Author
- Angie Dredge1
- Calvary Health Care Bethlehem1
2016
Excerpt
Calvary Health Care Bethlehem developed a home hospice model to support people dying at home. The model includes specialist nursing, personal care assistance and volunteers and provides improved support for patients and caregivers.
Home based family caregiving toward the end of life entails considerable emotional social financial and physical cost for family care givers.. Evidence suggests that good support can improve caregiver’s psychological outcomes in the longer term
In 2014 the Community Palliative care service (CPCS) at Calvary Health Care Bethlehem recognized the need to develop a hospice at home model within the existing Community palliative Care service
This hospice at home model comprises of specialist palliative care nurses, personal care assistants (PCA) and in 2016 trained community volunteers. The model aims to decrease carer burden and optimize patient care by assisting with personal hygiene and by providing respite.
A structured patient satisfaction survey was conducted and found high satisfaction with the service.
Recommendations from the survey included:
• Increase of PCA hours
• Extension of the PCA role
• Inclusion of in home respite
The hospice at home model has been further guided by the introduction of the carer needs assessment tool that has also revealed the importance of respite.
The Hospice at Home model developed by CHCB aims to be creative and responsive to carer and patients’ needs allowing formal and informal networks to work together to provide optimum consumer led care
Key points from the introduction of this model are:
A “wrap around care” concept can increase patient choice in preferred place of care
Specialist palliative care services need to be creative in service delivery
The use of non-regulated staff guided by a direction and delegation model can enhance care received and contribute to a successful holistic model meeting carer and patient need
Carer assessment tools can contribute to a concise comprehensive evaluation of need
Further evaluation of the PCA role in the form of audit and patient satisfaction survey will ensue to guide and support the development of the role within the Community Palliative care service
• Marie Curie Cancer Care (2012) „Committed to carers: Supporting carers of people at the end of life‟, London: Marie Curie Cancer Care.
• Waller A, Girgis A, Johnson C, et al. Facilitating needs based cancer care for people with a chronic disease: Evaluation of an intervention using a multi-centre interrupted time series design.
BMC Palliat Care. 2010;9:2.
Aoun S,Deas K. et al 2015
Home based family caregiving toward the end of life entails considerable emotional social financial and physical cost for family care givers.. Evidence suggests that good support can improve caregiver’s psychological outcomes in the longer term
In 2014 the Community Palliative care service (CPCS) at Calvary Health Care Bethlehem recognized the need to develop a hospice at home model within the existing Community palliative Care service
This hospice at home model comprises of specialist palliative care nurses, personal care assistants (PCA) and in 2016 trained community volunteers. The model aims to decrease carer burden and optimize patient care by assisting with personal hygiene and by providing respite.
A structured patient satisfaction survey was conducted and found high satisfaction with the service.
Recommendations from the survey included:
• Increase of PCA hours
• Extension of the PCA role
• Inclusion of in home respite
The hospice at home model has been further guided by the introduction of the carer needs assessment tool that has also revealed the importance of respite.
The Hospice at Home model developed by CHCB aims to be creative and responsive to carer and patients’ needs allowing formal and informal networks to work together to provide optimum consumer led care
Key points from the introduction of this model are:
A “wrap around care” concept can increase patient choice in preferred place of care
Specialist palliative care services need to be creative in service delivery
The use of non-regulated staff guided by a direction and delegation model can enhance care received and contribute to a successful holistic model meeting carer and patient need
Carer assessment tools can contribute to a concise comprehensive evaluation of need
Further evaluation of the PCA role in the form of audit and patient satisfaction survey will ensue to guide and support the development of the role within the Community Palliative care service
• Marie Curie Cancer Care (2012) „Committed to carers: Supporting carers of people at the end of life‟, London: Marie Curie Cancer Care.
• Waller A, Girgis A, Johnson C, et al. Facilitating needs based cancer care for people with a chronic disease: Evaluation of an intervention using a multi-centre interrupted time series design.
BMC Palliat Care. 2010;9:2.
Aoun S,Deas K. et al 2015