Palliative Care: Aged Care
- : Perth WA 6838
Includes: Transitioning to Palliative Care; Symptom Assessment and Management; Advanced Care Directives; Psychosocial Care
Attend this seminar to gain up to date knowledge on how to provide evidence-based care to older people, particularly those in Residential Aged Care Facilities, who may need to transition to, or who may already be receiving palliative care. Key issues discussed include:
- How is care specifically delivered to an older person in their final stages of life?
- How are symptoms such as oral problems, constipation, breathlessness and nausea assessed and managed?
- Group discussion on transition issues such as nutrition and hydration
- What role do Advanced Care Directives and End of Life Care Pathways have?
- Information on how to access palliative care services
- What psychosocial care of an older person best addresses a person’s emotional needs?
A strong an emphasis on case studies and group discussion will encourage participants to engage with the seminar content and will ensure its content is immediately translatable to practice.
Need for Program
Feedback received from nurses who attend Ausmed Education’s palliative and aged care programs consistently indicate concern about providing quality and appropriate palliative care to older people, including those in residential aged care facilities (RACF). It can also be unclear as to when palliative care should be commenced for an older person nearing the end of their life.
This seminar seeks to address the specific learning needs of nurses who care for older persons requiring palliative care.
Purpose of Program
The purpose of this seminar is to provide the learner with an opportunity to apply up to date, evidence-based knowledge of principles of palliative care including symptom management to their practice when caring for the older person who is dying.
At the conclusion of this program it is expected that the participants will be able to:
- Apply a palliative approach to alleviate troublesome symptoms, promote dignity, and enhance quality of life for older Australians approaching the end of their liv
- Accurately assess common physical and psychosocial symptoms of older people in the final stages of life, particularly where these symptoms are experienced within a context of unde-assessment and under-treatment.
- Utilise up-to-date, evidence-based treatments and interventions to apply the principles of palliative care and best practice symptom management for older people, their families, carers, and friends.
- Use a cooperative, problem solving approach to analyse, discuss, and address real-life case scenarios relating to palliative care for older people.
- Schedule Day One
8:30am - Registration and Refreshments
9:00amAustralia - An Ageing Society
Palliative care for older people has become an important public health issue as an increase in life expectancy has resulted in a larger proportion of older people in the Australian population. This topic will set the scene by discussing:
- Demographic information and statistics
- The challenge of providing adequate and appropriate palliative care for older people
9:45amPalliative Care: An Overview
Although it was once only the province of specialised palliative care units, appropriate palliative care should now be available to all who need it. This topic will:
- Provide clarity around the purpose, aims and scope of palliative care
- Discuss the palliative approach to care, and its relevance to the increasing proportion of older people in our society
10:30am - Morning Tea and Coffee
11:00amPalliative Care Specifically for Older Australians
This topic will examine issues specific to the delivery of end-of-life care for older people, including:
- The fact that older people have traditionally received less palliative care than younger people, may receive inappropriate care or no palliative care at all
- The emergence of a range of education and policy developments with a focus on palliative care for older people
11:30pmSymptom Assessment and Management of an Older Person: Part 1
Assessment and management of symptoms which usually worsen, rather than improve, in those with life-limiting conditions is the core concern of palliative care. This topic will:
- Provide an overview to symptom management, including a review of common illness trajectories in an older person and the impact of the cumulative effect of multiple medical problems on individual suffering and needs
- Identify a range of symptom issues, with an emphasis on those most likely to affect the older person receiving palliative care, such as:
- Oral problems
- Nausea and vomiting
12:30pm - Lunch Break and Networking
1:30pmSymptom Assessment and Management of an Older Person: Part 2
This session follows on from the morning session, focusing on:
- Skin integrity, including prevention and management of skin breakdown
- Selection of support surfaces (e.g. mattresses)
- Pain, including preventing and managing breakthrough pain
2:30pm - Afternoon Tea and Coffee
2:45pmCase Studies and Discussion
The final session of today will be highly interactive and include assessment and decision-making in symptom management.
You will have an opportunity to discuss complex scenarios that will highlight common difficulties and assist you to consolidate your learning.
4:15pm - Close of Day One of ProgramDay Two
9:00am - Commencement of Day Two
9:00amOlder Australians and the Palliative Care Network
Good symptom management is less likely to be available to older people with life-limiting illnesses if they are unable to access palliative care in a way that suits their particular needs. This session examines the Palliative Care Network, particularly in relation to:
- The function of the Palliative Care Network
- The location of older Australians and their access to the Palliative Care Network, including specific site-of-care issues
- Reasons for difficulties in accessing palliative care, including a discussion of the following disease trajectories:
- Specific illness (usually cancer)
- Chronic organ/system failure
- Prolonged 'dwindling' - the extremely frail and debilitated resident.
10:00am - Morning Tea and Coffee
10:30amApplying a Palliative Approach to People with Dementia
This interactive topic will critically analyse a number of key points in relation to dementia and palliative care, including:
- The notion of dementia as a terminal illness
- Clinical nursing issues
- Practical skills in assessing symptoms when a person has dementia
- The role of the family or carers and the part that grief plays
12:00pmCase Scenario and Discussion
Work through a case scenario relating to the provision of palliative care to a person with a dementing illness, with particular emphasis on what to expect and issues such as nutrition and hydration.
12:30pm - Lunch Break and Networking
1:30pmWhen End of Life is Near
This topic incorporates a number of interactive group discussion exercises. It focuses on a range of ‘vexed issues’ faced by professional carers and families of those receiving palliative care in a residential aged care setting and includes:
- When does a resident 'become palliative?'
- Transition issues - family, professional judgement, basic needs e.g. nutrition and hydration
- Approaches using:
- Case conferencing
- 'End of Life Care Pathways'
- Advance Care Planning and Advance Directives
3:00pm - Afternoon Tea and Coffee
3:15pmManaging End of Life Care - The Terminal Phase
This short topic focuses on the provision of optimal care in the terminal phase of life.
3:30pmWhen End of Life is Near
Grief is a natural response to a painful loss and it can be expressed in different ways. Building on knowledge already gained, this session explores the acceptance of loss and dying, and personal and social support in palliative care will be undertaken. Issues addressed in this topic will include:
- Potential psychological/emotional issues for the older person
- Features of grief in residents of aged care facilities
- Supportive strategies
4:15pm - Close of Seminar and Evaluations
After 12 years as a high school teacher Judy began nursing in 1983. Following her training, Judy spent 4 years at Royal Adelaide Hospital, where her work with HIV-AIDS patients stimulated her interest in palliative care. After leaving RAH, Judy worked as a lecturer in the School of Nursing and Midwifery, University of SA from 1991-2004. She then took up a role as a Registered Nurse at the Mary Potter Hospice (2005-June 2012) before moving to Daw House Hospice where she was a member of the hospice’s casual pool staff (June 2012-April, 2014). Following her return to clinical practice, Judy was able to continue her teaching role in the following areas: Preparation and delivery of Calvary Health Care’s palliative care courses for registered and enrolled nurses (2005-2010); sessional lecturing in the School of Nursing and Midwifery, Flinders University (2005-2012); preparation and delivery of Ausmed’s palliative care seminars (ongoing). Judy has a strong interest in maintaining a balance between Evidence Based Practice and maintenance of palliative care’s historical focus on a holistic and humanistic approach to care.