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Tag Archives: End-of-Life Care in Acute Hospitals
Counter-Intuitive Evidence on the Efficacy of Education for Healthcare Professionals in the Prevention of Pressure Ulcers (Cochrane Database / NHS Improvement)
Summary Conventional wisdom would suggest that education and training of healthcare staff must be of some practical benefit for the prevention of pressure ulcers. In the real world it may well do so, who knows, but a Cochrane Review has … Continue reading →
Posted in Acute Hospitals, Community Care, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Management of Condition, Non-Pharmacological Treatments, Northern Ireland, Person-Centred Care, Quick Insights, Statistics, Systematic Reviews, UK, Universal Interest
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Tagged Acute Care, Acute Hospital Care, Acute Hospitals, ASSKING Model, Building Workforce Capability and Capacity, Care Homes Wellbeing, Centre for Health and Rehabilitation Technologies (CHaRT): Ulster University, Co-Morbidity, Cochrane Database of Systematic Reviews, Cochrane Wounds Specialised Register, Commissioning Education and Training, Comorbidity, Complex Comorbidities, Decubitus Ulcers, Dermatologic Complications, Education and Staff Training, Education and Training, Education for Healthcare Professionals on the Prevention of Pressure Ulcers, End-of-Life Care in Acute Hospitals, End-of-Life Skin Changes, Frontier Science Scotland, Improving Standards in Care Homes, Institute of Nursing and Health Research: Ulster University, Ireland, Medical Education and Training, NHS Improvement's Pressure Ulcer Core Curriculum, NHS Safety Thermometer, Nursing Workforce, Pressure Ulcer Core Curriculum (NHS Improvement), Pressure Ulcer Incidence, Pressure Ulcer Prevalence, Pressure Ulcer Treatments, Pressure Ulcers, Pressure Ulcers: Prevention, Pressure Ulcers: Risk Assessment, Pressure Ulcers: Risk Factors, Prevention and Management of Pressure Ulcers, Risk Assessment and Prevention of Pressure Ulcers, Royal College of Surgeons in Ireland, School of Health Sciences: University of Ulster, School of Nursing and Midwifery: Royal College of Surgeons in Ireland, Skin Assessment and Skin Care, SSKIN Bundle, Staff Training, Stop The Pressure, Systematic Reviews and Meta-Analyses, University of Ulster, Workforce Development, Workforce Education, Workforce Training
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Mortality Rate of Persons With Pressure Ulcers in Hospital: a Local Audit (Wounds UK)
Summary An audit was performed at an NHS trust over a 6-month period to examine the mortality rates of patients reported to have SCALE grade 2, 3 or 4 pressure ulcers in acute care. It was found that 44% of … Continue reading →
Posted in Acute Hospitals, End of Life Care, For Carers (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), Local Interest, Management of Condition, New Cross Hospital, Quick Insights, Royal Wolverhampton NHS Trust, Royal Wolverhampton NHS Trust Authorial Affiliation, Statistics, Universal Interest, Wolverhampton
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Tagged Acute Care, Acute Hospital Care, Acute Hospitals, Co-Morbidity, Comorbidity, Complex Comorbidities, Decreased Tissue Perfusion, Dehydration, End of Life Care, End of Life Care Research, End-of-Life Care in Acute Hospitals, End-of-Life Skin Changes, European Pressure Ulcer Advisory Panel’s SCALE: Skin Changes at Life’s End, Frailty, Hospital End-of-Life Care, Immobility, Incontinence, Inpatient Palliative Care, Irregular Blood Chemistry, Local Audit of Mortality Rates of Persons With Pressure Ulcers in Acute Hospitals, Localised Hypoxia, Loss of Function, Loss of Mobility, Malnutrition, Managing Comorbidity and Complexity, Mortality Rates, Mortality Rates of Persons With Pressure Ulcers in Hospital, Mortality Risk Factors, Multiple Comorbidities, NHS England Midlands and East: Stop the Pressure Campaign, Organic Deterioration Towards End of Life, Overlapping Risk Factors, Pain, Palliative and End-of-Life Care in Hospitals, Palliative Care, Pressure Ulcer Incidence, Pressure Ulcer Prevalence, Pressure Ulcers, Pressure Ulcers: Prevention, Pressure Ulcers: Risk Assessment, Pressure Ulcers: Risk Factors, Prevention and Management of Pressure Ulcers, Reduced Mobility, Reduced Peripheral Tissue Perfusion, Risk Assessment and Prevention of Pressure Ulcers, Risk Factors, Skin Changes at Life’s End (SCALE), Skin Failure, Skin Integrity, Stages of Pressure Ulcers, Stop The Pressure, Tissue Integrity, Wounds UK
