Breathlessness at end of life: what community nurses should know (2017)

Type of publication:
Journal article

Author(s):
*Pickstock, Shirley

Citation:
Journal of Community Nursing; Oct 2017; vol. 31 (no. 5); p. 74-77

Abstract:
The provision of end of life care is important core work for community nursing teams. Once end of life has been recognised, a focus on palliation of symptoms and an emphasis upon assisting people to ‘live well until they die’ becomes paramount. Breathlessness is a common distressing symptom for patients, significantly affecting their quality of life and is sometimes the cause of unnecessary admissions to hospital. This article explores the pathophysiology of breathing and breathlessness and offers some thoughts on history-taking and physical assessment, skills that nurses in advancing practice roles are now undertaking in the community setting to enhance the care they deliver to patients. This article aims to support community nurses to gain knowledge to inform the provision of effective evidence-based care and assist patients and their families to manage breathlessness at end of life.

End of Life Care Marriages in a Hospital setting (2017)

Type of publication:
Post on the Academy of Fab NHS Stuff website

Author(s):
Jules Lewis

Abstract:
Shrewsbury and Telford Hospital NHS Trust Staff have been working hard to have a clear process for when an End of Life Care Patient wishes to get married in Hospital.

Flowcharts have been designed for both Ward Staff and the Chaplaincy service to follow to ensure the process is done without confusion and nothing is forgotten at this special and emotional time, this includes required documentation for special licence and contact details of people who will be able to assist in and out of hours.

Both religious and civil services can be offered depending on the couples preference.

The end of life care team have created a wedding bag to assist the ward staff in making this day as special as possible, this includes bunting, a ring box, a wedding card, champagne glasses and fizz, confetti, pen, paper, a keepsake gift and the flow charts on the process.

The Ward staff together with the End of Life Care Team get flowers and cake on the big day.

Ward Staff even managed to get a photographer to capture the special day for the wedding earlier this year with our hospital photographer printing the photos for the couple next working day, the wedding even took place in our swan room which made it extra special.

Thank you to everyone involved in making this happen from the Registrar services, Hospital Chaplaincy Team, End of Life Care Team, Communications Team, Photographer, Ward Staff and to the Director of Corporate Governance.

Together we made it happen because it’s the right thing to do as we have one chance to get it right.

Link to more details or full-text: http://fabnhsstuff.net/2017/03/12/end-life-care-marriages-hospital-setting/

End of Life Care Swan Rooms making a real difference (2017)

Type of publication:
Post on the Academy of Fab NHS Stuff website

Author(s):
Jules Lewis

Abstract:
The staff at Shrewsbury and Telford Hospital NHS Trust have been working hard to provide Swan Rooms in three areas.

This important work was facilitated by Jules Lewis End of Life Care Facilitator and Jules Lock End of Life Care Volunteer.

However, there was a real team approach in making it happen.

Thank you to all staff involved from staff & public who donatated pictures & CD players, to the painters, carpenter, communications team and ward staff including some fabulous End of Life Care Champions.

The Swan Rooms are side rooms that are used for people who are at end of life, they allow families to spend quality and special time with their loved one in a calming environment.

The side room is freshly painted, beautiful pictures are placed on the wall, a CD player and mood light are available when wanted and a swan recliner chair for relatives to rest when spending long periods of time with their loved one.

Jules Lock also donated lovely mugs / glasses and biscuits in a clear tub to encourage / support staff to make relatives drinks.

It’s the little things that make the biggest difference.

This work is part of the swan scheme for End of Life & Bereavement care which was adopted by the Trust in November 2015.

The end of life care team are planning more swan rooms for 2017 they are making a real difference to the care / support staff give to end of life patients and their family/friends and carers at the most difficult time.

It’s a privilege to care for people at end of life & support the family, we have one chance to get it right for every person every time.

Thank you everyone who was involved, together we achieve wonderful things #onechance #TeamSaTH Jules Lewis and Jules Lock from SaTH Proud to care, together we achieve, make it happen, some of our trust values

Link to more details or full-text: http://fabnhsstuff.net/2017/03/12/end-life-care-facilitator-2/