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Guidelines for a Palliative Approach in Residential Aged Care

Guidelines for a Palliative Approach in Residential Aged Care. A palliative approach. What is a palliative approach? What are the potential benefits of a palliative approach for: - residents - families - staff. Background. Why introduce a palliative approach into RACFs?

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Guidelines for a Palliative Approach in Residential Aged Care

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  1. Guidelines for a Palliative Approach in Residential Aged Care

  2. A palliative approach • What is a palliative approach? • What are the potential benefits of a palliative approach for:- residents- families- staff

  3. Background • Why introduce a palliative approach into RACFs? • Why were the Guidelines produced? • How were the Guidelines produced?

  4. TheGuidelines • What are guidelines? • The format of the Guidelines • The depth and breadth of the Guidelines • How do you read the Guidelines?

  5. TheNavigational Tool • The purpose of the Navigational Tool • The format of the Navigational Tool • How to use the Navigational Tool

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

  7. When should a palliative approach be implemented? • Guideline No 1Methods used to identify survival time have limitations in accuracy and precision, and are therefore not recommended. Rather, a combination of active treatment to manage difficult symptoms while continuing to follow a palliative approach is considered best practice.

  8. Where should a palliative approach be implemented? • Guideline No 2Implementing a palliative approach in RACFs can reduce the potential distress to residents and their families caused by a transfer to an acute care setting. • Guideline No 3A palliative approach can be provided in the resident’s familiar surroundings if adequately skilled care is available. • Guideline No 4Providing information about a palliative approach may help residents and their families to consider a palliative approach as active care rather than withdrawal of treatment.

  9. Who should implement a palliative approach? • Guideline No 5A multidisciplinary team that promotes goal setting in collaboration with the family is critical to the success of a palliative approach. This approach decreases discomfort for residents, saves valuable resources and improves satisfaction levels for the family when they recall the care provided. • What is the role of the local specialist palliative care service in an RACF introducing a palliative approach?

  10. Conclusion • Summary of session • The future? • Invite feedback • Provide resources appropriate to requests or follow-up

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