Providing palliative care in residential aged care facilities

Parker, Deborah, Tuckett, Anthony, Hughes, Karen, Glaetzer, Kim, Greeve, K, Walker, Helen, Israel, Fiona, Jenkin, Peter and Mcanelly, Kris (2010). Providing palliative care in residential aged care facilities. In: Values Driving Practice and Research: Annual Research Report – 2010. Inaugural UnitingCare Queensland Research Conference, Brisbane, Qld Australia, (22-22). 8 October 2010.

Author Parker, Deborah
Tuckett, Anthony
Hughes, Karen
Glaetzer, Kim
Greeve, K
Walker, Helen
Israel, Fiona
Jenkin, Peter
Mcanelly, Kris
Title of paper Providing palliative care in residential aged care facilities
Conference name Inaugural UnitingCare Queensland Research Conference
Conference location Brisbane, Qld Australia
Conference dates 8 October 2010
Proceedings title Values Driving Practice and Research: Annual Research Report – 2010
Place of Publication Brisbane, Australia
Publisher Uniting Care Queensland
Publication Year 2010
Sub-type Oral presentation
Start page 22
End page 22
Total pages 1
Language eng
Formatted Abstract/Summary
Purpose and research questions
In Australia seven per cent of people aged 65 and over live in a residential aged care facility. As the majority of people
who live in residential aged care facilities will die in this setting, nursing and care staff in conjunction with general
practitioners and specialist palliative care services have assumed responsibility for providing palliative care. A current
project by the Australian Government Department of Health and Ageing under the encouraging best practice in
residential aged care (EBPRAC) program aims to devise and evaluate transferable evidence on evidence from the
National Health and Medical Research Council endorsed guidelines for a palliative approach in residential aged care.
A key feature of the model is the use of advance care planning, palliative care case conferencing and the residential
aged care end of life care pathway (RAC End of Life Care Pathway)

Results and their use
Nine residential aged care facilities in Australia participated in this project. Using a pre/post study design, baseline
data was collected from 86 residents and family members and 407 staff members. The new model of care was
implemented in each of the facilities over a nine month period which included education for all staff, the training of
link nurses and clinical support from specialist palliative care nurses. During the implementation period 74 residents
received the new model of care. Post data collection included interview with family members, chart audits and 227
staff questionnaires. Data from chart audits for pre/post data indicate a significant increase in the use of advance
care planning, palliative care case conferences and the RAC EoLCP. Data from family members and staff are
currently being analysed. The model of care developed and trialled in this project is suitable for use in all residential
aged care facilities to improve palliative care for residents.
Q-Index Code EX
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Conference Paper
Collection: School of Nursing, Midwifery and Social Work Publications
 
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Created: Mon, 05 Sep 2011, 09:27:54 EST by Vicki Percival on behalf of School of Nursing, Midwifery and Social Work