Lightning Learning: Palliative & End of Life Care
Palliative care: the active holistic care of patients with advanced progressive disease.
End of Life care: care provided in the last year of life that includes patients…
who may die in the coming hours or days
with advanced, progressive, incurable conditions
with general frailty and coexisting conditions which mean they are expected to
die within 12 months
at risk of dying from an acute crisis
with a life-threatening acute conditions caused by sudden events
The last year of life is often punctuated by multiple admissions to hospital. Almost half of these deaths occur in acute hospitals.
Around 1 in 3 patients admitted as an emergency will die within 12 months of admission.
Many patients admitted through ED will benefit from a palliative approach to care alongside treatment.
Offering a conversation about uncertain recovery and identifying the patient’s priorities helps us to agree a management and escalation plan.