Section 4
Additional resources
Resources to support end-of-life reviews 1.
The IHF have developed guidance for residential care centres to support Compassionate End-of-Life review (CEOL) meetings. These meetings are designed to give staff the opportunity to review and reflect on care provided to a resident who has died. The guidance provides the steps to take to host a review meeting, optimising learning opportunities for staff. The guidance has been developed as part of the IHF Journey of Change programme, email journeyofchange@hospicefoundation.ie for more information. 2. The End-of-life Care Toolkit (31) has a useful section on communicating around end of life issues and breaking bad news. 3. The DML Integrated Minimum Dataset (75) contains relevant sections and documentation in relation to discussing and documenting palliative care needs, psychosocial and spiritual needs and end-of-life care decisions. 4. The National Clinical Programme for Palliative Care have developed a number of key resources to aid documentation and planning in palliative care such as:
• The rapid discharge guidance for people who wish to die at home (76) • Palliative care needs assessment guidance (77).
5. The quality and patient safety directorate in the HSE have prepared a Practical Guide to Clinical Audit (78). Clinical audit is a tool which can be used to discover how well clinical care is being provided and to learn if there are opportunities for improvement. This method can be used to support the review of documentation relating to end-of-life care. 6. The IHF have developed a series of end-of-life care training workshops which have been adapted for different care settings (Final Journeys, What Matters to Me and Dealing with Bad News). The What Matters to Me workshop is geared towards staff in residential care settings and addresses communication with the person with dementia (79). 7. The series of Prompts for Good Practice in end-of-life care were developed by the IHF for general information and to provide ‘Just-in-Time Guidance’ for health professionals facing challenges in providing good end-of-life care in acute hospitals and residential care settings (80).
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Facilitating discussions on future and end-of-life care with a person with dementia
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