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Do Not Resuscitate (DNR) Communication Failures in Hospital End-of-Life Care (BBC News / RCP)
Summary The latest Royal College of Physicians (RCP) audit has estimated that one in five families may not be consulted when hospital staff decide not to revive their relatives and issue “Do Not Resuscitate” (DNR) orders. “Guidelines issued by the … Continue reading →
Posted in Acute Hospitals, BBC News, Charitable Bodies, Commissioning, End of Life Care, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), In the News, Integrated Care, National, NHS, NHS England, Non-Pharmacological Treatments, Patient Care Pathway, Person-Centred Care, Quick Insights, Royal College of Physicians, Standards, Statistics, UK, Universal Interest
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Tagged 24/7 Care, Access to Face-To-Face Specialist Palliative Care, Acute Care, Acute Hospital Care, Acute Hospitals, Advance Care Planning (ACP), Agreed Care Plans, Ambitions for Palliative and End of Life Care: National framework for Local Action 2015-2020 (Ambitions Framework), Ambitions Framework, Auditing, Audits, BBC Health News, Care and Communication, Care and Compassion, Care in General Hospitals, Care of Dying Adults in Last Days of Life, Care Planning, Care Planning and Proxy Decision Making, Care Seven Days a Week, Clinical Audits, Communication, Communication Skills Training For Care in Last Hours or Days of Life, Compassion in Practice, Compassionate Care, Culture of Compassionate Care, Dehydration, Dementia Care in Acute General Hospitals, Difficult Conversations, Dignity and Respect, DNACPR: Do Not Attempt Cardiopulmonary Resuscitation, Do Not Resuscitate (DNR), Do Not Resuscitate (DNR) Communication Failures, Documented Evidence in Last 24 Hours of Life of Holistic Assessment of Patient’s Needs for Individual Plan of Care, Documented Evidence Patient Given Opportunity to Have Concerns Listened To, Documented Evidence That Needs Of Person(S) Important to Patient Were Asked About, Documented Evidence That Patient Would Probably Die (Imminent Death) Had Been Discussed With Nominated Person(S) Important to Patient, Documented Evidence That Patient Would Probably Die in Coming Hours or Days, Dr Adrian Tookman: Clinical Director at Marie Curie, Dr Kevin Stewart: Medical Director of RCP’s Clinical Effectiveness and Evaluation Unit, Education Programmes on End of Life Care, End of Life Care, End of Life Care Audit: Dying in Hospital (RCP 2016), End of Life Care Facilitators, End of Life Care Pathway, End of Life Care Plans, End of Life Care Quality Indicators, End of Life Care Research, End of Life Care Strategy, End-of-Life Care in Acute Hospitals, End-of-Life Care Pathways, End-of-Life Support, General Hospital Care, Geographical Variations, Good Communication, Healthcare Quality Improvement Partnership (HQIP), Holistic Assessments, Hospital End-of-Life Care, Hydration and Nutrition, Improving Care in General Hospital Settings, Lay Member on Trust Board With Responsibility For End of Life Care, Liverpool Care Pathway (LCP), Liverpool Care Pathway for the Dying Patient (LCP), Local Variations, Marie Curie, National Council for Palliative Care (NCPC), NG31: Care of Adults in Last Days of Life, NHS Services Seven Days a Week, Palliative and End of Life Care, Palliative and End-of-Life Care in Hospitals, Palliative Care, Palliative Care in the UK, People Recognised as Likely to Die, Professor Sam Ahmedzai: