Advance care planning for older people in Australia presenting to the emergency department from the community or residential aged care facilities

2014 ◽  
Vol 23 (5) ◽  
pp. 513-522 ◽  
Author(s):  
Maryann Street ◽  
Goetz Ottmann ◽  
Megan-Jane Johnstone ◽  
Julie Considine ◽  
Patricia M. Livingston
Keyword(s):  
Emergency Department ◽  
Older People ◽  
Advance Care Planning ◽  
Aged Care ◽  
Residential Aged Care ◽  
Care Planning ◽  
Care Facilities ◽  
Aged Care Facilities ◽  
Residential Aged Care Facilities ◽  
Advance Care

Advance care planning in residential aged care facilities

2007 ◽  
Vol 27 (1) ◽  
pp. 141-151 ◽  
Author(s):  
Jeanine Blackford ◽  
Elizabeth Strickland ◽  
Bridget Morris
Keyword(s):  
Advance Care Planning ◽  
Aged Care ◽  
Residential Aged Care ◽  
Care Planning ◽  
Care Facilities ◽  
Aged Care Facilities ◽  
Residential Aged Care Facilities ◽  
Advance Care

scholarly journals Quality of advance care planning policy and practice in residential aged care facilities in Australia

2012 ◽  
Vol 3 (3) ◽  
pp. 349-357 ◽  
Author(s):  
William Silvester ◽  
Rachael S Fullam ◽  
Ruth A Parslow ◽  
Virginia J Lewis ◽  
Rebekah Sjanta ◽  
...  
Keyword(s):  
Aged Care ◽  
Residential Aged Care ◽  
Care Planning ◽  
Policy And Practice ◽  
Planning Policy ◽  
Care Facilities ◽  
Aged Care Facilities ◽  
Residential Aged Care Facilities ◽  
Advance Care

Enhancing palliative care in rural Australia: the residential aged care setting

2011 ◽  
Vol 17 (1) ◽  
pp. 95 ◽  
Author(s):  
Geoffrey Mitchell ◽  
Caroline Nicholson ◽  
Keith McDonald ◽  
Anne Bucetti
Keyword(s):  
Palliative Care ◽  
End Of Life Care ◽  
Aged Care ◽  
Care Staff ◽  
Residential Aged Care ◽  
Care Facilities ◽  
Aged Care Facilities ◽  
Residential Aged Care Facilities ◽  
Advance Care

The delivery of palliative care in residential aged care communities is challenging, even more so in rural areas due to workforce ageing and shortages. The objectives of the present study were to: (i) assess the needs of, and quality of palliative care delivered to residents of 16 residential aged care facilities in rural southern Australia; and (ii) identify the needs of care staff to facilitate the delivery of quality palliative care. A cross-sectional survey of all residents, assessing the degree of functional limitation, stage of palliative care, and the presence of several quality indicators was conducted. Separate focus groups of care staff and relatives of residents sought information on the quality of care delivered, perceived strengths and weaknesses of the care delivered, and education and training needs. Quality palliative care in residential aged care facilities (RACFs) is hampered by workforce shortages, with low ratios of registered nurses, limited access to general practitioners after hours, and some communication difficulties. Some staff reported low confidence in technical and psychosocial aspects of care, especially for relatives. Relatives described mostly appropriate care, while acknowledging workload constraints. Most residents whose condition was unstable, deteriorating or terminal received advance care planning, though family expectations and unwillingness to discuss end-of-life care did tend to delay planning. Unstable residents with a reasonable prognosis were more likely to be transferred to hospital than terminally ill residents. Palliative care in participating RACFs appears to be adequate. Provision of targeted education for health care providers and implementation of protocols for advance care planning and end-of life care pathways will enhance this care.

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