Holistic Needs Assessment (HNA) for Adult Cancer Patients Guidelines
|
|
- Amice Hensley
- 5 years ago
- Views:
Transcription
1 Please Note: This policy is currently under review and is still fit for purpose. Holistic Needs Assessment (HNA) for Adult Cancer Patients Guidelines Handbook to accompany these guidelines is available from the Lead Cancer Nurse in hard copy or electronically This procedural document supersedes: PAT/T 28 v.4 Guidelines for Holistic Needs Assessment for Adult Cancer Patients using SPARC (Sheffield Profile for Assessment and Referral to Care) Did you print this document yourself? The Trust discourages the retention of hard copies of policies and can only guarantee that the policy on the Trust website is the most up-to-date version. If, for exceptional reasons, you need to print a policy off, it is only valid for 24 hours. Author/reviewer: (this version) Date revised: October 2013 Approved by: Date of approval: 19 February 2014 Date issued: 24 April 2014 Lesley Barnett Lead Cancer Nurse Policy Approval and Compliance Group on behalf of Patient Safety Review Group Next review date: October 2016 Extended to March 2018 Target audience: Cancer and Palliative Care Practitioners Page 1 of 17
2 Amendment Form Please record brief details of the changes made alongside the next version number. If the procedural document has been reviewed without change, this information will still need to be recorded although the version number will remain the same. Version Date Issued Brief Summary of Changes Author Version 5 24 April 2014 Title change. Policy reviewed and reproduced using the new style format. Section on Roles and Responsibilities added. Lesley Barnett Version 4 June 2011 Page 1 - Handbook to accompany this policy is available from LCN Lesley Barnett in hard copy and electronically Contents page numbers updated Item 2.2 added Appendix B added Lesley Barnett Version 3 October 2008 New policy for Holistic needs assessment - completely re-written, please read in full New Holistic needs assessment tool -SPARC available from Supplies. WPR number from Lead Cancer Nurse New handbook - available shortly in hard copy from LCN Lesley Barnett and on the hospital intra-net. Lesley Barnett Version 2 March 2008 Added a contents page Item first bullet point - changed to Approximately 4-6 weeks post diagnosis according to each MDT s operational policy. Item first bullet point - changed to re-assessed within 4 weeks after commencement of supportive intervention. Removed item 6 Gill Horne Page 2 of 17
3 Section Appendices Contents 1 Introduction 4 2 Purpose 4 3 Duties and Responsibilities 5 4 Procedure 5 5 Training/Support 7 6 Monitoring Compliance with the Procedural Document 7 7 Definitions 7 8 Equality Impact Assessment 8 9 Associated Trust Procedural Documents 8 Appendix 1 SPARC Tool 9 Appendix 2 Distress Thermometer 16 Page No. Page 3 of 17
4 1. INTRODUCTION We know that the incidence of cancer is increasing and, because we are getting better at treating it, the prevalence is increasing even faster. In simple terms this means that year on year more people are living with a diagnosis of cancer. This is the reality behind the survivorship agenda contained within the Cancer Reform Strategy. At the heart of the survivorship agenda (now being taken forward by the National Cancer Survivorship Initiative - NCSI) is the fact that patients will have their own set of needs as a result of their cancer diagnosis and unless we understand what these needs are and make plans as to how they can be supported we will be allowing significant levels of Morbidity to persist and possibly become chronic problems. In addition to the survivorship agenda are the recommendations contained within the Improving Outcomes Guidance (IOG) for supportive and palliative care. The IOG talks about the importance of needs assessment at numerous points in relation to psychological, rehabilitation, spiritual and information needs. Fundamental to the IOG is the concept of Holistic Needs Assessment that seeks to identify all the needs of the patient as the first step to meeting those needs. Lastly, the area of information remains high on the agenda. We now have lots of information we can give to our patients but have failed to make significant improvements in how that information is delivered. For this reason the information prescription concept has come to the fore and promotes the timely and personalised giving of information. This policy is intended to inform the practice of clinical nurse specialists, consultants, oncologists and Allied health professionals working in cancer and palliative care. Handbook to accompany these guidelines is available from the Lead Cancer Nurse in hard copy or electronically. 2. PURPOSE Holistic Needs Assessment (HNA) The Network Supportive and Palliative Care Group (NSPCG) have developed a model of assessment based on a patient completed questionnaire which acts as a springboard to a conversational style of assessment. The Sheffield Profile for Assessment and Referral to Care (SPARC) questionnaire, see Appendix 1, covers a variety of physical, psychological, social, spiritual and information needs. A healthcare professional uses the questionnaire to help inform a discussion with the patient about their concerns and then formulates an action plan which may involve signposting, referral or dealing with an issue directly where appropriate. It is anticipated that the HNA will be carried out at key points on the cancer journey and this may vary between cancer sites. Page 4 of 17
