What general practitioners said about the palliative care case conference in residential aged care: An Australian perspective. Part 2

Tuckett, Anthony G.; Parker, Deborah; Clifton, Karen; Walker, Helen; Reymond, E.; Prior, T.; Jenkin, Peter; Israel, Fiona; Greeve, K.; Glaetzer, K.

doi:10.1179/1743291x13y.0000000069

Cited by 4 publications

(5 citation statements)

References 11 publications

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“…The 12 articles included in this review were organized into a bibliographic framework presented in Table 2, containing the article title, country of origin, publication year, type of study, and result synthesis. l Highlights primary care in the center of care in the health system and the importance of considering the home for PC practice l Stresses that the home is a preferred PC locus for the elderly, as it integrates family and relational elements that already exist and reduces expenses and avoidable procedures l Contextualizes that many older people spend their end of life in hospital institutions against their wishes and notes that there are unnecessary transfers Tuckett A, Parker D, Clifton K, Walker H, Reymond E, Prior T, et al (29) What General Practitioners said about the palliative care case conference in residential aged care: An Australian perspective.…”

Section: Resultsmentioning

confidence: 99%

“…It is also noteworthy the emphasis of studies (29,33) on the role of primary healthcare nurses in promoting PC to the elderly. Although the multi-professional team is considered relevant, the nurses are recognized as critical agents in overcoming the limitation of PC availability in different contexts (46).…”

Section: Discussionmentioning

confidence: 99%

“…Although the multi-professional team is considered relevant, the nurses are recognized as critical agents in overcoming the limitation of PC availability in different contexts (46). Several aspects were mentioned regarding the nurses' attributes that favor their participation in end-of-life care: Their greater availability of time than physicians to be with patients; the promotion for patients to receive the best PC possible; the centrality of patients in holistic care; the competence to manage pain and other symptoms; the ability to share care with other professionals and services, focusing on the continuity of care and not only on transfer (29,33). However, the nurses' autonomy in PC is still limited, primarily associated with the referring physician, and their participation in care depends on them (33).…”

Section: Discussionmentioning

confidence: 99%

“…That said, considering the epidemiological and demographic overview of the population, it is increasingly necessary to focus on healthy aging, with the comfort and well-being of patients in line with a sustainable health system, which has the home as the primary location for care (27)(28)(29)(30). These authors indicate the importance of the home being part of the care network for the elderly in PC.…”

Section: Discussionmentioning

confidence: 99%

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Palliative Care for the Elderly in the Healthcare System: A Scoping Review

et al. 2022

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Objective: To map the scientific evidence related to the organization of palliative care practices provided for the elderly in the Healthcare System. Materials and methods: This is a scoping review following the Joanna Briggs Institute’s method. The search was conducted in the PubMed, Cinahl, Web of Science, Scopus, VHL/Lilacs, Embase, and Cochrane databases, identifying 1,150 articles managed using the Endnote software. After the selection, the study sample consisted of 12 articles. The data were organized in Microsoft Excel spreadsheets, submitted to descriptive analysis, and discussed with the literature. Results: The relevance of palliative care practices for older adults to be organized in the Healthcare System was noted, focusing on primary healthcare, at home, and interdisciplinary coordination. However, there is still a fragmented offer of this care with limited considerations regarding the challenges and possibilities of its effectiveness. Conclusions: The mapping of scientific evidence on the subject shows that discussions regarding the insertion of palliative care in the Healthcare System are modest. The studies explore the role of primary care as the organizer of these practices, although in a fragmented perspective, with limited coordination between the Healthcare System services.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Palliative Care for the Elderly in the Healthcare System: A Scoping Review

et al. 2022

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“…Weekly on site physician visits, interdisciplinary care conferences, or daily bed-side nursing check-ins are all possible avenues for post distribution support and follow up. [48][49]…”

Section: Discussionmentioning

confidence: 99%

Condition-Specific Pamphlets to Improve End-of-life Communication in Long-term Care: Staff Perceptions on Usability and Use

Sussman

Kaasalainen

Lee

et al. 2019

Journal of the American Medical Directors Association

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Objectives: This paper reports findings on the usability and staff use of five condition-specific pamphlets of high prevalence in LTC: dementia, heart failure, chronic obstructive pulmonary disease, renal failure, and frailty. The pamphlets were created in response to residents', families', and staff's recommendations for activating early reflections and communication about end-oflife care. Design: A mixed-method (qualitative and quantitative) survey design was used. Step one collected survey data on the usability of the pamphlets. Step two collected survey data on pamphlet use. Settings and Participants: Two nurses with specialized palliative care training, two resident /family representatives, ten condition-specific specialists, and 33 LTC palliative leads reviewed the pamphlets for usability prior to distribution. 178 LTC home staff in four participating LTC homes reported on pamphlet use. Measures: Specialists and resident /family representatives were asked to provide open comments and LTC home palliative leads were asked to complete a survey on the accuracy, readability and relevance of the pamphlets. After six months of distribution, all staff in participating LTC homes were asked to complete a survey on pamphlet use, usefulness, and comfort with distribution. Results: The pamphlets were reportedly accurate, relevant, and easy to understand. Following six months of availability, most staff in LTC had read the pamphlets, found the information useful, and planned to share them. However half of the staff questioned their role in pamphlet distribution and most had not distributed them. Regulated staff (i.e. staff affiliated with a regulated profession) expressed more comfort sharing the pamphlets than care aides and support staff. Conclusions/Implications: Condition-specific pamphlets appear to hold promise in providing residents and families with relevant information that may activate early reflections and conversations about end-of-life care. However, structured implementation strategies, training and discussions are required to improve staff comfort with distribution, and explore roles in distribution and follow-up.

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Case conferencing for palliative care patients – a survey of South Australian general practitioners

Tait

Morgan

et al. 2017

Aust. J. Prim. Health

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Benefits of case conferencing for people with palliative care needs between a general practitioner, the person and other key participants include improving communication, advance care planning, coordination of care, clarifying goals of care and support for patient, families and carers. Despite a growing evidence base for the benefits, the uptake of case conferencing has been limited in South Australia. The aim of this study is to explore the beliefs and practice of South Australian general practitioners towards case conferencing for people with palliative care needs. Using an online survey, participants were asked about demographics, attitudes towards case conferencing and details about their most recent case conference for a person with palliative care needs. Responses were received from 134 general practitioners (response rate 11%). In total, 80% valued case conferencing for people with palliative care needs; however, <25% had been involved in case conferencing in the previous 2years. The major barrier was time to organise and coordinate case conferences. Enablers included general practitioner willingness or interest, strong relationship with patient, specialist palliative care involvement and assistance with organisation. Despite GPs' beliefs of the benefits of case conferencing, the barriers remain significant. Enabling case conferencing will require support for organisation of case conferences and review of Medicare Benefits Schedule criteria for reimbursement.

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What general practitioners said about the palliative care case conference in residential aged care: An Australian perspective. Part 2

Cited by 4 publications

References 11 publications

Palliative Care for the Elderly in the Healthcare System: A Scoping Review

Palliative Care for the Elderly in the Healthcare System: A Scoping Review

Condition-Specific Pamphlets to Improve End-of-life Communication in Long-term Care: Staff Perceptions on Usability and Use

Case conferencing for palliative care patients – a survey of South Australian general practitioners

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