Supporting the Provision of Palliative and End of Life Care

1. Supporting the Provision of Palliative and End of Life Care

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11. ECHO and Palliative and End of Life Care What? ECHO is………….Telementoring

12. ECHO and Palliative and End of Life Care What is ECHO? Extension of Community Healthcare Outcomes

13. Project ECHO Global Impact

14. Project ECHO Global Impact

15. NIMHANS ECHO, India

18. How? ECHO and Palliative and End of Life Care ECHO – rooted in four ideas: 1. Multi point cloud-based video technology (‘Zoom’) 2. Based on best practice (Guidelines) 3. Case-based learning 4. Use of IT to monitor quality improvements

19. How? ECHO and Palliative and End of Life Care • ECHO – Key Principles of Educational Theory: • Social cognitive theory • Situated learning theory • Community of practice theory Socolovsky et al 2013

20. ECHO and Palliative and End of Life Care What? • Learning and sharing through regular ECHO Support meetings (5 - 10 in total) following a curriculum • 15-30 minute traditional teaching presentation • 5-10 minute questions and discussion • 2 case presentations and discussion with peers & MDT • Hub sits at the Hospice • Spokes are the teams or individual practitioners

21. HUB • Administrator • Facilitator • Presenter • IT specialist Spokes • Participants including Case Presenter (at least one case per term)

24. ECHO and Palliative and End of Life Care • Current ECHO Palliative Care ‘Clinics’ • Community Macmillan Cancer Nurse Specialists • Care Homes • Emergency / Out of Hours Practitioners • Community Pharmacists • Rural GPs

25. ECHO Curriculum – Care Homes • Breathing difficulties • Useful drugs for end of life care • Drugs – when enough is enough • Prognosis: death and dying • Depression and delirium in those with dementia • Difficult conversations • Pain assessment • Team work • Hole-istic care