Review of patient records for those identified as being at the end of their life to assess the percentage of patients where best practice has been implemented and documented, including:
- discussion with the patient about end of life care (where this is possible)
- discussion with those close to the patient about end of life care (where this is relevant and appropriate)
- discussion with the patient’s referring team about end of life care (where this is relevant)
- clear management plan agreed and documented at the end of life, including completion of do not attempt cardiopulmonary resuscitation form if appropriate
- prescription of anticipatory medications (according to local guidelines)
- consideration of spiritual and emotional support for the patient and those close to them
- discussion with the specialist nurse for organ donation where appropriate.