Chair of RCP End of Life Care Audit Steering Group, Quality Idicators For End of Life Care, Quality of Care, RCP: Royal College of Physicians, Royal College of Physicians (RCP), Royal College of Physicians. End of Life Care Audit – Dying in Hospital (2016), Specialist Palliative Care Services (SPC), Staffing and Training, Symptom Control. Provision of Palliative Care Services 24-7, Tackling Variation, Treatment at End of Life, Trust Seeks Bereaved Relatives’ or Friends’ Views, UK End-of-Life Care, Unwarranted Variations, Variations in Care, Variations in Quality of Care, Withdrawal of Liverpool Care Pathway (LCP)
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Further Room For Improvements in End of Life Care (BBC News / RCP)
Summary End of life care in the UK has previously been assessed to be possibly the best in the world, but a Royal College of Physicians audit report identifies local variations in the quality of hospital care for the dying. Full … Continue reading →
Posted in Acute Hospitals, BBC News, Commissioning, End of Life Care, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, Management of Condition, National, NHS, NHS England, Person-Centred Care, Personalisation, Quick Insights, Royal College of Physicians, Standards, Statistics, UK, Universal Interest
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Tagged 24/7 Care, Acute Care, Acute Hospital Care, Advance Care Planning (ACP), Agreed Care Plans, Ambitions for Palliative and End of Life Care: National framework for Local Action 2015-2020 (Ambitions Framework), Ambitions Framework, Auditing, Audits, BBC Health News, Care of Dying Adults in Last Days of Life, Clinical Audits, Communication, Compassion in Practice, Compassionate Care, Culture of Compassionate Care, Dehydration, Difficult Conversations, Dignity and Respect, Dr Adrian Tookman: Clinical Director at Marie Curie, Dr Kevin Stewart: Medical Director of RCP’s Clinical Effectiveness and Evaluation Unit, Education Programmes on End of Life Care, End of Life Care, End of Life Care Audit: Dying in Hospital (RCP 2016), End of Life Care Pathway, End of Life Care Plans, End of Life Care Strategy, End-of-Life Care in Acute Hospitals, End-of-Life Care Pathways, End-of-Life Support, Geographical Variations, Healthcare Quality Improvement Partnership (HQIP), Holistic Assessments, Hydration and Nutrition, Local Variations, Marie Curie, National Council for Palliative Care (NCPC), NG31: Care of Adults in Last Days of Life, Palliative and End of Life Care, Palliative and End-of-Life Care in Hospitals, Palliative Care, Palliative Care in the UK, People Recognised as Likely to Die, Professor Sam Ahmedzai: Chair of RCP End of Life Care Audit Steering Group, Quality Idicators For End of Life Care, RCP: Royal College of Physicians, Royal College of Physicians (RCP), Royal College of Physicians. End of Life Care Audit – Dying in Hospital (2016), Staffing and Training, Symptom Control. Provision of Palliative Care Services 24-7, Tackling Variation, UK End-of-Life Care, Unwarranted Variations, variation, Variations in Care, Variations in Quality of Care, Withdrawal of Liverpool Care Pathway (LCP)
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Reducing Length of Stay in Hospitals (Nuffield Trust / Monitor)
Summary Variations in patients’ length of stay imply there should be significant opportunities to reduce length of hospital stay; whether through improvements to internal processes or development of alternative community-based services. This Nuffield Trust report explores which approaches to reducing … Continue reading →
Posted in Acute Hospitals, Charitable Bodies, Commissioning, Delirium, Diagnosis, End of Life Care, Falls, Falls Prevention, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), Integrated Care, Management of Condition, Mental Health, Models of Dementia Care, National, NHS, Non-Pharmacological Treatments, Nuffield Trust, Patient Care Pathway, Person-Centred Care, Personalisation, Quick Insights, Standards, Statistics, UK, Universal Interest
