Improving end of life care in dementia in acute care through collaborative working. Angela Moore Admiral Nurse
|
|
- Cordelia Mathews
- 6 years ago
- Views:
Transcription
1 Improving end of life care in dementia in acute care through collaborative working Angela Moore Admiral Nurse
2 Understand the interplay between national policy and professional guidance when providing end of life care for the person with dementia and their family in the acute care environment, The Impact of policy and legislation The complexity of identifying end of life care in person with dementia The benefits of collaborative working
3 Increased interest in palliative and end of life care for people with dementia. Influence of Publications such as The End of Life Care Strategy English National Dementia Strategy Prime Ministers Challenge. All have highlighted need for improvement in end of life care for person with in dementia (Dening et al 2016)
4 Public Health England (2016) reported a 48% increase in emergency admissions for people with dementia often for potentially preventable conditions.
5 One in three people dying with dementia in the UK Challenging due to generalist knowledge of the dying phase Many patients with dementia will also have other illnesses or disability Multi morbidity and frailty form the most common disease pattern found among the elderly
6 Involve the multidisciplinary team Discuss prognosis Advance care planning Support families to understand their involvement in the decision making process Incorporate the views of the person with dementia Understand the dynamics of a family's relationships, family's perception of care.
7 Ethical Problems arise frequently when caring for person with dementia Are often problematic and stressful for those providing care either for professional or family carer. Laws and legislation may have a role to play but may not always provide definitive answer Lack of Staff support for ethical decision making Often lack of ability to recognise End of Life in person with dementia.
8 Diagnosing the terminal phase of the illness. Establishing goals of care. Decision making when the patient cannot actively participate Communication with the family. Lack of Specialist support to meet the needs of the carer families may have difficulty with proxy decision making.
9 96 year old lady admitted to acute care diagnosis of vascular dementia. Pseudo bowel obstruction 6 months previously for palliation and no further admission to acute care discharged at this time with just in case medication. Re admission distended abdomen, pain, decline in cognitive status and pneumonia. Conflict between professionals and family carers with supporting medication management EOL Poor symptom control for person with dementia in last days of life (Moore & Dening 2017)
10
11 Planning treatment How long can treatments prolong life Lack of information re diagnosis and prognosis Maintain quality Of life Drs Role Relieve suffering Sustain life
12
13
14 Many people by the time they reach the end of their lives, Have multiple conditions and complex needs requiring a proactive co ordinated response Decision making process for person with dementia and family fraught with complex family, ethical and legal dilemmas. Despite this it is a relatively new area of research Miller L, Whitlatch C, Lyons K (2016) Disparity in EOL care pathway of patients with cancer, compared to patients with other kinds of terminal illnesses, including dementia.
15 Family felt listened to Establishing a concordant relationship helped improve communication between professionals family carers Impact on staff support with complexity of decision outcomes. Integrated MDT working
16 CONCLUSION The disease trajectory of dementia makes identification of the terminal phase difficult. Patients with dementia should have a well-managed palliative care pathway at the end of life (EOL), as those that currently exists for terminal cancer Influencing factors leadership and management of care integrating clinical expertise continuity of care the use of guidelines and care pathways
17
18 Ambitions for palliative and end of life care a national framework for local action Arcand M. End-of-life issues in advanced dementia: Part 1: goals of care, decision-making process, and family education. Canadian Family Physician. 2015;61(4): PLOS ONE J DOI: /journal.pone July,2016 Harrison Denning K, King M, Jones L, Vickestaff, Sampson L,k. Advanced Care Planning in Dementia: Do Family Carers Know the Treatment Preferences of People with Early Dementia? Department of health (2008). End of Life Care Strategy: Promoting high quality care for all adults at end of life. London: HMSO Dementia 2016, Vol 15 (5) Shared decision making in dementia: A review of patient and family carer involvement Sage publishing Henry C and Seymour J. Advance care planning: a guide for health and social care staff. London: National End of Life Care Programme, Department of Health, 2007 House of Commons Health Committee Palliative Care: fourth report of session Paragraph parliament.uk/pa/cm200304/cmselect/cmhealth/454. Accessed November 26 th 2016
