A Babber GPST Windsor VTS 3 rd July 2018 1 Hospice Palliative care support Inpatient unit End of Life Care EoLC Symptomatic Control SC Respite Care RC support for family and ID: 913556
Download Presentation The PPT/PDF document "Hospice Palliative Care – Tips for Pri..." is the property of its rightful owner. Permission is granted to download and print the materials on this web site for personal, non-commercial use only, and to display it on your personal computer provided you do not modify the materials and that you retain all copyright notices contained in the materials. By downloading content from our website, you accept the terms of this agreement.
Slide1
Hospice Palliative Care – Tips for Primary care
A Babber
GPST - Windsor VTS3rd July 2018
Slide21. Hospice Palliative care supportInpatient unitEnd of Life Care (EoLC)Symptomatic Control (SC)Respite Care (RC) - support for family and carersDay therapy unit (DTU)Weekly activities – 6 week programRespite for
carer, symptom review by specialists and sign-postingComplementary therapiesPhysiotherapy
Slide32. Community Palliative care supportDistrict nurseClinical Nurse Specialist (CNS)Macmillan Cancer Support ServicesMarie Curie Cancer CareRapid Response Team (RRT)Help the HospicesHospice UK
Slide43. Proactive Indicator Guidance – GSF PC1% population die/yr (30% hospital pts, 80% care home pts)Unexpected deaths: 10%Tool for early identification of patients nearing end of life (EoL)Surprise question – prognosis likely death within 12 monthsIf unsure - General/Specific indicators of decline
Cancer and non-cancer diseasesGSF ProcessIdentfy – Assess – PlanAdvance Care Planning (ACP)
GSF PIG 2016 online link
Slide54. Common SymptomsPainNausea and vomitingShortness of breathAgitation/anxiety or ConfusionConstipationdysphagiaDisease progression, treatment or medication side effects relatedRefer difficult to control symptoms for specialist palliative input
Slide65. Palliative EmergenciesLikely to need hospital specialist and/or palliative care inputSpinal cord compressionNeutropenic sepsis / Pancytopenic crisisBone fracturesHypercalceamiaSuperior Vena Cava Obstruction (SVCO)Major Haemorrhage
Slide76. Complementary therapiesHolistic approach to patient-centred careMassage – pain, lymphoedema, anxiety,Acupuncture – emotional/physical stress, pain, N&V, breathlessnessReiki – energy healingReflexology – pain, N&V, anxiety, constipation
Slide87. DS1500 and continuing careDS 1500Doctors report for Disability Allowance, Attendance Allowance or Incapacity Benefit under special rulesPrognosis <6 monthsFast track - override qualifying periodstax free benefits due to terminal illness at higher ratesContinuing careApplication requires doctors report on disease and expected progressionPackage of care arranged/funded by NHS for adults NOT Local AuthorityFor priority patients (terminal phase of illness)Initial screening process and full assessment
Fast track process preventing delay
Slide98. Useful guidance - linksGold Standards Framework in Palliative Care Proactive Identification Guidance 2016 – RCGP supported document Advanced Care Planning Discussion from – GSFGMC Guidance on End of Life CareNICE quality standards for End of Life CarePalliative Care Assessment Tools – CAGE, MMSE, Performance Status, Constipation scoreGMC Mental Capacity Aseessment Online Tool