45 Programme (LCADP) impact and results of a palliative education initiative: lothian care assistant development

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IntroductionSocial care teams are increasingly leading the delivery of care for elderly clients and their families who are living with a terminal illness. Marie Curie, in partnership with the City of Edinburgh, East Lothian, Midlothian and West Lothian Council’s identified the need for a bespoke education programme. The LCADP encompassed a single study day, followed by an online education programme with mentorship in the participants’ work setting.AimThe overall aim of the project was to increase the knowledge and confidence of frontline staff employed by each of the four Lothian councils to care for clients living with a terminal illness.MethodsA mixed methods approach was used. A survey was completed at four time points, including an impact survey up to six months post completion of the programme. Focus groups and interviews of a sample of social care workers, mentors and managers were also completed.Results514 participants completed the single day programme. 71 social care workers continued on to the online module and mentorship programme. Both quantitative and qualitative data will be presented, demonstrating longer term impacts such as team approaches to planning and delivering care. Increased knowledge and confidence by the social care staff has resulted in a more person centred approach to care, prompt recognition of uncontrolled symptoms, and policy change.ConclusionsThrough partnership working, the programme team were able to reach more people and influence the care that is being delivered to people living with a terminal illness in their own homes and in care homes in Lothian.References. Badger, F., Thomas, K. & Clifford, C. 2007. Raising Standards for Elderly People Dying in Care Homes. European Journal of Palliative Care,14, 238–241.. Cagle, J. G., Unroe, K. T., Bunting, M., Bernard, B. & Miller, S. C. 2016. Caring for Dying Patients in the Nursing Home: Voices from Frontline Nursing Home Staff. Journal of Pain and Symptom Management.. Devlin, M. & Mcilfatrick, S. 2010. Providing Palliative and End-of-Life Care in the Community: The Role of the Home Care Worker. International Journal of Palliative Care,16(4), 195–203.. Herber, O. R. & Johnston, B. M. 2013. The Role of Healthcare Support Workers in Providing Palliative and End-of-Life Care in the Community: A Systematic Literature Review. Health & Social Care in the Community, 21(3), 225–235.. Scottish Government. 2015. Strategic Framework for Action on Palliative and End of Life Care. Edinburgh: The Scottish Government.

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