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The views and opinions expressed in our blog series are those of the authors and are not necessarily supported by CareSearch, Flinders University and/or the Australian Government Department of Health.
14/01/2019 7:23 PM
Not wishing to be negative but this is a little disappointing. It reads like a quality improvement document that will be put on the shelf and never applied. Real change is too slow in palliative care. There is no lack of expertise or the will to effect change. There are plenty of good evidence based tools, fine experienced discharge planners and community and aged care nurses and carers It must surely come down to funding issues. I am surprised that so little has changed in the last ten years. These 'linkage strategies' have been in place for a long time, perhaps under another name. To still be hearing of the need for shared documentation, standardised referral forms, improved symptom control and key workers as if they are a new idea is puzzling. Ongoing reliable funding of advanced nurse practitioners in aged and palliative care would be a positive and exciting step in the right direction. Time to move away from the medicalisation of end of life care and this dry documentation that is more suited to book keeping. Why not allow nurses to provide end of life care with the skill and expertise we already know they possess. End of life care can be a natural process guided by nurses. It has already happened in midwifery. Let us see some patient centred end of life care managed by nurses and provided by nurses and carers, not more documentation and 'strategies'.
8/02/2019 9:19 AM
Thank you for your comments, Georgia. We gratefully appreciate and receive all feedback.
We acknowledge that appropriately skilled, and resourced, health care providers can facilitate and integrate care provision at the end of life.
ELDAC provides information, guidance, and resources to health care providers to support palliative care and advance care planning to improve the care of older Australians.