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The conversation project

01 November 2013 Case study

Topics and programmes

Utilising the PFCC methodology and guided by the Point of Care team at the King’s Fund, the multidisciplinary team from RUHBFT built upon the qualitative mechanisms of PFCC to gain insight into both patients’ and staff’s experience of end-of-life care within the trust. From this, the team developed the ‘Conversation Project’ to ensure that patients nearing the end of their life, and their families, have the opportunity to have their needs met.

This focused largely on enabling staff to identify much earlier that the patient is approaching end-of-life, that discussions had taken place around the uncertainties of their illness, that their concerns had been listened to and that both the patient and their family had been involved in appropriate decision making.

The project increased staff confidence in enabling potentially difficult conversations with patients and families, there was a tangible change in ward vocabulary and more open discussion between multidisciplinary teams around patients approaching the end-of-life and advanced care planning.

For more information please see Rachel Davis’ article in the Nursing Times, ‘Starting end of life conversations in hospital’.