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Tag Archive for: plymouth hospital

What is hospice care
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BLOG: What is hospice care?

What is hospice care

What is hospice care?

If you have been advised that you need hospice care, it can be an anxious and confusing time. It’s only natural that you’re likely to have lots of questions. That’s why we’ve written this blog to help provide you with some answers.

What is hospice care?

Hospices provide specialist care for people who need their help to continue to live well following diagnosis of a terminal illness, and – when the time comes – to ensure they can die with dignity in the place that’s right for them.

Hospices give not only medical care, including pain management and advice about your condition, but emotional and practical support, too.

Hospice care has no time limit. Some patients may be supported at home by a hospice for many years while still living their day-to-day lives. The service also extends from care at home to those in hospital settings and care homes, as well as to people whose complex symptoms and/or circumstances mean they require extra support in a specialised hospice building.

Central to hospice care is respect and compassion for patients, maintaining their dignity and helping them to fulfil their wishes at end of life, which could include where they wish to die and what they want their funeral to be like.

At St Luke’s, we provide high-calibre medical, emotional, social and practical care and support. This is often referred to as ‘holistic care’ because it is comprehensive, treating the person rather than just focussing their condition. Our package of care includes physiotherapy, occupational therapy, practical advice, bereavement support and much more.

Who is hospice care for?

Hospice care is for anyone with a terminal illness, so not only people with cancer but also those with conditions such as motor neurone disease, multiple sclerosis, heart failure and Parkinson’s disease, and other life-limiting illnesses.

Hospice staff are experts in handling complex symptoms. They not only look after the elderly but any adult or child who needs them, providing specialist care and support at any stage following a terminal diagnosis, not just close to the very end of life. Here at St Luke’s, we look after adults and also provide specialist support for children of patients.

Hospice care extends to the family of a patient so that they receive the emotional and practical support they need before their loved one dies and then bereavement support following their passing.

Where is hospice care provided?

Hospices aim to keep patients at the centre of decisions surrounding their own end of life care. With this in mind, patients are looked after in the place of their choice.

There are some exceptions where this cannot be facilitated though, due to factors such as complex symptom management or becoming to poorly to travel to a preferred location.

The three main sites for St Luke’s hospice care are at home, at University Hospitals Plymouth NHS Trust (Derriford) and at our specialist unit at Turnchapel.

St Luke’s at home

Most of the care given by St Luke’s is in patients’ own homes because we understand how much it means to people to remain in their familiar surroundings close to loved ones, including pets.

Our community team communicates with patients to arrange regular visits and catch-ups to review how the patient is feeling and determine any additional support required. They are also at the end of the phone for any queries or concerns. Our Urgent Care Service steps in outside of these times to ensure patients remain free of any discomfort or pain and to avoid any avoidable re-admissions to hospital.

St Luke’s at Derriford

Some hospices, including ours, have hospice teams based at their local hospital for patients who have been admitted and are approaching end of life.

Working alongside the hospital doctors and nurses, they offer specialist advice on complex symptoms and provide emotional support for patients, their family and carers. The team is also heavily involved in delivering education in end of life care to nursing and medical staff across the hospital.

The team ensures a patient’s care is well co-ordinated and that they have access to all the information and advice they need, during or after treatment.

Our specialist unit

There are many reasons that a patient could be admitted to our inpatient unit at Turnchapel. It could be the person’s preferred place of death or it could be because of the need for intensive support for complex symptom management. Not all patients are easily cared for in their home so a hospice building may be the most suitable place of care.

Some patients are brought into our specialist unit for a short period. It can be the best place to monitor how they are, amend their medications and manage pain before we discharge them to go home with the appropriate support. It is also a place where patients’ friends and family can spend time with them, making the most of the time they have left together.

Getting in touch

Whenever you need St Luke’s, we are here for you, ready to listen and get to know you so that we can give you and your loved ones the best possible care and support.

Contact us here.

