Wheatbelt TelePalliative Care 2016 – 2018 pilot Presented By: Brett Hayes
154,862 sq kms Population: 75,000 13% 180 Palliative Patients 1 Nurse Manger 1 Clinical Nurse 1 Social Worker
317 palli liati ative care patien ients ts 168 deaths ths 143 died d in a health th facility, ty, three ee (3) ) died d in an ambula ulance nce, , 22 died d at home.
Better access to specialist palliative care services in the home To support patients in the terminal phase of life and enable them to die at home To identify clinical support pathways to be accessed via VC
From June 2016 to July 2018 we conducted a test of the current capabilities of Video Conference (VC) technology and an investigation into what could be achieved
TelePalli ePalliative ative Care
2016 /2017 10 1 8 SW VC - 4 6 1 Dr VC - 10 Nurse VC - 27 4 8 2 2 5 1 2 4 1 3 1 3 2 2 2 1 1 1 0 2017 /2018 6 5 2 2 4 77 VCs 1 SW VC - 5 3 2 6 Dr VC - 9 5 2 Nurse VC - 22 4 3 1 1 1 1 2 2 1 1 1 1 0
Preferred ferred place ce of death th 60% (24) wished to die at home 17.5 % (7) wished to die in a hospital 7.5% (3) in an Aged Care facility 15% (6) gave no preference.
Place ce of death th 6% Home 44% Hospital 50% Aged care
Comment ments s from m clini nicians cians VC successful with RPCNM, so medications and orders checked as drawn up via VC. (ampoules and measurements on syringe visible to RPCNM via VC). Carer concerned about s/c safety intima. I checked the site via VC and could see that it was red and inflamed. I watched and directed as the carer disconnected the s/c pump line and connected it to the backup intima. VC to assess a patient’s pressure injury. Injury seen clearly, nurse instructed and watched as carer carried out pressure injury care .
Comments from patients and carers The nurse was able to set up a morphine pump that stopped my wife’s pain. It took all day to get the doctors’ orders and then the medication. The videoconference was just a part of it, it helped the nurse to check what she was doing with a nurse at the other end. We were very grateful to have someone to talk to about what was happening to dad. I talked to the palliative care nurse who organised a meeting straight away. Video Conferencing helped keep my husband at home. It means that we don’t have to travel to an appointment. Travelling in is very difficult and takes a lot of organisation, we have to take so much stuff just to get to Merredin.
VISION FOR THE FUTURE
Kimberley Pilbara Midwest Wheatbelt Goldfields South West Great Southern
THE RIGHT CARE IN THE RIGHT PLACE
Recommend
More recommend
