Comprehensive Care of the Older Adult Conference
- : Melbourne VIC 3000
Comprehensive care is an essential pillar of modern health as reflected in Standard 5 of the National Safety and Quality Health Service (NSQHS) Standards developed by the Australian Commission on Safety and Quality in Health Care (ACSQHC, 2018). As people age they are more likely to require comprehensive care. Attend this conference to gain key information and learn about:
- How to implement a comprehensive approach to care
- Measuring and documenting “comprehensive care” outcomes in older adults
- How to effectively combine clinical and psychosocial care for patient satisfaction
- Managing the complexities of delirium
- How to implement novel approaches to risk reduction
- Using incident reports to improve care
- How to link prevention strategies to clinical outcomes and much, much more …
Don’t miss your chance to network with like-minded colleagues, book now!
Schedule Day One
8:30AM REGISTRATION FOR DAY ONE
Setting the Scene – The New NSQHS Standards
The first edition of the NSQHS Standards was introduced to improve safety and quality outcomes. By identifying major sources of preventable harm, frameworks for improving patient safety were actioned. Success followed and the number of major adverse events within hospitals decreased. From January 2019, health service organisations will be assessed against the second edition of the NSQHS Standards. What’s new in the second edition? This session will bring you up to speed on:
- What gaps were identified in the first edition?
- What’s changed in the second edition of the NSQHS Standards?
- What is the second edition aiming to address?
- Why is there a focus on “high risk” individuals?
What is Comprehensive Care of the Older Adult?
What would it look like if it was working? This session describes what success looks like. It will consider the definition of comprehensive care within the context of caring for older adults. Your facilitator will support you to reflect on what exactly this standard means for your healthcare service. Finally, it will help you to identify your priority areas for improvement. It includes:
- Comprehensive care of older adults – what is it?
- What are the key indicators that will help measure comprehensive care?
- Your best sources of data – where are they?
- Do you know what’s working well already?
- Where are your red flags?
- How do you begin your action plan and goal setting?
10:45 MORNING TEA
Comprehensive Care at the End of Life
How people die matters. At the heart of the Comprehensive Care NSQHS Standard is an expectation that compassion underpins end-of-life care. Ensuring that the dying person’s wishes are respected and that comprehensive care is provided is now more than ever a priority of the health and aged care systems. As such, this session considers:
- What does comprehensive end-of-life care involve?
- How can we remove obstacles to ensure every person receives this?
- What sort of feedback can you collect to monitor if these outcomes are being achieved?
What’s Happened to You?
The foundations of comprehensive care lay in an unwavering commitment to holistically caring for individuals. Understanding the impact of adverse childhood events and cumulative stressors later in life is essential if we are to truly care for older adults who may have experienced trauma. This session explores how a trauma-informed approach can be developed within your service. It includes:
- What is the impact of adverse childhood events?
- How might previous trauma manifest in older adults?
- Why is a trauma-informed approach to older adults experiencing cognitive impairment essential?
- How can we prevent re-traumatisation?
- How can a trauma-informed approach be implemented within a service?
1:15PM LUNCH AND NETWORKING
Cognitive Impairment – Managing Clinical Risk
Comprehensive care insists that the harm that arises from cognitive impairment is prevented, recognised, and responded to, such as for (but not limited to) delirium and dementia. To do so, clearer frameworks now exist to understand and implement best-available evidenced care. However, it is also essential that we address:
- The misconceptions around cognitive impairment
- How our attitudes affect the way care people with cognitive impairment receive in acute care settings
- What comprehensive care of the older adult with cognitive impairment looks like
3:00 AFTERNOON TEA
Dr Loretta Quinn
“Music to my Ears” – Managing Behaviours Through Music Therapy
The use of chemical or physical restraint is common in an acute geriatric environment. Music therapy can be used to engage older adults who display disruptive behaviour in order to reduce agitation. This session will look at the practical application of evidence relating to music therapy and dementia-related symptoms. It includes:
- What is music therapy?
- How does music therapy reduce behavioural symptoms of dementia?
- How can music prevent harm associated with challenging and unpredictable behaviours?
- How can you practically make it work in an aged care setting?
4:30 CLOSE OF DAY ONE OF CONFERENCE
9:00AM COMMENCEMENT OF DAY TWO
When Comprehensive Care is Missed…
It is well-known that the care provided between units within health can differ widely, but the reason for this is not always clear. Typically, when things go wrong, quality-care gaps will focus on errors of commission This session looks at what is emerging as the elephant in the room – errors of omission. It includes:
- What is an error of omission?
