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Oceanic Palliative Care Conference 2023
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Virtual engagement for Advance Care Directives

Workshop

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Presentation Description

Institution: Illawarra Shoalhaven Local Health District, NSW Health - NSW, Australia

Person centred care that empowers patients to express and document their preferences for care is challenging for many reasons including limited knowledge of Advance Care Planning, discomfort with topic, timing of discussions and processes to support patients in their values and choices. A novel virtual method from a community health service has around a 70% completion rate of ACDs. 
 
The Virtually Enhanced Community Care (VeCC) service comprises a multidisciplinary team where care is delivered virtually. The service provides medical monitoring, nursing, and allied health interventions to people with end stage respiratory and cardiac conditions. VeCC Social Workers lead Advance Care Planning and completion of directives. The process of patient engagement is as important as the outcome and is pivotal to the success of completion rates.
 
Aim
To demonstrate how advance care planning discussions and completion rates can be delivered virtually.
 
Learning Outcomes 
  • Understand challenges of undertaking Advance Care Planning via virtual means.
  • Critically reflect on communication style and practices.
  • Identify enablers that can increase completion rates of ACDs.
 
Proposed Methodology 
This workshop will be facilitated by VeCC staff.  A brief presentation will provide the context and background to the service, the Advance Care Planning project and set the scene for the interactive activity.
·         Participants will be paired, one provided with an iPad with ACD forms downloaded and the other will simulate clinician videoconference with a written ACD document to facilitate the discussion.
  • Each pair will be given a communication challenge i.e., Hearing or visual impairment, language barrier, technology and literacy issues and work or environmental distractions.
  • Facilitators will observe interactions and bring the group back for reflections and feedback.
  • Facilitators will conclude the session with strategies to address the challenges.
 
Maximum number of participants = 40
 
Target Group = non-specialist clinicians and those who work with people with chronic conditions.

Presenters

Authors

Authors

Virtual engagement for Advance Care Directives Trevor Blackburn Mr - NSW Health , Virtual engagement for Advance Care Directives Juby Thomas Mr - NSW Health , Samantha Broyd -

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