5 The Network Supportive and Palliative Care Group (NSPCG) have agreed that the Distress Thermometer, see Appendix 2, can be used as an alternative to SPARC where clinically indicated. 3. DUTIES AND RESPONSIBILITIES Network Supportive and Palliative Care Group The Network group is responsible for the strategic direction of HNA process ensuring equity across the localities. This is monitored through National Cancer Peer Review. Cancer Management Team Cancer Management team are responsible for ensuring cancer services are high quality, safe and cost effective. Also ensuring cancer services are using evidence based research and practice, this includes HNA. Lead Cancer Nurse The Lead Cancer nurse is responsible for the implementation of the policy and its review. The Lead Cancer nurse is responsible for monitoring use of HNA through National Cancer Peer Review, Cancer Outcomes Services Dataset and Patient Experience surveys. Clinical Nurse Specialist All CNSs are responsible for implementation of HNA in practice. All cancer patients should be offered a HNA at key points in their pathway and the CNSs are responsible for ensuring this occurs. 4. PROCEDURE 4.1 Timing of routine screening use of questionnaire - see handbook First screening is advised to be offered to patients post diagnosis according to each MDT s operational policy. Second routine screening to be offered post completion of cancer treatment/ surgery. Unless a patients condition changes or in the clinician s clinical judgement, the need for continued routine screening is not suggested. However : Subsequent routine screening to be offered under the following circumstances: o Post diagnosis of recurrent or advanced disease at the stage when a patient is informed there is no further active treatment planned. o The patient requests re assessment 4.2. Administering SPARC see handbook If the tool is not being used within a home setting then privacy should be obtained in the clinic/ward through use of a quiet room. Page 5 of 17
6 All patients should be invited to complete SPARC, (to help assess how they feel). However they have the right to refuse to be screened. Patients with special needs (for e.g. visually impaired, illiterate, fatigued) should be offered support to complete SPARC. It may not be appropriate to use this tool with patients in the last days/weeks of life, highly distressed or acutely fatigued. Professionals should use their professional judgement on its appropriateness for each individual patient. Patients who read in a different language to English should be offered the tool in the appropriate translation. The key worker will be the health professional responsible to administer the tool or will delegate responsibility to an appropriately trained person. Scores of SPARC should be checked by the health professional responsible for administering the tool and medium to high scores require discussing with patients through a listening interview as soon as possible (with patients consent the relatives may be included in the listening interview). It is recommended where possible, that the same health professional administers SPARC on re-screening to provide continuity of care Interventions Interpretation of Scores see handbook A score of 0 suggests there is no concern in this area A score of 1 should probably not be given high priority especially if there are a lot of other higher scores. However, if it is one of the higher scores it may be appropriate to explore the concern. It may also be appropriate to explore scores of 1 if they have been present on previous assessments. A score of 2 or 3 should be explored in more detail. This can be difficult if there are a lot of 2 s and 3 s. In this situation you may want to explore the patient s greatest concerns first and arrange to see them again to continue on the assessment or it may be possible to group some concerns together and offer appropriate support based on a less detailed assessment. There is no right answer but remember that the aim is to assess in enough detail to be able to offer the right support, signposting and referral. An appropriate response to a completed SPARC questionnaire will take into account the individual scores, the patients own prioritisation, the chronicity of any concerns and the overall context (but not the overall score). Outcomes from the screening should be discussed with the patient Recording of SPARC The date of screening and score should be recorded in the patient s medical notes and the date of the next routine or reassessment screening date also requires recording. Page 6 of 17
7 A pre-printed sticker should be inserted into the medical notes and filled in appropriately with details of: o date of screening, o scores (if screened), o date of next screening o which service (if necessary) the patient is referred to. o The completed SPARC form should be filed in the patients case notes in the CNS documentation section o The patient should be offered a copy of the completed SPARC form o The SPARC form or a summary should be communicated to the patients GP and any other relevant health care professionals involved in that patients care. It is the key workers responsibility to ensure that the next screening date is communicated to the patient s health care team as appropriate (this will normally be the patient s GP). If the patient is not assessed or declines use of SPARC screening tool please record in the patients case notes. 5. TRAINING/ SUPPORT Training available from CNSs or Lead Cancer Nurse for new staff as required. 6. MONITORING COMPLIANCE WITH THE PROCEDURAL DOCUMENT What is being Monitored The use of HNA is monitored via annual patient surveys Who will carry out the Monitoring Cancer MDT and CNSs How often Annually How Reviewed/ Where Reported to Cancer Management Team Peer review The use of HNA is monitored at the quarterly CNS meetings with the Lead Cancer Nurse Lead Cancer Nurse Quarterly Lead Cancer Nurse Training for new staff CNSs LCN As required 7. DEFINITIONS/ABBREVIATIONS CNS - Clinical Nurse Specialist HNA - Holistic Needs Assessment Page 7 of 17
8 IOG - Improving Outcomes Guidance MDT - Multi-Disciplinary Team NCSI - National Cancer Survivorship Initiative NSPCG - Network Supportive and Palliative Care Group SPARC - Sheffield Profile and Assessment for Referral for Care 8. EQUALITY IMPACT ASSESSMENT An Equality Impact Assessment (EIA) has been conducted on this procedural document in line with the principles of the Equality Analysis Policy (CORP/EMP 27) and the Fair Treatment For All Policy (CORP/EMP 4). The purpose of the EIA is to minimise and if possible remove any disproportionate impact on employees on the grounds of race, sex, disability, age, sexual orientation or religious belief. No detriment was identified. A copy of the EIA is available on request from the HR Department. 9. ASSOCIATED TRUST PROCEDURAL DOCUMENTS Mental Capacity Act 2005 Policy and Procedure - PAT/PA 19 Privacy and Dignity Policy - PAT/PA 28 Page 8 of 17
