End of Life Care

End of Life Care is the active holistic care of clients with advanced progressive illness through to the final stage of terminal illness. Management of pain and other symptoms and the provision of psychological, social and spiritual support is paramount. The goal of end of life care is to achieve the best possible quality of life for clients and their families.

Specialist knowledge

Individuals facing serious life-threatening illness and approaching death deserve to be treated with dignity, respect and compassion and to receive care that is focused on their own choices. Families need and deserve to receive support. To achieve their goals, individuals need to plan ahead, know their choices, make sound decisions and share their wishes with their loved ones and health care professionals.

The PULSE@Home team understands the need to be aware of each client’s goals of care and discuss choices for end of life care with their clients who have advanced progressive chronic illness, or are terminally ill.

We can provide support to people who are seriously ill with cancer or another condition and want to be looked after at home, rather than go into hospital. We work in partnership with the local Primary Care Trust (PCT), MacMillan nurses, Marie Curie nurses, hospices and GPs to provide End of Life care.

How we work

When someone is at the end of their life and living at home, we work with their local GP and Community Nursing service provided by the local PCT to determine an end of life pathway. This is a holistic plan which respects individual wishes and details support such as pain control and active treatment decisions. We can work with your Community Nurse (also called a District Nurse) in co-ordinating care at home and in helping to choose whether end of life care at home is right for each client.

PULSE@Home works closely with your local Community Nursing service to offer one-to-one specialised nursing and care support:

• The Community Nurse will carry out an initial assessment of the client's needs and will decide, in consultation with the client and family, what support is required.
• If end of life care at home is right for you, we will agree the care and what shifts are needed and who will deliver the care. This may be a Nurse or Support Worker depending on each client’s needs.
• The PCT will supply any medical equipment needed for the client's home care.
• PULSE@Home will work with the Community Nurse to review the client's care and decide whether to increase or decrease the amount of care needed.

If you or someone you know may benefit from End of Life Care, you can contact PULSE@Home to help you to make arrangements.

To discuss how our services can tailored to meet your specific needs, please contact our friendly team on <b>0207 959 1003</b> or email london@pulseathome.com

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