19 Lee RP, Bamford C, Exley C, Robinson L. Expert views on the factors enabling good end of life care for people with dementia: a qualitative study. BMC Palliative Care. 2015;14:32. doi: /s Miller LM, Whitlatch J C, Lyons SK, Shared decision- making in dementia: A review of family and carer involvement. Dementia 15(5) Sage publishing Moore A, Dening K H Communication in end-of-life care for people with dementia: an Admiral Nurse case study British Journal of Neuroscience Nursing April/May 2017 Vol 13 No 2 NICE National Institute for Health and Care Excellence (NICE) (2011 Modified 2013). Quality standard for end of life care for adults. NICE Quality standard 13. London: NICE. The Department for Constitutional Affairs, (2007). The Mental Capacity Act 2005 Code of Practice. United Kingdom: Crown Copyright. The Gold Standards Framework. Gold Standards Framework Position Paper: For the NHS End of Life Care Programme. UK: Edited by The Gold Standards Framework; 2007 World Health Organisation Strengthening of palliative care as a component of integrated treatment within the continuum of care. 2014
Dementia Strategy MICB4336
Dementia Strategy 2013-2018 MICB4336 Executive summary The purpose of this document is to set out South Tees Hospitals Foundation Trust s five year strategy for improving care and experience for people
More informationUK end-of-life care services in dementia, initiatives and sustainability: results of a national online survey
See discussions, stats, and author profiles for this publication at: https://www.researchgate.net/publication/309170988 UK end-of-life care services in dementia, initiatives and sustainability: results
More informationSupportive and Palliative care for patients with Pancreatic Cancer. Dr Holly Taylor September 2018
Supportive and Palliative care for patients with Pancreatic Cancer Dr Holly Taylor September 2018 Aims of this session To discuss the principles of supportive and palliative care Identification of patients
More informationPalliative care competencies: is it for all? Khon Kaen International Conference in Palliative Care 2018
Palliative care competencies: is it for all? Khon Kaen International Conference in Palliative Care 2018 Definition Competence The ability to do something successfully or efficiently For us it means reaching
More informationTRANSITIONS TO PALLIATIVE CARE FOR OLDER PEOPLE IN ACUTE HOSPITALS
TRANSITIONS TO PALLIATIVE CARE FOR OLDER PEOPLE IN ACUTE HOSPITALS TRANSITIONS TO PALLIATIVE CARE FOR OLDER PEOPLE IN ACUTE HOSPITALS Foreword 03 Background 04 AIms 04 Method 05 Results 6-9 Conclusions
More informationWe need to talk about Palliative Care. Parkinson s UK
We need to talk about Palliative Care Parkinson s UK Introduction Parkinson s UK strongly welcomes the Committee s Inquiry, and hope that it will help to address inequalities in access to palliative and
More informationThe development, implementation and evaluation of a collaborative end-of-life
The development, implementation and evaluation of a collaborative end-of-life care intervention for care homes. BACKGROUND Improving end-of-life care (EoLC) for older people living in care homes is recognised
More informationProviding NHS Healthcare in Care Homes: a geriatrician s experience
Margaret Butterworth Care Homes Forum KCL July 10 th 2013 Providing NHS Healthcare in Care Homes: a geriatrician s experience Professor Finbarr C Martin, Geriatrician Guys & St Thomas Hospital and King
More informationPalliative Care in a Dementia Unit: The Presbyterian Support Southland experience. Carla Arkless NP
Palliative Care in a Dementia Unit: The Presbyterian Support Southland experience Carla Arkless NP Overview What the literature is saying Palliative Care challenges Our experiences Case example What is
More informationDudley End of Life and Palliative Care Strategy Implementation Plan 2017
Dudley End of Life and Palliative Care Strategy Implementation Plan 2017 End of Life and Palliative Care Strategy 2017 1 Contents Page What is a strategy plan? 3 Terminology 3 Demographics 3 Definitions
More informationThe detection and management of pain in patients with dementia in acute care settings: development of a decision tool: Research protocol.
