Please use this identifier to cite or link to this item: http://hdl.handle.net/11054/782
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dc.contributor.authorFitzpatrick, Denise*
dc.contributor.authorOdgers, Jade*
dc.contributor.authorPenney, Wendy*
dc.contributor.authorDay, Keren*
dc.date.accessioned2015-10-29T23:30:07Znull
dc.date.available2015-10-29T23:30:07Znull
dc.date.issued2015en
dc.identifier.govdoc00764en
dc.identifier.urihttp://hdl.handle.net/11054/782null
dc.description.abstractBackground: Acute hospitals provide end-of-life care to the majority of people who die in Australia. Decisions about whether it is appropriate to escalate life-sustaining measures in patients with chronic, life-limiting illness are often postponed until there is a sudden deterioration. Then, families and health care workers are often required to make medical decisions without knowing the patient’s preferences. Ballarat Health Services is a regional public health service providing acute, subacute, aged residential and community services. It was recognised that while the health service had implemented a range of end-of-life care elements, this was not comprehensive or integrated. Aim: To develop an integrated, systematic approach to delivering best-practice end-of-life care. Methods: A multidisciplinary project steering group was established with key executives participating. Ethics approval was granted and this enabled key stakeholder consultation using focus groups and semi-structured interviews to establish attitudes to end of life care and death. Medical record and mortality review informed the establishment of outcome measures. Results: A framework has been developed to integrate the end-of-life care elements of: advance care planning, identifying patients at risk of deteriorating or dying, medical goals of care documentation, a Care of the Dying Management Plan and explicit communication skills training.en
dc.description.provenanceSubmitted by Gemma Siemensma (gemmas@bhs.org.au) on 2015-10-21T04:19:17ZNo. of bitstreams: 1Fitzpatrick Developing an End of life framework Sep 2015 ANMF.pdf: 1509462 bytes, checksum: 6c154e3c631c5cf00787b88d6b061890 (MD5)en
dc.description.provenanceApproved for entry into archive by Gemma Siemensma (gemmas@bhs.org.au) on 2015-10-29T23:30:07Z (GMT) No. of bitstreams: 1Fitzpatrick Developing an End of life framework Sep 2015 ANMF.pdf: 1509462 bytes, checksum: 6c154e3c631c5cf00787b88d6b061890 (MD5)en
dc.description.provenanceMade available in DSpace on 2015-10-29T23:30:07Z (GMT). No. of bitstreams: 1Fitzpatrick Developing an End of life framework Sep 2015 ANMF.pdf: 1509462 bytes, checksum: 6c154e3c631c5cf00787b88d6b061890 (MD5) Previous issue date: 2015en
dc.titleDeveloping an End-of-Life framework: taking the gamble out of end-of-life care.en
dc.typeConference*
dc.type.specifiedPresentationen
dc.bibliographicCitation.conferencedateSeptember 10-11, 2015en
dc.bibliographicCitation.conferencename2015 ANMF (Vic Branch) Australian Nurses and Midwives Conferenceen
dc.bibliographicCitation.conferenceplaceMelbourne, Victoriaen
dc.subject.healththesaurusADVANCE CARE PLANNINGen
dc.subject.healththesaurusCARE OF THE DYING MANAGEMENT PLAN (CDMP)en
dc.subject.healththesaurusCRITICAL CAREen
dc.subject.healththesaurusFAMILY-FOCUSED PRACTICEen
dc.subject.healththesaurusFAMILY INCLUSIVE PRACTICEen
dc.subject.healththesaurusPALLIATIVE CAREen
dc.subject.healththesaurusTERMINAL CAREen
dc.date.issuedbrowse2015-01-01
Appears in Collections:Research Output

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