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palliative geriatrics

Five Priorities of Care (Dying Assessment)

Assesses whether a dying patient has been recognised and whether the Five Priorities of Care (LACEL framework) are being delivered. Based on NHS Leadership Alliance for Care of Dying People.

Score interpretation

High-quality end-of-life care being delivered

→ Continue current care; daily review; bereavement support planning for family

Some priorities not fully addressed

→ Identify gaps; involve palliative care team; family meeting; ensure anticipatory medications charted; document ACP

Significant gaps in end-of-life care delivery

→ Urgent palliative care review; complete ReSPECT/DNACPR; syringe driver review; escalate to senior clinical lead; hospice referral; pastoral care

Interpretation bands for the Five Priorities Dying. Apply clinical judgement and local guidance.

References

Related

Curated clinical cross-links plus same-class fallbacks.

Decision support only — verify against a current formulary, NICE, or your local guideline before clinical use.