The detection and management of pain in patients with dementia in acute care settings: development of a decision tool: Research protocol. Aims and Objectives of the overall study The aim of this study
More informationNational Dementia Policy in England Responding to the Prime Ministers Challenge
National Dementia Policy in England Responding to the Prime Ministers Challenge Kevin Mullins Head of Mental Health February 24 th 2016 www.england.nhs.uk National Performance: Dementia The ambition in
More informationCoordination of palliative care in community settings. Summary report
Coordination of palliative care in community settings Summary report This resource may also be made available on request in the following formats: 0131 314 5300 nhs.healthscotland-alternativeformats@nhs.net
More informationTest and Learn Community Frailty Service for frail housebound patients and those living in care homes in South Gloucestershire
Test and Learn Community Frailty Service for frail housebound patients and those living in care homes in South Gloucestershire Introduction This document introduces South Gloucestershire Clinical Commissioning
More informationBeyond the Liverpool Care Pathway
Beyond the Liverpool Care Pathway Bridget Withell EOLC Facilitator www.ellenorlions.org What was the LCP? What went wrong? The review What now? Liverpool Care Pathway Originally developed by Marie Curie
More informationSTOP, LOOK AND LISTEN: Supporting people with dementia and their families at the end of life
STOP, LOOK AND LISTEN: Supporting people with dementia and their families at the end of life #DementiaEoLC Today 10.00 - Chair s welcome: Anita Hayes 10.10 - Setting the scene: Anita Hayes and Dr Jackie
More informationAlzheimer s Society. Consultation response. Our NHS care objectives: A draft mandate to the NHS Commissioning Board.
Alzheimer s Society Our NHS care objectives: A draft mandate to the NHS Commissioning Board 26 September 2012 Delivering Dignity Securing dignity in care for older people in hospitals and care homes: A
More informationSERVICE SPECIFICATION 6 Conservative Management & End of Life Care
SERVICE SPECIFICATION 6 Conservative Management & End of Life Care Table of Contents Page 1 Key Messages 2 2 Introduction & Background 2 3 Relevant Guidelines & Standards 2 4 Scope of Service 3 5 Interdependencies
More informationDementia care - working together to support complex needs
Dementia care - working together to support complex needs Rachel Thompson Professional & Practice Development Lead for Admiral Nursing February 2015 Dementia - everyone s business 850,000 people in the
More information2010 National Audit of Dementia (Care in General Hospitals)
Royal College of Psychiatrists 2010 National Audit of Dementia (Care in General Hospitals) Organisational checklist results and commentary for: Barking, Havering and Redbridge Hospitals NHS Trust The 2010
More informationEnd of life. care planning. in dementia. Dr Victor Pace St Christopher s Hospice February 2018
Dr Victor Pace St Christopher s Hospice February 2018 It s making the headlines Why does advance matter in dementia? Why does this matter? Since 2015, dementia has become the leading cause of death in
More informationSCHEDULE 2 THE SERVICES. A. Service Specifications
SCHEDULE 2 THE SERVICES A. Service Specifications Service Specification 11J/0232 No. Service Enhanced Frailty Service (Christchurch MP and Farmhouse Surgery) Commissioner Lead Primary Care Team Provider
More informationWelcome to today s webinar: Mental Capacity: The Role of Speech and Language Therapists
Welcome to today s webinar: Mental Capacity: The Role of Speech and Language Therapists Now that you have joined, you will notice that you are on mute. It will stay on this slide and you will not hear
More informationPreventing harmful treatment
Preventing harmful treatment How can Palliative Care prevent patients receiving overzealous or futile treatment? Antwerp, November 2010 Prof Scott A Murray, St Columba s Hospice Chair of Primary Palliative
More informationPalliative Care Research: leading internationally and making a difference in Scotland
Palliative Care Research: leading internationally and making a difference in Scotland Scottish Cross Party Group, June, 2011 Scott A Murray St Columba s Hospice Chair of Primary Palliative Care Primary
