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Throughout the whole study, we got 3 successful cases which applied compassion. At the same time, we got 2 unsuccessful cases which could not applied compassion.

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Benefits of compassion in the successful cases 

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Benefits of compassion in the successful cases 

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Being compassionate to the patient and the relatives play a really important role on Healthcare. Providing a comfortable and safe atmosphere can help them release some pain. Everyone will also experience death and their thoughts are all simple, which is to feel cared and feel like they are not fighting alone. Fulfilling the patient's dreams and giving them support mean a lot to them. Also, it benefits to the healthcare staff as they will feel blessed with what they have done.

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Summary of the case study:
The Care Home Vanguards Projects were started in six sites across England to develop new approaches to improve care in care homes as there is a more ageing population in the England. The six sites are shown below:

Connecting Care – Wakefield District

Newcastle and Gateshead Clinical Commissioning Group

East and North Hertfordshire Clinical Commissioning Group

Nottingham City Clinical Commissioning Group

Sutton Homes of Care

Airedale and Partners (NHS England, 2018)

How did the NHS staffs show compassion in the case?

Within these six vanguard areas, the care homes worked more closely with the NHS, local authorities, the voluntary sector and families. It provides nurses, occupational therapist and volunteers directly to the care homes in order to give out primary, community and secondary, social care to the needed. Furthermore, the NHS also used the way of Instant Messaging and hotline to keep an eye on the condition of the patient.

Why is the compassion so important to the patient?

The Care Home Vanguards Projects helps the old people to suffer less as they do not need to go to the GP appointments or hospital to get the health services since they may have difficulties in movement and it would become a torture to they if they need to travel a long distance in a weekly bases. The Care Home Vanguards Projects also shows the improvement of the services provided by NHS as they understand the situation of people who live in care homes and tried their best to improve the service to let the patient feels more comfortable.

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How the compassion show in the case?

In the case, the nurses applied compassion. The patient had cancer and his life remaining time was short. The nurses fulfilled the patient’s last wishes by helping him to recall his life memory and meet some important people in his life. The nurse considered the patient’s spiritual well being. Therefore, it can show commitment, courage, communication and competence which are the strategy of compassion in practice. In commitment, the nurses achieved a hospice’s wishes. In courage, the nurses were willing to organise the visits and resource for the patient who might face lots of obstacles. In communication, the nurses needed to have good communication skills to communicate with patient and the patient’s important people. In competence, the nurses had to transfer patient carefully and the nurses need to be very skilled. At last, the relatives of the patient were very grateful for what the nurses did.

Why is it important to the patient?

The patient’s last wishes were fulfilled, the patient might not feel regret to his life. It is because the patient is a hospice and he could complete all his wishes before he passes away, so the patient has a delightful life. Also, it is benefit to the relatives of the patient because they did not have to worry about the patient and they are glad that the patient has no regret for his life.

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How and where did it happen
There is a failure of treating patients with no compassion in the NHS.
Approximately 1,200 patients had died needlessly in the stafford hospital between 2005 to 2008.
There are patients laying starving, thirsty and droning hopelessly as their cires for help went ignored.
As an example of a case, a patitent was left behind without any caring from nurses so, the patient was dehydrated so that the patitent begun to drink water from flower vases.

What has the NHS done ?

A man who was in charge of the NHS in Staffordshire has appoloised to
the patients and the families that have suffered. The investigation begun
after all the complains from residents by statistics showing a high death rate.
The investigation was carried out that there were unqualified receptionists
checks on patients arriving at the accident and emergency department.
and heart monitors were turned off in the emergency assessment unit
because nurses did not know how to use them.
Also, There were not enough nurses to provide proper care. (BBC, 2018)

Why is it important to the patient?

As the case has been shown that many people had died needlessly
from being left without nurses, it is obviously important related to lives.
the value can be providing clinical care and including alleviating pain,
distressing and making people feel valued. Compassion is the first value that NHS concers (NHS Office of London Clinical Commissioning Groups, 2018.)

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1.Parliamentary and Health Service ( 2011) Care and compassion?
Report of the Health Service Ombudsman on
ten investigations into NHS care of older people. Available at:
https://www.ombudsman.org.uk/sites/default/files/2016-10/Care%20and%20Compassion.pdf (Accessed:12.11.2018).

2.Oxford University Press (2018) Compassion.Available at: https://en.oxforddictionaries.com/definition/compassion (Accessed:12.11.2018).

3. Health Education East of England (2014) NHS  Constitution value: compassion. Available at: https://www.youtube.com/watch?v=ri-ty0j2ojs (Accessed:12.11.2018)

4.NHS Wandsworth Clinical Commissioning Group (2018)

NHS Constitution. Available at: https://www.wandsworthccg.nhs.uk/aboutus/Governance/Pages/NHS-Constitution.aspx (Accessed:12.11.2018)

5. NHS England (2013)
Compassion in Practice– One year on. Available at: https://www.england.nhs.uk/wp-content/uploads/2016/05/cip-one-year-on.pdf (Accessed:12.11.2018)

6. Copyright of Telegraph Media Group (2018). Stafford Hospital the scandal that shamed the NHS. Available at: https://www.telegraph.co.uk/news/health/heal-our-hospitals/9782562/Stafford-Hospital-the-scandal-that-shamed-the-NHS.html (Accessed:12.11.2018)

7.MAndrill Video Production (2016) NHS Care Holme Vanguards - Case Studies. Available at: https://www.youtube.com/watch?v=bj3SDqiLaAA (Accessed:12.11.2018)

8. NHS Office of London Clinical Commissioning Groups (2018) NHS Values. Available at: https://www.myhealth.london.nhs.uk/faq/nhs-values (Accessed:12.11.2018)

9.

