Article: Percival J et al (2013) End-of-life care in nursing and care homes. Nursing Times; 109: 1/2, 20-22.
5 key points
- The majority of people living in a nursing or care home will die there
- Better end-of-life care in homes is one of the National End of Life Care Programme’s critical success factors
- Good-quality end-of-life care involves an individualised approach and making time for residents
- Staff need to develop good working relationships with relatives
- Training is needed to help staff build confidence in this area of practice
- What factors influence good quality end-of-life care in nursing and residential care homes, from the perspectives of staff, residents and relatives?
- Why do you think residents with dementia who need end-of-life care are particularly at risk of inappropriate hospital admission?
- What are the key priorities for end of life care identified in this research?
- The researchers found that “in the context of homes as communal settings, residents commonly voiced concern at the information vacuum that can surround the death of fellow residents, when they are given no information about how their life concluded or the care they received”. What would you do to resolve this problem?
- How should care home staff be supported when a resident dies?