9 APPENDIX 1 Holistic Needs assessment tool - For information only Please do not print but order copies from Supplies. Place your unit s logo and title here Sheffield Profile for Assessment and Referral to Care (SPARC) We would like to know a more about you and your concerns. Please fill in this questionnaire (with help from a relative or carer if needed) and return it to one of our team. There are no right or wrong answers. If you are unsure of a question, please leave it blank. THANK YOU Page 9 of 17
10 Your initials:. Date completed:..././. COMMUNICATION AND INFORMATION ISSUES 1. Have you been able to talk to any of the following people about your condition? Yes No a. Your doctor b. Community nurse c. Hospital nurse d. Religious advisor e. Social worker f. Family g. Other people (please state): PHYSICAL SYMPTOMS In the past month, have you been distressed or bothered by: Not at all Please circle one answer per line A little Quite a 2. Pain? 3. Loss of memory? 4. Headache? 5. Dry mouth? 6. Sore mouth? 7. Shortness of breath? 8. Cough? 9. Feeling sick (nausea)? 10. Being sick (vomiting)? Very much 11. Bowel problems (e.g. constipation, diarrhoea, incontinence)? 12. Bladder problems (urinary incontinence)? 13. Feeling weak? 14. Feeling tired? 15. Problems sleeping at night? 16. Feeling sleepy during the day? Page 10 of 17
11 PHYSICAL SYMPTOMS continued Not at all A little Quite a Very much 17. Loss of appetite? 18. Changes in your weight? 19. Problems with swallowing? 20. Being concerned about changes in your appearance? 21. Feeling restless and agitated? 22. Feeling that your symptoms are not controlled? PSYCHOLOGICAL ISSUES In the past month, have you been distressed or bothered by: Not at all Please circle one answer per line A little Quite a 23. Feeling anxious? 24. Feeling as if you are in a low mood? 25. Feeling confused? 26. Feeling as if you are unable to concentrate? 27. Feeling lonely? 28. Feeling that everything is an effort? 29. Feeling that life is not worth living? 30. Thoughts about ending it all? 31. The effect of your condition on your sexual life? Very much RELIGIOUS AND SPIRITUAL ISSUES In the past month, have you been distressed or bothered by: Please circle one answer per line Not at A little all Quite a 32. Worrying thoughts about death or dying? Very much 33. Religious or spiritual needs not being met? Page 11 of 17
12 INDEPENDENCE AND ACTIVITY Please circle one answer per line In the past month, have you been distressed or bothered by: Not at all A little Quite a Very much 34. Losing your independence? 35. Changes in your ability to carry out your usual daily activities such as washing, bathing or going to the toilet? 36. Changes in your ability to carry out your usual household tasks such as cooking for yourself or cleaning the house? FAMILY AND SOCIAL ISSUES Please circle one answer per line In the past month, have you been distressed or bothered by: Not at all A little Quite a Very much 37. Feeling that people do not understand what you want? 38. Worrying about the effect that your illness is having on your family or other people? 39. Lack of support from your family or other people? 40. Needing more help than your family or other people could give? TREATMENT ISSUES Please circle one answer per line In the past month, have you been distressed or bothered by: Not at all A little Quite a Very much 41. Side effects from your treatment? 42. Worrying about long term effects of your treatment? Page 12 of 17
13 PERSONAL ISSUES 43. Do you need any help with your personal affairs? 44. Would you like to talk to another professional about your condition or treatment? Would you like any more information about the following? Yes No a. Your condition b. Your care c. Your treatment d. Other types of support e. Financial issues f. Other (please state): Are there any other concerns that you would like us to know about? Carry on over the page if needed Page 13 of 17
14 You can use this section to jot down any questions that you want to ask your doctors or other caring professionals Question 1 Question 2 Question 3 Page 14 of 17
15 Finally please circle a number (0-10) that best describes how much distress in general you have been experiencing over the past week (including today) 10 Maximum Distress No Distress Page 15 of 17
16 APPENDIX 2 DISTRESS THERMOMETER Page 16 of 17
17 Page 17 of 17 PAT/T 28 v.5
Guidelines for the Management of Patients who are End of Life
Guidelines for the Management of Patients who are End of Life This procedural document supersedes: PAT/T 65 v.1 Management of Patients who are End of Life. Did you print this document yourself? The Trust
More informationIndividualised End of Life Care Plan for the Last Days or Hours of Life Patient name Hospital number Date of birth
Individualised End of Life Care Plan for the Last Days or Hours of Life Patient name Hospital number Date of birth NHS number Informed by Five Priorities for Care: Recognise, Communicate, Involve, Support,
More informationColorectal Recovery Package & Risk Stratified Pathways. Julie Burton Lead Colorectal / Stoma Care CNS Nurse Endoscopist
Colorectal Recovery Package & Risk Stratified Pathways Julie Burton Lead Colorectal / Stoma Care CNS Nurse Endoscopist The Cancer Story is Changing Improving the patient journey and quality of life To
More informationInterpretation and Translation Services Policy
Interpretation and Translation Services Policy This is a new procedural document. Did you print this document yourself? The Trust discourages the retention of hard copies of policies and can only guarantee
More informationAdvance Decision to Refuse Treatment (ADRT) Policy
Advance Decision to Refuse Treatment (ADRT) Policy This procedural document supersedes: PAT/PA 27 v.1 - POLICY FOR THE MANAGEMENT OF ADVANCE DECISION TO REFUSE TREATMENT (ADRT) Did you print this document
More informationNasal Bridle Policy. PAT/T 69 v.1. This is a new procedural document, please read in full.
