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module 3 header Section 2 - Right Actions  
Supporting the process
of making an ADRT
1.Introduction
2.Right Actions
a. The Format of an ADRT?
b. Making your own ADRT
c. Personal Reflection - 5
d. Dealing with an ADRT
e. Clinical Film Scenario - 7: Dealing with an ADRT
f. Supporting
g. Personal reflection - 6
h. Storage & Distribution
of an ADRT
3.Right to change their decision
4.Emergencies
5.The Right Outcomes
6.End of Module Quiz
Supporting the person during this process
In order for the person to make an ADRT that is valid and applicable, they may need the support of professionals with the process.
The Key Worker may be the most likely professional to do this.
Key Worker Role
Definition: “A named professional who is ‘best placed’ to ensure the person receives co-ordinated, holistic and timely end of life care”

This key worker can be one of several different people and be in different health care settings, often depending on the nature of the patient’s illness, the context of their continuing and proposed care needs and the competences of those health and social professionals involved. Professional groups in the community may include District Nurses, Community Matrons or Community Specialist Nurses. Within secondary care this may be a Clinical Nurse Specialist within a specialist Multidisciplinary Team (e.g Breast Cancer Nurse).

If the person does not have a Key Worker, the following Health and Social Care Professionals may support the person in the process of making an ADRT:
  • GP / Consultant
  • Specialist Nurse / District Nurse / Community Matron / Care Worker
  • Patient Advice and Liaison Services
  • Independent / Voluntary Sector e.g. Age Concern
  • Advocacy Service (Social Services)
  • Court of Protection
Support for the professional during this process may be obtained from the following:
  • Peer Support
  • GP / Consultant
  • Specialist Nurse / District Nurse / Community Matron / Care Worker
  • End of Life Care Facilitator
  • Specialist Palliative Care Services
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