- How does it relate to a lack of comprehensive care?
- How can we prevent errors of omission?
Insulin in Older Adults – Creating Safe Systems
Increasingly, older people with type II diabetes may require insulin to manage their diabetes. Yet, their physiological changes mean that this medication must be very well understood for it to be given safely. This session will provide a comprehensive update on how to create safe systems to prevent hypoglycaemia if insulin administration is required. It includes:
- What makes older adults more at risk of hypoglycaemia?
- Is this a preventable harm?
- What should a safe insulin administration protocol include?
- How do you review and revise current insulin protocols?
11:00 MORNING TEA
Preventing Harm – Pressure Injury
From January 2019 “Preventing and Managing Pressure Injuries” will no longer be considered a standalone NSQHS Standard. The prevalence, cost, and harm associated with pressure injuries and the ability to prevent them demand that we remain ever-vigilant. This session will provide the relevant knowledge and identify resources to assist you to continue to meet this key standard of care. Topics include:
- What strategies can be used to prevent pressure injury?
- How do you know it's a pressure injury? Assessment including staging
- Managing pressure injuries – What are the appropriate interventions?
- How do you link prevention strategies to clinical outcomes?
Gait, Balance, and Mobility Assessment Made Easy
Assessing gait, balance, and mobility form a crucial foundation for preventing falls. Understanding how injury relates to disorders of gait, balance, and mobility provides a comprehensive approach to preventing falls. Come away with an enhanced appreciation for:
- How do you assess an individual’s gait, balance, and mobility?
- Which risk factors are modifiable?
- How can you critically appraise your findings to prevent falls?
1:30PM LUNCH AND NETWORKING
Partners in Prevention? Medication Safety and Comprehensive Care
Medication Safety and Comprehensive Care are two closely integrated NSQHS Standards. Unless a holistic approach is applied to improving medication safety, patients may still be exposed to preventable harm. This highly engaging session will challenge you to consider:
- Why do medication incidents occur in your facility?
- How safe is your staff communication and documentation?
- How can you get the most out of incident reports?
- What does a well-crafted approach to medication safety look like?
3:30 AFTERNOON TEA
Your Comprehensive Action Plan
This final session will provide an opportunity to synthesise the content covered over these two days. It’s time to revisit the action plan you created on day one to ensure that you are well positioned to translate this knowledge into practice. Consider:
- What does comprehensive care of the older adult mean to you?
- What are your priority areas to address?
- What is your action plan?
4:30 CLOSE OF CONFERENCE AND EVALUATIONS
The Goal Need for Program
The recently released 2nd edition of the NSQHS Standards (2018) includes the concept of comprehensive care. This concept of care has emerged in response to identified gaps and will likely drive health policies for the next several decades. Such patient-centred care requires a holistic approach that goes beyond the disease process and demands that health providers consider and respond to the complex needs of their patients/residents, as well as the communities that are touched by them. As people are more likely to require comprehensive care as they age it is incumbent on all staff to be properly equipped to provide comprehensive care and ensure they comply with Standard 5 in order to achieve best patient/resident outcomes.
Purpose of Program
The purpose of this two-day conference is to refresh and realign knowledge in order to confidently provide comprehensive care to older adults to achieve desired health outcomes.
Your learning outcomes:
Your documentation will include a full and detailed assessment of the psychosocial needs of your patient/resident
Older people in your care will experience a comprehensive approach to their care needs
Patients/residents who have cognitive impairment will be provided care that reduces the likelihood of falls
Your understanding of the concept of comprehensive care will result in less untoward events occurring in healthcare environments
Fran Pearce is an education coordinator at a large metropolitan teaching hospital. She has extensive experience in orthopaedic nursing, including ... Read More
Robyn Attoe is a highly qualified Registered Nurse with a graduate diploma in gerontology and a cert IV in training ... Read More
Dr Loretta Quinn, registered music therapist, and Registered Div 1 Nurse has a unique, engaging and practical approach to her ...Read More
Anne Leversha is a senior lecturer at Monash University in the Faculty of Medicine, Nursing and Health Sciences and the ... Read More
Julie Loughran is a credentialled diabetes educator and has been working in the field of diabetes for the last 20 ... Read More
Melinda Brooks has worked in wound management for more than 20 years in a variety of settings from the Victorian ... Read More
Amanda Wynne is a barrister at the Victorian Bar whose practice includes family law, child abuse, family violence, mental health, ... Read More
Steven Pitman is a Nurse Practitioner candidate with East Hume Region Palliative Care, employed by Albury Wodonga Health. Steven has ... Read More