spcare.bmj2d
174 Making the letter better: a review of quality of discharge letters for patients with palliative care needs at the Royal Derby Hospital
Background Limited local and national evidence demonstrates the quality of information in discharge letters for patients with palliative care needs is poor. 1,2 We aimed to evaluate discharge letters ...
spcare.bmj4d
60 Enabling Excellent End of Life Care in the ICU
Background Prior to the COVID-19 pandemic, an estimated 10–20% of the UK population died in the intensive care unit (ICU). 1 Approximately 70% of these deaths occur after decisions to withhold or ...
spcare.bmj4d
Primary palliative care research: opportunities and challenges
Introduction Primary care has a central role in palliative and end of life care: 45.6% of deaths in England and Wales occur under the care of primary care teams at home or in care homes. The Community ...
spcare.bmj5d
Battery operated fan and chronic breathlessness: does it help?
Objectives To examine whether use of a hand-held fan (‘fan’) improves breathlessness and increases physical activity. Methods A secondary exploratory analysis using pooled data from the fan arms of ...
spcare.bmj5d
21 `Comfort at Last’ – using digital comfort observations to improve care in the last days of life in the acute hospital setting
Background 37.5% of deaths in our area occur in hospital. There are known high unmet needs of adult patients dying in hospital, this unmet need can be reduced by using an individualised care plan and ...
spcare.bmj5d
P-253 Driving improvement within the hospice. Impact of the patient led assessment of the care environment (PLACE)
Background PLACE is an NHS Improvement Initiative which was introduced in 2013. It assesses the quality of an organisation’s environment, putting patients’ views at the forefront to assess how the ...
spcare.bmj7d
P-177 Improving antimicrobial stewardship in a hospice setting: a quality improvement project
Background Antimicrobial stewardship (AMS) is a key national policy agenda (Department of Health and Social Care. UK 5-year action plan for antimicrobial resistance 2019 to 2024. GOV.UK [internet].
spcare.bmj8d
THE COMMUNITY CARE PATHWAYS AT THE END OF LIFE (CAPE) STUDY- EARLY FINDINGS
Background Current NHS End of Life Care policy favours raising the proportion of deaths that occur at home. Currently this only occurs in 21.8% of the total. Although most people would like to die at ...
spcare.bmj8d
Opinions of patients with cancer on the relative importance of place of death in the context of a ‘good death’
Objective The primary objective of the study was to determine the relative importance of place of death to patients with advanced cancer being treated at a cancer centre in England. Methods ...
spcare.bmj8d
USING SCHWARTZ CENTRE ROUNDS TO CHANGE HOSPICE CULTURE: DOES IT WORK?
Introduction Following a review of organisational culture in 2013, Schwartz Centre Rounds (SCR) were introduced to Marie Curie Hospice Hampstead (MCHH). Aiming to promote a ‘one hospice’ ethos, the ...
spcare.bmj9d
21 Does a one day hospice placement for medical students do more harm than good?
Background In their first year as a doctor, F1s will care for 40 patients who will die and 120 patients in the last year of life. However, research shows junior doctors are often unprepared. We ...