Contacts
Contact:
June Nockels
Nurse Manager
Organisation:
Rambla Nursing Home
374 Scalby Road Scarborough North Yorkshire YO12 6RD United Kingdom
Tel:
01723 500136
Email:
Case study:
11 May 2010
Reducing hospital admissions at the end of life using the Gold Standards Framework and Liverpool Care Pathway in Rambla Care Home (Nursing)
Key points
- Introducing the LCP has reduced the number of residents admitted to hospital to die
- Using and adapting the LCP and GSF has helped staff to feel empowered to deliver end of life care
Introducing modified versions of the Liverpool Care Pathway and Gold Standard Framework has reduced admissions to hospital and helped empower the registered nurses at Rambla Nursing Home in Scarborough.
Before implementation registered nursing staff received in-house syringe driver training from the local hospice.
Together with residents and carers they took part in in-house training on the new documentation.
They then implemented the new approach with three residents requiring end of life care.
The result has been better communication and fewer hospital admissions because residents are able to identify their preferred place of care at an earlier stage.
Nurses also report feeling more empowered to act as the residents’ advocates.
The intention is to review all residents’ care plans after six months and then again after 12 months in order to identify any further changes that need to be introduced.
‘Working in the independent sector can be both educationally and professionally isolating for nurses,’ says nurse manager June Nockels.
‘The benefits to nurses and residents are that the care tools increase knowledge and confidence which cannot be under-estimated.’
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