#2899 IMPLEMENTING THE SERIOUS ILLNESS CARE PROGRAMME (SICP) WITHIN AN OUTPATIENT HAEMODIALYSIS UNITS: A FEASIBILITY STUDY

Abstract Background and Aims End-stage renal failure affects a frail, elderly, multimorbid population with high physical psychological symptoms. The care should integrate core palliative principles to thoroughly address support patients' needs. Serious Illness Care programme (SICP) is multi-component intervention that promotes meaningful conversations between clinician patient. identifies what matters most the patient, their goals priorities, how this aligns treatment care. SICP was implemented in two dialysis units North of England, we report on outcomes learning from process. Method Using modified cohort design, applied tools within unit England. We selected outpatient units, Unit A (with 43 patients) B 150 patients). An MDT approach employed develop process specific each (Figure 1). Clinician training complemented mentoring informative education nursing administration teams. Outcome data were collected August 2019 February 2022. Outcomes recorded (reach metrics outcomes) number patients offered conversation, accepted or declined, timing conversation follow-up. structured reflection elements facilitated participation SICP. Results Of happened, 10 preferred have own, 7 chose family carer present. In 17 (100%) patients, naturally led ‘statement wishes’ about health. 5 (29%) there detailed regarding resuscitation decisions event cardiopulmonary arrest (DNACPR). Three (17%) ‘Planning your Future Guide’, help them think more advance planning future. 'Talking Family Friend's’ leaflet guide family. Structured identified were; Over period, 18 (53%) 34 died. Conclusion This study demonstrates can be successfully unit. It essential recognise some want talk future illness, whilst prefer not to. Understanding person-centred illness environmental factors enable engage these 'future planning' important for intervention's progression. For example, surprised majority our small sample wanted independently. continue adapt modify ensure personalised, holistic across live as fully possible serious illnesses.