These guidelines are intended to support Healthcare Professionals who do not specialise in dementia care to assess and manage symptoms likely to be present in people with dementia during the end of life stage. They supplement the Guidelines for Symptom Management in Palliative Care available to download here by providing additional information specific to the assessment and management of people with dementia, delirium and/or other cognitive impairment.
Developed by Tees Esk and Wear Valleys NHS Foundation Trust the 'my future wellbeing tool' can be used to facilitate discussions with patients and carers about end of life.
Click here to access an electronic copy of the staging of the clinical dementia rating resource.
Click here for the GSF prognostic indicators guidance for clinicians to support earlier recognition of patients nearing the end of life.
These two care plan documents (originally developed in North East Lincolnshire and then adapted for use with North Lincolnshire) have been incorporated as part of a holistic assessment process and it is widely used within care homes in both areas. The tool is for patients to fill in themselves where possible but families often find it useful to do together as do some Care Home staff. Lisa Revel, Strategic Lead for Palliative and End of Lide Care (NE Lincs) says, “This is a great tool for people to capture their wishes and has been well received by both the public and professionals”.
Key contact for the NE Lincs version is Lisa Revell, Strategic Lead for Palliative and End of Life Care (NE Lincs), Email: email@example.com
Key contact for N Lincs is Helen Mumby: Helen Mumby, Macmillan End of Life Lead Nurse, North Lincolnshire and Goole NHS Foundation Trust, Tel: 07917232631 or 01724 203781.
Serious illness and ageing bring challenges that many prefer to avoid thinking about. At the same time many fear loss of control about decisions relating to our health care. Bradford has developed an advance care plan booklet to help people to think ahead and write down what matters to them. Writing preferences down help to ensure that anyone who provides care, carers or health professionals, tailors it according to individual wishes.
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