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The challenge of caring for people in late old age in care homes

After running through policy changes in the care for older people, Jo Hockley; nurse consultant for care homes at St Christopher’s Hospice, London, highlighted differences in end of life care between hospice and specialist palliative care and nursing care homes.

Jo emphasised the need for facilitation:

“There’s no point in investing in and putting people through programmes if they are not properly facilitated and sustained”

Jo summarised her action research study in developing high quality end of life care in nursing care homes. She found that dying was peripheral to their culture due to organisational and clinical issues. In response, reflective group debriefing sessions for staff following a death were set up. Also, an adapted Liverpool Care Pathway for the last days of life was introduced.

“Tools on their own will not bring about cultural change; the human component is of equal importance. We need to value people as much as the system” 

Presentations

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The challenge of caring for people in late old age in care homes
The challenge of caring for people in late old age in care homes - [1.15 MB] From the Help the Hospices conference 2009
Jo Hockley at the Help the Hospices 2009 conference
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