Nasal Bridle Policy This is a new procedural document, please read in full. Did you print this document yourself? The Trust discourages the retention of hard copies of policies and can only guarantee that
More informationHospice and End of Life Care and Services Critical Element Pathway
Use this pathway for a resident identified as receiving end of life care (e.g., palliative care, comfort care, or terminal care) or receiving hospice care from a Medicare-certified hospice. Review the
More informationINTEGRATED CARE PATHWAY FOR THE DYING PATIENT PATIENT S NAME.. UNIT NUMBER. DATE.. DATE OF BIRTH.. DATE OF IN PATIENT ADMISSION DIAGNOSIS: PRIMARY.
PATIENT S NAME.. UNIT NUMBER. DATE.. DATE OF BIRTH.. DATE OF IN PATIENT ADMISSION DIAGNOSIS: PRIMARY. SECONDARY.. A Care Pathway is intended as a guide to treatment and an aid to documenting patient progress.
More informationHolistic Needs Assessment
Holistic Needs Assessment Sharon Cavanagh Allied Health Professional and Survivorship Lead 26 March 2013 Why is HNA a priority? Empower patient s to identify and raise issues that they want addressed Improve
More informationReferral for Imaging by Non-Medical Staff Policy
Medical Imaging Service Referral for Imaging by Non-Medical Staff Policy This procedural document supersedes: PAT/T 1 v.3 - Medical Imaging Clinical Service Unit Referral for Imaging by Non-Medical Staff
More information10/3/2016 PALLIATIVE CARE WHAT IS THE DEFINITION OF PALLIATIVE CARE DEFINITION. What, Who, Where and When
PALLIATIVE CARE What, Who, Where and When Mary Grant, RN, MS ANP Connections Nurse Practitioner Palliative Care Program Oregon Region WHAT IS THE DEFINITION OF PALLIATIVE CARE DEFINITION The Center for
More informationUnit 301 Understand how to provide support when working in end of life care Supporting information
Unit 301 Understand how to provide support when working in end of life care Supporting information Guidance This unit must be assessed in accordance with Skills for Care and Development s QCF Assessment
More informationNational Standards Assessment Program. Quality Report
National Standards Assessment Program Quality Report - March 2016 1 His Excellency General the Honourable Sir Peter Cosgrove AK MC (Retd), Governor-General of the Commonwealth of Australia, Patron Palliative
More informationDRAFT Optimal Care Pathway
DRAFT Optimal Care Pathway 1. Introduction... 3 1.1 Background... 3 1.2 Intent of the Optimal Care Pathways... 3 1.3 Key principles of care... 3 2. Steps in the care of patients with x cancer... 4 Step
More informationBowel Screening Wales Information booklet for care homes and associated health professionals. Available in other formats on request. October.14.v.2.
Bowel Screening Wales Information booklet for care homes and associated health professionals Available in other formats on request October.14.v.2.0 Contents Section 1 Page 3 Who are Bowel Screening Wales
More informationCHEMOTHERAPY TREATMENT RECORD
CHEMOTHERAPY TREATMENT RECORD Consultant.. Name DOB.. Hospital Number. PRIMARY DIAGNOSIS MDT discussion date.. Consent for treatment obtained Yes / No Consent Form signed Yes / No (If no do not give Chemotherapy
More informationWhen someone is dying Information for Relatives and Carers
When someone is dying Information for Relatives and Carers This leaflet can be made available in other formats including large print, CD and Braille, and in languages other than English, upon request.
More informationWhat is palliative care?
What is palliative care? Hamilton Health Sciences and surrounding communities Palliative care is a way of providing health care that focuses on improving the quality of life for you and your family when
More informationJob Description. Job title: Uro-Oncology Clinical Nurse Specialist Band: 7
Job Description Job title: Uro-Oncology Clinical Nurse Specialist Band: 7 Department: Cancer Services Hours: 37.5 (min 22.5 hrs) Reports to: Lead Nurse for Cancer We are a pioneering research active organisation
More informationSpecimen and Request Form Labelling Policy
Directorate of Pathology Specimen and Request Form Labelling Policy This procedural document supersedes: Policy for Specimen and Request Form Labelling PAT/T v.5. Did you print this document yourself?
