Of monkeys, metrics and quality palliative care

What does quality palliative care mean? It is a more complicated question than it seems.
question Stefan Baudy

Question! Stefan Baudy

Healthcare systems have been grappling with defining quality care for some time. Some aspects of quality care, such as equitable and timely access, are understood and broadly applicable regardless of the type of care provided. Others fit more awkwardly with palliative care provision.

Continue reading

Welcome to #NPCW17

“You matter, your care matters,” was the key message from his Excellency Sir Peter Cosgrove, Governor-General of Australia in declaring National Palliative Care Week 2017 open today.  Palliverse was lucky enough to be in attendance for the event held on a stunning Canberra Autumn morning at Government House.

2017-05-21 09.56.57

NPCW17 at Government House

Continue reading

Early palliative care – when should quality care start?

We have been talking about quality care at Palliverse this month a topic that has a lot of relevance to early palliative care.  The WHO talks about early palliative care as meaning care that is offered at the time of a life-limiting diagnosis.  In practice palliative care is often offered much later, and some have suggested that this means that real benefits are missed for many people.
hospital-736568_1920

Continue reading

Healthcare communication – A network for our region

Palliverse was lucky enough to be present for the excellent Teaching communication in Healthcare conference in Melbourne hosted by the Cancer Council Victoria last December.  At this conference multiple members of the European Association of Healthcare Communication including Jonathan Silverman and current president Evelyn Van Weel -Baumgarten joined local representatives of EACH Peter Martin and Megan Chiswell.
healthcomms
During the event the key message was of the importance of communication skills to be able to provide care that is patient-centred, empathetic, safe, ethical, efficient and high-quality.  Unlike many other clinical skills communication is also largely universal in that it is practiced by clinicians in all encounters.  Supporting communication skills education is therefore a critical way of improving the quality of care provided by our healthcare system.

Continue reading

#pallanz tweetchat 29/9: Palliative care and the arts **N.B. This chat will be at 10pm NZT due to daylight savings**

pallanz-201609

For as long as our culture has being making art death, dying, and exploring the meaning of our fragile mortal lives have been key themes.  Historically the arts have framed our practices around preparing for dying, celebrating lives, and pondered the traverse into the unknown.  Artists of antiquity often used their media to describe the care for the dying and the dead, reflecting a palliative focus of the arts which continues to this day.

 

Continue reading

#ANZSPM16 – Frailty, the older person and palliative care

At ANZSPM16 one topic up for discussion will be the palliative care and frailty in older people.  If you are interested in knowing a bit more about this then read on.

ANZSPM 2016

Continue reading

#ANZSPM16 Palliative care for older people – How should we provide care?

A key theme of ANZSPM 2016 is providing palliative care for the older person.  There is perhaps no greater change to the palliative care landscape than that of our ageing population, and the challenges that this will pose how we approach and define palliative care.  This short series of posts will explore some of the key issues in this area of practice.

ANZSPM 2016

Continue reading

Moving to palliative care

Ed:  We are fortunate to be able to share another piece from Elizabeth Caplice (@hrasvelgveritas).  Elizabeth’s writings are an inspiration to all of our team and I’m sure many more people out in the palliverse.   It is difficult to genuinely experience a journey you haven’t taken, but Elizabeth’s  reflections allow us a moving insight into how it feels to take those steps.   On behalf of us all I would like to thank Elizabeth for her reflections on her journey, for her writing and for her self. 

  
I’ve written before here about my time with cancer, and i am starting what i am considering a new part of my path. my body is beginning to tire in a way it hasn’t been in the past.  the chemotherapy – relatively gentle – is taking a toll on my body that is harsh and starting to cause me to question my own desire to continue treatment, and i know my liver is no longer managing either the treatment it is receiving now, or the almost two years of treatment, particularly well.

i turned 32 in april.

i have been terminally ill for some time, under one definition or another, but the sort of treatment i am seeking now, and the way my body feels now, is changing. i know that i am getting ready to move from my oncology team to my palliative care team, and that i am preparing to begin the process of dying.

1024px-Briant_Park_Summit_NJ_June_2012_sun_through_trees_8

Celebrity deaths – 29/2 #PALLANZ tweetchat

PallANZ 201602
I read the news today oh boy
About a lucky man who made the grade

When I was younger I was raised on a steady diet of rock and pop music. The Beatles, The Stones and Bowie were a regular sound track. An early and important experience of the significance of death for me was my father talking about the death of John Lennon.  He spoke about it with the same hollow awe that I have heard people use in talking about JFK or Princess Di. These events and other deaths like them were for many moments of cultural punctuation.  Events that changed people’s lives and their worlds.

Death and dying is all around us. Yet, we can be distanced from these realities due to the anxiety that death provokes and our society’s approach to dealing with it. Our relationship with the deaths of those closest to us can be limited by their being hidden away as a clinical activity within our hospitals and aged care facilities.  By contrast the deaths of public figures have never been more visible and scrutinised.  Social Media and the constant news cycle mean that we are always in the loop. Our uneasy fascination is privileged with contact and information.

Continue reading

Engaging with uncomfortable dialogue – Demystifying palliative care

Like many of you I was glued to Q&A last night.  The topic was “Facing Death”
and the discussion pivoted around the panel’s view around the right or otherwise of Australians to have access to euthanasia.

Needless to say the twittersphere was running hot,  but clear to a number of commentators was that many were poorly informed about the topics at hand.  From my perspective one of the most concerning issues was a lack of understanding about what palliative care is and assumptions that it is on some level the same as euthanasia.

Tweet 1

Continue reading