‘OUR WISH’

Celine Deane, Senior Social Worker Beaumont Hospital

Beaumont have been part of the HFH Programme for 8 years.

We’ve had many opportunities during that time to build on what was already there and to develop new initiatives and participate in the full range of programmes on offer

Hospital has huge pride in the work it does around End of Life and Bereavement Care

Committed team who are always looking for opportunities to improve the journey for patients and their families.. ‘champions’ have been key to this

Need for continuous review of the work we do in relation to EOL care and Bereavement

As :

Staff change ..........

Ongoing competing agendas ......

Importance of maintaining ‘buy in’.....

Need for’ new’ champions

Excellent pockets of practice.........

Move out of our professional silos......

The Wish video has been the cornerstone of a lot of the education done in the hospital

Our steering group members felt we needed now the make

‘THE WISH ....’

‘OUR WISH .......’

Form a inter disciplinary team to plan and organise an engagement workshop with ALL staff of the hospital

Move forward locally but use ‘corporate’ organisation

Use the Education / Development Department

Engage with the QI agenda

‘We are continually faced with great opportunities which are brilliantly disguised as unsolvable problems’

Margaret Mead

............ Listen to our patients and their

families ............ To hear what they were saying about

their experience ............. To act and make changes

accordingly

AND ............To listen to each other , to work

together and make the changes happen

The model for improvement

What are we trying to accomplish ?

How will we know that a change is an improvement ?

What changes can we make that will result in the improvements we want ?

Testing the changes

Aims

Measurements

Change idea

Our families experiences.....

What supports you in delivering compassionate end of life care ?

What gets in the way or prevents this from happening ?

What else can we do to support the delivery of compassionate end of life care?

When a room is available

When efforts are made to get private space

even if you can’t

Having the same key people involved as much as possible

for patient and family

New mortuary and gardens

Resources including

leaflets and information

packs

Good effective role models who lead by

example

Good MDT’s

Just having time

No private space

Always competing with

infectious cases

No place for families on

wards

Pressure for beds

Lack of experience and opportunities to

learn from others

Cultural blindness

‘Ward alters’

Being too busy to listen

Not asking families to help with EOL care

Find ways to protect time for staff with

families

Make Final journeys

compulsory

Make a hospital wish list

for a good dignified death is

Have clear pathways for EOL care and

implement

it

Listen to patients

last wishes Ask questions about

patients wishes

Don’t be judgemental

To work at making EOL care an ongoing priority in the hospital

To build on and implement the recommendations of workshop

To engage more local champions at local level

To implement our ‘Care of the deceased patient’ by a range of QI initiatives

To learn from our mistakes

To be open to the solution often being a simple small change

To work together to improve continuously

https://www.youtube.com/watch?v=GPeeZ6viNgY