More informationAn evaluation of the National Cancer Survivorship Initiative test community projects. Report of the baseline patient experience survey
An evaluation of the National Cancer Survivorship Initiative test community projects Report of the baseline patient experience survey HELEN SHELDON AND STEVE SIZMUR PICKER INSTITUTE EUROPE 26 NOVEMBER
More informationHow the GP can support a person with dementia
alzheimers.org.uk How the GP can support a person with dementia It is important that people with dementia have regular checkups with their GP and see them as soon as possible if they develop any health
More informationE-Learning Module M: Assessment Review
E-Learning Module M: Assessment Review This Module requires the learner to have read Chapter 12 of the Fundamentals Program Guide and the other required readings associated with the topic. Revised: August
More informationFramework for Cancer CNS Development (Band 7)
Framework for Cancer CNS Development (Band 7) Opening Statement This framework provides a common understanding of the CNS role across the London Cancer Alliance and will be used to support the development
More informationHospital Specialist Palliative Care Service
Hospital Specialist Palliative Care Service What is palliative care? Palliative care is an approach that aims to improve the quality of life for patients facing a serious illness and their familes, through
More informationFOR ILLUSTRATIVE PURPOSES ONLY
- Page 1 of 15 GUIDANCE Health Professional Guidance for the Care Plan for the Dying Person - Victoria RECOGNISING DYING The possibility that a person may die within the next few days or hours is recognised
More informationEnd of Life Care Strategy
End of Life Care Strategy 2016-2020 Foreword Southern Health NHS Foundation Trust is committed to providing the highest quality care for patients, their families and carers. Therefore, I am pleased to
More informationAll clinical areas of the Trust All clinical Trust staff All adults with limited prognosis Palliative care team Approved. Purpose of this document
Trust Policy and Procedure Document Ref. No: PP(15)310 End of Life Care For use in: For use by: For use for: Document owner: Status: All clinical areas of the Trust All clinical Trust staff All adults
More informationPressure Ulcer Policy - Tissue Viability Top Ten
Pressure Ulcer Policy - Tissue Viability Top Ten This procedural document supersedes: PAT/T 3 v.2 Pressure Ulcer Prevention and Management Policy and incorporates PAT/T 4 Guidelines for the Prevention
More informationMeeting people s needs A Wales Cancer Alliance Policy Paper Summer 2017
Meeting people s needs A Wales Cancer Alliance Policy Paper Summer 2017 Meeting people s needs: overview More work needs to be done to meet the needs of patients, both as they undergo treatment for cancer
More informationJob Description. Job title: Gynae-Oncology Clinical Nurse Specialist Band: 7. Department: Cancer Services Hours: 30
Job Description Job title: Gynae-Oncology Clinical Nurse Specialist Band: 7 Department: Cancer Services Hours: 30 Reports to: Lead Nurse for Cancer We are a pioneering research active organisation and
More informationEnd of Life Care Review Case Review Audit
Case Review Audit : : Version: 1 NHS Wales (Intranet) / Public Health Wales (Intranet) Purpose and summary of document: This document is for use by general practices who are engaged in providing services
More informationDRAFT. WORKING DRAFT Nursing associate skills annexe. Part of the draft standards of proficiency for nursing associates. Page 1
WORKING Nursing associate skills annexe Part of the draft standards of proficiency for nursing associates Page 1 Working draft version of the nursing associate skills annexe, part of the draft nursing
More informationCoordinated Veterans Care (CVC) Toolkit Questionnaires for use in a comprehensive needs assessment
Coordinated Veterans Care (CVC) Toolkit Questionnaires for use in a comprehensive needs assessment This resource is a guide to conducting a comprehensive needs assessment for the Coordinated Veterans Care
More informationLAST DAYS OF LIFE CARE PLAN
INFORMATION FOR HEALTHCARE PROFESSIONALS REGARDING THE LAST DAYS OF LIFE CARE PLAN RECOGNISE The recognition of dying is always complex. The possibility that a person may die within the next few days or
More informationHospice Isle of Man Education Prospectus 2018
Hospice Isle of Man Education Prospectus 2018 Leading the Way in Palliative Care Introduction The need for palliative and end of life care is changing, with increasing demands and complexity for patients
More informationPATIENT AGREEMENT TO SYSTEMIC ANTI- CANCER THERAPY:
PATIENT AGREEMENT TO SYSTEMIC ANTI- CANCER THERAPY: Lomustine PATIENT DETAILS PATIENT S SURNAME/FAMILY NAME: PATIENT S FIRST NAME(S): DATE OF BIRTH: NHS NUMBER: (or other identifier) HOSPITAL NAME/STAMP:
More informationToolbox Talks. Access
Access The detail of what the Healthcare Charter says in relation to what service users can expect and what they can do to help in relation to this theme is outlined overleaf. 1. How do you ensure that
More informationQUALIFICATION HANDBOOK
QUALIFICATION HANDBOOK Level 2, 3 & 5 Awards and Certificates in End of Life Care (3571-02-03-04-05) May 2013 Version 5.0 Qualification at a glance Subject area City & Guilds number 3571 End of life care
More informationOne Chance to Get it Right:
One Chance to Get it Right: Implementing the new priorities of Care for the Dying Person Dr Susan Salt, Medical Director Trinity Hospice, Blackpool Outline of the talk Brief look at what led to this point..
More informationCare Pathway For the last days of life
NORTH EAST Care Pathway For the last days of life Patient Details Unit Number / NHS number August 2011 Review date: August 2013 1 Patient Details Unit Number/ NHS number CARE PATHWAY FOR THE LAST DAYS
More informationLiverpool Care Pathway for the Dying Patient (LCP) supporting care in the last hours or days of life
Liverpool Care Pathway for the Dying Patient (LCP) supporting care in the last hours or days of life Information sheet to be given to the relative or carer following a discussion regarding the plan of
More informationCaring for me Advanced Care Planning
Caring for me Advanced Care Planning Supporting guidance for Healthcare Professionals and Administrative Staff This care plan is aimed as a guide to treatment and intended to aid the documentation of patient
More informationRecognizing and Reporting Acute Change of Condition
Recognizing and Reporting Acute Change of Condition Welcome to the Elizabeth McGowan Training Institute Cell Phones and Pagers Please turn your cell phones off or turn the ringer down during the session.
