Medical care in Australian residential aged care: Perspectives of residents, family, nurses and general practitioners

2021 ◽  
Author(s):  
Russell Pearson ◽  
Judy Mullan ◽  
Bridget Dijkmans‐Hadley ◽  
Elizabeth Halcomb ◽  
Andrew Bonney
Keyword(s):  
Medical Care ◽  
General Practitioners ◽  
Aged Care ◽  
Residential Aged Care ◽  
Family Nurses

scholarly journals Perceptions of multidisciplinary case conferencing in residential aged care facilities

2009 ◽  
Vol 33 (4) ◽  
pp. 566 ◽  
Author(s):  
Elizabeth J Halcomb ◽  
Rhonda Griffiths ◽  
Bernadette M Sheperd
Keyword(s):  
General Practitioners ◽  
Ad Hoc ◽  
Health Workers ◽  
Aged Care ◽  
Residential Aged Care ◽  
Team Approach ◽  
Collaborative Culture ◽  
Care Facilities ◽  
Aged Care Facilities ◽  
Residential Aged Care Facilities

Objective: To explore the understanding about and perceptions of, multidisciplinary case conferencing in residential aged care from the perspective of residential facility staff, residents, carers and general practitioners. Methods: Focus groups and in-depth interviews were conducted with nurses, residents, carers, allied health workers and general practitioners from two residential aged care facilities during February?March 2008. Conversations were analysed using thematic analysis techniques. Results: Thematic analyses highlighted four key themes. Most notably, respondents identified a degree of confusion regarding the purpose of case conferencing and its role in resident health care. The ad hoc development of the conferencing model led to unclear role descriptions for participants that contributed to role confusion and the lack of a collaborative culture. Underpinning much of the discussion was the need for a framework to support the organisation of the conference process. Conclusions: While the process of multidisciplinary case conferencing in residential aged care has significant potential to improve resident care and health outcomes, the development of an explicit framework is required to support the effective conduct of these meetings. Key stakeholders need to be engaged to develop a team approach to conducting case conferences that facilitates the active participation of providers, residents and their carers.

What general practitioners said about the palliative care case conference in residential aged care: An Australian perspective. Part 2

2013 ◽  
Vol 23 (1) ◽  
pp. 9-17 ◽  
Author(s):  
Anthony Tuckett ◽  
Deborah Parker ◽  
Karen Clifton ◽  
Helen Walker ◽  
Elizabeth Reymond ◽  
...  
Keyword(s):  
Palliative Care ◽  
General Practitioners ◽  
Aged Care ◽  
Residential Aged Care ◽  
Case Conference

Provision of palliative and end-of-life care in New Zealand residential aged care facilities: general practitioners' perspectives

2020 ◽  
Vol 26 (2) ◽  
pp. 124 ◽  
Author(s):  
Deborah Balmer ◽  
Rosemary Frey ◽  
Merryn Gott ◽  
Jackie Robinson ◽  
Michal Boyd
Keyword(s):  
New Zealand ◽  
End Of Life ◽  
General Practitioners ◽  
End Of Life Care ◽  
Aged Care ◽  
Residential Aged Care ◽  
Life Care ◽  
Structured Interviews ◽  
Care Facilities ◽  
Aged Care Facilities

This exploratory study examined general practitioners’ (GPs) perspectives on delivering end-of-life care in the New Zealand residential aged care context. A general inductive approach to the data collected from semi-structured interviews with 17 GPs from 15 different New Zealand general practices was taken. Findings examine: (1) GPs’ life experience; (2) the GP relationship with the facilities and provision of end-of-life care; (3) the GP interaction with families of dying residents; and (4) GP relationship with hospice. The nature of the GP relationship with the facility influenced GP involvement in end-of-life care in aged care facilities, with GPs not always able to direct a facility’s end-of-life care decisions for specific residents. GP participation in end-of-life care was constrained by GP time availability and the costs to the facilities for that time. GPs reported seldom using hospice services for residents, but did use the reputation (cachet) associated with hospice practices to provide an authoritative buffer for their end-of-life clinical decisions when talking with families and residents. GP training in end-of-life care, especially for those with dementia, was reported as ad hoc and done through informal mentoring between GPs.

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