When Someone Is Approaching End of Life
You should have:
An End of Life Care Plan
DNACPR or ReSPECT information (if applicable)
Clear medication instructions
An escalation contact list
If you don’t — contact your Care Coordinator immediately.
Your Daily Responsibilities
You must:
Monitor pain and comfort levels
Check pressure areas regularly
Maintain mouth care and hydration
Record all changes clearly
Speak calmly and respectfully (even if they seem unconscious)
Maintain privacy at all times
What To Do If…
The person’s pain suddenly worsens
Check medication plan.
Administer prescribed medication if due.
Contact District Nurse/GP if not controlled.
Inform Care Team immediately.
Document everything.
Family members disagree about care
Do not take sides.
Follow the documented care plan.
Inform the Care Team immediately.
If you feel pressured to withhold medication — this is a safeguarding concern.
You think death may be imminent
Signs may include:
Irregular breathing
Long pauses between breaths
Cool hands/feet
Reduced consciousness
You must:
Stay calm.
Ensure comfort.
Inform Care Team.
Follow escalation plan.
The person dies
Stay calm.
Confirm this was expected death.
Call GP or appropriate clinician (as instructed).
Inform Care Team.
Support family sensitively.
Do not verify death unless trained and authorised.
Do not remove equipment unless instructed.
Document time and circumstances.
You feel overwhelmed
This is normal.
You must:
Contact the Care Team.
Attend debrief.
Request support if needed.
You will not be expected to “just carry on.”
Lone Working Safety
If you feel unsafe at any time:
Leave the immediate situation if necessary.
Call your emergency contact.
Inform the Care Team.
Call 999 if there is immediate danger.
Your safety matters.
Professional Boundaries
You are there to provide care.
You must not:
Accept money or gifts
Become involved in disputes
Discuss other clients
Share personal opinions on DNACPR
Remember
Dignity.
Calmness.
Compassion.
Documentation.
Escalation.
If unsure — call the Care Team.