A guest blog post by Peter Jenkin, Nurse Practitioner (Palliative Care), Resthaven
The new Aged Care Quality Standards have now come into effect and all organisations providing aged care services in Australia will need to demonstrate how they comply with the new standards. Peter Jenkin from Resthaven discusses the role of Nurse Practitioners in helping aged care organisations integrate the new standards into practice, and thus demonstrate compliance.
A guest blog post by Professor Josephine Clayton, Senior Staff Specialist Physician in Palliative Medicine, HammondCare and Professor of Palliative Care, University of Sydney and Associate Professor Joel Rhee, General Practitioner and Associate Professor of General Practice, HammondCare Centre for Positive Ageing and Care, University of Wollongong
General practices provide ongoing care for a large number of patients with chronic, progressive, and eventually fatal illnesses, and so have an essential role in providing palliative care to patients and their families. Professor Josephine Clayton, Senior Staff Specialist Physician in Palliative Medicine and Associate Professor Joel Rhee, General Practitioner, discusses the Advance Project and how it aims to support general practices with the tools to identify people early who might need a palliative approach to their care and enables general practice teams to thoroughly assess the persons’ symptoms, concerns and priorities as well as the needs of their carers.
A blog post from Professor Jennifer Tieman, CareSearch Director, College of Nursing and Health Sciences, Flinders University
National Advance Care Planning Week is an annual initiative by Advance Care Planning Australia that encourages all Australians, regardless of their age or health status, to make their future health care preferences known. Jennifer Tieman Director of CareSearch discusses the importance of advance care planning and the need to start more conversations about death and dying.
A guest blog post by Dr Ann Aitken PhD, Acting Director of Nursing & Midwifery, Rural and Remote Services, Cairns and Hinterland Hospital and Health Service
About a third of Australian nurses work in rural and remote practice and many are sole practitioners working in geographically diverse and challenging areas. This requires nurses to have a diverse range of skills, professional and otherwise, including the need to provide quality palliative care. One of our biggest challenges is in being able to maintain those skills in their environment. Ann Aitken, Acting Director of Nursing and Midwifery at Cairns and Hinterland Hospital and Health Services, discusses how the palliAGEDnurse and palliAGEDgp apps provide nurses and their medical colleagues a way to gain 24/7 offline palliative care information to help them in their practice.
A guest blog post by Jane Fischer, President of Palliative Care Australia, Calvary Health Care Bethlehem
In 2017 Palliative Care Australia undertook a review and update of the reference documents A Guide to Palliative Care Service Development: A population based approach and Palliative Care Service Provision in Australia: A planning guide. Together these key reference documents have provided a framework for the ongoing development of palliative care policy within the health care system for the last fifteen years.
A guest blog post by Charlotte Coulson, Clinical Nurse Consultant, Integrated Palliative Care Team, Bendigo Health
A culturally acceptable approach is crucial to delivering quality person-centred palliative care for Aboriginal and Torres Strait Islander patients. But what if you are someone from a different cultural background? Charlotte Coulson from Bendigo Health shares her experience as a nurse and some pointers.
A guest blog post by Associate Professor Josephine Clayton, Specialist Physician in Palliative Medicine at HammondCare’s Greenwich Hospital in Sydney, Associate Professor of Palliative Care at the University of Sydney and Director of the Advance Project
As a young doctor I spent some time working in a palliative care hospital in the early 90’s. It was such a privilege to be working with people at end of life - with the opportunity to make a difference to quality of life and well-being of patients, and their family members. That experience made me decide to devote my career to Palliative Medicine.
I had some experiences at that time that stayed with me.
I had a patient, Marion, who had been a school principal. Marion had suffered a severe stroke. She had survived but was very incapacitated, confined to bed and unable to communicate. She was being kept alive, surviving on a feeding tube, and facing a life of care and dependence. Her specialist was very committed to her survival.
A guest blog post by Kim Devery, Senior Lecturer and Head of Discipline, Palliative Care, Flinders University
Let’s be frank, end-of-life care can be tricky. Yes, dying is normal, but it hasn’t been a major focus in the acute hospital systems. Health care professionals working in acute hospitals can find themselves challenged by patients with end-of-life care needs. Doctors, nurses and allied health professionals can be in a situation where they do not know how to best respond to a patient with end-of-life needs. Appropriate end-of-life interventions can be missed.
With 52% of Australians dying in acute hospitals, end-of-life care is essential knowledge for all health care professionals.
A guest blog post by Dr Joel Rhee BSc(Med) MBBS(Hons) GradCert(ULT) PhD, FRACGP
I remember a patient some years ago. I’ll call her Maria. She was a lovely Italian woman, in her late 80’s, with a very supportive family.
Maria had developed very complex medical problems. She had heart issues, kidney problems and quite severe diabetes. In the last year of her life she had recurring kidney failure and breathing difficulties. She was going in and out of hospital every three or four weeks.
The medical team did their very best for her – they were very focused on her medical issues and her symptoms, and she received excellent medical care. A lot of focus was given to how best to look after her kidneys, her heart, her pain and her difficulty with breathing. As her problems multiplied and her needs became increasingly complex, the care she received continued to be excellent.
A Guest Blog Post from Vera Margitanovic, Research CN in Palliative Care, Southern Adelaide Palliative Services
Reflecting on what I do and what my responsibilities are as a Research Nurse is quite complex and one single role cannot encompass all the activities associated with clinical research trials.
Protocol development is the first phase of the project, where a team is involved in developing the protocol. From my perspective, knowledge and experience of a research nurse is indispensable in creating a good balance between the needs of the research and the patients involved.