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What is the 'Last Days of Life' Care Plan?

Welcome to the Last Days of Life Care Plan. This document is a comprehensive multi-professional tool that guides and enables healthcare professionals to focus on care in the last hours or days of life for the dying person family/whānau, friends and staff members.

The aim of this document is to:

  • Improve the knowledge related to the process of dying
  • Improve the quality of care for the dying person in the last hours or days of life
  • Support healthcare professionals - but does not replace good clinical judgement
  • Facilitate multi-professional communication
  • Provide guidance for anticipatory prescribing
  • Provide discontinuation of inappropriate interventions
  • Support measurable improvements in the quality of care for the person in the last hours or days of life
  • Improve the documentation of communication and care provided

The main sections are:

  • Initial assessments
  • Ongoing assessments
  • Care after death

Key domains of care include:

  • Physical
  • Psychological
  • Social
  • Spiritual

Supporting Documentation

The Health Care Professional Information Sheet aims to support but not replace clinical judgement, while the Relative Carer Information Sheet explains how a patient's condition changes when they are actively dying.

Please note, some of these documents may be landscape, to print these documents please make sure your page orientation is changed to landscape and you flip on the short edge if double sided printing.

Pamphlets

The information provided in the following pamphlets concentrates on assistance that family members can provide, other than medication.

Algorithms

Palliative Care Handbook

The most up-to-date edition of the Palliative Care Handbook is from 2016. The Handbook is useful in any place where palliative care happens. The purpose of the handbook is to provide an easy to use resource.

Information available in the handbook includes:

  • Symptom management
  • Palliative care emergencies
  • Psychosocial/spirituality
  • Syringe driver - medication compatibility table Pg 152

To view the handbook online, follow this link: http://www.hospice.org.nz/resources/palliative-care-handbook


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