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

More documents

Recommendations

Info

The diagnosis was not recorded in 5 (4%) patients. 39 (30%) patients were admitted with advanced malignancy, compared with 85 (66%) who were admitted with a non-malignant condition or conditions. Diagnosis Percent 100 90 80 70 60 50 40 30 20 10 0 Advanced metastatic malignancy CHF % Chronic respiratory disease % Dementia % MND % CVA % Parkinson's % MS % Frailty % Other % Series1 30 4 23 20 1 5 2 5 15 4 4 Figure 3 Diagnoses Reason for Admission Not recorded % One of the objectives of this piece of work was to establish the reasons for hospital admission for this group in the hope of identifying a service or educational gap. Figure 4 illustrates the reasons for admission for all 128 patients. Please note individual patients may have had a number of reasons for admission. Reason(s) for admission to hospital 100 90 80 70 Percent 60 50 40 30 20 10 0 Pain % Dyspnoea % Nausea & vomiting % Fall % Collpase % Confusion % Blocked stent % All other % Not recorded % Series1 20 33 10 11 2 6 2 33 2 Figure 4 Reason for hospital admission Other reasons for admission to hospital included: • Sepsis • UTI • Acute renal failure • Decreased mobility PPC Audit Report October 2010 6
• Rectal bleeding • Chest infection • Headache • Head injury • Dehydration • Wound problem • Delusions • Seizure • GI Bleed • Social • Fever Who made the referral to hospital? Of the 128 patients included within this audit, 96 (75%) were referred for admission by a healthcare professional. This included patients’ GPs, out of hours GPs, Clinical nurse specialists, paramedic(s), nursing home staff, community hospital staff, oncology staff, and NHS 24. Nine (7%) patients self-referred. Nineteen (15%) of the 128 were referred by their family/carers. For 4 (3%) patients the referrer was not recorded. Support services in place at home Palliative care patients being admitted to hospital may have complex health and social care needs. Where appropriate, questions were asked to establish what services were currently in place. Figure 5 indicates a range of health and social care support already in place. Support services in place at home Percent 100 90 80 70 60 50 40 30 20 10 0 Marie Curie % Macmillan % Hospital bed % Syringe driver % Home carer % Nursing home CNS support % DN support % Other % No know n support % Series1 2 13 6 4 29 20 11 9 19 23 Figure 5 Services in place Other support services included: • Stair lift • Family • Home Oxygen PPC Audit Report October 2010 7
Page 1 and 2: Preferred Place of Care Palliative
Page 3 and 4: Objectives • To establish numbers
Page 5: Hospital of admission 27% 40% Hairm
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
Page 17 and 18: Codes (please enter in columns) A=
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
Page 27 and 28: NHS Lanarkshire LCP Symptom Control
Page 29: For breakthrough dose when using Fe

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

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?