Caring for the Dying at Home: Enhancing End-of-Life Care
September 2003
in “
Journal of the Royal Society of Medicine
”
TLDR Improving end-of-life care at home requires better coordination, communication, and support.
"Caring for the Dying at Home" by Keri Thomas examined how to enhance end-of-life care at home, focusing on the Macmillan Gold Standards Framework (GSF), which aimed to improve community-based care through a structured process over 6-12 months. The GSF addressed issues like poor coordination and communication in primary care, with seven steps including communication, coordination, symptom control, continuity, continued learning, carer support, and care of the dying. The book emphasized the importance of fulfilling patients' wishes to die at home and recommended practical support and evaluation for practices adopting the GSF, despite some weaknesses in the palliative care section.