Discussions as End of Life Approaches
Aim: The care home will be able to identify residents who are entering the last year of life so discussions on end of life care can take place at the appropriate time.

Objectives:

  • The care home will have an end of life care statement if they do not already have a statement/policy or guideline in place
  • Be able to identify how the North West End of Life Care Model supports a Supportive Care Record leading to the recognition of residents who may be in the final year of life
  • Be able to identify when to undertake Advance Care Planning discussions

Joint and shared resources
Attendance register
A register that can be used at any workshops or sessions. Download: Attendance Register
Evaluation form
Provides feedback to the facilitators, to continually develop and improve the delivery of the programme. Download: Evaluation form

Six Steps Organisational Programme Resources
PowerPoint presentation
A sample presentation that can be adapted for Step 1 workshop. Download: Six-Steps-Step-1-v2019.pptx
End of life care statement
A template for care homes that require an end of life statement. Download: End of life care statement
North West Model and good practice guide
The model of delivery of end of life care advocated by the North West Clinical Pathways Group. Download: North West Model and Good Practice Guide
North West Model template
A learning aid which supports the education around the understanding and application of the North West End of Life Care Model. Download: North West Model Template
North West Model template - facilitator's guide
Provides guidance to facilitators using the North West End of Life Care Model. Download: North West Model Template - Facilitator's Guide
Supportive Care Record
A record for the care home to record and monitor patient care. Download: Supportive Care Record
SHADOW
SHADOW has been developed in the North West to assist care home staff in identifying those residents approaching the last year of life. SHADOW guide download: SHADOW-Six-point-guide.pdf SHADOW communications sheet download: SHADOW-Six-point-communications-sheet.pdf SHADOW tool download: SHADOW-Six-point-tool.pdf
Proactive Identification Guidance
Aids the identification of adult patients with advanced disease in the last year/months of life who are in need of advanced supportive and palliative care. Download: Proactive Identification Guidance
Planning for your future care
A simple guide to Advance Care Planning and the different options open to people approaching end of life. Download: Planning for Your Future Care 
Step 1 to do list
Provides a checklist of actions that should be completed before the next workshop. Download: Step-1-to-do-list.doc 
Six Steps to Learning Resources
The double surprise question
A simple prompt that can be used to support prognostication. Download: The Double Surprise Question
Resident case study - long term conditions
A learning aid providing a case study around a resident with COPD. Download: Long Term Conditions Case Study
Resident case study - long term conditions, with facilitator notes
Notes for facilitators for the case study around a resident with COPD. Download: Long Term Conditions Case Study with Facilitator Notes
Resident case study - cancer
A learning aid providing a case study around a resident with Cancer. Download: Cancer Case Study
Resident case study - cancer, with facilitator notes
Notes for facilitators for the case study around a resident with Cancer. Download: Cancer Case Study with Facilitator Notes
Worksheet ST1.1
Worksheet to demonstrate an understanding of a Supportive Care Record. Download: Worksheet-ST1.1.docx
Worksheet ST1.2
Worksheet to recognise the different stages of end of life, and why the ‘(double) surprise’ question is used. Download: Worksheet-ST1.2.docx
Complex conversations and decisions for care home leaders
Four webinars for leaders and managers of care home to support complex and sensitive conversations in nursing practice, including planning and preparation for end of life. Click here to visit website