Advancing research and evidence for compassion-based interventions: A matter of the head or heart?

  • 3 August 2020
  • Author: CareSearch
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Mills J. 

No abstract available

Supporting Children and Adolescents

  • 5/10/2020
  • Author: CareSearch
  • Number of views: 0
  • 0 Comments
5 October (October Intake)
Online

The Australian National Aged Care Classification (AN-ACC): a new casemix classification for residential aged care

  • 3 August 2020
  • Author: CareSearch
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Eagar K, Gordon R, Snoek MF, Loggie C, Westera A, Samsa PD, Kobel C.

Objective:
To develop a casemix classification to underpin a new funding model for residential aged care in Australia.

Design, setting:
Cross-sectional study of resident characteristics in thirty non-government residential aged care facilities in Melbourne, the Hunter region of New South Wales, and northern Queensland, March 2018 - June 2018.

Participants:
1877 aged care residents and 1600 residential aged care staff.

Main outcome measures:
The Australian National Aged Care Classification (AN-ACC), a casemix classification for residential aged care based on the attributes of aged care residents that best predict their need for care: frailty, mobility, motor function, cognition, behaviour, and technical nursing needs.

Results:
The AN-ACC comprises 13 aged care resident classes reflecting differences in resource use. Apart from the class that included palliative care patients, the primary branches were defined by the capacity for mobility; further classification is based on physical capacity, cognitive function, mental health problems, and behaviour. The statistical performance of the AN-ACC was good, as measured by the reduction in variation statistic (RIV; 0.52) and class-specific coefficients of variation. The statistical performance and clinical acceptability of AN-ACC compare favourably with overseas casemix models, and it is better than the current Australian aged care funding model, the Aged Care Funding Instrument (64 classes; RIV, 0.20).

Conclusions:
The care burden associated with frailty, mobility, function, cognition, behaviour and technical nursing needs drives residential aged care resource use. The AN-ACC is sufficiently robust for estimating the funding and staffing requirements of residential aged care facilities in Australia.

Supporting Children and Adolescent

  • 2/11/2020
  • Author: CareSearch
  • Number of views: 0
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2 November (November Intake)
Online

Characteristics of family meetings for patients with advanced disease in an Australian metropolitan tertiary hospital

  • 3 August 2020
  • Author: CareSearch
  • Number of views: 0
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Wang A, Thomas K, Weil J, Hudson P.

Objectives:
Family meetings (FMs) between clinicians, patients and family are recommended as a valuable communication and care planning method in the delivery of palliative care. However, there is a dearth of knowledge regarding FM characteristics, with few studies describing the prevalence, circumstances and content of FMs. The aims of this study were to: (1) measure the prevalence of FMs, (2) examine circumstance and timing of FMs, and (3) explore the content of FMs.

Methods:
A retrospective medical record audit was conducted of 200 patients who died in an Australian hospital of an expected death from advanced disease. Details of FMs were collected using an audit tool, along with patient demographics and admission data.

Results:
33 patients (16.5%) had at least one FM during their inpatient stay. The majority of FMs occurred for patients admitted to an inpatient palliative care unit (59.5%) and were most commonly facilitated by doctors (81.0%). Patient attendance was frequent (40.5%). FM content fell into six categories: medical information, supportive communication behaviours of clinicians, psychosocial support for patients and families, end-of-life discussions, discharge planning and administrative arrangements.

Conclusions:
Despite the benefits FMs confer, FMs appear to be infrequently used at the end of life. When FMs are used, there is a strong medical focus on both facilitation and content. Available FM documentation tools also appear to be underused. Clinicians are encouraged to have a greater understanding of FMs to optimise their use and adopt a proactive and structured approach to the conduct and documentation of FMs.

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