At Brownlow Health we want to help people with a terminal illness to received the best, most compassionate care, involving individuals and their families at every step of the way.
With this in mind we have the following measures in place for our patients:
-Each person with a terminal illness has a named GP.
-They will also have a second named GP who is familiar with the situation, in case of annual leave or sickness.
-We aim for a team approach within the practice. For example when the diagnosis is cancer, Julie, our cancer care co-ordinator, has a role along side the GP offering general support, advice, and signposting.
-Our whole clinical team has a regular meeting involving the District Nurses, Palliative Care nurses, and Community Matrons, to ensure good communication and a team approach to giving people the care that they want.
-We liaise with the out of hours GP service, ensuring that they know about patient wishes such as avoiding hospital admission and futile resuscitation attempts.
-We make use of new communication tools to ensure ambulance services and hospitals are also aware of patient wishes.
For more general information about preparing for death, and bereavement, you might want to look at the excellent Dying Matters website.
Unified Do Not Attempt Cardiopulmonary Resuscitation (UDNACPR) Policy
The primary goal of healthcare is to benefit patients, by restoring or maintaining their health, and cardio-pulmonary resuscitation (CPR) is a prime example of a potentially life-saving intervention. However, whilst patients who have an acute event, such as a heart attack, may recover with CPR, the chances of survival are much lower for patients who suffer this due to the progression of a life limiting illness.
As such, NHS North of England has developed a regional unified Do Not Attempt Cardiopulmonary Resuscitation (DNACPR) form, policy and patient information leaflet for use in all care settings.The policy carries a clear message that it is related to cardio-pulmonary resuscitation only, for adults aged 18 and over. This ensures patients known to be approaching the end of life receive appropriate care and treatment, and are not resuscitated inappropriately or against their wishes.
Follow this link for a patient leaflet regarding the UDNACPR policy.