There are an increasing number of useful resources available to support GPs providing palliative care in residential aged care, in the community and in shared care arrangements with palliative care services. These can help in clinical decision making and in managing care in different settings.
Supportive and Palliative Care Indicators Tool (SPICT)
is used to help us identify people at risk of deteriorating and dying with one or multiple advanced illnesses for holistic, palliative care needs assessment and care planning.
Over 75 assessment
This health assessment
allows a detailed investigation of an older person's health. It can be a prompt to consider the future of the person.
The Surprise Question
This simple and feasible screening test may identify patients palliative care needs: Would I be surprised if this patient died in the next 12 months?
This describes a three stage approach to care after identification of possible palliative care needs with the Surprise Question. Stages include: advance care planning, case conferencing and terminal management.
How to discuss prognosis and end-of-life issues
Examples of phrases that can be used in discussing prognosis (142kb pdf)
developed for the End Of Life Essentials Project.
CareSearch GP resource on communicating with patients, families and colleagues.
Planning for the Future
Advance Care Planning Australia
This is a comprehensive site that provides information for health professionals
and links to state and territory legislation.
provides informational support for health professionals conducting advance care planning with people from different religious and cultural backgrounds.
End of Life Law in Australia
provides access to information about Australian laws relating to death, dying and decision-making at the end of life.
Symptoms and Medicines
A new section in the Evidence Centre is a gateway to fast and reliable access to evidence to inform your clinical practice. It provides an overview of common symptoms and how to manage medications. There are links to other useful Australian resources
Working with Families
The support and care of families as well as patients is a crucial part of end-of-life care. CareSearch has a set of printable patient and family resources.
Therapeutic Guidelines has a section on support for families and carers in palliative care.
can help to review and clarify goals of care and treatment options. Including patients and carers where possible is valuable.
Planning for a Home Death
is a checklist of things to consider and discuss from CareSearch.
This document from ANZSPM summarises prescribing advice
for the community. (61kb pdf)
- For GPs, CareSearch
Resource that addresses the reality of palliative care for GPs
- Therapeutic Guidelines: Palliative Care
Comprehensive overview of clinical and care issues and guidance.
- palliAGEDgp app
Smartphone app for GPs to support care of older palliative patients living at home or in residential care. It includes terminal prescribing advice.
- Primary Health Networks (PHNs)
Primary Health Networks are supporting primary care to improve care delivery and care coordination in the community. There six agreed priorities for targeted work by PHNs and aged care is one of these. Contact your local PHN to find out what resources they have available for aged care and end-of-life care.
These videos were produced for the palliAGED or the Decision Assist projects
Page updated 2 Jaunary 2018