Effective Integration of Palliative Care in Respiratory Setting - Using Actio...Irish Hospice Foundation
Overview of Action Research Project carried out to integrate palliative care into the care of those with respiratory illness. Presented at International Congress on Palliative Care, Montreal, September 2014
The concept of advance care planning outlined. The Assisted Decision Making (Capacity) Act 2015. Using Think Ahead as a tool to engage with advance care planning and with advance healthcare directives
Effective Integration of Palliative Care in Respiratory Setting - Using Actio...Irish Hospice Foundation
Overview of Action Research Project carried out to integrate palliative care into the care of those with respiratory illness. Presented at International Congress on Palliative Care, Montreal, September 2014
The concept of advance care planning outlined. The Assisted Decision Making (Capacity) Act 2015. Using Think Ahead as a tool to engage with advance care planning and with advance healthcare directives
TYA moving forward at UCLH treatment summaries and care plans
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Presentation from an event held in London on Wednesday 9 October with the Teenage and Young Adult (TYA) Centre Champions and our Clinical Leads to share learning, good practice examples, the successes, challenges and barriers to implementing:
Treatment summaries
End of treatment care plans
Increased self-management for TYAs after cancer treatment
The output from the meeting will be to define what support NHS IQ can provide locally to assist TYA teams in order to make progress with their implementation plans.
Are you looking to refresh your current workplace wellness program or have you thought about starting a workplace wellness program and don't know where to begin? Check out Workplace Wellness 2.0. In 60 minutes, you'll learn the 10 easy steps to create an inexpensive, community-based, volunteer-managed, thriving wellness initiative. Hope Health's managing editor, Jen Cronin, will walk you through the effective strategy based on the custom publisher's 30-plus years of working with hundreds of organizations and their workplace wellness efforts.
Learning Objectives:
How to begin a new program, or add new life to an existing wellness program, with the Workplace Wellness 2.0 concepts
How to take advantage of inexpensive, free and readily available resources to power your wellness program
How to create a program WITH employees vs. FOR employees.
About The Presenter
Jen Cronin
Managing Editor
Hope Health
An avid runner and foodie, Jen's goal is to help others embrace — and enjoy — a healthful lifestyle by creating inspiring, engaging, and fun content that focuses on simple ways people can take care of their mind, body, and spirit. Jen has more than 18 years of writing, editing, and communications project management experience. She has worked as a health reporter, a public relations specialist at a major medical school, and a marketing communications consultant for a Blue Cross Blue Shield affiliate before coming to HOPE Health in 2009.
Transitional Care Management: Five Steps to Fewer Readmissions, Improved Qual...Health Catalyst
Reducing readmissions is an important metric for health systems, representing both quality of care across the continuum and cost management. Under the Affordable Care Act, organizations can be penalized for unreasonably high readmission rates, making initiatives to avoid re-hospitalization a quality and cost imperative. A transitional care management plan can help organizations avoid preventable readmissions by improving care through all levels in five steps:
Start discharge at the time of admission.
Ensure medication education, access, reconciliation, and adherence.
Arrange follow-up appointments.
Arrange home healthcare.
Have patients teach back the transitional care plan.
Healthcare Globally needs a major disruption and a transformative approach to make life sustainable on this planet with the ever increasing threat to Quality of Life.
20131212 salford royal experience an epr 10 years on, implementing ep rs at...amirhannan
Madeleine Neve, IM & T lead at Salford Royal Hospital presents at Health 2.0 Manchester meeting. See http://www.htmc.co.uk/pages/pv.asp?p=htmc0519 to watch talk
This guide is designed to help health and social care professionals understand and implement the law relating to advance decisions to refuse treatment (ADRT) contained in the Mental Capacity Act (2005).
This 2013 version replaces that published in September 2008 and covers:
How to make an advance decision to refuse treatment, who can make an advance decision, when a decision should be reviewed and how it can changed or withdrawn
What should be included
Rules applying to advance decisions to refuse life sustaining treatment and how they relate to other rules about decision-making
How to decide on the existence, validity and applicability of advance decisions and what healthcare professionals should do if an advance decision is not valid or applicable
The implications for healthcare professionals of advance care decisions, including situations where a healthcare professional has a conscientious objection to stopping or providing life-sustaining treatment
What happens if there is a disagreement about an advance decision.
Publication by the National End of Life Programme which became part of NHS Improving Quality in May 2013
TYA moving forward at UCLH treatment summaries and care plans
Susan Mehta Lead CNS Late Effects of Cancer
Presentation from an event held in London on Wednesday 9 October with the Teenage and Young Adult (TYA) Centre Champions and our Clinical Leads to share learning, good practice examples, the successes, challenges and barriers to implementing:
Treatment summaries
End of treatment care plans
Increased self-management for TYAs after cancer treatment
The output from the meeting will be to define what support NHS IQ can provide locally to assist TYA teams in order to make progress with their implementation plans.
