Downloaded 10 times
Uploaded byIrish Hospice Foundation
Communicating Palliative Care of Needs of Patients to Out Of Hours Services
The document discusses communicating palliative care needs of patients to out-of-hours services. It describes the work of the Irish Hospice Foundation including their Primary Palliative Care Programme. It emphasizes the need for improved communication between primary care teams and out-of-hours services for patients with palliative care needs. The document proposes a GP to Out-of-Hours palliative care handover form to facilitate information transfer and continuity of care for patients outside regular hours. It outlines the development and piloting of this form.
More Related Content
Similar to Communicating Palliative Care of Needs of Patients to Out Of Hours Services
More from Irish Hospice Foundation
Communicating Palliative Care of Needs of Patients to Out Of Hours Services
- 1. Communicating Palliative Careof Needs of Patients to Out Of Hours Services Irish Cancer Society May 2014 Marie Lynch
- 2. Today’s talk 1. Backgroundto work of Irish Hospice Foundation 2. Information on the Primary Palliative Care Programme 3. Describe the GP →Out of Hours Palliative Care Handover Form 4. marie.lynch
- 3. Death and Dyingin Ireland 90% of care in last year of life provided by community based Health care professionals 2010 Stats
- 4. Irish Hospice Foundation Vision Noone should face death or bereavement without the care and support they need Mission Achieve dignity, comfort and choice for all people facing the end of life. We do this by addressing, with our partners and the public, critical matters relating to death, dying and bereavement in Ireland
- 5. Information on theIHF http://vimeo.com/90234575 marie.lynch
- 6. Irish Hospice Foundation IHFProgrammes • Primary Palliative Care • Palliative Care for All • Hospice Friendly Hospitals • Bereavement Education and Training • Children's Programme • Forum on End of Life/ Think Ahead • Carers Grant programmes
- 7. Primary Palliative CareProgramme AIM To identify palliative care initiatives that will support primary care teams responses to adults with advanced progressive diseases in that live in the community who are expected to die in the next 12 months. ‘Primary care professionals have the potential and ability to provide end of life care for most patients, given adequate training, resources, and, when needed, specialist advice. They share common values with palliative care specialists - holistic, patient centred care, delivered in the context of families and friends’ S Murray 2004 2011
- 8.
- 9. 8 Key Themes marie.lynch Patientsand families primary palliative care needs Information transfer between services Services outside traditional working hours Developing competence Enhancing communication Non- malignant disease Access to equipment Role Clarity & resourcing Private healthcare
- 10.
- 11.
- 12.
- 13. ‘Would like tosee improved communication with primary care and hospice team in caring for clients/families at home ‘ ‘Not enough support in community settings for these patients’ ‘Would love to provide this service but don’t think I have the necessary skills to do so’ ‘The difficulty in accessing all services outside of traditional working hours for these patients is a problem’ ‘Joint consultations with the palliative care team would be useful ‘ ‘I tend to step back when Palliative Care come involved…. I have a sense of being disempowered and de-roled’
- 14. PRIORITISED RECOMMENDATIONS 1. Develop andimplement a palliative care summary for communication with out of hours services 2. Create a system for primary care teams to identify patients with palliative care needs and respond appropriately. 3. Clarify the extent and means of access to 24 hour SPC advice/information. 4. Provision of information supporting delivery of primary palliative care. 5. Compatibility of medications.
- 15. GP→OOH Palliative Care HandoverForm • WHY • WHAT • WHERE & WHEN • HOW
- 16. WHY marie.lynch Kiely (2013) • 82%of Irish GPs do not routinely hand over information to the OOH team for patients with palliative care needs • 96% would value a standardised way of transferring information Wallace (2010) • Admissions to ED of patients in receipt of SPC. 35 Visits by 30 patients. Source of Referrals Self 40% On call GP 25.5% SPC 6% Timing of referrals Outside working hours 63% Sat/Sun 26%
- 17. WHY Electronic Palliative CareSummary GPs and OOH NHS Scotland 2009 An independent review – the majority of GPs using this for cancer patients. – The benefits • increased reassurance patients and carers; • better informed their decision making OOH teams • assisted in their advance planning with patients. • Recommendations included – further training in communications and – information technology to support the GPs in the use of this form. marie.lynch
- 18. WHAT IS IT •Information transfer system between GPs and their out-of-hours colleagues in relation to patients with palliative care needs • GPs who may have never met the patient before will have comprehensive clinical information as well as information pertaining to the wishes of the patient • Patients receive increase – Continuity of care – Safer care marie.lynch
- 19. WHERE & WHEN SOUTHDOC PILOT • 6 MONTHS April – Sept • 500 GPs • Cork and Kerry • Include residential care homes marie.lynch
- 20. HOW it WORKS marie.lynch 1. GPfills out form 2. Fax to South Doc 3. Details registered on OOH IT system 4. If call comes in about patient triage access information on form available to support continuity of care
- 21.
- 22. Evaluation Impact of Service patientcare GPs OOH service providers residential care providers Usage What are the essential information fields What additional information would help How easy is the process marie.lynch
- 23. marie.lynch CONTACT DETAILS FOR QUERIES MarieLynch 01 673 0063 Marie.lynch@hospicefoundation.ie http://hospicefoundation.ie/
- 24.
- 25. IHF Nurses forNight Care marie.lynch
- 26. IHF Nurses forNight Care referrals 2007 – 2012 Disease Breakdown 0 50 100 150 200 250 300 Heart Failure MND other Neuro dementia Heart/Circulatory Respiratory renal Other
- 27.
- 28.
- 29.
- 30.