More informationDementia Friendly Practices in Kent, Surrey and Sussex
Dementia Friendly Practices in Kent, Surrey and Sussex Caroline Jessel Lead for Clinical Transformation and Outcomes NHS England South (South East) Context Dementia Scorecard: crosswalks and metrics Preventing
More informationPeople with dementia in hospital: addressing their palliative and end-of-life care needs
People with dementia in hospital: addressing their palliative and end-of-life care needs Item Type Conference Presentation Authors Cronin, Sarah Publisher Irish Hospice Foundation Download date 08/10/2018
More informationTRAJECTORY OF ILLNESS IN END OF LIFE CARE
TRAJECTORY OF ILLNESS IN END OF LIFE CARE By Dr Helen Fryer OBJECTIVES To be aware of the three commonest trajectories of decline in the UK To understand the challenges faced in delivering effective Palliative
More informationPRIMARY CARE CO-COMMISSIONING COMMITTEE 8 SEPTEMBER 2015
Part 1 Part 2 PRIMARY CARE CO-COMMISSIONING COMMITTEE 8 SEPTEMBER 2015 Title of Report Trafford Palliative care Quality Premium Scheme 2015/16 Purpose of the Report The purpose of the report is to detail
More informationSCHEDULE 2 THE SERVICES. A. Service Specifications
SCHEDULE 2 THE SERVICES A. Service Specifications Service Specification No. 04/MSKT/0013 Service PAN DORSET FRACTURE LIAISON SERVICE Commissioner Lead CCP for Musculoskeletal & Trauma Provider Lead Deputy
More informationSELF ASSESSMENT REPORT (MULTI-DISCIPLINARY TEAM)
SELF ASSESSMENT REPORT (MULTI-DISCIPLINARY TEAM) Network Trust MDT MDT Lead Clinician ASWCN TAUNTON AND SOMERSET Taunton Lung MDT (11-2C-1) - 2011/12 Dr Sarah Foster Compliance Self Assessment LUNG MDT
More informationGOVERNING BODY MEETING in Public 22 February 2017 Agenda Item 3.4
GOVERNING BODY MEETING in Public 22 February 2017 Paper Title Purpose of paper Redesign of Services for Frail Older People in Eastern Cheshire To seek approval from Governing Body for the redesign of services
More informationEnd of Life Care in Dementia. Dr Rosie Lockwood Consultant Geriatrician Sheffield Teaching Hospitals
End of Life Care in Dementia Dr Rosie Lockwood Consultant Geriatrician Sheffield Teaching Hospitals Rosie.Lockwood@sth.nhs.uk Agenda Some facts and figures What are the challenges? What is good care? How
More informationA good death with dementia. Dr Juliette Brown Dr Cate Bailey East London NHS Foundation Trust; for NHSE London End of Life Clinical Network
A good death with dementia Dr Juliette Brown Dr Cate Bailey East London NHS Foundation Trust; for NHSE London End of Life Clinical Network Key messages: 20 30 % of us dying over 65 will die with dementia
More informationFrailty and relationship centred care in dementia
Frailty and relationship centred care in dementia Dr Karen Harrison Dening Head of Research & Publications Dementia UK I will consider Frailty, Comorbidity, Multi morbidity & Dementia Older, spousal carers
More informationAcute care for older people with frailty
Acute care for older people with frailty Professor Simon Conroy Clinical lead, Acute Frailty Network, England Geriatrician, University Hospitals of Leicester Why acute frailty? Demography Absence of immortality
More informationChildren with non-oncological life-limiting conditions deserve the same high-quality palliative care as children with incurable cancer
Children with non-oncological life-limiting conditions deserve the same high-quality palliative care as children with incurable cancer Results of a retrospective case-notes audit Archana Soman Consultant
More information2010 National Audit of Dementia (Care in General Hospitals) Guy's and St Thomas' NHS Foundation Trust
Royal College of Psychiatrists 2010 National Audit of Dementia (Care in General Hospitals) Organisational checklist results and commentary for: Guy's and St Thomas' NHS Foundation Trust The 2010 national
More informationSouth Norfolk CCG Dementia Strategy and Action Plan Dr Tony Palframan, SNCCG Governing Body Member
Agenda item: 9.4 Subject: Presented by: Submitted to: South Norfolk CCG Dementia Strategy and Action Plan Dr Tony Palframan, SNCCG Governing Body Member Governing Body Date: 28 th July Purpose of paper:
More informationWhat is needed to provide a heart failure & palliative care service, who should provide it and what are the challenges?
