Introduction to End of Introduction to End of Life CareLife Care

Rank the ‘top 3’ causes of death Rank the ‘top 3’ causes of death in England 2009in England 2009

1.1. Circulatory diseasesCirculatory diseases 159,779159,779

2.2. CancersCancers 140,497140,497

3.3. Respiratory diseasesRespiratory diseases 67,55967,559

Cause of Death England 2009

Cancers

Circulatory diseases

Respiratory diseases

What is End of Life Care What is End of Life Care (EoLC)?(EoLC)?

How would you define EoLC and when How would you define EoLC and when does it start and end? does it start and end?

What EoLC “tools” and “frameworks” What EoLC “tools” and “frameworks” are you aware of?are you aware of?

What services (community and What services (community and hospital) are available for hospital) are available for patients/carers at end of life?patients/carers at end of life?

Definition and Principles EoLCDefinition and Principles EoLC

Helps all those with advanced, Helps all those with advanced, progressive, incurable illness to progressive, incurable illness to live as live as well as possiblewell as possible until they die until they die

PainPain and suffering are kept to a minimum and suffering are kept to a minimum Holistic care focussing on Holistic care focussing on quality of lifequality of life People’s individual People’s individual needs, priorities and needs, priorities and

preferencespreferences are identified, documented, are identified, documented, reviewed, respected and acted upon reviewed, respected and acted upon wherever possiblewherever possible

Families have a vital role and are involved Families have a vital role and are involved and supported as and supported as carerscarers and have their and have their own needs recognisedown needs recognised

Good healthTerminal

careLong term conditions care

This patient would benefit from EoLC

Transition to last days of life

Changing goals of careChanging goals of careEoLC care in parallel with disease modifying treatment-

EoLC

Elements of EoLCElements of EoLC

Main EoLC Tools

Services- NB not available for all Services- NB not available for all patientspatients

Home CarersHome Carers Residential/Nursing Residential/Nursing

CareCare District Nurses, GPs, District Nurses, GPs,

Practice staffPractice staff AHP eg equipmentAHP eg equipment PharmacistsPharmacists Voluntary services eg Voluntary services eg

Age UKAge UK Pensions servicePensions service ChaplaincyChaplaincy

Hospice services Hospice services including Hospice-at-including Hospice-at-HomeHome

Marie CurieMarie Curie Macmillan NurseMacmillan Nurse Specialist teams eg Specialist teams eg

STINT, RATSSTINT, RATS Macmillan CABMacmillan CAB Counselling/psychology Counselling/psychology

servicesservices Complementary Complementary

servicesservices