Harassment in healthcare – What can palliative care learn from the RACS?

As many of you would know the Royal Australasian College of Surgeons has recently released its expert advisory group Draft Report into discrimination, bullying and harassment in surgery.  The results of the report are confronting even if they are unfortunately not altogether surprising.

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Birthday announcements: Palliverse is turning 1!

If like me, you can’t believe that it is nearly September then let me hit you with another bit of news.  Palliverse is having its first birthday!

Birthday Cake by Will Clayton / CC BY

Birthday Cake by Will Clayton / CC BY

And we have decided to give ourselves a bit of a present – a new look.

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Life’s uncertainty and overdosing on medicine

This morning an article was published in the conversation by Ray Moynihan and Dr Iona Heath exploring how our society deals with the uncertainty of our future health. Faced with the knowledge that all of us will get sick and die at some stage the authors suggest that this impels us all to try and find the solution to these problems, resulting in the medicalisation of our lives, over-diagnosis and over-treatment.

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Job applications for 2016 ahoy!!

As many who work in palliative medicine would be acutely aware the process of applying for next year’s job is beginning in earnest.

High on the

High on the “must do” list for some. cc https://www.flazingo.com/creativecommons

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Online Pain Module – RACP eLearning

I have just been prompted to have a look at the excellent eLearning Pain Module for the RACP.  In short it is a fantastic resource that I encourage anyone with access to have a look at here.  As I understand it access to this resource is limited to fellows and trainees of the Royal Australasian College of Physicians and its administrators so my apologies to anyone not fitting that description reading this blog, as the following may come across as a bit of a tease. (Ed Correction: We have just been informed that anyone can apply for access through the site linked above – i.e. Read on, it is not a tease at all)

RACP Elearning

RACP eLearning website https://elearning.racp.edu.au/

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Equity and access: Palliative care drugs in Australia

The recent senate inquiry into “Availability of new innovative and specialist cancer drugs in Australia” brought timely attention to our Australia’s approach to access and funding of cancer medications.  Perhaps unsurprisingly the matter of access to medications for palliative care was not seen as the chief focus of this review, but on closer attention perhaps it received more discussion than was realised.

Capsules

By Photo taken byAney CC-BY-SA-3.0 via Wikimedia Commons

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A Tour of the Teams: ImPaCCT

Happy New(ish) Year everyone!

To celebrate we are starting a new segment.  It goes without saying that many people and groups around our region are doing wonderful and exciting work in palliative care research but it can feel a little lonely out there for many of us.  Finding support to develop your idea, and others with a similar interest can be a challenge.  In addition to the palliverse researcher database we thought another way for us all to feel connected was to start to get to know the more established players.  So let’s start with some introductions.  We have been contacting the various academic and research institutions working in palliative research in our region asking them to tell us a little bit about themselves.  “Tour of the teams” will be an ongoing series to bring the responses from these units together.

Unfortunately an actual "tour" was voted as impractical

An actual “tour” was unfortunately deemed impractical

We hope that the “Tour” will help us all be a little more connected and maybe to give us all some ideas of where we can get help to develop that great research idea that we have been sitting on.

The service who gets the gold star for being first off the mark is the ImPaCCT group

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PhD Scholarship opportunity in a novel area (is this your early Christmas present?)

Dear members of the palliverse,

We have been informed of a new funding opportunity by the Improving Palliative Care through Clinical Trials (ImPaCCT) NSW network.  Here are the details that they provided.

Palliative Care (Full-Time, $30,000 per annum for 3 years, Based in Sydney) focusing on sleep disturbance in community palliative care patients.

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Uncovering ethics: To stay or to go (Bob’s story)

“I am done. I am over,” says Bob before failing back to the pillow with quiet momentum.

“It’s like he is rushing down a river, and we have nothing we can do to slow him down,” says his daughter. Her voice is strong and carries the pain of her words in a no nonsense way, like it is not a burden at all. They are both strong like this, a family trait, and their strength fills the room. It almost vibrates with the effort.

tractor-167075_640

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Uncovering ethics: The first steps

Professionally when “Ethics” is mentioned it is usually in fairly specific ways.  In a health care context Ethics is often associated with particular areas of question or conflict.  Ethics is the process that we have to satisfy to be able to do the research that we think is indicated.  My decision about whether Mr Smith has the “right” and the “capacity” to be able to make a particular decision is an ethical one.  I use words like “autonomy” and “justice” to explain the reason why Mrs Tran should be offered a treatment.  Our clinical teams have policies about our duty to provide ethical care for violently confused patients. We debate about issues like euthanasia on grounds that we describe as ethics focused on the rights and wrongs of changing our current clinical approach. Each of these are complex questions and the fact that they are so divisive demonstrates to us the difficulty (or even impossibility) of determining a path forward that satisfies everyone.  Sometimes I wonder if it is for this reason that Ethics seems like such a frustrating topic.  Why spend time thinking and talking about Ethics when the only thing we can be confident about is that someone’s answer is always going to be, “I disagree”?
Now, which way to I go today?

Now, which way to choose?

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