To implement ‘Living & Dying Well’ across all settings in Aberdeenshire. A dedicated Project Manager was appointed to facilitate implementation of Living & Dying Well in Aberdeenshire. Previous work had focused on Aberdeenshire Care Homes which had been very successful in raising awareness of the identification, assessment and ongoing review of palliative patients using a facilitative, rather than an instructional approach. This had demonstrated that cross boundary working is possible and positive. There was a need to extend this approach to other primary care, social care, voluntary and independent care settings in order to provide all staff with the confidence they need to carry out effective, person centered palliative care for older people.
To provide the opportunity for informal carers to learn more about palliative care, what it may mean for them as carers and the support they could access and receive when caring for someone who has been identified as being palliative.
The project allows early intervention with customers providing a range of services aimed at decreasing their reliance on medical or other statutory provision. Many of the customers were socially isolated and did not know how or where to access services and community supports OPAL allows for the customer to gain information about local social activities, lunch clubs and advice and information on such issues as benefits, income generation, housing, support for carers and volunteering.
Self referral prompted by information from GP. Carer A struggled with being classed as ‘a carer’ and took some time before she felt able to access our support. Carer A living in rural area who had to move to another rural area due to progressive long term condition of their partner. Carer A felt isolated and despondent about the future. Concerned about the viability of living in the area and also had to give up work.