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The role of the community nurse in integrated end of life care

Author: Annette Thomas-Gregory, Isabel Richmond

Duration: 2 hours Last updated: 2019 Quality Assurance: Peer-reviewed Level: Qualified nurses Language: English

Course description

The aim of this module is to provide an understanding of the issues related to integrated end of life care for patients in community settings.

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Learning aims and intended outcomes

  • Describe the factors that influence end of life care, including the national gold standards framework (GSF) (Thomas 2003) and the End of Life Care Strategy (Department of Health (DH) 2008)
  • Critically reflect on the importance of identifying the last year of life, and identify assessment tools that assist holistic end of life assessment
  • Outline how to assess patients' current, future and personal needs
  • Critically discuss the requirements for effective integrated end of life care in community settings


  • Introduction
  • Gold standards framework
  • End of life care strategy
  • Holistic assessment of needs
  • Co-ordinating strategies
  • Conclusions


Annette Thomas-Gregory
Acting head of department, Anglia Ruskin University, faculty of health, social care and education, Cambridge.
Isabel Richmond
Lecturer, St Helena Hospice, Colchester.


Please note that information provided by RCNi Learning is not sufficient to ensure competence in the skill. Assessment of competence should take place in line with local practice. Practice should always align with local protocols and procedures, latest guidelines and any regulatory code. All modules should currently be viewed together with available national and local Covid-19 guidelines. For advice, go to


  • Introduction
  • Gold standards framework
  • End of life care strategy
  • Holistic assessment of needs
  • Co-ordinating strategies
  • Conclusions

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