People at MSJH provided a unique Bold statement and we are confident in this statement as we searched literature to see how palliative care is delivered in acute care settings Unique: Most culturally diverse postal code in Canada. Unique: POCT was only one component of EOL council at MSJH UNIQUE: Impetuous for EOL Council came from ID providers who were not primarily identified as palliative care providers, but who were individually provideing palliative care and wanted to see that across the board for all patients and families. In order to achieve this those ID practitioners needed to improve palliative care awareness among their coleagues. What is unique is that the CoP at MSJH decided what was important for this population at MSJH not what the specialist groups decided. MSJH identified that little clarity around what palliative care is and who benefit from it. Those who were seen by the POCT were receiving excellent palliative care however not everyone was seen by POCT and some
This is the definition of pallliative care at MSJH How did we get this?
Anecdotal concerns to sw, pc, mds POCT were hearing “we need more of you” - so what can be done to improve what we are doing with the resources we already have
Conceptualised by MSJ POCT to further EOL care practices Not typical of traditional approach where Palliative care specialists decide how palliative care will be delivered. MSJH was considered expert in knowing the needs of the community. POCT supported the EOL council with content and leadership. Engage the hospital with the strategies to elevate the standard of care at MSJ identify palliative care issues prioritize dealing with these issues develop strategies to address the issues – Developed a Definition of Palliative care not exactly the same as WHO or CHPCA; Developed GOC Companion card; Presented a 3 day Palliative care awareness week EOL Council membership: 1 RT, 2 SWs, 1 PTs, 1 OT, 1 pharmacist, 1 spiritual care, 1 nutritionist, 6 nurses, 2 physicians Representing Medicine, Geri-rehab, Geri-psych, emergency, surgery, ICU Also included are MSJ POC Team members (Tim and Kate)
MSJH staff who provide care became aware of palliative care Process of delivering palliative care was unique Unique coming together of council Unique at PHC Seeds were sown, community embraced and the palliative care garden grew Bedside care providers see suffering and want to put patients and family in control Staff wanted to own it; not a management decision Staff stepped up and forward and engaged because they were passionate about giving best care for those who would Unique to see this in today ’s health care setting with challenging health care setting and seeing people wanting to take it on. Medicine folks like Joy and Janet Culture of Clarity with members of EOL Council.
B2 Rapid Fire: Supporting the Journey to End of Life - K. Mcnamee-Clark, J. Liao and M. Sleightholme
A uniqueapproachto improvingpalliativecareEnd of Life CouncilMount St Joseph Hospital –Providence Health Care
Definition“Palliative Care is an approach to care directed at enhancing quality of life and is accepted by individuals and families facing a life-threatening illness, focusing on relief of suffering, while integrating psychosocial and spiritual aspects important to this individual. Palliative Care aims at positively influencing the course of illness and offering a support system for individuals and families.At MSJH we wish to make Palliative Care a partnership with the individual, family and inter- disciplinary team by focusing on the individual’s goals and dignity for their daily living. We wish to affirm life, offer a support system to help individuals live as actively as possible until death; and regard dying as a normal process”. MSJH End of Life Council; 2011
Unique Genesis:In the beginning there wasthe word….. Patients and families and staff voiced concerns MSJH sizing report Jan 2010Collective word…..What can we do better?
Unique GenesisFocuson solutionsMove away from traditional modelGather interested membersCreate a council
Unique Community ofPracticeMulti membership from across disciplines – EOL CouncilDietician; Occupational Therapist, Registered Nurses, Physiotherapist, Physicians, Pharmacist, Pastoral Care, Social Workers, Palliative Outreach Team RN and MD
Unique Process- toexpanding palliative carephilosophyNot driven by palliative care programNot top downDriven by those delivering direct care on a daily basis
Unique ApproachIdentified and prioritised themesPalliative Care DefinitionPalliative Care Awareness weekGoals of Care Companion CardTrain the trainer sessions
How can this bereplicated? Use the evidence –need for palliative care Start with a definition Engage stakeholders Culture of Responsibility, Discipline and Buy In Disseminate the information with support