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GRPCC eNews No30 - February 2018
 
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GRPCC eNews
Life and Death Matters 

The GRPCC eNews Life & Death Matters will be sent out monthly to provide you with current information about the work being carried out by the GRPCC and its members, as well as 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 the subscribe button below
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Welcome to this enewsletter-
  • GRPCC
    • GRPCC A month in review
    • Specialist Palliative Care Service Quickguide
  • Education and events
    • Contemporary Practice in Palliative Care
    • Gippsland Paediatric Palliative Care
    • Working with Disenfranchised Grief, Complicated Grief and Anticipatory Grief
  • Resources and information 
    • Bedtime to Breakfast – Caring At Night For People With Dementia
    • Certificate IV In Bereavement Support
    • Do the Elderly Feel or Perceive Pain Differently?
    • Upcoming changes to medical decision making laws
  • In the news/ research
    • Choices at end of life: palliative care, euthanasia and other end of life decisions
    • 'Not the way they wanted to die': Final wishes of thousands of Australians going unmet
    • My Father’s Body, at Rest and in Motion
  • Newsletters / Communique
    • Victoria's end of life and palliative care framework communique
    • Residential Aged Care Communique
    • PalliAGED -
GRPCC

A month in review 

With the silly session now officially wrapped up, the team at the GRPCC are back in the swing of things and busy busy busy as usual. 

Carol, Palliative Aged Care and Disability Resource Nurse's work on the 'Referral Pathway from RACF to Palliative Care Consultancy' project is making great progress.  The pilot site of Bass Coast is now complete, with the development of clear pathways rolled out to each RACF in the region.  The pathways were developed by a working party consisting of representatives from the Gippsland Regional Palliative Care Consultancy Service (GRPCCS), Bass Coast Health, the local RACFs and Gippsland Primary Healthcare Network (GPHN), then rolled out to the RACFs via a collaborative forum.  The South Gippsland portion of the project is in the final stages, with the pathway complete and to be rolled out next week.  Work is about to start in Latrobe and East Gippsland in the coming months before moving onto the remaining regions.  A special thank you to GRPCCS for their valuable contribution in each working party across the Gippsland region and the GPHN for funding this exciting project.

Work is still underway on the new GRPCC website which should be completed in February. In the meantime the existing GRPCC website www.grpcc.com.au is still available and full of great resources. 

Correction
In the December issue of the GRPCC eNews, it was mentioned that end of life project Unspoken :What will Become of Me, will be held in Bass Coast, Baw Baw and East Gippsland.  The actual locations will be South Gippsland, Baw Baw and East Gippsland.  Stay tuned for more details in the coming months.

Specialist Palliative Care Service Quickguide

This Specialist Palliative Care Service Quickguide provides valuable information about the Palliative Care Services available across Gippsland.

The Quickguide was designed for a  wide variety of people working in the healthcare, human services, social and community sectors whose everyday work brings them into contact with people who have a life-limiting illness, as a  ‘why, when and how’ of referral to specialist palliative care.

To view the Specialist Palliative Care Service Quickguide and other CPG endorsed Guidelines click on the buttons below.
Specialist Palliative Care Service Quickguide
GRPCC CPG Guidelines
Education and Events

Contemporary Practice in Palliative Care
For Health Professionals

West Gippsland Healthcare Group, PalliCAAT and GRPCC would like to invite health professionals to attend a full day education session on the contemporary issues in palliative care.
 
Guest speakers include:
Alison Giles (Palliative Care Physician)
Irene Murphy & Maryann Bills (Nurse Practitioners)
Tim Wendt (Pharmacist)
Bridget Ludlow (Dietician) & Jaime Vourgaslis (Speech Pathologist)
John Reeves (Clinical Psychologist)
and Michael Kunze (GP)

Date:     Friday 23rd Feb, 2018
Time:    9.00 - 4.30 (registrations  open at 8.30am)
Venue:  Black Tie Restaurant, Warragul
Cost:     $50 WGHG staff
              $60 Non-WGHG staff
Click here to view flyer
Click here to view program
Click here to register

Gippsland Paediatric Palliative Care

Due to the success of the Paediatric Palliative Care workshop held in 2017, we are pleased to announce that the GRPCC will once again be partnering with the Royal Children's Hospital to hold a similar  workshops in 2018.

Topics will include:
  • What is Paediatric Palliative Care?
  • Symptom management
  • Ethics
  • Communication
  • Psychosocial and Bereavement support
  • Plus relevant topics of interest as requested by attendees
Date:      Friday 27th April, 2018
Time:     9.30 - 3.30 (registrations open at 9am)
Venue:   Latrobe Regional Hospital, Auditorium
Cost:      Free
Click here to view flyer
Click here to register

Working with Disenfranchised Grief, Complicated Grief and Anticipatory Grief

Doctors, nurses and allied health staff are invited to attend this FREE workshop focusing on the concepts of disenfranchised grief, anticipatory grief and complicated grief.

