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GRPCC eNews No36 - December 2018
 
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GRPCC eNews
Life and Death Matters 

The GRPCC eNews Life & Death Matters is circulated bi-monthly to provide you with current information regarding the GRPCC and its members, including upcoming education and training. If you have been forwarded the GRPCC eNews from a colleague or friend and would like to receive your own copy, click on the subscribe button below
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The GRPCC would like to wish you all a very merry Christmas and a happy and safe new year.  Thank you all for your support in 2018 and we look forward to an exciting year in 2019. Cheers!
Welcome to this eNewsletter-
  • GRPCC
    • GRPCC - A month in review
  • Education and events
    • The Australian Centre for Grief and Bereavement
    • Multidisciplinary Palliative Care Short Course
    • Specialist and Graduate Certificates in Palliative Care 2019
    • PainChek® online course: a hands-on guide to intelligent pain assessment 
    • Oceanic Palliative Care Conference
  • Resources and information 
    • End of Life Directions for Aged Care (ELDAC)
    • Australian Indigenous Health Info Net
    • Caring @ Home Symptom management for palliative patients
    • PainChek® 
  • In the news/ research
    • PCOC Report released
    • The Power of a Pause
    • Grieving With A “Higher Power” 
    • Because I matter: It is just as important to know how to care as it is to cure
    • More than six months of the Medical Treatment Planning and Decisions Act 2016 (Vic) – what issues are aged care providers seeing?
  • Newsletters
    • EOL Essentials Project News 
    • PEPA AGED CARE NEWSLETTER
    • Palliative Care Victoria Newsflash
GRPCC

A month in review  
End of life care issues, including anticipatory prescribing, can be challenging for GPs, particularly in palliative care patients with complex needs. In October and November, the GRPCC, with the support of the GPHN, hosted four evening forums in Bairnsdale, Warragul, Inverloch and Traralgon,  entitled 'The Time of Dying'.  These forums were presented by Dr. Melanie Benson, palliative care physician with the Gippsland Regional Palliative Care Consultancy Service. The forums focused on diagnosing dying, the prescribing and  role of anticipatory medications/measures, and  palliative sedation.  Interest in these sessions was outstanding with over 110 attendees across the four forums.  We hope for the opportunity to run similar forums in the later half of 2019, so keep an eye on this newsletter for details.
 
New work has commenced on the 'Statewide (regional consortia) Pathways to Palliative Care in Rural Victoria' project, with a purpose to audit pathways to specialist palliative care and consultancy services in Gippsland to compare across the state. This will articulate what is working well, as well as enabling a summary of challenges and barriers for consumers in accessing palliative care services (including respite) in rural and regional Victoria.  Leearna Earwicker has done an amazing job circulating the survey across the region and we would like to thank everybody that took the time to complete the survey.  
After many months of solid work by the Gippsland Regional Palliative Care 'Community of Practice' group, Monash University of Rural Health and the GRPCC,  the Palliative Care Professional Development and Skills Matrix project have been  rolled out to all community nurses delivering palliative care in Gippsland.  The surveys have been completed by 60% of nurses in the region and work will shortly be completed to provide participants with an individual report and tools to develop a professional development plan, and their managers with a report to inform and assist with ensuring that education and learning opportunities are available and directed to maximize the identified needs.  Watch this space for continued updates. Thank you to the Gippsland Nurses!
Education & Events

The Australian Centre for Grief and Bereavement   

The Australian Centre for Grief and Bereavement (ACGB) currently offers two nationally recognised qualifications:  Certificate IV in Bereavement Support and  Graduate Certificate in Bereavement Counselling and Intervention.

These courses are accredited to ACGB and monitored by the national regulator, Australian Skills Quality Authority (ASQA).

Cost    Certificate IV in Bereavement Support $3,600
            Graduate Certificate in Bereavement Counselling and Intervention $6,800
Click here to visit the ACGB website

Peter Mac Cancer Pain Conference

This conference has  a focus on collaborative cancer-pain management and interventional treatment options. It features talks from leading pain specialists, oncologists, and palliative care specialists.