29th September 2021/by Gabby Nott
https://www.stlukes-hospice.org.uk/wp-content/uploads/2021/09/Hospice-Blog-Header.jpg 375 500 Gabby Nott https://www.stlukes-hospice.org.uk/wp-content/uploads/2022/12/st-lukes-hospice-plymouth.svg Gabby Nott2021-09-29 13:15:352022-05-18 19:38:55BLOG: What is hospice care?
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BLOG: a hospice response to COVID-19 in hospital

Small in number yet dynamic and consistently compassionate in the face of unprecedented pressure, the St Luke’s team at University Hospitals Plymouth NHS Trust (UHP) is making a vital contribution to the hospital’s response to the COVID-19 pandemic.

Dr Doug Hooper, Consultant in Palliative Medicine, is part of our team there, which also includes team leader Martin Thomas, nurses James Mills, Linzie Collins, Julie Ayres, Julia Pugh, Becky Harris, Julie Thesinger and Dr Hannah Gregson and Dr Roger Smith, and their Clinical Admin colleagues Jenny Francis and Jenny Brooks. Here, Doug shares how he and his colleagues have rallied, helping to fortify the frontline during this time of crisis.

“Ordinarily, we’re involved in looking after up to 40 patients at any one time, working alongside the hospital doctors and nurses across the wards so that people with terminal illness receive the highest calibre care as they near the end of their lives. We’re also here for their families, providing much-needed emotional support.

“Given the tremendous gravity of the COVID-19 situation and the huge additional pressure it’s putting on the NHS, we’ve naturally pulled out all the stops to adapt what we do really quickly so that the hospital is as well prepared as possible to manage the influx of people admitted with complications from the virus.

“Now several weeks in, UHP is relatively quiet due to much of the non-urgent inpatient and outpatient care being postponed, but the situation can change by the hour. There are ‘red wards’ dedicated to people struggling with COVID-19 symptoms and sadly, some of them have died. That’s why our team is embedded on these wards, supporting the doctors, nurses and healthcare assistants so that they have a better understanding of each individual patient’s needs.

“Crucially, we’re providing emotional support for the hospital staff who need us, some of whom are relatively inexperienced nurses. Understandably, the enormity of the situation can take a toll on them so we are there to listen and help however we can.

“With both patients and their relatives in mind we’ve helped the hospital’s Patient Advice and Liaison Service access iPads for each ward so that families can keep in touch. While it’s heart-breaking that people can’t usually visit their loved one due to current restrictions, it’s really moving to see how Zoom and social media have helped bring people together so powerfully at such a challenging time. These human connections are vital to the relief of suffering.

“We’ve also worked closely with the hospital communications team and Annie Charles from the Mustard Tree Cancer Macmillan Support Centre so that family can be offered more in-depth support and be able to send uplifting personalised messages to their loved ones.

“When it is clear that a patient is not going to survive COVID-19, doctors and nurses need to have brave, honest and realistic but kind conversations with families. This is far from easy even when you have worked in end of life care for years, but the pandemic means some staff are facing this for the first time, having to break the hardest of news to those who can’t be there to hold their loved one’s hand.

“We’ve used our experience to produce advice packs for staff to help them feel better prepared to have these conversations with truth and clarity but gentleness and kindness, too.

“Part of relieving pressure on the NHS is the private sector lending its support, so our team has been busy providing specialist training to those working at the Nuffield Health Plymouth Hospital as the organisation is lending its facility and workforce to UHP by temporarily providing both inpatient and outpatient cancer treatment. It’s heartening to see them getting behind the NHS like this in the interest of public health.

“In the toughest of circumstances so many positive changes have been made, and I hope many of them will continue to benefit healthcare in the future. Our team will remain agile as this situation unfolds, working shoulder to shoulder with our NHS colleagues to meet the challenge. And I know we’ll continue to support each other – the camaraderie between us is second to none.”

Learn more about St Luke’s at Derriford.

1st May 2020/by Robert Maltby
https://www.stlukes-hospice.org.uk/wp-content/uploads/2020/05/Doug-Hooper-Blog-Header.png 773 1030 Robert Maltby https://www.stlukes-hospice.org.uk/wp-content/uploads/2022/12/st-lukes-hospice-plymouth.svg Robert Maltby2020-05-01 13:10:082020-05-06 12:29:48BLOG: a hospice response to COVID-19 in hospital

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