Podcast summaryPain management in aged care This presentation provides the clinical expertise of two Palliative Care Nurse Pracitioners on assessing and managing the pain of residents in aged care. It includes practical advice and case studies. The companion presentation is available to download at http://www.pcvlibrary.asn.au/display/sep/Aged+care Podcast about palliative careThis podcast provides a useful introduction about palliative care for health professionals. Duration 13.32 minutes. Preparing children for death in the family This podcast addresses issues and provides guidance on providing timely, trusting, honest and appropriate communication that involves children when family member is dying. Duration 13:54 minutes.
Cultural diversity & barriers to access Discussion of research project examining the reasons for lower utilization of palliative care services among people from diverse cultural and linguistic backgrounds. Preparing families for death This podcast considers the inhibitors and enablers of effective communication with families so health professionals can prepare families for an imminent death and use the time to be with the person with they love as well as possible and to minimise complex bereavement. Duration 14:35 minutes.
Managing nausea in end stage disease This podcast provides a five-step approach in the management of nausea in patients with end stage disease and the difference this can make to their quality of life. The four causes of nausea are used to illustrate the five step approach. Duration 9:45 minutes. Communication at the end of life Effective communication at end of life is an important part of quality care. This short podcast provides useful guidance on effective communication in this context. Duration 15.11 minutes.
The role of clinical mentoring This podcast of a live presentation considers the goals and characteristics of effective mentoring relationships, including clinical mentoring, and how mentoring compares with supervision, coaching, teaching and leadership. Dementia dialogues Opening a Dialogue – improving communication & practice in advance care/end of life care planning in advanced dementia
Anorexia & cachexia syndrome This podcast for health professionals outlines the primary and secondary causes of anorexia and cachexia syndrome in advanced cancer, assessment, symptoms, treatment and the impact on the quality of life of the patient. Duration 12:25 minutes.
Effective communication A helpful overview of approaches to effective communication with patients and families including the foundations of good communication, helpful strategies and resources available. Duration 6:19 minutes. A framework for healthy dying In this interview, Dr Rhonda Galbally AO calls for a much greater focus on promoting a healthy approach to death and dying in the education of GPs and all healthcare staff, accompanied by a much greater investment in palliative care. She said we need to move from away from the technocratic, medicalised approach to dying, recognising that it is a community responsibility and that people want to die in familiar places, in the company of people who care for them and without pain. About MND and palliative care This podcast provides information about Motor Neurone Disease and initiatives following a research project in Victoria to improve awareness of and access to palliative care services by patients with MND and their families. Shared care workers and flexible top-up funding are two of the strategies to improve their quality of life. Duration 6:16 minutes.
A palliative approach to dementia care Professor Jenny Abbey proposes that an optimal approach to caring for people with dementia must be based on acceptance that dementia is a terminal illness. She highlights the importance discussing how people with dementia wished to be cared for during the terminal stages of their illness with them and their families while they still able to make informed decisions. Professor Abbey also calls for more education so that health workers and families of people with dementia have a greater understanding of how to ensure a comfortable death for people with dementia.
Caring for people with dementia Professor Robinson calls for a major strategy, similar to Beyond Blue, to address the stigma associated with dementia. He calls for a palliative approach in caring for people with dementia; too many people dying from dementia undergo unnecessary invasive procedures within a few months of their death. Discussing mortality Why when death is certain for all of us do we avoid talking about it? Talking about death helps us to deal with our fears and better prepares us to make choices that influence the way we may spend our last weeks or months: where we live, who cares for us, what kind of pain relief we receive and so on. We can only take the initiative on these matters if we talk about them first -- with our families, our friends, our communities. Health reform in need of palliative care Dr Norman Swan discussed the importance of palliative care as a core function for all health and aged care services. He discusses key challenges for the future: to engage GPs much more effectively in palliative care; integrating palliative care into the broader health and aged care system; education and training of staff in palliative care; using evidence to guide practice; and extending the reach of palliative care through partnerships between specialist palliative care services and the broader health and aged care sectors. Nurturing the spirit Spiritual care is an important part of providing holistic palliative care. This podcast for health professionals considers approaches to nurturing the spirit of patients with a life-limiting illness and their families. A good death in aged care This podcast presents the goals and findings of an action research Commonwealth funded project to encourage practice change to enable a good death for residents and a positive experience for staff, doctors and nurses in fourteen aged care facilities in Victoria and South Australia. The research findings confirmed the value of using pathway tools (in this case a modified version of the Liverpool Pathway prepared by Brisbane South Palliative Care Collaborative) in promoting consistency of care and anticipatory planning as people enter the end-of-life phase. The research resulted in practice change.
Starting and using morphine Significant pain is an prevalent problem in palliative care and end of life care. Fear of morphine and opioids among doctors, patients and families contributes to poor pain management. This podcast addresses the myths about opioid use and provides guidance on their role in effective pain management.
Diagnosing dying Consideration of cultural, psychological, social and other factors impacting on the tendency to avoid diagnosis of impending death. The podcast also outlines strategies that might address this including changes in education, models of care, use of care pathways and change in the place of death. Duration 11:49 minutes
Breakthrough pain or episodic pain This podcast addresses the assessment and treatment of breakthrough and episodic pain and the management of different types of pain.
The role of the specialist palliative care team The specialist palliative care team is multidisciplinary and works in partnership with other health professionals to provide holistic, person and family-centred care. This podcast aims to provide health professionals with a good understanding of the role of the specialist palliative care team. Duration 8:09 minutes.
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About MND and palliative care
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A framework for healthy dying
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A good death in aged care
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Anorexia & cachexia syndrome
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A palliative approach to dementia care
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Breakthrough pain or episodic pain
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Caring for people with dementia
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Communication at the end of life
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Cultural diversity & barriers to access
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Dementia dialogues
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Diagnosing dying
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Discussing mortality
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Effective communication
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Health reform in need of palliative care
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Managing nausea in end stage disease
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Nurturing the spirit
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Pain management in aged care
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Podcast about palliative care
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Preparing children for death in the family
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Preparing families for death
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Starting and using morphine
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The role of clinical mentoring
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The role of the specialist palliative care team