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Challenging Conversations – Discharge from Hospice to Nursing Home.

In this experience the viewer is in the role of the healthcare professional.

This scenario features a patient and her son who are angry and distressed at the plan to discharge her to a nursing home as she has become medically stable. The patient is refusing to go stating that her GP said she could come to the hospice and stay.


This scenario can be used to support learning and reflection on managing patient expectations, making and communicating difficult decisions, and ethical issues around resource allocation. It offers the opportunity to discuss the subject of discharge from hospices to other care environments, as well as how to communicate with those who are angry and challenging of decision making.


Potential learning / discussion points


  • How decisions to discharge are made and communicated
  • How the patient and son are feeling
  • How to prepare for the conversation
  • What responses might have been made
  • How should the conversation be closed?
  • What actions might be taken after the conversation


“Royal Trinity Hospice is extremely proud to have worked with Flix Films on this ground breaking training material”.

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