How we care for dying patients 
      • Insert patient story here
      • Insert local data around care and 
         management of dying patients 
      PRESENTATION NAME – MONTH YYYY
      PRESENTER NAME                         2
  Last Days of Life Toolkit 
  • The purpose of the toolkit is to provide 
   clinicians with the tools and support to 
   ensure that all dying patients are 
   recognised early, receive optimal symptom 
   control, have social, spiritual and cultural 
   needs addressed, and that bereavement 
   support for families and carers occurs. 
   In line with
     Relevant NSW Health Policy
      Medication Handling in NSW Public Health Facilities – 
      PD2013_043
      Using Resuscitation Plans in End of Life Decisions – 
      PD2014_030
     ACSQHC 
      National Consensus Statement: Essential Elements for Safe & 
      High Quality End of Life Care
      National Standards 
       • Standard 1 – Governance for Safety and Quality in Health 
        Service Organisations 
       • Standard 2 – Partnering with Consumers 
       • Standard 4 – Medication Safety 
       • Standard 6 – Care Coordination  
       • Standard 9 – Recognising and Responding to Clinical 
        Deterioration in Acute Health Care 
  The tools 
   Tools to assist the recognition of the dying 
   patient and development of individualised 
   management plans:
   Initiating last days of life management plan
   Comfort Observation and Symptom 
    Assessment chart
   Care after death in hospital 
  Initiating last days of life 
  management plan
   
    Identify dying patient and commence management 
   planning, includes:
       Signs & symptoms of dying  
       Mandatory criteria around assessment, communication 
       and documentation
       Care planning 
   Why would you consider the patient is dying within 
   hours to days?
   Is deterioration unexpected or a predictable consequence of a 
   known illness?
   Is there any treatable problem that has caused this deterioration? 
   Who is involved in recognising the patient may be 
   dying? 
   Discussion between multidisciplinary team caring for the patient. 
   Communication with patient and family 
   Meet with patient and/or family/carer as soon as possible.