Subscribe Blog Contact
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.
I am excited to be part of a project team at CareSearch that are developing a ‘massive open online course’ (MOOC) on death and dying. MOOCs are freely-available short online courses that anyone can participate in. Traditionally they have been used in universities to deliver education out of the classroom, but there has been a surge in their popularity in that they can be used to not only create social networks and engage participants, but impart important messages, provide resources, and facilitate research opportunities. The aim of our MOOC is to build community awareness of palliative care and death as a normal process, and our approach to the MOOC will be in a socio-cultural context (rather than a palliative care context); so for example, the social rather than biological death as seen in dementia. The MOOC will provide a never-before-seen opportunity to watch a community-driven approach to death and dying.
Thank you for your continued support and readership of Palliative Perspectives. We've been delighted to see so many people interested in the guest posts that we've featured, and welcome your feedback and ideas for future posts. Please also continue to share this blog with your colleagues and friends on Twitter, via email, or wherever you spend time online.
Now that we've completed our series of posts for GPs, we'd like to introduce our next focus: CareSearch Project Updates.
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.