Report on end-of-life care provision

Report on end-of- heart foreboding provisionTask Think of a service/ programme, which you c whole up could improve the quality of end-of-life sh atomic number 18 provision and write a composition to management, in an attempt to persuade them to implement this service/programme. This report should accept a description of the service, the rationale for its murder and the perceived challenges. It would as well be beneficial to show an awareness of any potential limitations of this service/programme and measures to minimize these.To the management,A way to improve the end-of-life plow within our wellness care system would be by implementing the sumptuous steps Frame encounter. This role model was develop in 2000 by Dr Keri Thomas a general practi mavinr with a particular interest in Palliative Care. I am writing in order to ask for the implementation of the grand Standard theoretical account within our hospitals. The briny purpose of this gilt Standard Framework is to p op the question teach to us health care professionals and staff in order to enable a luxurious standard of care for all people in the ending years of life. This is a systematic, evidence based way in optimizing patient care nearing end of life provided by healthcare professionals and healthcare workers. One must also state that according to the Department of Healths force out of life Care Strategy (2008) they state that all organisations providing end of life care are expected to adopt a coordinated procedure such as the Gold Standards Framework.This model also improves the coordination of care in the midst of nurses and members of the multi-disciplinary team. This framework focuses on seven key tasks mainly conversation, co-ordination, control of symptoms, continuity, go along learning, carer aid and care of the decease. In order for this framework to be use successfully one must also evaluate current physical exertion and identify the changes required. One must also i dentify the eligible patients undergoing alleviant care and are at an end of life stage. Health care team meetings must also be organized within the multidisciplinary team. The Gold Standard Framework also aims at identifying and assessing symptoms at an earlier stage. This could be a possible limitation as it capability not eternally be possible to anticipate which patients are during their last year of life. This could be easily tackled by using the prognostic screening tool provided with the Gold Standard Framework and with the stand by of monthly multi-disciplinary team meetings. Callaghan, Laking, Frey, Robinson Gott (2014) identified in their cross sectional ascertain that the prognostic tools assist in identifying patients at an early stage whom would benefit from the Gold Standard Framework . This is a conduct of monthly discussions that would take place within the multidisciplinary team. Early recognition allows enough time for healthcare professionals to determine patients wishes and prepare the patient and the relatives. The healthcare workers would also need enough time to adequately refer these patients then such as palliative care serve when needed. In their study conducted expirys showed the screening guides used would be the first step in implementing and identifying room by which we address patients needs. The authors also add that by these prognostic tools one leave be able to also identify future evaluate patients whom would benefit from these services.Patients at an end-of-life stage have acknowledged five main goals for improved quality of care to avoid prolonging demise, reduce the pressure on their families, to maintain relationships with relatives and loved ones and adequate pain and symptom management. Death and expiry is a natural process of life only nowa eld it is cosmos seen as something to fear. Due to medical and technological advancements these have aided in prolonging life, which has urged many families to de lay death and dying of their loved ones. This is a endpoint of families wanting to spend time with their loved ones, this may also result in a far more traumatic event as false hope may be portrayed that life apprize be maintained. Technological advancements have made it more difficult for the persons implicated. tho patients wishes and the caregivers wishes may not always be the same, therefore the implementation of the Gold Standard Framework volition aide in supporting family members. by dint of early identification of these patients, their wishes and goals would be planned into action and communicated with caregivers. Furthermore this framework will allow patients within the biotic community to die where they would wish. This would make the put by means of less traumatic for family members as they would have been prepared and reduce the insecurity of creating false hope.The Gold Standard Framework provides quality improvement grooming and programmes to healthcare profe ssionals in order to be able to provide notes standard care. This framework also provides tools and measures for support to healthcare professionals the framework aims to provide on-going assessment to patients, good communication, the ability to improve quality of life and dying with dignity. It is known that a number of admissions to the acute hospital are delinquent to dying patients, with the gold standard model this number is reduced with the help of earlier identification of these patients which would result in reduced hospital admissions. Patients would be identified at an earlier stage and the appropriate care and support would be provided to the patients and family, furthermore these patients would be followed up by community care services as part of the Gold Standard Framework.This framework will also aim to improve the coordination of care by providing better communication and cross-boundary care. As a result of successful completion and implementation of the gold stand ard model one would also perceive improved skills provided by healthcare professionals and improved confidence in providing care. This would also generate a better improved patient satisfaction throughout. Furthermore the Gold Standard Framework will reduce hospitalization and therefore reduce the make up associated. The Gold Standards Framework would also enable patients to feel secure and support by planning care ahead. Family and patients would also feel empowered through the increase in communication and through working together with the patient. clog up would be provided through the process, healthcare workers would be able to refer patients whence to community care services such as respite care, feed of equipment and practical assistance. Relatives would also be followed through bereavement support, one would have to plan ahead and form a protocol in transaction with relatives and helping them through the bereavement process. This is also stated by Payne (1999) where it is outlined that meeting carers needs would be an essential part, providing information, practical help and aflame support would result in a better patient outcome.I believe that with the implementation of this framework one would perceive some challenges and limitations but these loafer be identified at an early stage. One faculty find resistance from healthcare professionals to attend the training and meetings required in order to attain the Gold Standard Framework but these can be eliminated as there are various pathways in which one can receive the training. This could be easily negotiated between staff members in order to find the adequate time and place for training and multi-disciplinary meetings. Challenges that might also be associated with this framework may be the increased work load associated with this framework, as a result adequate support services are to be provided. It would also be vital to divide administrative work between co-workers as a result this would als o encourage their affair in professional development activities and within the framework itself. Furthermore the framework should be adjusted to our local services and requirements as a result improvements should be done accordingly.The patients informal carers must also be include within this framework, it is vital that they as well are taught and informed. Patients informal carers should also be empowered and assisted at home by Hospice services and community care nurses. These carers must also be trained and amend in what they should expect when their loved ones are dying and what they can do in order to allow the patients to die with dignity. The Gold Standard Framework also allows Advanced Care Planning which also allows the patients to inform care givers what is important to them, their spiritual needs or something they might need to do in order to allow and enable them to die with dignity. Implementing this framework will ensure the best possible care in the final days by a nticipating the patients needs and providing the support and coping mechanisms required by the family.As a healthcare professional, the care of a dying patient is neer easy and always proves as a challenging experience to all parties involved. However, implementation of the Gold Standard Framework aims at providing the best possible care to all individuals involved within the death of a dying patient. This framework will improve the quality of end-of-life care provided within our community and aiding other services presently provided by Hospice and MMDNA. Furthermore the successful implementation of this framework will also improve outcomes for our patients.