Your SlideShare is downloading. ×
HVE 2014 Pecha Kucha: Jeroen Hasselaar
Upcoming SlideShare
Loading in...5
×

Thanks for flagging this SlideShare!

Oops! An error has occurred.

×

Saving this for later?

Get the SlideShare app to save on your phone or tablet. Read anywhere, anytime - even offline.

Text the download link to your phone

Standard text messaging rates apply

HVE 2014 Pecha Kucha: Jeroen Hasselaar

133
views

Published on

Published in: Health & Medicine

0 Comments
0 Likes
Statistics
Notes
  • Be the first to comment

  • Be the first to like this

No Downloads
Views
Total Views
133
On Slideshare
0
From Embeds
0
Number of Embeds
1
Actions
Shares
0
Downloads
0
Comments
0
Likes
0
Embeds 0
No embeds

Report content
Flagged as inappropriate Flag as inappropriate
Flag as inappropriate

Select your reason for flagging this presentation as inappropriate.

Cancel
No notes for slide
  • Ouderen – values of life – conceptualisering van decision tree(s) - feedback
  • Fitting research to innovative practices (zie ook Pols)
    Media ethnography:
    descriptive: “the processes that shape and shift the goals and outcomes of innovative practices”
    Practical knowledge (experiences of users) & practical normatity of users > without obscuring the situated and contestable nature of this knowledge
    Observations without disrupting the innovative work (hoewel je regelmatig dreigt een onderdeel te worden van de interventie).
  • Basically 3 players are involved in palliative team care for AYA-patients
    Caregivers within the hospital
    GPs or caregivers within the community
    The patients and their informal caregivers.(home)
    Ussually communication is between 2 of the 3 players at a moment (verschillende pijltjes)
    By introducing teleconsultations by means of Facetalk  opportunity to
    Introduce community caregivers to the multidisciplinary hospital team of caregivers.
    Introduce the patient to participate in multidisciplinary teammeeting and/or team care.  the patient becomes a partner
    But what will be the consequences of doing so?
  • To find out about dynamics in team care and what will happen when we introduce the patient to the multidisciplinary team, we will make recordings (audio and visual) of Multidisciplinary teleconsultations by using FaceTalk.
  • Legend
    Step 1
    a. The NP initiates digital bedside consultations with the patient on a regular basis (starting with 1 teleconsultation a week)
    b. Duration: approximately 30 minutes
    c. Standardized inventory of patient's symptoms and other multidimensional problems
    d. The NP provides practical advice on caring and nursing; abstains from direct medical treatment advices and decisions
    Step 2 (not the focus of this particular study)
    a. The NP discusses her findings with palliative care specialist and reports to the primary care physician
    b. Involved health care professionals compose and/or discuss the treatment plan
    c. As long as the patient resides at home, the primary care physician is responsible for discussing the treatment plan with the patient and together they decide about further treatment and care.
    Important notes
    a. A patient cannot directly contact the SPCT via the teleconsultation route as to secure the primary care physician's central position and to prevent an overload of the care system.
    b. In case the primary care physician participated 'real time' by visiting the patient at home during teleconsultations, the teleconsultation with a patient/consultation with a primary care physician/feedback to the patient was compressed into a single interaction.
  • Transcript

    • 1. Bits & bytes in palliatieve zorg? Health valley 13 maart 2014 Jeroen Hasselaar Universitair Docent Radboudumc cover van 'Care at a distance', Amsterdam University Press
    • 2. Waar staan we? • Waar is onze patient? • Waar heeft die patient behoefte aan? • Waar ligt een kansrijke inzet van telezorg? • Wat is de link met health valley? Het klinisch team
    • 3. Palliatieve zorg (WHO 2002) Vereist een benadering die de kwaliteit van het leven verbetert van patienten en hun naasten die te maken hebben met een levensbedreigende aandoening, door het voorkomen en verlichten van lijden, door middel van vroegtijdige signaleringen zorgvuldige beoordeling en behandeling van pijn en andere problemen van lichamelijke, psychosociale en spirituele aard.
    • 4. Kwaliteit palliatieve zorg in Nederland ?
    • 5. Er gaat veel goed maar: cover van 'Care at a distance', Amsterdam University Press *Te weinig anticiperend handelen *Veel reguliere zorgverleners hebben onvoldoende kennis van en ervaring met palliatieve zorg *Te weinig samenwerking, informatie-uitwisseling tussen betrokken zorgverleners
    • 6. Palliatieve zorg = netwerkzorg Netwerk zuid gelderland
    • 7. Samenwerken in een netwerk Netwerk waardenland
    • 8. C *Regio Noord: 25.000 terminale patienten 9 netwerken pal.zorg 1200 consulten IKO 150-200 hospiceplaatsen A Nijmegen: 1200 terminale traj. 1 netwerk pal.zorg 400 consulten IKO 31 hospice plaatsen B *Regio Zuid: 10.000 terminale patienten 7 netwerken pal.zorg 600 consulten IKZ 120 hospiceplaatsen
    • 9. Wie komt er straks nog bij de dokter?
    • 10. Teleconsultatie in palliatieve zorg; research that fits Interviewen: -Ervaringen van gebruikers -Praktische normativiteit Observeren: -Teleconsultatie & context -Teleconsultatie in het ziekenhuis/teleconsultatie thuis Empirische oz & ethiek: -De waarde en aanvaardbaarheid van teleconsultatie in de praktijk van de palliatieve zorg +
    • 11. Teleconsultatie jongeren met kanker Hospital Community Home
    • 12. Methode Hospital GP Patient
    • 13. Europees ‘best practice’ project • Bevat resultaten taxonomie en benchmark (InSup-C) • Bevat informatie over optimaliseren van lokale palliatieve zorg • Ter ondersteuning van lokale organisatie die meer kennis op wil doen over optimaliseren zorgverlening.
    • 14. Self-checklist • Bevat benchmark met ‘best practices’ geïntegreerde palliatieve zorg • Lokale organisatie zet praktijk af tegen checklist • Aanknopingspunten voor verbetering
    • 15. Nationaal programma palliatieve zorg 2020Nationaal programma palliatieve zorg 2020