More informationThe Newcastle upon Tyne Hospitals NHS Foundation Trust. Named Key Worker for Cancer Patients Policy
The Newcastle upon Tyne Hospitals NHS Foundation Trust Named Key Worker for Cancer Patients Policy Version No.: 4 Effective 07 December 2017 From: Expiry Date: 07 December 2020 Date Ratified: 17 October
More informationRCN advisor Amanda Cheesley (2012) in a statement about cuts and lack of development of specialist nursing posts stated;
Children s Continence Service An Affordable Luxury? RCN advisor Amanda Cheesley (2012) in a statement about cuts and lack of development of specialist nursing posts stated; they (specialist nurses) are
More informationWhen Your Loved One is Dying at Home
When Your Loved One is Dying at Home What can I expect? What can I do? Although it is impossible to totally prepare for a death it may be easier if you know what to expect. Hospice Palliative Care aims
More informationNational Cancer Action Team. National Cancer Peer Review Programme EVIDENCE GUIDE FOR: Colorectal MDT. Version 1
National Cancer Action Team National Cancer Peer Review Programme FOR: Version 1 Introduction This evidence guide has been formulated to assist Networks and their constituent teams in preparing for peer
More informationSuffolk End of Life Care Guidelines
In partnership with: West Suffolk NHS Foundation Trust, The Ipswich Hospital, Suffolk Community Healthcare, St Nicholas Hospice Care, St Elizabeth Hospice, Adult Community Services, NHS Ipswich and East
More informationAppendix: Assessments from Coping with Cancer
Appendix: Assessments from Coping with Cancer Primary Independent Variable of Interest (assessed at baseline with medical chart review and confirmed with clinician) 1. What treatments is the patient currently
More informationBereavement Policy. 1 Purpose of Policy 2. 2 Background 2. 3 Staff Responsibilities 3. 4 Operational Issues and Local Policies/Protocols/Guidelines 4
Trust Policy and Procedure Bereavement Policy Document Ref. No: PP(16)252 For use in: For use by: For use for: Document owner: Status: All areas of the Trust All Trust staff The dying, their relatives
More informationPATIENT AGREEMENT TO SYSTEMIC ANTI- CANCER THERAPY:
PATIENT AGREEMENT TO SYSTEMIC ANTI- CANCER THERAPY: Cetuximab (+/- Chemotherapy) PATIENT DETAILS PATIENT S SURNAME/FAMILY NAME: PATIENT S FIRST NAME(S): DATE OF BIRTH: NHS NUMBER: (or other identifier)
More informationCynthia Ann LaSala, MS, RN Nursing Practice Specialist Phillips 20 Medicine Advisor, Patient Care Services Ethics in Clinical Practice Committee
Cynthia Ann LaSala, MS, RN Nursing Practice Specialist Phillips 20 Medicine Advisor, Patient Care Services Ethics in Clinical Practice Committee What is Advance Care Planning (ACP)? Understanding/clarifying
More informationURINARY CATHETER MANAGEMENT CARE PLAN
URINARY CATHETER MANAGEMENT CARE PLAN Care planning: Clear set of actions that enable a patient/ client and nurse to achieve a goal in relation to a specific problem or need. Focus for care Continuity
More informationCHAPLAINCY AND SPIRITUAL CARE POLICY
CHAPLAINCY AND SPIRITUAL CARE POLICY Version: 3 Date issued: June 2018 Review date: June 2021 Applies to: All Trust staff This document is available in other formats, including easy read summary versions
More informationmunsonhealthcare.org/acp
Advance Care Planning Workbook Making Your Medical Wishes Known Advance Care Planning Workbook 1 munsonhealthcare.org/acp Making Your Medical Wishes Known At any age, a medical crisis could leave someone
More informationWhen an Expected Death Occurs at Home
Information for Caregivers When an Expected Death Occurs at Home What to expect, what to do Table of Contents What to expect...1 When someone is dying...2 At the time of death...5 Before your loved one
More informationCountess Mountbatten House. Information for patients, families and carers
Countess Mountbatten House Information for patients, families and carers Contents About the service 3 The inpatient unit 5 The Hazel Centre 7 The chaplaincy service 9 The hospital palliative care team
More informationInformation for patients receiving long term hormone treatment and radiotherapy for prostate cancer
Information for patients receiving long term hormone treatment and radiotherapy for prostate cancer Northern Centre for Cancer Care (NCCC) Freeman Hospital Introduction This leaflet has been written to
More informationPrimary Care Quality (PCQ) National Priorities for General Practice
Primary Care Quality (PCQ) National Priorities for General Practice Cluster Guidance and Templates 2015/16 Authors: Primary Care Quality Team Date: November 2015 Publication/ Distribution: Version: Final
More informationPreparing for Death: A Guide for Caregivers
Preparing for Death: A Guide for Caregivers Preparing for Death As a person is dying, their body will go through a number of physical changes as it slows down and moves toward the final stages of life.