Date:       Saturday 9 February 2019
Location: Victorian Comprehensive Cancer Centre
                 Level 7, 305 Grattan St
                 Melbourne VIC 3000
Cost:       $206.81 – $417.81
Click here for more details and to register

Multidisciplinary Palliative Care Short Course 

The Centre for Palliative Care at St Vincent’s Hospital, in partnership with The University of Melbourne, has developed a range of short courses that focus on preparing all health professionals for the core aspects of palliative care provision.

The multidisciplinary short courses cover a variety of topics, and health professionals are welcome to register for one or more of the courses. All courses are evidence based and delivered by a broad range of presenters, who are specialists in their field.

  • Palliative Care: the Essentials 7 & 8 February, 2019
  • Historical, Theoretical and Developmental Perspectives on Bereavement 21 & 22 February, 2019
  • Pain Assessment and Management in Palliative Care 18 July, 2019
  • Symptom Management in Adult Palliative Care 19 July 2019
  • Clinical Ethics - the Basics 8 August, 2019
  • "Doing" Ethics 9 August, 2019
  • Communicating Ethically 12 August, 2019
  • Incorporating Ethics into your daily Practice 13 August, 2019
  • Identification, Assessment and Management of Distress 15 & 16 August , 2019
  • Management of Imminent Death in Complex Cases 19 August, 2019
  • Special and At Risk Populations. Working with Other Professionals 20 August, 2019
Cost One day course 450 + GST
         Two day course $900 + GST
Click here to visit the Melbourne Uni website for more details and to register
 

University of Melbourne Specialist and Graduate Certificates in Palliative Care 2019

These courses aim to be the industry standard for working in specialist palliative care and is delivered by experts in their fields, drawn from multiple institutions around Victoria. They  explore the core concepts related to palliative care, including symptom management, communication skills, and evidence based practice, non-malignant palliative illnesses, psychosocial issues and the role of the family caregiver.


Cost    Specialist Certificate in Palliative Care $6,020
            Graduate Certificate in Palliative Care $12,040

Click here to visit the Melbourne Univ website for more details and to register

PainChek® online course: a hands-on guide to
intelligent pain assessment  

                                                                                                                   
Undertreated pain is responsible for a considerable burden of disease for people living with dementia, particularly those who have diminished abilities to communicate. PainChek® has previously been found to be as valid and reliable as the Abbey Pain Scale, one of the most commonly utilised pain assessments in Australian residential care facilities. Using case studies, flexible learning pathways, and knowledge resources, this course upskills participants in identifying the behavioural expressions of pain, and the correct use of the PainChek® app.

This free online course aims to train participants to use PainChek®, a multi-platform app for smart devices that facilitates pain assessments for people living with dementia.
Click here to view course details and to register

Oceanic Palliative Care Conference

In September 2019 the palliative care sector will gather in the beautiful location of Perth, Australia for the 2019 Oceanic Palliative Care Conference #19OPCC, formerly the Australian Palliative Care Conference.

Proudly hosted by Palliative Care Australia, the Conference will attract the decision makers of today, the future leaders of tomorrow, policy influencers and those involved in the latest research and thinking about palliative care and end of life care on a national and international scale.

The 2019 conference will be held at Perth Convention Centre from 10–13 September 2019.

Click here visit the conference website and for registration details

Resources



End of Life Directions for Aged Care (ELDAC)  

The ELDAC project aims to improve the care of older Australians. Health professionals and aged care workers can access information, guidance, and resources to support palliative care and advance care planning for older people and their families.

Click here visit the ELDAC website

Supporting ATSI people at EOL 

Australian Indigenous Health Info Net has launched a new portal to assist health professionals caring for Aboriginal and Torres Strait Islander people at the end of life, their families and communities.  It covers culturally appropriate palliative and EOL care; grief and bereavement; and planning ahead.

Click here visit the Australian Indigenous Health Info Net website

Caring @ Home
Symptom management for palliative patients

Caring@home aims to improve the quality of palliative care service delivery across Australia by developing resources that will support people to be cared for and to die at home, if that is their choice. Resources are available Australia-wide for community service providers, health care professionals and carers to support carers to help manage breakthrough symptoms safely using subcutaneous medicines.

