ◽  
Care Programme ◽  
Practice Improvement

Developing, implementing and sustaining an end-of-life care programme in residential care homes

2017 ◽  
Vol 23 (4) ◽  
pp. 186-193 ◽  
Author(s):  
Julie Kinley ◽  
Louisa Stone ◽  
Anna Butt ◽  
Barbara Kenyon ◽  
Nuno Santos Lopes
Keyword(s):  
End Of Life ◽  
Residential Care ◽  
End Of Life Care ◽  
Care Homes ◽  
Life Care ◽  
Care Programme

P6 One Step at a Time: Introducing an End-of-Life Care programme to a critical mass of local care homes

2013 ◽  
Vol 3 (Suppl 1) ◽  
pp. A11.3-A12
Author(s):  
Cathy Godfrey ◽  
Alex Stevenson ◽  
Bernie Barber ◽  
Baldry Cath ◽  
Karen Groves
Keyword(s):  
End Of Life ◽  
End Of Life Care ◽  
Critical Mass ◽  
Care Homes ◽  
Life Care ◽  
Care Programme ◽  
One Step

scholarly journals “A good death but there was all this tension around”- perspectives of residential managers on the experience of delivering end of life care for people living with dementia

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Jessica A. L. Borbasi ◽  
Allison Tong ◽  
Alison Ritchie ◽  
Christopher J. Poulos ◽  
Josephine M. Clayton
Keyword(s):  
End Of Life ◽  
End Of Life Care ◽  
Aged Care ◽  
Care Staff ◽  
Care Homes ◽  
Residential Aged Care ◽  
Life Care ◽  
Advanced Dementia ◽  
Front Line ◽  
Care Managers

Abstract Background End of life care for residents with advanced dementia in the aged care setting is complex. There is prolonged and progressive cognitive decline, uncertain disease trajectory, significant symptom burden and infrequent access to specialist palliative care. Residential aged care managers offer a unique perspective in understanding the experience of providing end of life care for residents with advanced dementia. They bring insight from the coalface to the broader policy context. The aim of this study was to describe the experience and perspectives of residential aged care managers on providing end of life care for residents living with dementia. Methods Focus groups and semi-structured interviews were conducted with residential or care managers from various care homes from one dementia specific aged care organisation in Australia. A comprehensive sampling strategy was used in participating care homes. Transcripts were analysed using thematic analysis. Results 20 residential or care managers from 11 aged care homes in two states of Australia participated in two focus groups (total 16 participants) or individual interviews (4 participants). Six themes were identified: laying the ground work to establish what families understand about dementia, playing the peacemaker in the face of unrealistic family demands and expectations, chipping away at denial and cultivating a path towards acceptance of death, recruiting general practitioners as allies, supporting and strengthening the front line, and dedication to optimal care is relentless but rewarding. Conclusion Aged care manager participants described provision of end of life dementia care as a rewarding but sometimes fraught experience requiring persistent personalisation of care and communication to enable family acceptance of the resident’s terminal condition. The findings suggest that continuous front line aged care staff skill development, iterative family discussions, and partnership building between aged care staff and general practitioners, are all required to promote optimal end of life dementia care in residential aged care settings.

Care professional's experiences about using Liverpool Care Pathway in end-of-life care in residential care homes

2017 ◽  
Vol 32 (1) ◽  
pp. 299-308 ◽  
Author(s):  
Sofia Andersson ◽  
Olav Lindqvist ◽  
Carl-Johan Fürst ◽  
Margareta Brännström
Keyword(s):  
End Of Life ◽  
Residential Care ◽  
End Of Life Care ◽  
Care Pathway ◽  
Care Homes ◽  
Life Care

scholarly journals Retrospective cohort analysis of real-life decisions about end-of-life care preferences in a Southeast Asian country

BMJ Open ◽  
2019 ◽  
Vol 9 (2) ◽  
pp. e024662 ◽  
Author(s):  
Woan Shin Tan ◽  
Ram Bajpai ◽  
Andy Hau Yan Ho ◽  
Chan Kee Low ◽  
Josip Car
Keyword(s):  
End Of Life ◽  
End Of Life Care ◽  
Retrospective Cohort ◽  
Chronically Ill ◽  
Place Of Death ◽  
Life Care ◽  
Care Programme ◽  
Lower Odds ◽  
Full Treatment ◽  
To Receive

ObjectiveTo describe the end-of-life care preferences of individuals, and to examine the influence of age and gender on these preferences.Design, setting and participantsA retrospective cohort study was conducted. Participants included all adults (≥21 years old) (n=3380) who had completed a statement of their preferences as part of a national Advance Care Planning (ACP) programme in Singapore. Data were extracted from the national and Tan Tock Seng Hospital ACP database.Main measuresEnd-of-life care preferences were obtained from the ACP document and differentiated by health status (healthy, chronically ill or diagnosed with advanced illnesses). To analyse the data, descriptive statistics and logistic regression analysis were used.ResultsAcross healthy and chronically ill patients, the majority did not opt for cardiopulmonary resuscitation (CPR) or other life-sustaining measures. Among individuals with advanced illnesses, 94% preferred not to attempt CPR but 69% still preferred to receive some form of active medical treatment. Approximately 40% chose to be cared for, and to die at home. Age and sex significantly predict preferences in those with advanced illnesses. Older age (>=75 years) showed higher odds for home as preferred place of care (OR 1.52; 95% CI 1.23 to 1.89) and place of death (OR 1.29; 95% CI 1.03 to 1.61) and lower odds for CPR (OR 0.31; 95% CI 0.18 to 0.54) and full treatment (OR 0.32; 95% CI 0.17 to 0.62). Being female was associated with lower odds for home as preferred place of care (OR 0.69; 95% CI 0.57 to 0.84) and place of death (OR 0.70; 95% CI 0.57 to 0.85) and higher odds for full treatment (OR 2.35; 95% CI 1.18 to 4.68).ConclusionThe majority preferred to not proceed with life-sustaining treatments, but there was still a strong preference to receive some form of limited treatment. Better understanding of end-of-life care preferences through ACP can better guide end-of-life care programme planning, and resource allocation decisions.

Sign in / Sign up

Export Citation Format

Share Document