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AJGP Clinical Challenge November 2018: Palliative care

Speciality Classification
General Practice ( GP ) / Family Medicine
2 hrs

To discuss end-of-life care in general practice in Australia

Relevance to General Practice

The end of a patient’s life is a significant time for everyone involved in their care. End-of-life care is an important part of a general practitioner’s (GP’s) workload, and this is likely to increase significantly as people live longer and have more complex health needs. Studies have found that Australians are not dying in ways that they wish; while most people note that they wish to die at home, this is the case for only 14% of patients. At present, most deaths these days are due to chronic diseases and, in many cases, planning around the patient’s wishes is possible. This requires the GP to proactively communicate and discuss end-of-life care, especially advance care planning, with their patients. Patients expect their doctors to commence this conversation. It is important, therefore, for GPs to have the confidence to initiate discussions about end-of-life care.
Refs on file

Learning outcomes
  • Describe existing evidence-based frameworks of palliative care that can be used to provide high-quality home-based palliative care
  • Outline the key barriers to general practice involvement in advance care planning
  • Illustrate the benefits of the emerging digital health system by reference to typical patients that Australian general practitioners are treating
  • Describe useful strategies for incorporating advance care planning into patient care
  • Discuss the principles of the palliative care approach and illustrate specific factors relevant for common non-cancer condition
  • Domains of General Practice

    D1. Communication skills and the patient-doctor relationship

    • Effective communication is used in challenging situations

    D2. Applied professional knowledge and skills

    • A significantly ill patient is identified and managed appropriately

    D3. Population health and the context of general practice

    D4. Professional and ethical role

    • Professional knowledge and skills are reviewed and developed

    D5. Organisational and legal dimensions

    Curriculum Contextual Units
    • Adult health
    • Care of older people
    • Children and young people health
    • Oncology and palliative care
    AJGP Clinical Challenge November 2018: Palliative care
    Provider Type
    Education Provider
    2 hrs
    Start Date
    End Date
    CPD Points
    4 cpd