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Annual Review 2011/12 - Royal Masonic Benevolent Institution

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IMPROVING END-OF-LIFE CARE | 13<br />

Committed<br />

to improving<br />

end-of-life care<br />

Living through the later stages of life is a sensitive and emotional journey – not only for<br />

the person who is at the end of their life, but also for their family. This is why the RMBI is<br />

committed to doing all we can to improve the quality of the end-of-life care offered in our<br />

Homes, to ensure that our staff offer care which respects residents’ individuality and maintains<br />

their dignity.<br />

“<br />

In <strong>2011</strong>-<strong>12</strong>, staff at a number of our<br />

Homes began accredited training on<br />

end-of-life care. Some have obtained<br />

accreditation from the Gold Standards<br />

Framework (a national standard of<br />

care for people nearing the end of<br />

their life), and some have embarked<br />

on other equally prestigious accredited<br />

schemes.<br />

Every person has different needs,<br />

but some worries are common to<br />

most people at the end of their life.<br />

Concerns include fear of abandonment<br />

and fear of being a burden. People at<br />

the end of their life also have concerns<br />

about loss of dignity and loss of<br />

control.<br />

The period at the end of life is<br />

different for each person. The signs<br />

and symptoms people have will vary<br />

as their illness or condition continues,<br />

and each person has unique needs<br />

for information and support. Through<br />

enhanced training and support we<br />

are able to make sure that a person’s<br />

care continues, with the emphasis on<br />

improving their quality of life and that<br />

of their loved ones, and on making the<br />

person comfortable.<br />

The RMBI places a great emphasis on<br />

ensuring that staff are appropriately<br />

trained and equipped to deliver care<br />

that is sensitive to meeting the needs<br />

of the individual and of their family.<br />

Staff are supported to ensure they have<br />

the confidence and know-how to help<br />

residents and their families with the<br />

medical, psychological, social, spiritual<br />

and emotional issues around dying.<br />

Communication about end-of-life<br />

care and decision-making during the<br />

final months of a person’s life is also<br />

important. Research has shown that,<br />

if a person is able to discuss his or her<br />

options for care early on, that person’s<br />

level of stress decreases and their ability<br />

to cope increases. Studies also show<br />

that people prefer an open and honest<br />

discussion about choices for end of life<br />

early on and are more satisfied when<br />

they have this conversation.<br />

Using the good practice methodology<br />

gained through their training, RMBI<br />

staff are enabled to support families<br />

and confidently address any questions<br />

and concerns that family members may<br />

have about the end-of-life care of their<br />

loved one.<br />

The care and<br />

support my mum<br />

and our family have<br />

received at the<br />

Home have been<br />

outstanding and<br />

the true meaning of<br />

humanity, dignity<br />

and compassion<br />

is completely<br />

understood and part<br />

of the being of all<br />

staff there, especially<br />

her carers in these<br />

past few difficult<br />

weeks. Words cannot<br />

possibly express our<br />

heartfelt thanks and<br />

gratitude.”<br />

A relative of a resident at<br />

Prince Michael of Kent Court, Watford

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