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P-206 Proactive discharge – a person centred approach to wellbeing within a hospice day service
  1. Lynsay Bain and
  2. Janice Allan
  1. Kilbryde Hospice, East Kilbride, UK


Background Feedback demonstrated patients felt unprepared for discharge from a hospice Day-Service. Staff sought a more effective method to support patients to discharge. A Wellbeing Group (WG) was created focusing on enhancing knowledge and self-empowerment using a person-centred approach. This created an inclusive and positive discharge. This approach supports the Scottish Government’s vision of Realistic Medicine, putting patients at the centre of decision-making.

Aim The WG aims to empower patients using self-management techniques, enabling patients to make shared decisions. This reduces dependency on hospice and statutory services and focuses on what matters most to the patient.

Methodology A prospective study was planned to identify outcomes of the WG. Sample size n=17, with 16 completing. Sample aged 54–74, female 80%, male 20%, analysis was carried out by two authors. Outcomes were evaluated through the use of evaluation, Patient Activation Measure – PAM (Hibbard & Gilburt, 2014) and Views on Care – VoC (Witt et al., 2015).

Results 100% felt benefit from attending WG.

92.3% increased confidence.

84.6% improvement in main problems and concerns.

84.6% learned techniques that enhanced physical and mental wellbeing.

73.3% improvement in the response to the question: ‘when all is said and done, I am the person who is responsible for taking care of my health.’

69.2% improvement in quality of life.

Patient quote, ‘This group has certainly improved my confidence and wellbeing.’

Conclusion Kilbryde Hospice has tailored service delivery according to patient feedback introducing a new and innovative WG. This has shown a positive impact on individuals. All nine PAM questions and evaluation results demonstrated improvement in many areas. Patients felt more prepared for discharge, confident they had the skills to take an active role in their own health and wellbeing. On reflection, PAM could be carried out earlier to ensure WG was the defining factor in improvement.

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