‘It is difficult to assess the effect it had, as there were clearly other issues affecting the patient ie. diagnosis/prognosis. At times when we arranged for her to go home she had to come straight back into hospital when her condition deteriorated. It was a challenge balancing her physical, psychological and spiritual needs as meeting one often meant neglecting another. Ultimately the patient went home and I did not see her again so am not sure if our actions had a positive impact or not.’