CREE WARD MIDPARK

• Spread to other older adult wards

• Share with other areas

Linda McDougal Cree Ward Midpark Hospital Dumfries

• Increasing number of patients

experiencing severe and

unmanageable distress

• Opinion sought from colleagues

within Palliative Care

• Consultation with family and ward

based medical staff

• Little or no consultation with

nursing staff leading to decreased

staff morale

• Identified the problem

• Met as a senior team

(Nursing and Medical)

• Agreed a plan

• Identified Stakeholders

• Nursing staff understand and actively contribute to decision

making and outcomes

• Greater recognition that patients may be coming towards end of

life

• Change in attitude

• Nursing staff are more pro-active in seeking earlier intervention

• Met over several months • Widened the membership - All three Older Adult Consultants, Palliative Care Team, UWS, UCI, QESDC Steering Group • Drafted documentation and sent out to stakeholders for consultation • Refined and reworked document • Trialled in real time

Our Journey: