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GRPCC eNews No34- August 2018
 
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GRPCC eNews
Life and Death Matters 

The GRPCC eNews Life & Death Matters is circulated monthly to provide you with current information about the of 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 ton he subscribe button below
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Welcome to this enewsletter-
  • GRPCC
    • GRPCC - A month in review
    • GRPCC Specialist Palliative Care Services Quickguide Gippsland
    • Focus On - Speech Pathology
  • Education and events
    • Palliative Approach for Health Professionals working in the sub-acute environment
    • Palliative Approach for Health Professionals and Personal Care Workers in the Aged Care Sector
    • End-of-life ESSENTIALS
    • Dying to Know Day - Bairnsdale Death Café
    • The time of Dying
    • Ethics in Clinical Practice - New in 2019
  • Resources and information 
    • Carers Safety & Information Kit for Palliative Care
    • Caring @ Home
  • In the news/ research
    • Reflective Practice: Understanding Ourselves and Our Work
    • Facial recognition pain tool rolling out nationally
    • Voluntary Assisted Dying Review Board Appointed
    • Broken Heart Syndrome: Illness After Loss
  • Newsletters / Communique
GRPCC

A month in review  

Work on the Palliative Approach Referral Pathway and Collaborative Forums project that commenced in 2017 is now complete.  Referral pathways to specialist palliative care, for residents in aged care facilities, have been developed in each local government area (LGA) across Gippsland.  The pathways were developed in collaboration with local palliative care services, the Gippsland Region Palliative Care Consultancy Service and RACF's and were introduced to every RACF in Gippsland in a series of forums and visits.  We would like to acknowledge the  the Gippsland Primary Healthcare Network in collaborating in the project, and everyone that took part in the working parties and  forums. 

The GRPCC, in collaboration with Monash University, Department of Rural and Indigenous Health, have been working hard putting the final touches on the Community Palliative Care Skills Matrix.  The initial part of the project directed to District Nursing and Community Palliative Care questionnaires via survey monkey, will allow nurses to self evaluated their capability of specific skills and knowledge related to community nursing and palliative care provision.  Results will provide opportunities to develop individual learning plans and coordinate approaches to organisational and regional education.   The questionnaires have been tested by a number of nurses across the region and their feedback integrated into the questionnaire.   The project will be piloted at WGHG in early August.  We are looking forward to the seeing the responses and aligning them with individual learning needs of the participants and the Gippsland region.
 

GRPCC Specialist Palliative Care Service – Quickguide Update 

The GRPCC Specialist Palliative Care Service Quickguide has been updated.  Please print and replace any existing versions with this current copy. GRPCC Specialist Palliative Care Services Quickguide Gippsland V3 May 2018  
Click here to download the GRPCC Specialist Palliative Care Services Quickguide

Focus On - Speech Pathology

Each month the GRPCC will be highlighting the role of Allied Health in palliative care and providing useful tools and education opportunities.  This month our focus is on Speech Pathology

According to CareSeach, for speech pathologists, palliative care is about consulting with and educating the patient and family about their priorities and preferences in managing possible communication and swallowing difficulties. Together, they are able to develop strategies to minimise the impact of symptoms on the patient’s comfort, participation in and quality of life.

The speech pathologist is an essential team member in the area of communication, both for patients with diagnosed communication impairments and for those who are having difficulties communicating due to fatigue, pain or medication. Their role is to assist the patient to express themselves, make their own decisions, maintain relationships, take part in social activities and fulfill their end-of-life goals. This requires the speech pathologist to work closely with the patient and their family or carers, to establish goals and to respond quickly to functional changes.  It also involves close consultation with other team members, especially social work, to support the patient in engaging in key discussions.

Contact an Allied Health department for further information.
Click here to visit the CareSearch website
Education and Events

Palliative Approach for Health Professionals working in the sub-acute environment

PEPA aims to improve health care, aged care and disability support workers’ knowledge, skills and confidence in the palliative approach to care for people with a life-limiting illness.