What is needed to provide a heart failure & palliative care service, who should provide it and what are the challenges? Karen J Hogg Glasgow Royal Infirmary & Golden Jubilee National Hospital What is needed
More informationNHS ENGLAND TRANSFORMATION FRAMEWORK THE WELL PATHWAY FOR DEMENTIA
NHS ENGLAND TRANSFORMATION FRAMEWORK THE WELL PATHWAY FOR DEMENTIA CONSULTATION FEEDBACK ACROSS GREATER MANCHESTER, LANCASHIRE AND SOUTH CUMBRIA STRATEGIC CLINICAL NETWORKS Author: Maureen Jolayemi, Quality
More informationResource impact report: Eating disorders: recognition and treatment (NG69)
Resource impact report: Eating disorders: recognition and treatment (NG69) Published: May 2017 Summary This report looks at the resource impact of implementing NICE s guideline on eating disorders: recognition
More informationDEMENTIA - COURSES AT A GLANCE (by date & area)
Dementia Courses DEMENTIA - COURSES AT A GLANCE (by date & area) (For venue details & course descriptions, please see following pages) Course title Apr 18 May 18 June 18 Jul 18 Aug 18 Sept 18 Oct 18 Nov
More informationAgeing Well. The challenge of our ageing population. Martin Vernon NCD Older People. Find Recognise Assess Intervene Long-term.
Ageing Well The challenge of our ageing population Martin Vernon NCD Older People 7 th June 2017 1 Projected UK age structure Foresight, 2016 2 Ageing impacts 15 million live with a long term condition
More informationUnmet palliative care needs in heart failure heart failure. Dr Claire Hookey
Unmet palliative care needs in heart failure heart failure Dr Claire Hookey Discomfort was not necessarily greatest in those dying from cancer; patients dying of heart failure, or renal failure, or both,
More informationSouth Tees Hospitals NHS Foundation Trust. Excellence in dementia care across general hospital and community settings. Competency framework
South Tees Hospitals NHS Foundation Trust Excellence in dementia care across general hospital and community settings. Competency framework 2013-2018 Written and compiled by Helen Robinson-Clinical Educator
More informationDementia Programme Kevin Mullins Head of Mental Health Services
Dementia Programme Kevin Mullins Head of Mental Health Services NHS Mandate 2016/17 Overall 2020 goals Measurable on all areas of Prime Minister s challenge on dementia 2020, including: Maintain a diagnosis
More informationHULL AND EAST RIDING OF YORKSHIRE DEMENTIA, PALLIATIVE AND END OF LIFE CARE WORKING GROUP REPORT NOVEMBER 2011
HULL AND EAST RIDING OF YORKSHIRE DEMENTIA, PALLIATIVE AND END OF LIFE CARE WORKING GROUP REPORT NOVEMBER 2011 Authors:- Laura Wigley, Macmillan Palliative & End of Life Care Programme Manager, Humber
More informationWhat is palliative care? What is palliative care? Dr Claire L Hookey
What is palliative care? What is palliative care? Dr Claire L Hookey Palliative Care an approach that improves the quality of life of patients and their families facing the problems associated with life-threatening
More informationCare Improvement and End of Life
Care Improvement and End of Life PM Challenge 2020: Care Homes Improvement in assessments Avoid people with dementia having to go into hospital Greater use of evidence-based training Opportunity to develop
More informationOf those with dementia have a formal diagnosis or are in contact with specialist services. Dementia prevalence for those aged 80+
Dementia Ref HSCW 18 Why is it important? Dementia presents a significant and urgent challenge to health and social care in County Durham, in terms of both numbers of people affected and the costs associated
More informationImproving End of Life Care for Older People
Improving End of Life Care for Older People Martin Vernon Consultant Geriatrician and Clinical Director British Geriatrics Society End of Life Care Champion Greater Manchester Integrated Care Clinical
More informationDelivering personalised care to end of life patients. Jane Naismith Nurse Consultant in Palliative care St Joseph s Hospice London
Delivering personalised care to end of life patients Jane Naismith Nurse Consultant in Palliative care St Joseph s Hospice London Over View This session will cover Supporting patients with long term conditions
More informationA END-OF-LIFE PROGRAMME LONG TERM CARE MODEL
A EVALUATION OF A END-OF-LIFE PROGRAMME EMBEDDED WITHIN A COMMUNITY LONG TERM CARE MODEL IN SINGAPORE PILOT STUDY of COMMUNITY END-OF-LIFE CARE for older non-cancer patients 1 October 2010 30 Sept 2012
More informationPalliative and end of life care for people living with dementia in care homes: part 1
Palliative and end of life care for people living with dementia in care homes: part 1 NS849 Mitchell G et al (2016) Palliative and end of life care for people living with dementia in care homes: part 1.