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Tagged Acute Hospital Care, Acute Hospitals, Acute Savings per Bed Day, Advance Planning, Alignment of Routine Follow-Up Intensity to Patient Risk Profiles, Assessment Before Discharge, Average Length of Stay (Hospitals), Bed Days, Bed Use (Acute Hospitals), Bed-Blockers, Bed-Blocking Patients (Non-Recommended Term), Blaylock Assessment, British Geriatrics Society (BGS), Bundled Approaches, Care Bundle Approach, Care of Frail Older People With Complex Needs, Care Seven Days a Week, Care Transitions, Care Transitions of Older People, Clinical Engagement, Communication During Handovers, Complex Discharge, Complex Needs, Comprehensive Geriatric Assessment (CGA), Consultant Led Ward Rounds, Continuous Improvement, Continuous Learning, Continuous Monitoring, Culture of Assumed Trust and Professionalism, Culture: Constantly Challenging Preconceptions That Patients Need to be in Hospital, David Bennett: Chief Executive of Monitor, Day-of-Surgery Admission, Delirium Superimposed on Dementia, Dementia Care in the Acute District General Hospital, Dementia Care in the Acute Hospital, Dementia Friendly Acute Hospitals, Dementia in the Acute Hospital, Devolved Decision-Making, Discharge, Discharge Coordination, Discharge Coordinators, Discharge Planning, Discharge Seven Days a Week, Discharge Support, Early Discharge Support, Emergency Care Intensive Support Team, End-of-Life Care in Acute Hospitals, Enhanced Recovery, Enhanced Recovery (ER) Pathways, Enhanced Recovery Care Pathways, Enhanced Recovery Programmes (ERPs), Frail Older People With Complex Needs, Frailty Units, Frailty Units and Services, Greater Manchester Commissioning Support Unit, Handover, Handover Records, Healthcare Closer to Home (Monitor), Hospital Discharge, Hospital-Acquired Infections, Identification of Patients At Risk of Complex Discharge on Admission, Immobility, Impact of Delirium on Length of Stay, Impact of Dementia on Length of Stay, Improving Patient Flow, Improving Productivity in Elective Care: Operational Opportunities, Information Systems, Inpatient Palliative Care, Integrated Care for Older People With Complex Needs, Integrated Care Pathways, Integrated Discharge Process, Integrated Out-of-Hospital Care, Lean Enterprise Academy, Length of Stay, Length of Stay (LoS), Managing Transitions, Mayo Audit Tool: Northumbria Healthcare NHS Foundation Trust, MDTs: Multidisciplinary Teams, Medical Care Assessment Protocol (MCAP), Monitor, Moving Healthcare Closer to Home, Multidisciplinary Patient Management, Multidisciplinary Team Care, Multidisciplinary Teams, National Patient Safety Agency (NPSA), Nine Areas of Operational Improvement in Elective Care: Alignment of Routine Follow-Up Intensity to Patient Risk Profiles, Nine Areas of Operational Improvement in Elective Care: Day-of-Surgery Admission, Nine Areas of Operational Improvement in Elective Care: Optimised Theatre Scheduling and Management, Nine Areas of Operational Improvement in Elective Care: Proactive management of infections and readmissions, Nine Areas of Operational Improvement in Elective Care: Specialisation and Extended Roles in Theatre or Outpatient Procedure Teams, Nine Areas of Operational Improvement in Elective Care: Standardisation of Ward Care and Enhanced Recovery, Nine Areas of Operational Improvement in Elective Care: Stratification of Patients by Risk, Nine Areas of Operational Improvement in Elective Care: Streamlined Outpatients and Diagnostics, Nine Areas of Operational Improvement in Elective Care: Surgical Teams Informed and Supported to Use Theatres Effectively, Northumbria Healthcare NHS Foundation Trust, Nutrition and Hydration, Oak Group and Greater Manchester Commissioning Support Unit, Optimised Theatre Scheduling and Management, Out-of-Hospital Care, Out-of-Hospital Services, Palliative Care, Patient Discharge, Patient flow, Patient Flow Within Hospitals, Patient Flows, Patient Handovers, Patient Transfer to Alternative Settings, Positive