More informationSt Elizabeth Hospice education prospectus 2018
St Elizabeth Hospice education prospectus 2018 St Elizabeth Hospice has been delivering palliative and end of life care in Ipswich and Suffolk for almost 30 years. Our compassionate and professional standards
More informationColorectal Multi Disciplinary Team
Colorectal Multi Disciplinary Team Patient Information Introduction This booklet is for people who have been diagnosed with Colorectal Cancer. There are many people involved in providing cancer health
More informationVersion Number Date Issued Review Date V1: 28/02/ /08/2014
Corporate CCG CO01 Access and Choice Policy Version Number Date Issued Review Date V1: 28/02/2013 31/08/2014 Prepared By: Consultation Process: Governance Lead, NHS South of Tyne and Wear Information Governance
More informationEnd of life care. Patient Guide
8 End of life care Patient Guide What happens? There is a point for many in the brain tumour journey when either the disease no longer responds to treatment, or you have had all treatment that is available
More informationP: Palliative Care. College of Licensed Practical Nurses of Alberta, Competency Profile for LPNs, 3rd Ed. 141
P: Palliative Care College of Licensed Practical Nurses of Alberta, Competency Profile for LPNs, 3rd Ed. 141 Competency: P-1 Palliative Principles and Values P-1-1 P-1-2 P-1-3 Demonstrate knowledge and
More informationGuidance on End of Life Care-Updated July 2014
Guidance on End of Life Care-Updated July 2014 INTRODUCTION Definition of End of Life Care: End of Life care helps all those with advanced, progressive, incurable illness to live as well as possible until
More informationCGS Administrators, LLC Clinical Hospice Documentation from CGS Missouri Hospice & Palliative Care Assoc. October 3, 2016
Missouri Hospice & Palliative Care Conference Reviewer s decision is reliant upon documentation Results in a full denial for the submission Documentation must be legible Medical necessity is always based
More informationCHPCA appreciates and thanks our funding partner GlaxoSmithKline for their unrestricted funding support for Advance Care Planning in Canada.
CHPCA appreciates and thanks our funding partner GlaxoSmithKline for their unrestricted funding support for Advance Care Planning in Canada. For more information about advance care planning, please visit
More informationThe new inspection process for End of Life Care. Dr Stephen Richards GP Advisor - London Care Quality Commission
The new inspection process for End of Life Care Dr Stephen Richards GP Advisor - London Care Quality Commission Our purpose and role Our purpose We make sure health and social care services provide people
More informationWe need to talk about Palliative Care. The Care Inspectorate
We need to talk about Palliative Care The Care Inspectorate Introduction The Care Inspectorate is the official body responsible for inspecting standards of care in Scotland. That means we regulate and
More informationSharing good practice
Sharing good practice Noëline Young Project Manager, National Cancer Survivorship Initiative Dr Alastair Smith Honorary Consultant Haematologist and Clinical Adviser for Macmillan Cancer Support Louise
More information6: What care is available?
6: What care is available? This section identifies and explains the types of care on offer at end of life and who is involved. The following information is an extracted section from our full guide End
More informationPATIENT AGREEMENT TO SYSTEMIC ANTI- CANCER THERAPY:
PATIENT AGREEMENT TO SYSTEMIC ANTI- CANCER THERAPY: Lenvatinib PATIENT DETAILS PATIENT S SURNAME/FAMILY NAME: PATIENT S FIRST NAME(S): DATE OF BIRTH: NHS NUMBER: (or other identifier) HOSPITAL NAME/STAMP:
More informationCCG: CO01 Access and Choice Policy
Corporate CCG: CO01 Access and Choice Policy Version Number Date Issued Review Date V2 21 January 2016 January 2018 Prepared By: Consultation Process: NECS Commissioning Manager CCG Head of Corporate Affairs.
More informationEnd of Life Care Policy. Document author Assured by Review cycle. 1. Introduction Purpose Scope Definitions...
End of Life Care Policy Board library reference Document author Assured by Review cycle P011 Lead Nurse Quality and Standards Committee 3 Years Contents 1. Introduction...3 2. Purpose...3 3. Scope...3
More informationAdvance Health Care Planning: Making Your Wishes Known. MC rev0813
Advance Health Care Planning: Making Your Wishes Known MC2107-14rev0813 What s Inside Why Health Care Planning Is Important... 2 What You Can Do... 4 Work through the advance health care planning process...