More informationFrailty Pathway A patient centred approach Guidance for Clinicians
Frailty Pathway A patient centred approach Guidance for Clinicians Prompt Cards June 2015 following a CCG sponsored County wide frailty Summit the Edmonton Frailty Scale was agreed as the tool to, identify
More informationModel the social work role, set expectations for others and contribute to the public face of the organisation.
AMHP Competency PCF capability mapping: Experienced level social worker. 1. Professionalism: Identify and behave as a professional social worker, committed to professional development: Social workers are
More informationRoyal Manchester Children s Hospitals Recognising Autism /LD Management Programme [RAMP]
How Can Healthcare Professionals Make It Happen To Improve Quality Services for Children, Young People and their Families with Autism and Learning Disabilities? Frances Binns, Consultant / Specialist Adviser
More informationHERTS VALLEYS CCG PALLIATIVE AND END OF LIFE CARE STRATEGY FOR ADULTS AND CHILDREN
HERTS VALLEYS CCG PALLIATIVE AND END OF LIFE CARE STRATEGY FOR ADULTS AND CHILDREN 2016-2021 1 1. Introduction Herts Valleys Palliative and End of Life Care Strategy is guided by the End of Life Care Strategic
More informationThe Vision. The Objectives
The Vision Older people participate to their fullest ability in decisions about their health and wellbeing and in family, whānau and community life. They are supported in this by co-ordinated and responsive
More information2010 National Audit of Dementia (Care in General Hospitals) Chelsea and Westminster Hospital NHS Foundation Trust
Royal College of Psychiatrists 2010 National Audit of Dementia (Care in General Hospitals) Organisational checklist results and commentary for: NHS Foundation Trust The 2010 national audit of dementia
More informationFRAILTY PATIENT FOCUS GROUP
FRAILTY PATIENT FOCUS GROUP Community House, Bromley 28 November 2016-10am to 12noon In attendance: 7 Patient and Healthwatch representatives: 4 CCG representatives: Dr Ruchira Paranjape went through the
More informationDementia Action Alliance survey for carers and professionals
Dementia Action Alliance survey for carers and professionals Are we making any progress? To mark the fourth year of the National Dementia Declaration, the Dementia Action Alliance (DAA) is conducting a
More information2010 National Audit of Dementia (Care in General Hospitals) North West London Hospitals NHS Trust
Royal College of Psychiatrists 2010 National Audit of Dementia (Care in General Hospitals) Organisational checklist results and commentary for: rth West London Hospitals NHS Trust The 2010 national audit
More informationADHD: Real Action, Real Change
ADHD: Real Action, Real Change Exploring how to address key challenges and opportunities facing the Attention Deficit Hyperactivity Disorder (ADHD) community in the United Kingdom Initiated and Funded
More informationNCIN Conference Feedback 2015
NCIN Conference Feedback 2015 Parallel Sessions Treatments (Black type is the topic; blue type are comments) The use of population and research data in the development of guidelines for cancer treatment
More informationIdentifying and Understanding Frailty
Identifying and Understanding Frailty Dr Dawn Moody Associate National Clinical Director for Older People and Integrated Person-Centred Care, NHS England GPSI Care of Older People, Derbyshire The North
More informationInfluencing planning to improve the quality of Parkinson s care in Scotland
Influencing planning to improve the quality of Parkinson s care in Scotland This short guide enables you to influence commissioning by making the case for high quality, cost-effective care for people affected
More informationWELSH GOVERNMENT RESPONSE TO RECOMMENDATIONS FROM THE HEALTH & SOCIAL CARE COMMITTEE: INQUIRY INTO NEW PSYCHOACTIVE SUBSTANCES
WELSH GOVERNMENT RESPONSE TO RECOMMENDATIONS FROM THE HEALTH & SOCIAL CARE COMMITTEE: INQUIRY INTO NEW PSYCHOACTIVE SUBSTANCES Recommendation 1 The Committee recommends that the Minister for Health and
More informationMental Health in STH Mike Richmond, Medical Director Mark Cobb, Clinical Director of Professional Services Debate & Note
