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What are the five key principles for caring for dying people as described in the 'One Chance to Get It Right' report?

The five key principles from the 'One Chance to Get It Right' report are: recognizing that a person may be in the last days or hours of life and communicating this clearly while reviewing decisions; maintaining sensitive communication between staff, the dying person, and those important to them; involving the dying person and their important others in care decisions to the extent the person wishes; actively exploring, respecting, and meeting the needs of families and important others; and agreeing an individual care plan covering food and drink, symptom control, and psychological, social, and spiritual support, delivered with compassion.

As described in the source, the Leadership Alliance for the Care of Dying People set out five key principles for caring for a person thought to be in the last days or hours of life. First, nurses should recognize that the person may be dying, communicate this clearly, and make decisions and take actions according to the person's needs and wishes, with regular review and revision. Second, communication between healthcare staff, the dying person, and people identified as important to them should be sensitive. Third, the dying person and those important to them should be involved in decisions about treatment and care to the extent the dying person wishes. Fourth, nurses should actively explore, respect, and meet as far as possible the needs of families and others important to the dying person. Fifth, wherever possible, an individual plan of care should be agreed and delivered with compassion, and this plan should include attention to food and drink, symptom control, and psychological, social, and spiritual support.

Key points

  • Recognize that the person may be in the last days/hours of life and communicate this clearly, reviewing decisions regularly.
  • Maintain sensitive communication between healthcare staff, the dying person, and those important to them.
  • Involve the dying person and their important others in care decisions to the extent the dying person wishes.
  • Actively explore, respect, and meet the needs of families and others important to the dying person.
  • Wherever possible, agree and compassionately deliver an individual plan of care covering food/drink, symptom control, and psychological, social, and spiritual support.
Source:Oxford Handbook of Adult Nursing, Third Edition· Death, dying, and organ donation· p. 544–558
Cover of Oxford Handbook of Adult Nursing, Third Edition

Oxford Handbook of Adult Nursing, Third Edition

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Third Edition · Oxford University Press

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