The midcentral dhb arohanui hospice palliative care model
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The MidCentral DHB / Arohanui Hospice Palliative Care Model. Barry Keane Director of Clinical Services Arohanui Hospice August 2007. Palliative Care. Is care for people of all ages with life limiting illness which aim’s to:

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The midcentral dhb arohanui hospice palliative care model

The MidCentral DHB / Arohanui Hospice Palliative Care Model

Barry Keane

Director of Clinical Services

Arohanui Hospice

August 2007


Palliative care
Palliative Care

Is care for people of all ages with life limiting illness which aim’s to:

  • Optimize an individuals quality of life until death: to do this, a person’s physical as well as psychosocial, spiritual and cultural needs are assessed and addressed.

  • Support the individual’s family, whanau, and other caregivers where needed, through the illness and after death.

    NZSpecialist Palliative care Service Specifications (draft) 2007


To be able to deliver effective care wherever patient is, which may not necessarily be in bed of their choice.

Barbara Monroe 2006


Where have we come from
Where have we come from? which may not necessarily be in bed of their choice.

  • Reactionary movement

  • Cottage Hospice

  • Charity base

  • Culture of “specialness”

    Arohanui Hospice was no different


What are the modern challenges
What are the modern challenges? which may not necessarily be in bed of their choice.

  •  referral rates

  • Non-cancer issue

  • Needs of specific populations

  • The funding model

  • Consumer expectations


Community care project
Community Care Project which may not necessarily be in bed of their choice.


  • Specialist Palliative Care which may not necessarily be in bed of their choice.

    provided by an interdisciplinary team with specialist training

- Generalist Palliative Care

integral to all clinical practice but carried

out with specialist support

NZCTWP – PC 2006


Why integrate
Why integrate? which may not necessarily be in bed of their choice.

  • Focus’ on patient needs

  • Flexibility

  • Spreads knowledge /empowers

  • Maximizes use of existing resources

  • Enhances equity of access

  • Cost effective


Role of specialist palliative care
Role of Specialist Palliative Care which may not necessarily be in bed of their choice.

1. Manage complex need

2. Support generalist partners

See new specialist palliative care service specifications


Hospital palliative care team
Hospital Palliative Care Team which may not necessarily be in bed of their choice.


Community team
Community Team which may not necessarily be in bed of their choice.

The Palliative Care Co-ordinator role


Education programme
Education Programme which may not necessarily be in bed of their choice.

  • Care Assistants Programme

  • Subcut Syringe Drivers Competence

  • Primary Care Nurses Workshops

  • General Practice Team Education

  • Maori Health Provider Staff

  • Grief and Loss Workshops

  • Pastoral Care Workshops

  • Post Graduate nursing paper

  • Liverpool Care Pathway Education


Relationship management
Relationship Management which may not necessarily be in bed of their choice.


Integrated palliative care model
Integrated Palliative Care Model which may not necessarily be in bed of their choice.

Specialist Palliative Care

Primary/Secondary Care

nInterdisciplinary Team

nIn Patient Services

nDay Stay

nCare Co-ordination

nBereavement Support

nQuality Team

nEducation

RResearch

nPalliative Care Partnership

nMOU with District Nursing

nEducation Programme

nLiverpool Pathway

nHospital Palliative Care Team

nInterface Forums

nGeneral Practice Teams

nDistrict Nursing

nMaori Health Providers

nAged Residential Care

nCommunity hospitals

NAcute Hospital Services


Director Palliative Care which may not necessarily be in bed of their choice.

Clinical Quality

  • Education/ Research Unit

  • Education

  • Research

  • Liverpool Care Pway

Administration Services

Finance

Facilities Management

Human Resources

Quality Assurance

Fund Raising

Arohanui Hospice Trust Board

HPCT

1 Med Specialist

2 CNS

Chief Executive

Director Clinical Services

In-Patient Nursing

Community Nursing

Allied Health

Day Stay

Family Support

Pastoral Care

Bereavement Support

Volunteers

Medical Staff


Outcomes we are looking for
Outcomes we are looking for which may not necessarily be in bed of their choice.

1. Specialist palliative care defined

2. Generalist palliative care defined

3. Systems to support relationships

4. Palliative care need quantified

5. Capacity to meet both referred and unreferred need

6. An appropriate funding model

7. Sustainability


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