Dementia end of life care: Community of Practice (CoP) meetings
The Community of Practice, set up to support practitioners and clinical leaders in palliative and end of life care, for people and their families affected by dementia, meets twice a year.
Meeting dates for 2017
- 5 December 2017 - venue to be confirmed
For summaries of previous meetings, please click on the meeting date to access resources from the meeting.
14 June 2017
In June this year we held our Community of Practice event. The focus of the day was to consider the legal and ethical issues around caring for people with dementia around end of life. Dr Shibley Rahman was our key note presenter and using his extensive professional expertise set out for us a series of fundamental key issues which one would need to be mindful of in the day to day aspects of care and then set us the challenge through case study discussion on how they may be applied.
Working in small groups we discussed the various scenarios. As you can imagine, this led to real reflection and learning as we considered the implications to practice.
What is clear is that sometimes doing what is required by law or adhering to one’s professional code may bring one into conflict with what may feel ethically is ‘doing the right thing‘ such as the adoption of therapeutic lying and covert medicating. This can create an ethical dilemma which can be very challenging hence it is essential for all practitioners to understand the legal, professional and ethical frameworks which they apply to their decision making and practice. Through group discussion it became apparent how such decision making is integral to all aspects of the care delivered by practitioners on a daily basis.
A copy of Dr Shibley Rahman's presentation together with an overview of aspects of the Mental Capacity Act 2005 are available to download.
Held on 14 December 2016 'Pain and Dementia - what do we know and what can we do' was an excellent event with over 75 delegates from a range of care settings. A great summary of the event, written by Eleanor McConnell, offering very valuable information and insights is available to download. You can also download presentations from the day together with the pain tools referred to in the presentations by Jane Chatterjee and Emily Pardoe-Billings
The Dementia end of life care: Community of Practice (CoP) met on 22 June at Hospice House for another fascinating day bringing together information from inside and outside the sector.
Download a copy of Dr Ros Taylor MBE's ehospice article, which provides a review of the day. Presentations from the day are also available for you to download.
16 December 2015
The Dementia and end of life special interest group met for the second time on Wednesday 16 December, jointly hosted by Dementia UK and Hospice UK. It was a packed agenda, with high quality presentations and time for group discussion. Although the majority of the 35 participants were from hospices, it was great to have colleagues such as Admiral Nurses and those with a community-focused role leading on exciting cross-organisational partnership working. The day’s agenda sought to respond to the request from those who attended the first event which was obtained using the Nominal technique. Findings will soon be published in the BMJ End of Life Care Journal.
Download a summary of the sessions for more information.
The first meeting took place on 22 June 2015 at Hospice House and was very well attended with 35 passionate experts from a wide range of care settings including mental health care, hospitals, community and hospices. We also have colleagues from care homes that are very keen to engage in the SIG.
Outline of the day
Marie Cooper welcomed everyone on behalf of Hospice UK and Dementia UK and gave the background to why the SIG was established and its very early intended objective, which is to bring to together colleagues with an interest in dementia in end of life care to form a learning community.
Linda McEnhill, Family Support Services, The Prince and Princess of Wales Hospice, Glasgow and Member of Hospice UK’s Care Support Team, offered a succinct overview of the demographics of the disease and how it is impacting on both the immediate family and wider society. The key point Linda makes so cogently and without compromise is that people with dementia have a life-limiting disease and by right have access to hospice enabled dementia care.
Dr Karen Harrison-Dening, Director of Admiral Nursing, Dementia UK, followed on with more insights and brought into focus the challenges and barriers to palliative care provision with a particular focus on the often ignored needs of the family carer.
We were very keen to ensure we heard from participants about what were the themes relating to their work they would want the SIG to address. To this end Karen facilitated 'a nominal group' exercise, which enabled ranking of themes to be determined. Approximately 20 themes were identified and after some lively interactive group discussion we agreed they would merge well down to 15. Findings from the exercise will be posted on our website.
The top two themes were:
- Developing staff communication skills with the person with dementia.
- Meeting the educational needs of the team.
We will ensure that as we plan the agenda for the next meeting these themes will be prioritised, however we recognise that there is a need and a wish for sharing of information sooner rather than later on a range of issues and to support this we will host links to useful resources.
Marie presented the framework from the 'Hospice enabled dementia care' report and invited members to spend time with their key colleagues back in the workplace to consider next steps for their organisation or team. Copies of the checklists contained in the publication were shared as a separate document. As in any new initiative it is vital to know who the key stakeholders are and what their position is in relation to supporting your work. To help identify them we undertook a 'stakeholder analysis‘ exercise and considered a range of varying communication and inclusion strategies which could be employed. We will revisit this at our next meeting to see ‘how did it go?’
We also discussed how members would like to engage with each other and also the future Terms of Reference for the SIG. It was agreed that the ‘ask a colleague’ resource would be very welcome. This will enable members to ask the SIG questions and seek advice from each other. Simply send your query to Amber Morgan (SIG administrator) who will send it out to the SIG. SIG members will then reply to you if they can assist. All we ask of you is for you to write a very brief summary of the replies (no names required) that we can then share with the wider group.
The Terms of Reference will be on the agenda for our next meeting, allowing everyone to give it some thought and consider what they would like the SIG to address.
We know many of you could not attend this event but are keen to join the SIG. We do hope you got a sense of the day from reading this and found the presentations helpful. Please do not hesitate to get in touch with us if you have any queries about the SIG and please feel free to get your questions out there.
The date for the next meeting is to be confirmed and we are looking at a range of locations around the country to host the meeting, if you have any suggestions please contact us.