Palliative Care in the Loddon Mallee Region Anita Wild Nurse - PowerPoint PPT Presentation

Palliative Care in the Loddon Mallee Region Anita Wild Nurse Practitioner Loddon Mallee Regional Specialist Palliative Care Consultancy Service

What will we cover? • Loddon Mallee Regional Specialist Palliative Care Consultancy Service • Community Palliative Care • Inpatient Palliative Care • Research in the Loddon Mallee Region

Loddon Mallee Regional Specialist Palliative Care Consultancy Service Who are we?

Loddon Mallee Region Loddon Mallee Region land mass is 26% of Victoria Population: 316,487 Demographic: 49% female 51% male 2.3% are people of Aboriginal and Torres Strait Islander origin, the highest in the state

Loddon Mallee Regional Specialist Palliative Care Consultancy Service • Supports complex palliative care patients • Symptom management • End of life care • Complex discharge planning • Complex physical, spiritual and psycho-social needs • Wide range of incurable conditions including: • Cancer • Degenerative Neurological Disorders • End Stage Chronic illness

Northern Region Service provides: Face to Face Specialist Clinic Telehealth Specialist Clinic Home Visits Ward Consults Education Clinicians: Clinical Nurse Consultant Palliative Care Physician Counsellor- bereavement support Hospital Liasion Nurse Regions covered: Sunraysia Robinvale Ouyen/Mallee Track Health

What does the team look like in the north? Liz Gallagher Dr Corry Deneef Palliative Care and Pain and Palliative Care Aged & Disability CNC Physician • Northern Team (Mildura, Ouyen, Robinvale area): Self, family or Specialist/General Practitioner referral to service • Office Phone: 5025 9028 • Referrals can be made by sending a Service Coordination Template Tool or other comprehensive referral form • Referrals can be sent to the Palliative Care Consultancy team by email: schs@schs.com.au or via Fax on 5025 9029 • For a specialist Palliative Care Consult, the referral needs to be signed by a Medical Practitioner

Southern Region Service provides: Face to Face Specialist Clinic Telehealth Specialist Clinic Home Visits Ward Consults Virtual Ward Round Education Clinicians: Palliative Care Physicians Palliative Care Nurse Practitioner Palliative Care NP Candidate Aged Care and Disability CNC Motor Neurone Disease CNC Regions covered: Bendigo Buloke Shire Campaspe Central Goldfields region Gannawarra Shire Loddon Shire Macedon Ranges Mount Alexander Shire Swan Hill region

What does the team look like in the south? Dr Buddy Dr Becky Chapman Dr Candice Baker Dr Mark Kitching Mudugamuwa Consultant Palliative Consultant Palliative Consultant Palliative Consultant Palliative Care Medicine Medicine and Medical Care Medicine Care Medicine Oncology Ms. Joanna Lane Welsh Angela Munro Ms. Anita Wild Ms. Judy Miatke Palliative Care Motor Neurone Palliative Care Palliative Care Nurse Practitioner Disease CNC Nurse Practitioner and Aged & Candidate Disability CNC

Referrals to Southern LMRSPCCS • Southern Team (Bendigo, Castlemaine, Echuca, Kyneton, Maryborough, Swan hill regions): • Office Phone: 5454 6262 • To make a referral please utilise the attached GP Referral Template. • The form can be returned to the Bendigo Health Referral Centre by email: • ereferral@bendigohealth.org.au or via Fax on 5454 7099 • The Referral Centre phone number is: 5454 7055 • For a specialist Palliative Care Consult, the referral needs to be signed by a Medical Practitioner • The referral template can be downloaded into your ‘Medical Director’ or ‘Best Practice’ Software by following the instructions found in this link: • http://www.bendigohealth.org.au/World_Class_Healthcare_GP_Liason.asp

Specialist Services Community Palliative Care Services Inpatient palliative care Metropolitan based Palliative Care Teams Other regional Consultancy Services Victorian Palliative Care Paediatric Program Calvary Progressive Neurological Centre

Generalist Services General Practitioners Private Sector District Nursing Services ACCHOs RACFs Disability Service Small Rural Hospital Other Specialists

Community Palliative Care Services in the Loddon Mallee Region Where are we?

