Supporting patients to achieve their preferences of care at the end of life is an important measure of quality (DOH 2008). Preferred place of care and death at the end of life has been outlined as a key performance indicator in End of Life care. ASPH aims to support patients to be cared for and to die in their preferred place of care and death. Discharging a patient recognised as dying in hours and days will involve the Multi-disciplinary team, appropriate specialist teams, patient, the family and those identified as important to the patient. The preferred place of death may be identified as home, care home, an inpatient specialist palliative care unit or to remain at ASPH. These guidelines must be used alongside the ASPH discharge policy and follow the key principles of safe discharge.
These guidelines are relevant to all staff involved in caring for the dying patient. These guidelines aim to support all staff who are involved in the individualised care planning of patients who are recognised as dying in hours and days and have rapid discharge needs to achieve their preferred place of care and death. The guidelines must be used in conjunction with the Priorities Document and the rapid discharge checklists (appendix 1.)
The purpose of this document is to facilitate the safe and timely discharge for dying patients from ASPH to their preferred place of care and death. These guidelines aim to ensure a safe approach and will clarify the roles and responsibilities of health care professionals in the hospital and the community. These guidelines will support the individualised care planning and discharge preferences of patients in the last hours and days of life.
|Compiled by:||Sue Dargan, Team Lead / Clinical Nurse Specialist Supportive and Palliative Care|
|Ratified by:||Russell Wernham|
|Date Ratified:||March 2018|
|Date Issued:||June 2018|
|Review Date:||March 2021|
|Contact name:||Sue Dargan|