Analysis

Nursing care service provides comfort and support through the night

Night time service 'helping patients to stay in their preferred place of care and in their preferred place of death'
Jessica Roberts, Jodie Barker, Mihaela Bascoveanu

Pal@home is a night nursing care service providing rapid response clinical support and short-term intervention for severely ill patients with palliative or end-of-life needs.

Guy’s and St Thomas’ NHS Foundation Trust introduced the pal@home service in December to address a shortfall in out-of-hours at-home nursing support for patients with end-of-life care needs. The service operates from 8pm to 8am, seven days a week.

The service aims to prevent unnecessary hospital admissions and to provide end-of-life care to patients at home. It compliments the work of the trust’s @home service, providing patients with daytime rapid response support to prevent unnecessary hospital admissions.

Most patients are referred to the service in the last weeks, days or hours of their lives. At this difficult time, patients and families value the clinical expertise, including symptom management, and practical and personal support the nurses provide. Support can

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