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Presentation Description
Background: In 2021 a unique but collaborative model of care was established across a local health district. Residential aged care homes (RACFs) across the region implemented the End of Life Direction for Aged Care (ELDAC) program, and the Palliative Aged Care Outcomes Program (PACOP). To maximise support for participating RACF the model was supported with a designated local Clinical Nurse Consultant and Clinical Nurse Educator. This is a case study of the lived experience of the pilot project team.
Goal of work: The model of care seeks to support aged care staff in delivery of evidence-based palliative care through active collaboration of organisations, but locally determined needs and the use of evidence-based tools.
Methods: Flexible funding was sort by the local health district for a collaboration with ELDAC and MLHD Palliative Care Services. This was an innovative model of care for both organisations with a train the trainer style of collaboration and support with 2fte of locally employed staff to run the project on the ground. The local health district organised and sponsored both internal and external education for the aged care workforce to assist in upskilling aged care clinicians in palliative care. All the facilities who joined the project have completed pre-implementation audits and will complete post project audits in July 2023. RACFs had to be supported by the specialist palliative care service in the LHD, from a possible 78 RACFs; 19 RACFs joined, with 6 withdrawing dues to staff and resource shortages. In the second cohort in 2023 7 initially joined with 1 withdrawal.
Findings: We need to be building new models of care through collaboration and partnering with organisations to support the aged care sector to implement change and build growth and sustainability within residential aged care facilities. Facilities are desperately time and staff poor nationally causing disengagement in change. We need to design individual person centred care at a site level through integration of services, education, mentoring, and true collaboration.
Goal of work: The model of care seeks to support aged care staff in delivery of evidence-based palliative care through active collaboration of organisations, but locally determined needs and the use of evidence-based tools.
Methods: Flexible funding was sort by the local health district for a collaboration with ELDAC and MLHD Palliative Care Services. This was an innovative model of care for both organisations with a train the trainer style of collaboration and support with 2fte of locally employed staff to run the project on the ground. The local health district organised and sponsored both internal and external education for the aged care workforce to assist in upskilling aged care clinicians in palliative care. All the facilities who joined the project have completed pre-implementation audits and will complete post project audits in July 2023. RACFs had to be supported by the specialist palliative care service in the LHD, from a possible 78 RACFs; 19 RACFs joined, with 6 withdrawing dues to staff and resource shortages. In the second cohort in 2023 7 initially joined with 1 withdrawal.
Findings: We need to be building new models of care through collaboration and partnering with organisations to support the aged care sector to implement change and build growth and sustainability within residential aged care facilities. Facilities are desperately time and staff poor nationally causing disengagement in change. We need to design individual person centred care at a site level through integration of services, education, mentoring, and true collaboration.
Presenters
Authors
Authors
Natalie Ellis - MLHD Local Health District , Toni Arndell - , Laura Bryce -