This free introductory level workshop for Health Professional working in the sub-acute environment  (HARP, RIR, DN, Haemodialysis, TCP, Practice Nurses etc.), is interactive and provides time for discussion through case presentations and examples. Topics covered include:

  • What is the palliative approach?
  • Life limiting illnesses
  • Assessment and care planning
  • Managing common symptoms
  • Supporting the psychosocial and spiritual needs of clients
  • Advance Care Directives and the Medical Treatment Planning & Decision Act
  • Caring for the professional caregiver.

Bass Coast
Thursday 16th August
Grabham Wing Education Centre, Bass Coast Health, Wonthaggi
9.30am  - 3.30pm (registrations open from 9.00am for a 9.30am start)

Latrobe
Thursday 6th September
Conference Breakout Room, Latrobe Regional Hospital
9.30am  - 3.30pm (registrations open from 9.00am for a 9.30am start)

East Gippsland
Thursday 6th October
Monash School of Rural Health, Bairnsdale Regional Health Service
9.30am  - 3.30pm (registrations open from 9.00am for a 9.30am start)

 
Click here to view the PEPA flyer
Click here to register for the Bass Coast workshop
Click here to register for the Latrobe workshop
Click here to register for the East Gippsland workshop

Palliative Approach for Health Professionals and Personal Care Workers in the Aged Care Sector

PEPA aims to improve health care, aged care and disability support workers’ knowledge, skills and confidence in the palliative approach to care for people with a life-limiting illness.

This free introductory level workshop for Palliative Approach for Health Professionals and Personal Care Workers in the Aged Care Sector, is interactive and provides time for discussion through case presentations and examples. Topics covered include:

  • What is the palliative approach?
  • Life limiting illnesses
  • Assessment and care planning
  • Managing common symptoms
  • Supporting the psychosocial and spiritual needs of clients
  • Advance Care Directives and the Medical Treatment Planning & Decision Act
  • Caring for the professional caregiver.
Central Gippsland
Wednesday 19th September
Conference Room, Central Gippsland Health, Sale
9.30am  - 3.30pm (registrations open from 9.00am for a 9.30am start)
 
Click here to view the PEPA flyer
Click here to register for the Central Gippsland workshop

Dying to Know Day - Bairnsdale Death Café

A "pop up' Death Cafe being run this month in the Bairnsdale Library. Dennis Seymour from The Gippsland Memorial Park Traralgon is guest speaker and will talk on Green Burials and shrouds and other relevant subjects. This is a free event held with help from the Gippsland Shire and the library. Come and support Dying to Know Day with us and talk openly about death and dying. Open to all topics on death and dying . The library is also running Last Cab to Darwin in libraries around East Gippsland and Coco is beig run in Bairnsdale Saturday 11th 10am to 11.45 am

Wednesday 8th August
Bairnsdale Library, Service St, Bairnsdale Victoria
1pm to 3pm

Contact Christine Borcovsky or Kim Parker at cborcovsky@gmail.com or kmrainbow57@yahoo.com  for more information


End-of-life ESSENTIALS

Care Search have created education modules designed to assist clinical staff working in acute hospitals in delivering end of  life care. They provide clinically relevant and evidence based learning materials with quizzes, evidence based links and educational videos. Clinicians are encouraged to examine their own practice and build on their individual expertise across a wide range of issues which are fundamental to quality end of life care in hospitals.

Click here to visit the End-of-Life Essentials website

 

The Time of Dying

End of life care issues regarding anticipatory prescribing can be challenging for GPs, particularly with palliative care patients with complex needs. With the introduction of the Voluntary Assisted Dying laws in July 2019 it is imperative to improve the knowledge and capability of GPs role in the management of palliative and end of life care.

In October and November, the GRPCC and GPHN will be hosting four forums presented by Dr. Melanie Bensen, palliative care physician based with the Gippsland Regional Consultancy Service entitled “The Time of Dying” focusing on diagnosing dying, the prescribing and  role of anticipatory medications/measures, and  Palliative sedation.  The presentation will highlight the recently developed GRPCC CPG guidelines for the use of palliative sedation that provides a framework for the discussion of this important area of end of life care.

Registrations details will be available in the next eNewsletter so stay tuned.
 

 


Ethics in Clinical Practice - New in 2019

Do you want a greater understanding of professional ethics in healthcare? 
Have you always wanted to understand the complexities of informed consent?


