1. 1 Guidelines for a Palliative Approach in Residential Aged Care AcLan August 2005

2. 2 Supportive strategies 1.A one day workshop 2.A Training and Resource Kit containing: –Copy of the Guidelines and Navigational Tool –A PowerPoint presentation on CD –Manual with notes and activities to accompany each PowerPoint slide, hard copy of the PowerPoint slides and resources –A video discussing the palliative approach and the Guidelines 3.Members of the Network will be linked with local palliative care service(s) at the Residential Aged Care Palliative Approach Network workshops

3. 3 Supportive strategies continued… 4.Online bulletin board for Network members 5.Four issues of an online and hard copy Newsletter- experiences related with implementation of the Guidelines 6.Information sessions for members of the Boards of Management and managers

4. 4 Background to the Guidelines Why introduce a palliative approach into RACFs? Why were the Guidelines produced? How were the Guidelines produced?

5. 5 Three forms of palliative care Terminology - specialised palliative care service provision - end-of-life care - a palliative approach

6. 6 Benefits What are the potential benefits of a palliative approach for: - residents and their families - staff - RACFs

7. 7 Guideline No 83: Management’s role ‘Formal management systems will support the introduction and maintenance of a palliative approach through the allocation of appropriate resources’ (Guidelines p.14).

8. 8 Broader community factors Ethical issues: capacity to care, philosophy Introducing the palliative approach to Boards of Management Liaison with palliative care services Preventing unnecessary hospitalisation How to encourage GP participation

9. 9 Accreditation issues: relevant Standards Standard 1: Management systems 1.1-1.9 staffing and organisational developments Standard 2: Health and personal care 2.4 appropriate clinical care 2.5 specialised nursing needs 2.6 referral to other services 2.7 pain management 2.9 palliative care Standard 3: Resident lifestyle 3.4. emotional support 3.6 privacy and dignity 3.8 cultural and spiritual life 3.9 choice and decision-making 3.10 security of tenure

10. 10 Staff education and support Education for staff Employee support programs Debriefing sessions Formal acknowledgement of loss

11. 11 Resident/family/staff satisfaction ‘ How people die remains in the memories of those who live on’ (Dame Cicely Saunders)

12. 12 Showcasing new models PEPA (program of experience in the palliative approach) Palliative care volunteers in residential aged care Other?

13. 13 Practical implementation: resources and services Palliative Care Australia contact details Other training/educational opportunities Memorandums of Understanding Australian Government Department of Health and Ageing initiatives PEPA (program of experience in the palliative approach) Palliative care for Aboriginal and Torres Strait Islander People - magazine

14. 14 Practical implementation: using the Navigational Tool PROVIDE DEVELOP EDUCATION & POLICIES & TRAINING PROCEDURES MANAGEMENT RESPONSIBILITIES WITHIN THE LEGISLATIVE FRAMEWORK PROMOTE PROVIDE COMMUNICATION STAFF CONSULTATION & SUPPORT NETWORKING

15. 15 Conclusion Copies of Guidelines available by ringing 1800 020 787 Support for Residential Aged Care Palliative Approach Network PCA Standards Evaluation and feedback Issues not covered? Thanks to participants