Hospice at Home

Hospice at Home

Hospice at Home gives patients and their families the choice to spend those precious final moments together, in a place they feel comfortable and happy, with the highest standard of specialist care. Your support can enable our team to continue providing this service that means so very much to those people under our care.

During her last few weeks, all of our 13 grandchildren were able to come and spend some time with her. Myself and all our five children were with her until the very end. This would not have been possible without the wonderful service you provide.
These people and your organisation made my wife’s last few weeks as comfortable and as pleasant for her as we could have hoped. You have amazing people and you provide an invaluable service.
Thank you, thank you, thank you.

Hospice at Home is a new and essential service that enables our patients to choose to die at home – something that gives them and their families a huge amount of comfort.

Our Hospice at Home team provide the highest standard of end of life care but with the capacity to deliver it in our patients’ homes during their last weeks. We provide this service 24 hours a day, 365 days of the year, it helps to avoid inappropriate hospital or hospice admissions, enhances our community services and facilitates rapid discharge from hospital for patients to die in the comfort of their home, surrounded by loved ones.

Our Hospice at Home service is critical for sustainable change to hospice care but we need your help to ensure this valuable service for our patients can be cemented into the future of our care.

Your support would bring the comfort and care to people that makes such a difference. If you or a loved one needed our care, wouldn’t you want the best possible experience in those final precious days?

If it hadn’t been for your team, our only other option would have been for David to go into a hospice – he was so much happier being in a loving, home environment. I don’t think ‘thank you’ quite says enough for the gratitude we have for your team.

List of pharmacies 

 Pharmacy name and address

Phone Number

100 hour pharmacy

 Locality

Asda Pharmacy

St Pauls Road, Bournemouth,BH8 8DL

01202 298900

Yes

Bournemouth East

Castle Lane Pharmacy
482 Castle Lane West Bournemouth, BH8 9UD

01202 772110

Yes

Bournemouth West

Ferndown Pharmacy
487 Ringwood Road, Ferndown, BH22 9AG

01202 892666

Yes

East Dorset

Tesco Extra Pharmacy
Yarrow Road, Mannings Heath Poole, BH12 4NX

01202 457447 or 01202 367447

Yes

Parkstone

Asda Pharmacy
West Quay Road, Poole, BH15 1JQ

01202 207000

Yes

Poole Central

Equipment – www.redcross.org.uk Is useful for wheelchairs and other equipment

Guide for people nearing end stage of life : https://intranet.rbch.nhs.uk/uploads/palliative/documents/What-to-Expect.pdf

Brief Drugs List for GPs

 

Pain/breathlessness:

Morphine sulphate 2.5-5mg SC PRN (10mg in 1ml injection)

(alternative if taking PO or eGFR<30 – Oxycodone 1 – 2.5mg SC PRN (10mg in 1ml injection))

[Please take background opioid into account when prescribing doses for anticipatories]

Anxiety/distress:

Midazolam 2.5-5mg SC PRN (10mg in 2ml injection)

Secretions:

Glycopyrronium 200mcg SC PRN (600mcg in 3ml injection)

(alternative for secretions: Hyoscine Butylbromide 20mg/ml injection)

Nausea :

Levomepromazine 6.25mg SC PRN (25mg in 1ml injection)

(alternative for nausea: Haloperidol 1.5mg SC PRN (5mg in 1ml injection)

Water for injection

Dexamethasone 3.3mg SC OD-BD (equivalent to 4mg PO) if risk of steroid withdrawal/Addisons during terminal phase.

Day/Time Example Timetable
Monday – AM

9am MMU Ward Hand over; 9:30am Tour of MMU

10m Consultant Ward Round, MMU

Monday – PM

12pm Ward Nurses – syringe driver administration (treatment room)

1:30 Nursing Handover – MMU (ward office)

MMU – Admission Assessment(s) with ward doctor

Tuesday – AM

9am Ward Hand over

9:20am Referrals Meeting on MMU

10am Community visiting with Specialist Nurse

Tuesday – PM

12:30 Journal Club – MMU (doctors office)

2pm Introduction to Patient and Family Support Team

3pm Introduction to Welfare and benefits Advisor

Wednesday – AM

9am Ward Hand over

9:20am Referrals Meeting on MMU

10am Consultant ward round – MMU

Wednesday – PM

2pm Doctor/Nurse Home Visit with Specialty Doctor

Thursday – AM

9:15am Multi-Disciplinary Team Meeting on MMU

Thursday – PM

2pm Introduction to Palliative Rehabilitation with Physiotherapist

3pm Introduction to Complex Discharge Planning in terminal illness

Friday – AM

Hospital Palliative Care Team Ward Visits

Friday – PM

2pm Introduction to Personalised Care Plan for the Last Days of Life with End of Life Care Nurse

4pm Debrief / sign off