These and other ethical questions will be discussed in the new ’Ethics in Clinical Practice’ subject developed by the Centre for Palliative Care.  This subject will be delivered in collaboration with the University of Melbourne as part of the Specialist and Graduate Certificates in Palliative Care.  

Some of the key concepts that will be covered are:
  • Advocacy
  • Moral deliberation
  • Truth telling
  • Abandonment  
The subject will be delivered as a four day intensive:
  • Day one: Clinical ethics – the basics
  • Day two: “Doing” ethics 
  • Day three: Communicating ethically 
  • Day four: Incorporating ethics into your daily practice  
Click here for more information

Resources



Carers Safety & Information Kit for Palliative Care

In 2015, the GRPCC CPG adapted the Loddon Mallee Regional Palliative Care Consortium (LMRPCC) suite of Carers Equipment Safety Cards to the needs of Gippslanders'.  The suite of cards has recently been updated by the GRPCC Clinical Practice Group and reviewed by the CGH Consumer Group and are now available on the GRPCC website. 

The Carers Safety & Information Kit for Palliative Care provides carers with information to safely care for someone with palliative care needs, along with additional information about equipment and resources.

 

Click here to visit the GRPCC website to view the Safety Cards

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 to visit the Care@Home website
In the News / Research

Reflective Practice: Understanding Ourselves and Our Work
Article by Lori-Anne Sharp, ANMF Vice President- Assistant to the Federal Secretary

Do you regularly engage in reflective practice? Is reflective practice encouraged at your workplace or amongst your peers? Does your workplace offer clinical supervision?

Reflective practice is the purposeful questioning and self-examination of an incident or experience, often under the guidance of a professional supervisor.  It means we examine our own experiences, beliefs, attitudes and actions with the goals of improving the way we work and help us gain a better understanding of ourselves and why we behave the way we do  [read more]

Facial recognition pain tool rolling out nationally

A tool that uses facial recognition software to detect pain in the elderly and people with dementia is making its way across Australian residential aged care villages.

Known as PainChek, its national rollout via Dementia Support Australia (DSA) is now underway for 150 consultants caring for up to 5000 people with dementia per annum.

The pilot started in October 2017 in WA for DSA-referred clients from residential and community aged care providers with behavioural problems. Results showed significant association between pain and clients’ behaviours.

PainChek chief executive Philip Daffas said the device helped residents immensely by giving a voice to those who found it difficult to communicate.
Click here to visit the Age Care Insite website for further details

Voluntary Assisted Dying Review Board Appointed

Minister for Health Jill Hennessy has announced the appointment of former Supreme Court judge, Betty King QC, as chair of the new Voluntary Assisted Dying Review Board.

The Board will spend the next 12 months developing the highest standards of oversight and reporting, including how cases will be reviewed. It will also outline appropriate procedures for mandatory reporting by health practitioners and work with the experts to develop guidelines, protocols and training for clinicians.


Broken Heart Syndrome: Illness After Loss
Research shows a widow's or widower's grief can have big effects on physical health

Article by Amy Florian for Next Avenue

Much ink has been spilled about George H.W. Bush becoming seriously ill after the death of his wife of 73 years, Barbara. Similarly, the father of fashion designer Kate Spade died a day before her funeral recently. Former British Prime Minister James Callaghan died of pneumonia at 92 in 1995, just 10 days after Audrey, his wife of 67 years, according to The Telegraph. Musician Johnny Cash died in 2003 four months after the death of his 73-year-old wife, June.

We could list many others, because anecdotes abound about couples married for over 50 years who end up dying within hours, days or weeks of each other — even if one spouse was relatively healthy when the first one died; the same is true for parents. [read more]


Click here to view the full media release
Newsletters / Communique

Clinical Communiqué - Volume 5, Issue 2, June 2018
PalliAGED - July 2018
Gippsland PHN LINK - July 2018
Palliative Care Victoria Volunteering Newsflash - July 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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Gippsland Region Palliative Care Consortium · c/- West Gippsland Healthcare Group · 41 Landsborough Road · Warragul, Vic 3820 · Australia

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