NHS England (2018) Enhanced health in care homes vanguards. Available at:

https://www.england.nhs.uk/new-care-models/about/care-homes-sites/ (Accessed:12.11.2018)

10. BBC. (2018). Failing Hospital 'caused death'.

Available at:

http://news.bbc.co.uk/1/hi/england/staffordshire/7948293.stm (Accessed:12.11.2018)

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Compassion is one of the six NHS constitution

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Compassion is one of the six NHS constitution

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Produced by Health Education East of England on behalf of Health Education England. For more information visit http://eoe.hee.nhs.uk/our-work/values/

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What does compassion included?----- The 6Cs

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What does compassion included?----- The 6Cs

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According to the Oxford Dictionary, compassion means "Sympathetic pity and concern for the sufferings or misfortunes of others."(Oxford University Press, 2018)

However, it means much more than the definition of the dictionary in real life. Compassion is a hardcore value in the medical care. It is one of the six NHS constitution, which all the employees who work for NHS  should carry this value when helping the patient and their relatives not only health care profession.

In NHS strategy——Compassion in Practice, compassion contain 6Cs, which are Care, Compassion, Competence, Communication, Courage, and Commitment. (NHS England and Nursing Directorate, 2013), it indicated the way of how NHS employees can achieve compassion. Through showing the care when communicating, do the job as best as they can and brave to bear the duty.

We believe we all had compassion since birth, it is one of the human nature. Why we believe so is because of we all pursuit for the best, for the inner beauty and goodness of ourselves. However, most of us seldom reveal this value as we may not know how to do so when we are interacting with each other. But actually, compassion can be achieved by some small action that usually we may not be noticed. For instance, a smile and a greeting. Furthermore, we think compassion is the power to strive for improvement. What it means is that when we have compassion, the caring and positive attitude in our mind will motivate us to do better, to enhance our knowledge in order to provide a better care to the patients and to reflex on our past experience to put right to the weaknesses. Hence, it is a necessary value for the health care professionals.

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How and where did it happen?

This is a case where the nurses show no compassion to the patient and the relatives. Mrs J had Alzheimer's disease and was found having breathing difficulty by Mr J in one evening. The ambulance brought her to Ealing Hospital NHS Trust immediately but was decided to be left untreated after two patients who required emergency treatment arrived. She died shortly and unfortunately Mr J was not able to spend the last moment of his wife's life as the nursing staff informed Mr. J 40 minutes after she had died. Mr J had been waiting in the waiting room for around three hours and nobody spoke to him or told him about his wife during the time.

What did the patient's relative do and what was the consequence for the Trust ?

Mrs J's husband complained to the Trust and was described as ' a serious breakdown in communication ' by the Trust. The investigation found out that the Trust's care fell below the level set out in national guide. The Trust apologised to Mr J and paid him £2000 in recognition of the distress he had suffered.

Why is it important to the patient?

Compassion plays a very big role in Healthcare services especially to the patients, patients have already suffered a lot during their treatments and they definitely deserve some care from others. Patients will want to feel cared of and safe, it's all based on the actions taken by nurses. Being compassionate to the patient can benefit them from getting depressed and it may help them to overcome their pain which leads to better health conditions.

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What we learned from the unsuccessful cases?

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What we learned from the unsuccessful cases?

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From the cases that did not accomplished compassion. We understand that compassion will definitely affect the quality of service provided by the health care professionals. As we mentioned in the Case study 4, patients have already suffered a lot during treatments and they really need support to help them overcome the challenges. A smile or a cheerful sentence would help them a lot in mentally, which may help them to have a more positive attitude and more courage to face their obstacles.

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How do compassion show in the case?

In this case, we can see compassion because Lesley showed courageous. It is because Michael was cared at hospice and he did not feel comfortable about it. Then, Lesley suggested that to let Michael had treatment at home, so he would feel more comfortable. Lesley was braved to let Michael had treatment which may cause trouble to hospital. But Lesley was willing to organize a better solution for Michael. This help the patient to face the difficulty.

How do compassion help patient and patient’s family?

The nurse, Lesley, showed full of care to the patient, Michael. Michael got a stomach cancer and Lesley had stayed with Michael until the patient passed away. Lesley comforted Michael to let him be feel less anxious to the treatment and this let Michael felt better. Not only did Lesley take care Michael, but also, she cared about Michael’s family. Lesley stayed with Michael’s family when he passed away. She supported Michael’s family like to let them knew about Michael was passed away and the family could live independently now. It is an evident that Lesley showed competent care for the patient and family. Lesley contributed a lot of care to the patient and his family which could let them have a better life.