Subject Code&Title: Social Supports In Early Palliative Care Intervention
TARGET AUDIENCE:
This guideline is intended for clinical staff, particularly medical and nursing staff, involved in early intervention palliative care discussions and patient support caring for someone with a life limiting illness
Social Supports In Early Palliative Care Intervention Assignment-Australian Catholic University.
PURPOSE:
The purpose of this document is to provide guidance for clinical staff in providing care to patients who are diagnosed with a life limiting illness and require social supports, either as an in patient or out-patient receiving care
in the community. This includes symptom control, multi-disciplinary team member assessments, and communication with the patient and their family.
GUIDELINE:
The goal is always to maintain the patient’s dignity and comfort from diagnosis inclusive of patient centred care that addresses the management of social issues
DISCHARGE PLANNING FROM IN-PATIENT TO COMMUNITY
Discharge planning from in-patient care can mean the difference between a smooth transition and a difficult one.Difficult transitions can place increased stress and anxiety on the patient and their family. Discharge planning includes ALL involved in someone’s care helping to ensure all necessary requirements are arranged at the time of discharge.
This includes:
• Communication between ALL MDT providers involved in patient care
• The delivery of (or access to) necessary equipment
• The preparation of necessary prescriptions (inclusive of emergency medications PRN) and discharge summary to the treating General Practitioner for repeating medication orders
SUPPORT FOR FAMILY/CARER
If you feel your patient and family could benefit from this type of support, please contact the palliative care consultancy service prior to discharge for review to meet with the patient and family
EQUIPMENT:
• Some of the equipment that may be required on discharge include:
• Electric hospital beds
• slide sheets
• Alternating Air Pressure mattresses
• Wheelchairs
• Commodes, over toilet chairs, bedside commode
• Shower chairs/stools
• Pressure area cushions
VOLUNTEER SUPPORT
Volunteer support can be invaluable when caring for people during the palliative stage of their life. If you feel your patient and family could benefit from this type of support, please contact your local community palliative care service to discuss this further.
NUTRITIONAL SUPPORT:
In palliative care it is rare that Intravenous fluids and nasogastric tubes are required. Treatment centres around minimising discomfort from symptoms in an active and yet as free from medical technology and tubes as possible. Patients and their family must always be fully informed to make the decision that is right for them.
HOME HELP/PERSONAL CARE
Home help services are available for either as a funded government assisted service or private cost, please consult with social work and/or the patient’s local council for further assistance
COMMUNITY NURSING
The Royal District Nursing Service collaborates with palliative care services across the state, contact them within the metropolitan region or individual rural community nursing services in your patient’s locality
Social Supports In Early Palliative Care Intervention Assignment-Australian Catholic University.
PLACEMENT TO A RESIDENTIAL AGED CARE FACILITY
The process of (permanent or respite) placement of a palliative patient is one that requires assessment, co-ordination and communication. Community Palliative Care can support clients and their families with My Aged Care regarding referrals for long term, short term and respite care.
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