Search results for ‘Subject term:"end of life care"’ Sort:
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Care of dying adults in the last days of life (QS144)
- Author:
- NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE
- Publisher:
- National Institute for Health and Care Excellence
- Publication year:
- 2017
- Pagination:
- 22
- Place of publication:
- London
This quality standard covers the clinical care of adults (aged 18 and over) who are dying, during the last two to three days of life. It describes high-quality care in priority areas for improvement. The standard comprises the following quality statements: adults who have signs and symptoms that suggest they may be in the last days of life are monitored for further changes to help determine if they are nearing death, stabilising or recovering; adults in the last days of life, and the people important to them, are given opportunities to discuss, develop and review an individualised care plan; adults in the last days of life who are likely to need symptom control are prescribed anticipatory medicines with individualised indications for use, dosage and route of administration; and adults in the last days of life have their hydration status assessed daily, and have a discussion about the risks and benefits of hydration options. (Edited publisher abstract)
End of life care for infants, children and young people with life-limiting conditions: planning and management: NG61
- Author:
- NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE
- Publisher:
- National Institute for Health and Care Excellence
- Publication year:
- 2016
- Place of publication:
- London
This guideline provides practice advice covering the planning and management of end of life and palliative care in for infants, children and young people (aged 0–17 years) with life-limiting conditions. The guideline cover general principles of care, such as communication and information provision. It also includes specific recommendations on: advance care planning; emotional and psychological support and interventions for children and young people, their parents or carers; managing distressing symptoms, such as pain, agitation, seizures, or respiratory distress; hydration and nutrition; care and support for parent and carers in relation to the death of a child or young person; and care at home. The guideline aims to involve children, young people and their families in decisions about their care, and improve the support that is available to them throughout their lives. (Edited publisher abstract)
Motor neurone disease: quality standard: QS126
- Author:
- NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE
- Publisher:
- National Institute for Health and Care Excellence
- Publication year:
- 2016
- Place of publication:
- London
This quality standard covering the assessment and management of motor neurone disease. It sets out five quality statements which draw on existing guidance. The five quality statements cover: information and support at diagnosis, respiratory assessment and non-invasive ventilation, provision of equipment and adaptations based on multidisciplinary team assessment, continuity of care, and planning for end of life care. For each statement, the standard includes quality measures that can be used to assess improvement and outlines what it means for service providers, health professionals, commissioners, patients, service users and their families. The standard aims to contribute to improvements in a person's quality of life, functional ability, satisfaction with care and support provided, and survival from onset of symptoms. (Edited publisher abstract)
End of life care for adults: service delivery
- Author:
- NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE
- Publisher:
- National Institute for Health and Care Excellence
- Publication year:
- 2019
- Place of publication:
- London
This guideline describes the provision of end of life care services for adults, which provide care and support in the final weeks and months of life. It aims to ensure that people have access to the care that they want and need in all care settings. It also includes advice on services for carers. The guideline advises on service models for care in acute settings and their supportive services, and in community settings by primary care or specialists in palliative care, such as hospices. It includes recommendations on identifying adults who may be approaching the end of their life, holistic needs assessment, supporting carers and providing information, advance care planning and reviewing people’s needs, communication between services, and transferring people between care settings and providing out-of-hours care. The guideline is intended to be used alongside the NICE guideline on care of dying adults in the last days of life, which covers care planning and clinical interventions. It is relevant for commissioners and providers of health and social services, health and social care practitioners, adults approaching the end of their life, their carers and families. (Edited publisher abstract)
End of life care for infants, children and young people with life-limiting conditions: planning and management: NG61
- Author:
- NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE
- Publisher:
- National Institute for Health and Care Excellence
- Publication year:
- 2019
- Place of publication:
- London
Updated guideline providing practice advice on planning and management of end of life and palliative care in for children and young people (aged 0–17 years) with life-limiting conditions. The guideline includes specific recommendations on: advance care planning; emotional and psychological support and interventions for children and young people, their parents or carers; managing distressing symptoms, such as pain, agitation, seizures, or respiratory distress; hydration and nutrition; care and support for parent and carers in relation to the death of a child or young person; and care at home. It also covers general principles of care, such as communication and information provision. The guideline aims to involve children, young people and their families in decisions about their care. The guideline is for health and social care professionals, commissioners and providers, and other professionals involved in caring for infants, children and young people with life-limiting conditions. The guideline was originally published in 2016 and update in July 2019. (Edited publisher abstract)
End of life care for infants, children and young people: QS160
- Author:
- NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE
- Publisher:
- National Institute for Health and Care Excellence
- Publication year:
- 2017
- Place of publication:
- London
This quality standard covers high-priority areas for improvement in end of life care for infants, children and young people (from birth to 18 years) who have a life-limiting condition. It also covers support for their families and carers. The six quality statements cover: involving children and their carers in advance care planning; assigning a named medical specialist to children and young people; the provision of information on emotional and psychological support to children and their carers; for specialist paediatric members to be included in multi-disciplinary teams; support for grief and loss for parents and carers, and improved home based end of life care. Each quality standard includes set of specific quality measures and suggested data sources. (Edited publisher abstract)
Care of dying adults in the last days of life: NG31
- Author:
- NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE
- Publisher:
- National Institute for Health and Care Excellence
- Publication year:
- 2015
- Place of publication:
- London
Practice guideline covering the clinical care of adults who are dying during the last 2 to 3 days of life. The guideline aims to improve end of life care for people in their last days of life by communicating respectfully and involving them, and the people important to them, in decisions and by maintaining their comfort and dignity. It covers how to manage common symptoms without causing unacceptable side effects and maintain hydration in the last days of life. Specific recommendations cover: recognising when a person may be in the last days of life, communication, shared decision making, maintaining hydration, pharmacological interventions, and anticipatory prescribing. The guideline also makes a number of research recommendations specifically to address gaps in the evidence base: recognising dying, agitation and delirium, noisy respiratory secretions, and anticipatory prescribing. It is intended for health and social care professionals caring for people who are dying, including those working in primary care, care homes, hospices, hospitals and community care settings; and commissioners and providers of care for people in the last days of life. NICE developed the guideline following the withdrawal of the Liverpool Care Pathway. (Edited publisher abstract)
Care and support of people growing older with learning disabilities
- Author:
- NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE
- Publisher:
- National Institute for Health and Care Excellence
- Publication year:
- 2018
- Place of publication:
- London
This guideline provides practice advice for the care and support for adults with learning disabilities as they grow older. It covers care and support in all settings and aims to support people to access the services they need as they get older. The recommendations cover support needs, assessing and managing health needs, planning for the future, and supporting access to services including health, social care, housing and end of life care. The recommendations advise health and social care workers to help organise regular health assessments for older people with learning disabilities and to giving people with learning disabilities clear and regular information to help people get the help they need and prevent late diagnosis of age-related conditions. It also advises local authorities to ensure there are opportunities for people growing older with learning disabilities to socialise and be active in their communities. (Edited publisher abstract)