Actions for Professional Consideration
- The possibility that the person is dying is recognised and communicated clearly.
- Consider potentially reversible cause if person unexpectedly deteriorates. A doctor must assess if change is potentially reversible or if person is likely to die within a few hours or days.
- Seek Specialist Palliative Care advice where you are unsure. Other guidance: Palliative Care Symptom Control Guidelines and General Medical Council Guidelines for additional support
- If potentially reversible, take prompt action to attempt this, provided in accordance with person’s wishes (or best interests, if lack mental capacity)
- If likely to die very soon, communicate this clearly and sensitively to the person (if conscious and have not indicated they would not wish to know) and family and those important to the person.
- Take into account the person’s views and preferences , and develop and document plan of care.
- Regularly review person to make sure plan of care remains appropriate and respond to change in condition, needs and preferences
- Use of ‘Phase of illness’ read codes within Electronic Records will help with recognition of the persons phase of illness across care settings and between in hours and out of hours services