The red stage signifies that the patient is now in their final days of life. The prognosis is thought to be days. Daily reviews should occur.
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Prognosis of days or hours…
According to the approach set out by the national LACDP in ‘One chance to get it Right’, when a person is likely to die within the next few days or hours there are 5 ‘Priorities for Care’, which should be applied.
1. The change in the patient’s medical condition is recognised and communicated clearly,
decisions made and actions taken in accordance with the person’s needs and wishes. These are regularly reviewed and recorded in the patient records.
2. Sensitive communication takes place between staff and dying person, and those identified as important to them.
3. The dying person, and those identified as important to them, are involved in decisions about treatment and care to the extent that the dying person wants.
4. The needs of families and others identified as important to the dying person are actively
explored, respected and met as far as possible.
5. An individual Plan of Care, which includes food and drink, symptom control and psychological, social and spiritual support, is agreed, co-ordinated and delivered with compassion.
End of Life care must be delivered by doctors, nurses, carers and others who have high professional standards and the skills, knowledge and experience needed to care for dying people with their families properly.
Additionally the delivery of care must be based on and tailored to the needs, wishes and
preferences of the dying person and, as appropriate, their family and those identified as important.
Things to consider at this stage…
Recognising the patient is dying [icon name=icon-circle-arrow-right]
Sensitive Communication [icon name=icon-circle-arrow-right]
Hydration and Nutrition [icon name=icon-circle-arrow-right]
Anticipatory Prescribing [icon name=icon-circle-arrow-right]
Carer Support [icon name=icon-circle-arrow-right]