SHEFFIELD TEACHING HOSPITALS NHS FOUNDATION TRUST EXECUTIVE SUMMARY REPORT TO THE TRUST HEALTHCARE GOVERNANCE COMMITTEE E TO BE HELD ON 27 FEBRUARY 2012 Subject: Supporting Director: Author: Status 1 Mental
More informationNATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE SCOPE
NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE 1 Guideline title SCOPE Chronic obstructive pulmonary disease: the management of adults with chronic obstructive pulmonary disease in primary and secondary
More informationChildren s palliative care is defined as an active and total approach to care, from the point of diagnosis or recognition, throughout the child s
Level : a consultant paediatrician in PPM, or a small number of children s hospice medical leaders (mainly leaders in sub-specialty formation and development, and with roles beyond their local hospice),
More informationNational Dementia Intelligence Network briefing
Reasons why people with dementia are admitted to a general hospital in an emergency National Dementia Intelligence Network briefing Introduction In recent years there have been a number of national reports
More informationBGS Spring The Dementia and Delirium CQUIN
The Dementia and Delirium CQUIN Dr Louise Allan Clinical Senior Lecturer in Geriatric Medicine Institute of Neuroscience Newcastle University Outline Why should it have happened? Why did it happen? How
More informationThe audit is managed by the Royal College of Psychiatrists in partnership with:
Background The National Audit of Dementia (NAD) care in general hospitals is commissioned by the Healthcare Quality Improvement Partnership on behalf of NHS England and the Welsh Government, as part of
More informationSouth East Mental Health and Dementia Clinical Network Charlotte Clow, CN Manager Jill Rasmussen, Dementia Clinical Lead
South East Mental Health and Dementia Clinical Network Charlotte Clow, CN Manager Jill Rasmussen, Dementia Clinical Lead South East Mental Health Commissioning Network 17/5/16 Content Update on Clinical
More informationFeasibility of Implementing Advance Directive in Hong Kong Chinese Elderly People
Asia Pacific Regional Conference in End-of-Life and Palliative Care in Long Term Care Settings Feasibility of Implementing Advance Directive in Hong Kong Chinese Elderly People Dr. Patrick CHIU MBBS (HK),
More informationMeeting the Future Challenge of Stroke
Meeting the Future Challenge of Stroke Stroke Medicine Consultant Workforce Requirements 2011 201 Dr Christopher Price BASP Training and Education Committee Stroke Medicine Specialist Advisory Committee
More informationDEMENTIA PREVALENCE CALCULATOR
DEMENTIA PREVALENCE CALCULATOR Guidance on using the Dementia Prevalence Calculator Introduction In March 2012 the Prime Minister published his challenge on dementia 1 which set out an ambitious programme
More informationDIGNITY IN DEMENTIA. G7 dementia legacy event Japan 6 th November 2014
G7 dementia legacy event Japan 6 th November 2014 DIGNITY IN DEMENTIA How better policy can improve the lives of people with dementia Mark Pearson Deputy Director Directorate for Employment, Labour and
More informationTHE WAY TO INTEGRATION: PALLIATIVE CARE IN EUROPE
THE WAY TO INTEGRATION: PALLIATIVE CARE IN EUROPE Presenter: Prof Dr Philip J Larkin PhD RN, Ireland President, European Association for Palliative Care Overview of the presentation Contextual issues in
More informationVanessa G. BA (Hons), MSc. Post Grad Diploma Neuropsychology
Vanessa G BA (Hons), MSc. Post Grad Diploma Neuropsychology HCPC Registration No. PYL26754 DBS Registration No. 001481251441 PROFESSIONAL QUALIFICATIONS & EXPERTISE Professional Qualification(s) Consultant
More information20th June Integrated Care in Sunderland: Guide to Risk Stratification
20th June 2017 Integrated Care in Sunderland: Guide to Risk Stratification Table of Contents Integrated Care in Sunderland:... 1 Guide to Risk Stratification... 1 Table of Contents... 2 Background... 3
More informationEnd of Life Care for Dementia in Central and Eastern Cheshire: a new innovative, facilitative, service development model
End of Life Care for Dementia in Central and Eastern Cheshire: a new innovative, facilitative, service development model Jacqueline Crowther PhD Research Associate/Dementia EoL Practice Development Team
More informationPalliative Care Pacesetter. ABMUHB Lisa Thomas