Are you looking to refresh your current workplace wellness program or have you thought about starting a workplace wellness program and don't know where to begin? Check out Workplace Wellness 2.0. In 60 minutes, you'll learn the 10 easy steps to create an inexpensive, community-based, volunteer-managed, thriving wellness initiative. Hope Health's managing editor, Jen Cronin, will walk you through the effective strategy based on the custom publisher's 30-plus years of working with hundreds of organizations and their workplace wellness efforts.
Learning Objectives:
How to begin a new program, or add new life to an existing wellness program, with the Workplace Wellness 2.0 concepts
How to take advantage of inexpensive, free and readily available resources to power your wellness program
How to create a program WITH employees vs. FOR employees.
About The Presenter
Jen Cronin
Managing Editor
Hope Health
An avid runner and foodie, Jen's goal is to help others embrace — and enjoy — a healthful lifestyle by creating inspiring, engaging, and fun content that focuses on simple ways people can take care of their mind, body, and spirit. Jen has more than 18 years of writing, editing, and communications project management experience. She has worked as a health reporter, a public relations specialist at a major medical school, and a marketing communications consultant for a Blue Cross Blue Shield affiliate before coming to HOPE Health in 2009.
Transitional Care Management: Five Steps to Fewer Readmissions, Improved Qual...Health Catalyst
Reducing readmissions is an important metric for health systems, representing both quality of care across the continuum and cost management. Under the Affordable Care Act, organizations can be penalized for unreasonably high readmission rates, making initiatives to avoid re-hospitalization a quality and cost imperative. A transitional care management plan can help organizations avoid preventable readmissions by improving care through all levels in five steps:
Start discharge at the time of admission.
Ensure medication education, access, reconciliation, and adherence.
Arrange follow-up appointments.
Arrange home healthcare.
Have patients teach back the transitional care plan.
Healthcare Globally needs a major disruption and a transformative approach to make life sustainable on this planet with the ever increasing threat to Quality of Life.
20131212 salford royal experience an epr 10 years on, implementing ep rs at...amirhannan
Madeleine Neve, IM & T lead at Salford Royal Hospital presents at Health 2.0 Manchester meeting. See http://www.htmc.co.uk/pages/pv.asp?p=htmc0519 to watch talk
This guide is designed to help health and social care professionals understand and implement the law relating to advance decisions to refuse treatment (ADRT) contained in the Mental Capacity Act (2005).
This 2013 version replaces that published in September 2008 and covers:
How to make an advance decision to refuse treatment, who can make an advance decision, when a decision should be reviewed and how it can changed or withdrawn
What should be included
Rules applying to advance decisions to refuse life sustaining treatment and how they relate to other rules about decision-making
How to decide on the existence, validity and applicability of advance decisions and what healthcare professionals should do if an advance decision is not valid or applicable
The implications for healthcare professionals of advance care decisions, including situations where a healthcare professional has a conscientious objection to stopping or providing life-sustaining treatment
What happens if there is a disagreement about an advance decision.
Publication by the National End of Life Programme which became part of NHS Improving Quality in May 2013
Start the Discussion: The Importance of Advance DirectivesSummit Health
We will discuss the importance of planning ahead about end-of-life decisions, provide useful information about how to prepare advance directives, and distribute sample forms.
Social care information packs
This is a series of short information sheets and matching slide sets about how social care staff can support people with learning disabilities to have better access to health services. They provide an introduction to each area and links to where further information and useful resources can be found.
Health Care Consent, Aging and Dementia: Mapping Law and Practice in BCBCCPA
In October 2016, the Canadian Centre for Elder Law working with ASBC started a 16 month project on the law and practice around health care consent in BC with a focus on older adults and adults with dementia. This project will address issues around health care consent with a focus on older adults and adults with dementia. Along with addressing the legal framework surrounding health care consent it will highlighted related issues such as polypharmacy, etc.
Presented by:
- Krista James, National Director, Canadian Centre for Elder Law
- Alison Leaney, Provincial Coordinator, Vulnerable Adults Community Response, Public Guardian and Trustee
- Barbara Lindsay, Director, Advocacy and Education
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Defecation
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VISION
Being proactive
Supporting optimal animal and human health
Exploring ways to reduce overall use of antimicrobials
Using the drugs that prevent and treat disease by killing microscopic organisms in a responsible way
GOAL
to prevent the generation and spread of antimicrobial resistance (AMR). Doing so will preserve the effectiveness of these drugs in animals and humans for years to come.
being to preserve human and animal health and the effectiveness of antimicrobial medications.
to implement a multidisciplinary approach in assembling a stewardship team to include an infectious disease physician, a clinical pharmacist with infectious diseases training, infection preventionist, and a close collaboration with the staff in the clinical microbiology laboratory
to prevent antimicrobial overuse, misuse and abuse.
to minimize the developme
6. Advance Care Planning –What is
it?