On completion of the workshop attendees will be able to: 
  • Identify Disenfranchised Grief, Anticipatory Grief and Complicated Grief
  • Support families impacted by one or more of these types of grief
  • Identify effective self-care strategies

 
Date:      Monday 21st May, 2018
Time:     9.30 - 4.30 (registrations open at 9am)
Venue:   Latrobe Regional Hospital, Auditorium
Cost:      Free
Click here to view flyer
Click here to register

Resources



Bedtime to Breakfast – Caring At Night For People With Dementia

Bedtime to Breakfast – Caring At Night For People With Dementia is a free online course run by Dementia Training Australia.  This course explores person-centred care at night for people living with dementia in the residential care settings.

The course consists of 3 modules and covers:

  • general education about sleep
  • strategies for supporting people with different sleep needs and preferences, and
  • tips for carers about how to look after their own well-being, especially those in the night shift workforce.

A Completion Certificate for CPD credit is awarded on successful completion.

Click here for more information

Certificate IV In Bereavement Support

Australian Centre for Grief and Bereavement is once offering Certificate IV in Bereavement Support. This 12 month, self-paced, online course is designed for those who have a role in providing bereavement and loss support. The skills and knowledge provided by the course, cover a range of different situations and may be for a specific bereavement support job role, or complements other job roles such as nurses, aged care workers. This competency based course places emphasis, on what the learner can do in the workplace activities to industry standards.

Click here for more information

Do the Elderly Feel or Perceive Pain Differently?

Pain is defined as an “unpleasant sensory and emotional experience associated with actual or potential tissue damage”, or described in terms of such damage. Pain is uncomfortable for anyone at any age, but when a person ages, does the way they feel and perceive pain differ to that of a younger person?

The mechanism by which pain is perceived is very complex. There does appear to be some age‐related changes, but older people don’t perceive less pain than younger people.

Under normal physiological conditions, older people may be less sensitive to low levels of stimuli – for example they have a higher pain threshold – but they tend to be more sensitive to higher levels of stimuli – meaning that they have a lower ability to tolerate more severe pain. [read more]
 


Upcoming changes to medical decision making laws

From 12 March 2018, a person can appoint a medical treatment decision maker with authority to make medical treatment decisions. A person will no longer make a medical enduring power of attorney to do this. In March 2018, OPA will have a new edition of Take Control with step-by-step instructions about how to do this.

The new laws will allow for the creation of new legal documents called advance care directives. Advance care directives may include either or both:

  • an instructional directive with legally binding instructions about future treatment the person consents to or refuses
  • a values directive which documents the person’s values and preferences for future medical treatment.

If a medical treatment decision maker hasn’t been appointed, the Medical Treatment Planning and Decisions Act specifies who has legal authority to make medical treatment decisions for a person who is unable to make these decisions. For example, this may be the person’s domestic partner.

Further updates will be made available in this newsletter, when it is available

Click here for further information and access to the OPA advise service
In the News / Research

Choices at end of life: palliative care, euthanasia and other end of life decisions
Lecture by Professor Kathy Eagar

Public conversation and media coverage about death and dying is increasing in response to the ageing of the baby boomers and in light of both the euthanasia debate and concerns about increasing health care costs. With an ageing population and increasing rates of chronic illnesses, end of life care is a critically important issue. Yet we are living in an ever more death-defying society and many people have little experience of death or of the options and decisions at end of life that make a difference.

This lecture will explore the issues involved in decision-making at end of life from the perspective of patients and families as well as the broader health system and society. It will provide an overview of the choices we should all be discussing with our loved ones – not just euthanasia but also advanced care directives, palliative care and organ donation as well as who we want to make our decisions if we are not able to. In also considering clinical issues and research perspectives, this lecture will argue that our society and our health system should be ultimately judged not just by how many heroic rescues occur but also by how we care for people at end of life [read more]

'Not the way they wanted to die': Final wishes of thousands of Australians going unmet
Article by Nicole Hasham  for The Age                              

The desire of thousands of gravely ill Australians to die without pain and surrounded by family is going unmet because palliative care services fall badly short, the national peak body has warned.

Just one palliative medicine specialist is available for every 704 deaths each year, according to Palliative Care Australia. It has called on the Turnbull government to make palliative care a national health priority, appoint a 'national palliative care commissioner' and ensure health workers can better help grief-stricken families. [read more]
My Father’s Body, at Rest and in Motion
Article by Siddhartha Mukherjee for the New Yorker

he call came at three in the morning. My mother, in New Delhi, was in tears. My father, she said, had fallen again, and he was speaking nonsense. She turned the handset toward him. He was muttering a slow, meaningless string of words in an unrecognizable high-pitched nasal tone. He kept repeating his nickname, Shibu, and the name of his childhood village, Dehergoti. He sounded as if he were reading his own last rites.

“Take him to the hospital,” I urged her, from New York. “I’ll catch the next flight home.” [read more]
Newsletters / Communique

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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