MAY 2023 COMPASSIONATE HOSPITALS NSLHD’s palliative approach to end of life care
EDITION 25
Partnering with Consumers Standard
Dying is often recognised late and may lead to people receiving unwanted, futile or burdensome interventions and can extend to missed opportunities for the person and their loved ones to have important conversations, conclude life/legacy work or be in their preferred place when they die. To support clinicians to recognise and care for people and their loved ones, at end of life, NSHLD has developed the Compassionate Hospitals bundle. The aim of the program is to improve recognition of the dying person and to provide tools to support holistic and safe end-of-life care. The bundle includes the Care of the Dying observation chart (NS12126), guidelines on anticipatory prescribing, and information for carers and loved ones. The program is supported by local policies, procedure and guidelines. NSLHD have a locally developed resource ‘Sorry Business’ to support and care for Aboriginal and Torres Strait Islander people and their families as well as information on cultural consideration when providing end of life care through iPEPA (Indigenous Program of Experience in the Palliative Approach).
END OF LIFE CARE: EDUCATION AND TRAINING
A network of clinicians in Northern Sydney, who are passionate about education and who believe that all healthcare workers across the district should be able to provide a palliative approach when caring for people at the end of their lives. The provision of quality end of life care is not solely the domain of palliative care but spans all specialties and disciplines. End of life care will touch everyone at some point whether in our professional or personal lives. To demystify death and provide clinicians with the skills to provide quality care for people with a life limiting illness or those at the end of their life, the palliative care team offer education and training supported by the PEPA program. This year PEPA events will be hosted at RNSH in November and December. Heath Education and Training Institute (HETI) have developed online education modules (learning pathways) specifically designed to support end of life care including: End of life Symptom Assessment and Management; End of Life Screening and Planning Enabling person centred end of life care for people living with dementia, mental illness or intellectual disability; Enabling culturally sensitive end of life care for Aboriginal people; and Culturally responsive end of life care for people from culturally and linguistically diverse (CALD) communities. The end of life essentials program provides online learning opportunities and practice resources for doctors, nurses and allied health professionals to improve the quality and safety of end-of-life care in hospitals. The 15 modules that contain information on understanding the context of death and dying, clinical skills in end of life care and patient states of mind ELLC is supported through the Palliative Care Education & Training Collaborative and has 12 education and training modules available for all healthcare professionals that focuses on the law relating to end of life decision-making.
Online modules on My Health Learning
NSLHD Library have a dedicated Supportive, Palliative and End of Life Care page
More information can be located on the Clinical Governance End of Life: Education and Training intranet page
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