SWOT Analysis on Pallative Care at MHC

Strength

Weakness

Oppurtunity

Threats

We don't routinely screen patient for religious belief

We don't routinely ask for advance care directive at admission

We start palliative care foucs care near the very EOL instead of starting palliative care along with treatment when pt is dx with life limiting illness

New Hospice bed with new government funding

We have a strong and dedicated group of volunteer at the auxiliary that raised a lot of funds for the hospital

We have an aging population

We are in a isolated community with limited LTC beds and community resource

We have a dedicated Spirtual room for patient but may be under utilized

There are not debriefing for staffs after a patient dies

The implantation of MAiD

Would that be done on the unit? Would patient given the option?

There are new awareness of Palliative Approach in health care

We usually ask for Emgency contact or SDM but not promted to ask about pt's Advance directives

Is there a reason physician put patient on palliative order set only in the last days or hours of EOL

Should there be a checklist that will prompt MD to consider palliative approach along side regular treatment plan?

Would patient benefit by having volunteer visit them?
Especially those whose family is far away or does not have any visitors?

Do we provide enough spiritual and religious support for patient and their family member who are dying ?

Have we provide culturally sensitive approach to palliative care?

Cultural practice regarding large groups in first national community

Or have members of the community form a circle around the patient

Are nursing staff aware of those practices?

Is there a platform to among staff to share their experience

We are one hospital with two sites that means we can pool and share some of the recourses, staffs, training, equipment and etc...

Patient are either or active treatment or deem "palliative" among nursing staff

We don't routinely offer bereavement counselling to patient and patient family?

For Codes also