Organisations need to be prepared and clinicians supported

Organisational readiness is often thought of in terms of policies and guidance to manage care of the dying. [1] In the end-of-life care or terminal care context this includes how to communicate with and provide privacy for patients and families, and how to deliver culturally responsive care. Failure to be prepared can lead to patient safety concerns including: [1]

  • Poor communication
  • Not considering a palliative approach to care
  • Applying a one size fits all approach
  • Families feeling uninformed of how to best support the patient
  • Poor nursing care
  • Lack of timely attention
  • Fragmented care.

There are several models, pathways, and frameworks currently used within the acute care setting to guide the delivery of palliative care. These might be adapted for local use. Most guide in-hospital care including transitions between hospital units, and some include transition to external settings such as home or aged care. 

As context matters when planning and providing care the following examples are listed according to intended patient group or situation. Access to specialist palliative care is often included but is not always available. State and Territory palliative care advice lines providing external specialist input are also listed below and where needed might be incorporated into plans. 

For adult care

For paediatric care

COVID-19 models of care

Local specialist palliative care advice services

Where patient needs are complex or specialist support for local services is needed, most states and territories of Australia also operate advice lines.

Watch The Mater Hospital Sydney video to hear from health professionals on how personalised and supportive palliative care is delivered. 

Palliative Care - Mater Hospital Sydney

Video from Mater Hospital Sydney

  1. Rawlings D, Devery K, Tieman J, Tait P, Chakraborty A. Rapid review of the literature on end-of life care. Sydney: ACSQHC; 2021.

Last updated 22 November 2022