Presentation concerning Documenting Residents Wishes for End of Life Care from Dublin Community Hospital Network

1. Oct 30th 09Communication for end-of-life care and palliative care ST/AON
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2. Oct 30th 09Communication for end-of-life care and palliative care ST/AON
Documenting Residents’ Wishes

3. N
Advance Care Planning
 Voluntary discussion over time about future care
 Anticipated deterioration of condition in the future
 Anticipating loss of capacity to communicate
choices

4. Oct 30th 09Communication for end-of-life care and palliative care ST/AON
What might be included in ACP
discussions include
 Concerns and wishes
 Values and personal goals for care
 Understanding about his/her illness/prognosis
 Preferences and wishes for types of
treatment/interventions and place of care

5. Oct 30th 09Communication for end-of-life care and palliative care ST/AON
Why is it important?
 Research has found that end of life care decisions
made too close to death cause unnecessary stress for
both patient and families (C.Grbich et al., 2006)
 Lack of discussion can lead to decisions made in crisis
e.g. unnecessary hospital admissions, lack of
necessary support being available, family wanting
‘everything’ done because they haven’t had time to
process.
 We need to know ‘what matters most’ to each
individual

6. Oct 30th 09Communication for end-of-life care and palliative care ST/AON

7. Oct 30th 09Communication for end-of-life care and palliative care ST/AON

8. Oct 30th 09Communication for end-of-life care and palliative care ST/AON

9. Oct 30th 09Communication for end-of-life care and palliative care ST/AON

10. Oct 30th 09Communication for end-of-life care and palliative care ST/AON

11. Oct 30th 09Communication for end-of-life care and palliative care ST/AON

12. Does our documentation support
discussion?
• What do we need to know?
• When do we need to know it?
• How do we ask?
Oct 30th 09Communication for end-of-life care and palliative care ST/AON

13. Oct 30th 09Communication for end-of-life care and palliative care ST/AON