Specialist palliative care services have evolved from the hospice movement and the work of Dame Cicely Saunders. Palliative care services were originally designed for people with cancer. It is now recognised that people living with other life-limiting diseases can benefit from palliative care. Palliative care is appropriate for people living in RAC.
Palliative care nurses have developed special skills in caring for patients with life-limiting illnesses and their families through experience and training. Specialist palliative care nurses have high level skills, postgraduate level education and several years experience in palliative care.
‘Link nurses’ have been used to introduce specialist care into general health areas for many years. The concept has been adapted to develop palliative care skills in the aged care sector. The Australian General Practice Network, under the Rural Palliative Care Program, created several projects that promoted palliative care link nurses in RACFs.
Staff in RAC can consult with specialist palliative care teams on the care of residents. The palliative care nurses may make a site visit or provide remote support as the situation demands. Specialist palliative care nurses maybe employed in RAC as clinical nurse specialists or nurse practitioners.
Roles of Specialist Palliative Care Nurses in RAC
- Clinical care of residents and support for staff providing palliative care
- Counselling, advocacy and support to residents and families
- Liaising with GPs and allied health professionals regarding provision of palliative care services in RAC
- Education of staff and volunteers
- Undertaking and evaluating projects to improve palliative care
- Quality improvement and auditing of palliative care delivery