End of Life Care
There are currently a number of projects on-going in the DHB attempting to improve end of life care.
- Future care planning is a process of discussion and shared planning between the patient, their family/whānau and health professionals. It helps patients identify their personal beliefs and values, understand current and future health status, treatment and care options, and then incorporate them into a plan for future health care. A future care plan helps whānau/family and the healthcare team make decisions about care if the patient can no longer tell them what they want. A future care planning pathway for Bay Navigator is currently being developed.
For more information, go to Advance Care Planning and complete the self-assessment on the training page.
Plan templates are available at Bay Navigator for My Future Care Plan or Advance Care Planning for the national template.
- Ceiling of intervention is essentially the translation of the wishes and preferences captured in a Future Care Plan into medical orders, which can then be applied within a medical facility. A two-page draft is currently being circulated for comment and will be incorporated into the next iteration of My Future Care Plan, the Bay of Plenty’s template for advance care planning. In addition, a ceiling of intervention document has been developed for use in age related residential care facilities. It is due to be piloted in the coming weeks before being offered to providers in the Bay of Plenty.
- Last days care plan was implemented by BOPDHB in 2016 to replace the Liverpool Care Pathway. The care plan supports clinical staff to provide appropriate care to patients at the very end of life, ensuring that symptoms common in the dying patient are well-managed. In addition the Ministry of Health has recently launched Te Ara Whakapiri: Principles and guidance for the last days of life. It outlines the essential components and considerations required to promote quality care at the end of life for all adults in New Zealand. A series of individual toolkits address specific issues, such as home care in the last days of life or symptom management guidelines.
If you have an interest in any of these projects and would like to find out more contact- firstname.lastname@example.org
Last updated : Friday, September 27, 2019
Next review date : Saturday, September 26,2020
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