Community Palliative Care Service • Bendigo • Castlemaine • Echuca • Macedon Ranges • Maryborough • Sunraysia • Swan Hill

Bendigo CPCS • Nurse Led service, Palliative Care Nurses • Operates Monday to Saturday 8am-4.30pm • After Hours phone support by Bendigo Health Hospice • Offers Day Respite Program • Service Catchment by LGA • City of Greater Bendigo and Loddon Shire • Small Rurals Supported • Bendigo Inglewood, Heathcote, Boort • Number of RACF in region: 17 • Average registered patients monthly: 100 patients

Castlemaine CPCS • Nurse Led service, combined with District Nursing • Operates 7 days a week 8am – 6pm • After Hours phone support by Castlemaine Health After Hours Manager • Service Catchment by LGA • Mount Alexander Shire • Small Rurals Supported • Castlemaine and Maldon • Number of RACF in region: 4 • Average registered patients monthly: 20 patients

Echuca CPCS • Nurse Led service, Palliative Care Nurses • Operates Monday to Friday 8am – 4.30pm • After Hours phone support by Echuca Regional Health After Hours Coordinator • Service Catchment by LGA • Shire of Campaspe • Small Rurals Supported • Echuca, Kyabram, Cohuna, Rushworth, Rochester • Number of RACF in region: 10 • Average registered patients monthly: 60-70 patients

Macedon Ranges CPCS • Nurse Led service, combined with District Nursing • Operates Monday to Friday 8am – 7.30pm Saturday and Sunday 8am – 4.30pm • Offers Day Respite Program • After Hours phone support by Kyneton District Health Night Supervisor • Service Catchment by LGA • Macedon Ranges Shire • Number of RACF in region: 5 • Average registered patients monthly: 50 patients

Maryborough CPCS • Nurse Led service, combined with District Nursing • Operates Monday to Friday 8am – 8.30pm Saturday and Sunday 8am – 8.30pm • After Hours phone support by Maryborough District Health Service After Hours Coordinator • Service Catchment by LGA • Central Goldfields Shire • Small Rurals Supported • Maryborough and Dunolly • Number of RACF in region: 4 • Average registered patients monthly: 20-25 patients

Sunraysia CPCS • Nurse Led service, Palliative Care Nurses • Operates Monday – Friday 8.30am – 9pm Saturday and Sunday 8.30am – 5pm • After Hours Support: Community Palliative Care Nurses On Call 24 hours for end of life care (circa 10 days) • Service Catchment by LGA • Rural City of Mildura • Small Rurals Supported • Mildura, Ouyen, Robinvale • Number of RACF in region: 9 • Average registered patients monthly: 120 patients

Swan Hill CPCS • Nurse Led service, Palliative Care Nurses • Operates Monday to Friday 8.30am-5pm District Nursing Service covers weekends • 24 hour phone support by Swan Hill District Health Service Supervisor/Manager • Service Catchment by LGA • Buloke Shire, Gannawarra Shire, Rural City of Swan Hill • Small Rurals Supported • Swan Hill, Sea Lake, Charlton, birchip, Wycheproof, Manangatang, Kerang, Donald

Inpatient Palliative Care Beds • Bendigo Health • Stand Alone Hospice unit • 10 beds • Echuca Regional Health • Incorporated into Rehabilitation ward • 2 beds • Mildura Base hospital • Incorporated into Rehabilitation ward • 2 beds

Research in the Loddon Mallee Region • Palliative Care at Home Project, Bendigo Health • Palliative care Specialist (0.4 EFT) • Registered Nurses (1.74 EFT) • Occupational Therapist (0.31 EFT) • Social Worker (0.31 EFT) • BH Community Care Workforce (Brokered) Two pathways: • 6 - 12 months: Team will assess and plan for preferred place of care and preferred place of death. • Last Days of life: Staff will provide additional support from Community care workforce and Registered nurses. 7 days a week. Active Night sits to enable carers to regenerate

Take Home Messages Community Palliative Care • are Nurse Led services • Variable service provision including access to allied health • Variable after hours support The Consultancy Services • covers the entire Loddon Mallee Region • provides no after hours support • Works closely and collaboratively with CPC • Plays a strategic role in support of the CPC

References • http://www.bendigohealth.org.au/Health_Professionals _Our_Services_Detail.asp?FAQID=100 • http://www.lmrpcc.org.au/ • http://www.erh.org.au/departmentservice/palliative- care/ • http://www.castlemainehealth.org.au/community- services/district-nursing-service/palliative-care/ • http://www.shdh.org.au/programs-and- services/palliativecare • http://www.mdhs.vic.gov.au/services/ • http://www.kynetonhealth.org.au/in-hospital/palliative/ • https://www.schs.com.au/services/palliative-care • qualityaccount2017.com.au