Conclusions Our approach has demonstrated a significant reduction in the number of falls without impacting on patients' independence. Quality of life and increased confidence in patients and staff is marked. We have seen a culture change within our team, where all falls and near miss falls are treated with the same importance.
It is hoped that improved staff confidence scores will be achieved and maintained with resultant increased use of the handheld fan and improved management of the symptom of breathlessness. Conclusion It is hoped that the anticipated results will demonstrate improved confidence and improved management of the symptom of breathlessness. Future plans will be centred on making the training available in other care settings and teams with resultant up-skilling of the workforce in non-pharmacological management of breathlessness in palliative care.
Findings will help develop criteria to objectively and proactively define complex patients and improve care through greater team collaboration. Results Before the teaching programme, 26/30 respondents (87%) wished for further palliative care education. Key concerns included pain and symptom management, and a need for a key point of regular contact for advice. After the programme a second staff survey was conducted. 13/17 respondents were keen for more palliative care education. Their main concerns were pain (10), end of life care (10), advance planning and DNACPR (6), care of relatives (1). Of note, this was not the same group that received education or who replied to the first survey. Programme attendees who gave feedback reported increased awareness of palliative care. Following the training programme, relatives (n=10) felt care in Biggart was 'always good' (10/10), pain/symptoms 'always' or 'usually' well managed (5/10; 5/10 respectively); sufficiently supportive both emotionally (8/10) and spiritually (4/10). Conclusions Joint working improved relationships, skills and confidence. ANP visits consolidated this new approach. Education programme was valued by attendees albeit numbers were small. Education programmes need learner and management commitment to support attendance. Pain, spiritual support and care of relatives remain key areas for ongoing education.
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