Voluntary discussions over time about future care
Process not task – may be more than one conversation
When we know things may change
When we know decision making in the
future may be difficult
7. Oct 30th 09 ST/AON
What might be included in ACP
discussions
Spiritual
8. What might be discussed (medical)?
• Use of preventive health screenings, medications and dietary
restrictions, invasive medical procedures and tests
• Hospitalization
• Use of intensive care units and ventilators
• Artificial nutrition/hydration
• Use of antibiotics
• Cardiopulmonary resuscitation
• Making advance healthcare directive
9. Guidance for healthcare professionals:
• Always presume decision making capacity
• Help the person to maximise their decision making
capacity
• Remember that the person with dementia can choose
not to take part in the advance care planning process
• Be aware of how to assess a persons decision making
capacity if required to do so
• Gain knowledge on what steps to take if decision
making capacity is an issue
• Check existing advance care plans with the person
regularly for validity and applicability
10. If decision-making capacity is an issue:
1. Support the person to be involved in the decision-
making process by engaging in capacity building and
maximising.
2. Consider the level of support that the person
requires to make the decision in question.
3. Seek evidence of previously expressed
preferences.
4. Consider which option, including not to treat, would
be least restrictive of the person’s future choices.
5. Consider the views of anyone indicated by the
person. These people may be those appointed by
the person to support them when making decisions.
6. A Consider involving advocacy support.
11. Have you ever talked to
anyone about what you
would or wouldn’t want if
something unexpected
happened. Sometimes
people like to write things
down/make what’s called
an advance healthcare
directive
Is there
anything
that you’d
like to tell
us about
supporting
you in the
future?
Do you have any
worries or wishes
about your future
care/health care?
How do we start?
Have you
ever
heard of the
Think Ahead
Initiative?
Have you
ever heard
of an
advance
healthcare
directive
Have you ever
thought about what
you might want if you
became very
unwell…?
12.
13. The Assisted Decision Making (Capacity)
Act 2015:
• Replaces the Lunacy Regulation (Ireland) Act 1871
• Includes provision for Advance Healthcare Directives which
were previously legal under common law but had no legislative
underpinning.
• Codes of Practice/Guidelines for full implementation required
• Minister for Justice responsible for commencing most of the
Act
• Minister for Health responsible for commencing the AHD
section
14. Where we are now.
Phased commencement
• Decision Support Service(DSS) is to be established
• Aine Flynn appointed as Director and took up post on Oct
2nd
• Codes of practice to be developed
• AHD multidisciplinary working group established (prepare
recommendations for code of practice for AHDs)
15. Advance Healthcare Directives:
• A document where a person can write down what they
would not like to happen in relation to certain medical care
treatments
• Only comes into force when a person loses capacity,
becomes ill and the circumstances in their advance
healthcare directive arise. (A record of advance healthcare directives will
be held by the Director of Decision Support Services).
16. Issues that may be covered in an advance
healthcare directive:
• Treatments that a person would refuse in the future – this is legally
binding
• A request for a specific treatment. This is not legally binding but must be taken
into consideration during any decision-making process which relates to treatment for the
person in question if that specific treatment is relevant to the medical condition for which
the person may require treatment.
17. What makes an AHD legal?
• The person had decision making capacity at the time
they made the advance healthcare directive.
• The advance healthcare directive was made voluntarily.
• The advance healthcare directive was not altered or
revoked.
• The person who made the advance healthcare directive
did not do anything inconsistent with the terms of the
advance healthcare directive while they had decision
making capacity.
Presuming covered under the functional approach to capacity
If there is nobody appointed by the person whose decision making capacity is at issue and/or an urgent decision is required, an application can be brought to the circuit court seeking the appointment of one or more persons to act as a decision making representative.
Re codes of practice:
Will & Preferences
Least restrictive
Proportionate
Limited in duration
Take into account beliefs and values
The difference between an ACP and AHD is the refusal and legal binding with refusing treatments.
Broader than healthcare
Submissions to the forum indicated wanting info on handling financial affairs and speaks to Prevention of Elder abuse
You don’t have to complete all of the document
https://www.youtube.com/watch?v=iTZeSzWNsQg
I’d like to acknowledge these people and will now take some questions if there are any.