Integrating Care for Older People: New Care for Old, a Systems Approach

By Christopher Foote; Christine Stanners | Go to book overview

APPENDIX 8.3
An Example of Outcomes From Focus Groups
Convened to Consider the Issues of Managing
the End of Life in Hospital

Principles of care

The art of living well and dying well are one.

Epicurus

Death is one of the attributes you were created with; death is part of you Your life’s continual task is to build your death.

Michel de Montaigne (16th century essayist)

• Every patient has a right to a comfortable and dignified end to his or her life that will affirm its quality and value.
• They should be able to spend their ‘End-of-Life’ in a manner that reflects how they have lived, i.e. to live until they die.
• Every patient has the right to the support that will help them to feel in control at the end of their lives, and to be central to all planning that involves them.
• Every family member has the right to support that will help them to experience the parting as positively as possible.
• The values and customs of the patient and family must be kept at the heart of any decision-making process.
• The dignity and privacy of the patient and their family must be of primary concern.
• The patient and their family must have speedy access to accurate information and expertise.
• The patient should have access to the level of information appropriate to their needs and desires.
• The patient should have access to any emotional and spiritual support they wish, which should continue to be available to the family, friends and carers after the death.

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