Current advance care planning practice in the Australian community: an online survey of home care package case managers and service managers

May 6, 2015

Source: BMC Palliative Care 2015 14: 15

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Date of publication: April 2015

Publication type: Research article

In a nutshell: In Australia many community aged care clients receive services through Home Care Package (HCP) programs. This study aimed to explore current attitudes, knowledge and practice of advance care planning among HCP service managers and case managers. This survey showed low organisational ACP systems and support for case managers and a lack of a normative approach to ACP across Australian HCP services. As HCPs become more prevalent it is essential that a model of ACP is developed and evaluated in this setting, so that clients have the opportunity to discuss and document their future healthcare wishes if they choose to.

Length of publication: 7 pages

 


Dutch model offers new approach to home care

August 13, 2014

Source: Australian Ageing Agenda

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Date of publication: August 2014

Publication type: Web article

In a nutshell: The Buutzong model of nursing, where small teams of nurses provide home care services, supported by technology and with minimal administrative nursing, is spreading internationally. Under the model, small teams of up to 12 nurses work in close collaboration with patients, doctors, allied health professionals and informal community networks to support the patient.

While the costs per hour are higher from employing registered nurses, savings are made through lower overhead costs and a reduction in the overall number of care hours required per client.

Acknowledgement: ehospice


A case study approach to investigating end-of-life decision making in an acute health service

August 9, 2013

Source: Australian Health Review, vol.37(1) pp93-7

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Date of publication: February 2013

Publication type: Article

In a nutshell: This article aimed to identify end-of-life (EOL) decision making processes for patients with non-cancer illnesses in a major metropolitan hospital in Australia. A retrospective review using a case study framework of 47 randomly selected patient records over  a 6-month period explored issues in End of Life care planning. The article concludes that the development and effective implementation of EOL plans is associated with the active involvement of both family members and health professionals. It also draws attention to the risks of delaying EOL discussions until late in the illness trajectory or later in life as well as pointing to challenges in acting on EOL developed outside the hospital environment.

Length of publication: 5 pages

Some important notes: This article is available in full text to all NHS Staff using Athens, for more information about accessing full text follow this link to find your local NHS Library


Early admission to community-based palliative care reduces use of emergency departments in the ninety days before death

May 22, 2013

Source: Journal of Palliative Medicine Online Ahead of Print: May 15, 2013

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Date of publication: May 2013

Publication type: Article

In a nutshell: This study investigates whether early admission to community-based palliative care reduces emergency department admissions in the last 90 days of life for patients with cancer. Using data from death registrations and hospital morbidity for 746 Western Australian adults who had died from cancer, the results suggest that proactive care in the form of timely community-based palliative care services assists in preventing vulnerable people at the end of life from being exposed to the stressful emergency department environment and decreases pressure on EDs.

Some important notes: Please contact your local NHS Library for the full text of the article. Follow this link to find your local NHS Library.


Facilitating advance care planning in community palliative care: conversation starters across the client journey

May 7, 2013

Source: International Journal of Palliative Nursing 2013 19(3) p.132-9

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Date of publication: March 2013

Publication type: Article

In a nutshell: This paper describes the development of a tool for palliative care nurses to initiate and facilitate advance care planning (ACP) conversations in community palliative care practice. Seven community palliative care services located across Australia participated in a multi-site action research project. Data included participant observation, individual and focus group interviews with palliative care health professionals, and medical record audit. A directed content analysis used a pre-established palliative care practice framework of referral, admission, ongoing management, and terminal/discharge care. From this framework a Conversation Starter Tool for ACP was developed.The Tool was then used in orientation and continuing nurse education programmes. It provided palliative care nurses the opportunity to introduce and progress ACP conversations.

Length of publication: 8 pages

Some important notes: This article is available in full text to all NHS Staff using Athens, for more information about accessing full text follow this link to find your local NHS Library.

 


Developing and testing a strategy to enhance a palliative approach and care continuity for people who have dementia: study overview and protocol

April 27, 2012

Source: BMC Palliative Care

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Date of publication: April 2012

Publication type: Article

In a nutshell: This project trialed a strategy intended to support a consistent, high quality, palliative approach for people with dementia drawing close to death. The strategy was to implement two communities of practice, drawn primarily from service provider organizations across care sectors, supporting them to address practice change. Communities comprised practitioners and other health professionals with a passionate commitment to dementia palliative care and the capacity to drive practice enhancement within partnering organisations.

Length of publication: 16 pages


Is an advance care planning model feasible in community palliative care? A multi-site action research approach

November 29, 2011

Source: Journal of Advanced Nursing 2011 v.67(12)

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Date of publication: November 2011

Publication type: Article

In a nutshell: This article reports a study to determine the feasibility of an advance care planning model developed with community palliative care services. An effective advance care planning programme involves an organisational wide commitment and preparedness for health service reform to embed advance care planning into routine practice. Internationally, such programmes have been implemented predominantly in aged and acute care with more recent work in primary care. The article concludes that an advance care planning model is feasible for community palliative care services. Quality audit processes are an essential component of the Model with documentation of advance care planning discussion established as an important outcome measure.

Some important notes: This article is published online ahead of print. Contact your local health library to obtain a copy of this article. Follow this link to find your local health library.