{
  "abstract": "Background There is evidence that patients nearing end-of-life often have wishes they would like to achieve (Ullrich, Hollburg, Schulz, et al. BMC Palliat Care. 2022;21(1):38). Holistic palliative care includes attending to quality of life, including emotional and social needs (Hudson, Collins, Boughey, et al. Med J Aust. 2021;215(10):443-446). A positive emotional impact of being able to achieve a dying wish has been highlighted (Nyatanga. Br J Community Nurs. 2019;24(6):257; Masterson, Slivjak, Jankauskaite, et al. Psychooncology. 2018;27(11):2573-2580). The hospice staff try to facilitate meaningful wishes for patients. With no formal process or budget for this, there was an inequitable service with wishes being achieved inconsistently. High clinical caseloads made it increasingly difficult for staff to find the time for achievement of wish requests.Aims To review the process by which the hospice actions requests for support with wish experiences for patients. To develop an equitable service.Method Interested staff from across the hospice worked together on the project. A process was developed including trip risk assessment, inclusion criteria, and a referral form. A database of supporting organisations was produced, and a volunteer to support with administration was recruited. A small budget was secured for patients’ wishes, including a cash tin which ward staff can use to help with celebrations/events for patients that happen at short notice. Data intelligence developed a process to report activity.Results The wish project is operational. There are equitable processes for referral to support with wish achievement. Twenty-one patient wishes have been facilitated over the course of the year. These have included:Observation of daughter horse-riding.Attendance at child’s sports day.Trip to the beach.Trip home.Ward celebrations, e.g. anniversaries, birthdays, and a ‘Frozen’ party.There remain challenges. Not all requests have been achieved. This was usually due to rapid deterioration in the clinical condition of the patient.Conclusion Staff and patient feedback has been positive. Staff appreciate having access to a team who can swiftly co-ordinate work to achieve patients’ wishes.",
  "authors": [
    {
      "affiliations": [
        "St Elizabeth Hospice, Ipswich, UK"
      ],
      "name": "Emily Gage"
    }
  ],
  "title": "P-26 Hospice wish project",
  "uid": "281d71d6-70c6-5c9c-9994-540fc27dcf35"
}