More informationMaking Your Wishes Known With the Help of the Five Wishes Document
Making Your Wishes Known With the Help of the Five Wishes Document Lora Rhodes, MSW, LSW Oncology Social Worker Department of Medical Oncology LBBC: Annual Conference for Women living with Metastatic Breast
More informationORGANISATIONAL AUDIT
[Type text] National Care of the Dying Audit Hospitals (NCDAH) Round 3 This audit is being led by the Marie Curie Palliative Care Institute Liverpool in collaboration with the Royal College of Physicians,
More informationAbbreviations used in Care Pathway. CNS Clinical Nurse C Chaplain / clergy / religious adviser
Patient's Name: D.O.B: Patient GP: Named Nurse: Name: Adapted LCP Version 12 PALLIATIVE CARE PATHWAY (End Stage) PRIMARY CARE DO NOT PUT PATIENT ON THIS PATHWAY UNLESS The Multi-professional Team have
More informationX Signature of Patient or Duly Authorized Agent
ADVANCE DIRECTIVES: Advance Directives Advance Directives CONSENT TO TREATMENT: I consent to receiving medical care from the University of Kentucky. Medical care includes exams, testing, appropriate immunizations,
More informationPatient s Bill of Rights (Revised April 2012)
Patient s Bill of Rights (Revised April 2012) TIRR Memorial Hermann recognizes the rights of human beings for independence of expression, decision, and action and will protect these rights of all patients,
More informationThey are updated regularly as new NICE guidance is published. To view the latest version of this NICE Pathway see:
overview bring together everything NICE says on a topic in an interactive flowchart. are interactive and designed to be used online. They are updated regularly as new NICE guidance is published. To view
More informationPATIENT AGREEMENT TO SYSTEMIC ANTI- CANCER THERAPY:
PATIENT AGREEMENT TO SYSTEMIC ANTI- CANCER THERAPY: Gemcitabine-Cisplatin PATIENT DETAILS PATIENT S SURNAME/FAMILY NAME: PATIENT S FIRST NAME(S): DATE OF BIRTH: NHS NUMBER: (or other identifier) HOSPITAL
More informationWhat You Need To Know About Palliative Care
www.hrh.ca Medical Program What You Need To Know About Palliative Care What s Inside: Who are your team members?... 2 Care Needs of Your Loved One: Information for the Family... 4 Options for Discharge...
More informationEnd of Life PSP Module. Case Study: Mr. James Lee
Case Study: Mr. James Lee Mr. James Lee is a 74 yr old retired electrician. He is married to Mary with two children in their 30 s. They have been in Canada for 35 years and are fluent in English and Cantonese.
More informationREFERRAL GUIDELINES: Werribee Health Independence Program (HIP)
All clients referred to the Werribee HIP are assigned to a priority category based on their clinical need and related psychosocial factors. The examples given are indicative only and the clinician reviewing
More informationPATIENT INFORMATION. Address: Sex: City: State: address: Cell Phone: Home Phone: Work Phone: address: Cell Phone:
PATIENT INFORMATION Name: _ DOB: _ Age: Address: _Sex: City: _ State: _ Zip: _ Email address: Cell Phone: _ Home Phone: Work Phone: _ Responsible Party (if different from above) Name: DOB: Address: E-mail:
More informationJOB DESCRIPTION. Senior Charge Nurse. Knoll Community Hospital
JOB DESCRIPTION 1. JOB DETAILS Job Title: Staff Nurse (Band 5) Responsible to: Department & Base: Job Reference number: Senior Charge Nurse Knoll Community Hospital PCS869 2. JOB PURPOSE To contribute
More informationyour hospitals, your health, our priority
Policy Name: Policy Reference: SAFEGUARDING VULNERABLE ADULTS POLICY Recognition, Reporting and Investigation of the Abuse of Vulnerable Adults TW10/032 Version number : 4 Date this version approved: AUGUST
More informationSupporting people who need Palliative and End of Life Care in the Community. Giving people a choice
Supporting people who need Palliative and End of Life Care in the Community Giving people a choice Introduction People who are terminally ill or at the end of their life need excellent nursing and medical
More informationPrescribing for Symptom Control in End of Life Care. Dr Deborah Robertson Senior Lecturer University of Chester
Prescribing for Symptom Control in End of Life Care Dr Deborah Robertson Senior Lecturer University of Chester #hellomynameis Dr Debs Robertson Programme leader NMP Nurse and pharmacologist Champion of
More informationImproving current delivery in London: a briefing for GP cancer leads
Treatment summaries Improving current delivery in London: a briefing for GP cancer leads August 2016 Supported by and delivering for London s NHS, Public Health England and the Mayor of London Transforming
More informationNHS Constitution summary of rights and responsibilities
NHS Constitution summary of rights and responsibilities The Health Act 2009 which received Royal Assent in November 2009, places a legal responsibility upon all providers and commissioners of NHS care
More informationCommunity pharmacy and palliative care
8 This module is also online at pharmacymagazine.co.uk CPD MODULE module 261 Community pharmacy and palliative care Contributing author: Louise Baglole, healthcare/ pharmacy consultant and medical writer
More informationInformation. for patients and carers
Information for patients and carers Welcome to St Richard s Hospice Having a life-limiting illness - such as cancer or another serious condition - should not mean that a person cannot live their lives
More information1. JOB IDENTIFICATION 2. JOB PURPOSE JOB DESCRIPTION. Job Title: Macmillan Nurse Endoscopist/Upper GI Cancer Nurse Specialist
JOB DESCRIPTION 1. JOB IDENTIFICATION Job Title: Macmillan Nurse Endoscopist/Upper GI Cancer Nurse Specialist Department (s): Cancer and Endoscopy Job Holder Reference: NM2023 No of Job Holders: 1 2. JOB
More informationAppendix 1 -Summary of palliative care patients (modified SCR1 form from Gold standards Framework)
Appendix 1 -Summary of palliative care patients (modified SCR1 form from Gold standards Framework) Name of patient/ Name of carer Diagnosis (+code) DNAR form Y/N GP DN Problems/ Concerns Anticipated needs
More informationEND OF LIFE CARE STRATEGY
END OF LIFE CARE STRATEGY 2016-19 Controlled Document This document is uncontrolled when downloaded or printed. Reference number Version 12 Authors Date ratified Committee/individual responsible Issue
More information