Click here visit the Caring@home website

PainChek® 

PainChek® is the world’s first pain assessment tool that has regulatory clearance in Australia and Europe.

Using AI and facial recognition technology, PainChek® provides carers across multiple clinical areas with three important new clinical benefits

  • The ability to identify the presence of pain, when pain isn’t obvious
  • To quantify the severity level of pain, when pain is obvious, and;
  • To monitor the impact of treatment to optimise overall care
In the News / Research

PCOC Report released

The latest PCOC National and selected State/territory reports for January to June 2018 have been released and are available via their website.
Click here visit the PCOC website


The Power of a Pause  
Article by Kayla Sheehan  for PalliMed
 
Ask any patient what qualities they desire in a physician, and empathy will almost always make the list. A physician’s ability to demonstrate empathy has been shown to significantly impact patient outcomes (1), increase patient satisfaction (2), and raise physician “compassion satisfaction,” which may hinder burnout (3). Though much debate surrounds empathy’s teachability, learning how and when to make empathetic statements is a crucial aspect of physician training. Many of us struggle with finding the right thing to say, but a recent open access study published in JAMA Network Open shows there may be more power in pauses made after empathetic statements than in the words themselves [read more] 
Grieving With A “Higher Power” 
Article for What's your grief

CS Lewis famously wrote “no one ever told me that grief felt so like fear”.

I’ve often thought all grieving humans could (maybe even should) write their own version of that sentence. “no one ever told me that grief . . . .”

I could probably finish that sentence one thousand different ways. Today I might end it with “no one ever told me that grief shatters your compass”. After a loss, our world is often turned on its head. Assumptions we had about the world are shattered, things that seemed important now seem empty. Even core values that we deeply connected with seem unsettled. Needless to say, it can be devastating. Righting an upside-down world can be easier said than done. If nothing feels stable anymore, it can leave you feeling like your cartwheeling through space with nothing to grab hold of. [read more]
Because I matter: It is just as important to know how to care as it is to cure
Article by Dr Gabriela Picco and Silvia Echavarren Zozaya for EACP Blog

Until the 1950s, professional interest in cancer focused mainly on curative treatment displacing the importance of care for those patients at the end of their lives. Cicely Saunders, social worker, nurse and doctor, revolutionised the medical profession in the 1960s with her introduction of palliative care. The medical profession considered death a failure and her compassionate vision of illness and care provided a new way of thinking and acting. She did not accept the stereotypical attitude “there’s nothing more we can do” and suggested instead that “there’s a great deal more we can do”. [read more]
More than six months of the Medical Treatment Planning and Decisions Act 2016 (Vic) – what issues are aged care providers seeing?
Published by Anita Courtney, Victor Harcourt, Laura Kerridge, Felicity Iredale for Russell Kennedy Lawyers

It has been over six months since the Medical Treatment Planning and Decisions Act 2016 (Vic) (Act) commenced.  With the Royal Commission into Aged Care set to consider end of life care, it’s more important than ever that aged care providers ensure their policies are up to date and compliant with the changes. 
As outlined in our previous article, the Act has introduced a scheme for creating binding advance care directives (ACDs).  It also changed the rules in relation to substitute decision makers.   
From what we have seen, aged care providers have made good progress in getting their staff up to speed on the Act, however some complexities are starting to emerge.  The purpose of this article is to explain a couple of the challenges we are seeing, to assist you in updating or developing your policies in relation to the new Act. [read more]
 
Newsletters

EOL Essentials Project News - EDITION 30 - November 2018
PEPA AGED CARE NEWSLETTER - Edition #52 October 2018 
 

Mailing Address:

Gippsland Region Palliative Care Consortium
c/- West Gippsland Healthcare Group
Landsborough Road
Warragul  Vic  3820
t:   03 5623 0684
e:  enquiries@grpcc.com.au
w: www.grpcc.com.au

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