and Proactive Care, Pressure Ulcers: Prevention, Priorites Within Acute Hospitals, Proactive Care Plans, Proactive Case Management, Proactive management of infections and readmissions, Proactive Patient Management, Proactive Patient Rounds, Productivity in Elective Care, Quality Improvement, Reducing Catheter Associated Urinary Tract Infections, Reducing Immobility, Rehabilitation in Acute Hospitals, Separating Elective Surgical Admissions, Seven Day Consultant Led Multidisciplinary Ward Rounds, Seven Day Services, Seven-Day Hospital Services, Seven-Day NHS Services, Seven-day Rounds and Supporting Services, Seven-Day Services in Hospital, Seven-Day Working, Shared Decision-Making, Short Stay Units for Elderly Patients, Short-Stay Observation and Assessment Units, Short-Stay Units, Single Point of Access (SPA), Smoother Patient Flows, SPA: Single Point of Access, Specialisation and Extended Roles in Theatre or Outpatient Procedure Teams, Specialist Frailty Services, Specialist Frailty Units, Staff Engagement, Standardisation of Ward Care and Enhanced Recovery, Stratification of Patients by Risk, Streamlined Outpatients and Diagnostics, Surgical Teams Informed and Supported to Use Theatres Effectively, Targeted Care, Tracking Patient Progress, Transition Planning, Transitions, Trends in Acute Activity: Trends to 2022, Trends in Emergency Admissions in England, Understanding Patient Flow in Hospitals (Nuffield Trust), Urinary Tract Infections (UTIs), Ward Rounds, Weekend Ward Rounds, Whole System Patient Flows
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Dying Matters Awareness Week 2015: Plus Related Information and Developments (Dying Matters Coalition / BBC News / PHSO / Nursing Times)
Summary The “Dying Matters Awareness Week”, this year having the theme “Talk, Plan, Live”, occurs between May 18th – 24th 2015. The aim is to support more open discussion about dying, death and bereavement. Making end of life wishes known, … Continue reading →
Posted in Acute Hospitals, BBC News, Charitable Bodies, Commissioning, Community Care, End of Life Care, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, Integrated Care, Management of Condition, National, Non-Pharmacological Treatments, Patient Care Pathway, Patient Information, Person-Centred Care, Personalisation, Quick Insights, RCN, Standards, Statistics, UK, Universal Interest
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Tagged BBC Health News, Canterbury Christ Church University, Comfort and Pain Management, Dame Julie Mellor: Parliamentary and Health Ombudsman Service, Dying Matters, Dying Matters Awareness Week, Dying Matters Awareness Week (2015), Dying Matters Awareness Week: Talk Plan Live (2015 Theme), Dying Matters Coalition, Dying Without Dignity (PHSO), East Kent Hospitals University Foundation Trust, End-of-Life Care at Home, End-of-Life Care Delivered At Home, End-of-Life Care in Acute Hospitals, End-of-Life Care Pathways, End-of-Life Dementia Care Barriers: Access to Palliative Care, End-of-Life Dementia Care Barriers: Inappropriate Hospital Admissions, End-of-Life Dementia Care Barriers: Inappropriate Interventions, End-of-Life Dementia Care Barriers: Inconsistency in Care Standards in Hospitals, End-of-Life Dementia Care Barriers: Lack of Continuity of Care, End-of-Life Dementia Care Barriers: Lack of Support for Carers, End-of-Life Dementia Care Barriers: Poor Pain Management, Good Death in Acute Hospitals, Lynda Thomas: Macmillan Cancer Support, Macmillan Cancer Support, Nursing Times, Pain Management, Pain Management in Older People with Dementia, Palliative and End-of-Life Care at Home, Palliative and End-of-Life Care in Hospitals, Palliative Care, Parliamentary and Health Service Ombudsman, Parliamentary and Health Service Ombudsman (PHSO), Preferred Place of Death, Professor Sir Mike Richards: Former Chief Inspector of Hospitals (CQC), Responsibility for End-of-Life Care in Care Homes, Royal College of Nursing (RCN), Time to Care
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