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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.
The reality for some time in respect to continuing to provide quality health care is “Work smarter not harder”. The health dollar is becoming like a Northern White Rhinoceros , still in existence but rare. There is ever increasing scrutiny about how both of these prized possessions are used and treated. Continued investment is regularly linked to reportable outcomes, whether it be in the case of the Rhinoceros an increase in their numbers or for the health dollar reduced overall cost. You are more likely these days to find the CEO of a hospital having an MBA in hospital administration than being a senior clinician. As this is a reality we need to develop strategies / programmes that do have clinically reportable outcomes that they will comprehend.
In 2013, Canalys (1) estimated there were over 1,600,000 apps available in the two largest online app stores, iTunes and Google Play, and the number of platform-based, service carrier or manufacturer-operated online stores has increased to over 70 worldwide in the last two years (2). With over 1.2 billion people now accessing mobile applications (3), the role of the app has become multidimensional, with users expecting to discover an app to enhance every part of their life, for both work and play. For healthcare professionals (HCPs) working in palliative care, searching, evaluating, identifying, and downloading relevant apps from the proverbial sea of applications is a time-consuming pastime which often yields little to no results.
CareSearch is an online resource for palliative care. It has evidence-based resources for both clinicians and for patients, and their families and friends. As it is now a very large repository of evidence-based information, I would like to point you to four of the best sections for GPs to start off in.
These sections include the GP Hub, the Clinical Evidence pages, the Finding and Using Evidence pages, and the Education pages. You can also find information specially written for your patients in the Patients, Carers, and Families section.
Chronic breathlessness is highly prevalent across the community. One in 100 Australians have significant impairment of their activities of daily living and one in 300 people are housebound because of breathlessness.
Chronic breathlessness is systematically under-recognised by health professionals. When taking a history about breathlessness, the question ‘are you breathless?’ is not going to elicit the problem nor its magnitude. ‘What do you have to avoid in order to minimise breathlessness?’ is a far more important question, or this can also be phrased as ‘what have you given up in order not to be breathless?’ With these questions, we start to get a picture of the net impact of breathlessness on individual patients.
People living with a life-limiting illness, such as cancer, frequently report moderate to severe pain and describe in detail how it affects activities of daily living and quality of life. What matters most – be it spending quality time with grandchildren, time in the garden, or writing down their favourite life anecdotes – becomes hard work and wearisome in the face of uncontrolled pain. Yet in managing this beast that is pain, management with opioids has its own share of issues. Fortunately, with some thought at the point of prescribing, whether initiating or reviewing therapy, general practitioners (GPs) can anticipate these issues. Here are five tips to improve confidence with opioid use in the terminally ill.