Palliative Care Pacesetter ABMUHB Lisa Thomas 1 Summary of the Project Aim: Develop & Improve Quality of Care for Palliative Patients by providing support to the GP workforce to improve care for palliative
More information5 key areas for research, and how to go forward. Primary Palliative Care Research Forum, University of Capetown, September, 2010
5 key areas for research, and how to go forward Primary Palliative Care Research Forum, University of Capetown, September, 2010 Scott A Murray St Columba s Hospice Chair of Primary Palliative Care Primary
More informationPalliative Care: New Approaches. January 2017
Palliative Care: New Approaches January 2017 Palliative and End of Life Care Palliative and end of life care is the active, holistic care of people with advanced progressive, non-curative illness focuses
More informationDementia-Friendly Hospital Charter. Revised 2018
Dementia-Friendly Hospital Charter Revised 2018 Dementia Outreach volunteer (right) at Royal Wolverhampton Hospital with a family carer The Dementia-Friendly Hospitals Charter is an important initiative
More informationICDs - decisions at the end of life
ICDs - decisions at the end of life James Beattie Consultant Cardiologist Heart of England NHS Foundation Trust, Birmingham, UK National Clinical Adviser, NHS Heart Improvement Heart Statement of disclosure
More informationDr Jo Hockley RN, OBE Senior Research Fellow Primary Palliative Care Research Group University of Edinburgh
Dr Jo Hockley RN, OBE Senior Research Fellow Primary Palliative Care Research Group University of Edinburgh Overview of my lecture: Comparing palliative care and geriatrics Very brief results from my PhD
More informationCoordination of palliative support networks for the patient and family members: role of oncologist
The Royal Marsden Coordination of palliative support networks for the patient and family members: role of oncologist Dr Jayne Wood Consultant Palliative Medicine, Clinical Lead The Royal Marsden NHS Foundation
More informationAcute care for older people with frailty
Acute care for older people with frailty Professor Simon Conroy Clinical lead, Acute Frailty Network, England Geriatrician, University Hospitals of Leicester CONFLICT OF INTEREST DISCLOSURE I have the
More informationAll-Party Parliamentary Group on Dementia inquiry into dementia and co-morbidities - call for evidence
All-Party Parliamentary Group on Dementia inquiry into dementia and co-morbidities - call for evidence Date: October 2015 All rights reserved. Third parties may only reproduce this paper or parts of it
More information2010 National Audit of Dementia (Care in General Hospitals) North Middlesex University Hospital NHS Trust
Royal College of Psychiatrists 2010 National Audit of Dementia (Care in General Hospitals) Organisational checklist results and commentary for: rth Middlesex University Hospital NHS Trust The 2010 national
More informationDementia 2014: Opportunity for change England summary
Dementia 2014: Opportunity for change England summary Dementia 2014: Opportunity for change England summary 2 Dementia 2014: Opportunity for change provides a comprehensive summary of the key areas affecting
More informationOur dementia STRATEGY
South Tyneside and Sunderland Healthcare Group Our dementia STRATEGY 2018-2021 City Hospitals Sunderland and South Tyneside NHS Foundation Trusts working in partnership Introduction Dementia has become
More informationUnderstanding Parkinson s for health and social care staff. The phases of Parkinson s
Understanding for health and social care staff The phases of The phases of Diagnosis 11% 1.6 Post diagnosis before symptoms have become significant Maintenance 40.4% 5.9 Symptoms significant but largely
More informationCommissioning for Better Outcomes in COPD
Commissioning for Better Outcomes in COPD Dr Matt Kearney Primary Care & Public Health Advisor Respiratory Programme, Department of Health General Practitioner, Runcorn November 2011 What are the Commissioning
More informationPALLIATIVE MEDICINE Nigel Sykes St Christopher s Hospice London UK
Guttmann Conference June 2013 PALLIATIVE MEDICINE Nigel Sykes St Christopher s Hospice London UK Palliative Medicine What is Palliative Medicine and where did it come from? The extent and organisation
More information