Preferred Place of Care Palliative Care Audit ... - NHS Lanarkshire

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What we found The following report presents the data collection and analysis during the audit of preferred place of care, carried out within all three acute settings of NHS Lanarkshire between November 2009 and March 2010. There were 730 emergency admissions during the audit period and of these, 128 were identified as being eligible to be recorded on a community palliative care register (GSF, QoF 2006). Twenty-five of the 128 palliative patients (20%) are known to have died during the recorded admission. Of the 128 only 74 were able to answer the audit questions, the rest were excluded because of cognitive impairment or extreme physical frailty. When invited, a further 3 patients declined to be interviewed. Demographics Of the 128 patients included in the audit, 61% were female and 39% male. Analysis shows the mean age as 77 years, with 81% over 60 years old, 13% 41 – 60 years, and 5% within the 25 – 40 years age group. Patient age group 1% 0% 5% 13% 16-24 25-40 41-60 61+ Not recorded 81% Figure 1 Patient Age Group Hospital of Admission Of the 128 patients included in this audit, 40% were admitted to Wishaw General, 33% to Monklands District General and 27% to Hairmyres Hospital. PPC Audit Report October 2010 4
Hospital of admission 27% 40% Hairmyres Monklands Wishaw 33% Figure 2 Admissions per hospital Time of Admission The majority of patients with palliative care needs were admitted during the out of hours period as illustrated in table 1. Was patient admitted out of hours (n) Yes 83 No 41 Not recorded 4 Table 1 time of admission Diagnosis Of those acute admissions with a previously established palliative condition: • 39 (30%) patients were admitted with an advanced metastatic malignancy • 29 (23%) patients were diagnosed with chronic respiratory disease • 25 (20%) had dementia • 19 (15%) patients had general frailty with no more specific diagnosis • 5 (4%) were admitted with chronic heart failure (CHF) • 6 (5%) patients had a previous CVA • 7 (5%) had Multiple Sclerosis (MS) • 5 (4%) not recorded • 2 (2%) had a diagnosis of Parkinson’s Disease • 1 (1%) patient had Motor Neurone Disease (MND) Please note that patients having more than one palliative condition may have been recorded twice. PPC Audit Report October 2010 5
Page 1 and 2: Preferred Place of Care Palliative
Page 3: Objectives • To establish numbers
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Page 9 and 10: identify and contact professional r
Page 11 and 12: Recommendations Reflecting upon the
Page 13 and 14: All personnel completing the care p
Page 15 and 16: Section 1 Psychological/ insight Re
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Page 19 and 20: Variance analysis What Variance occ
Page 21 and 22: What Variance occurred & why? Actio
Page 23 and 24: Notes:.............................
Page 25 and 26: NHS Lanarkshire LCP Symptom Control
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Preferred Place of Care Palliative Care Audit ... - NHS Lanarkshire

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