2017: Hot Topics in Palliative Care: The Challenges of Chronic Disease Management in the Prison Population
Filmed on 3 May 2017 - Listen to Dr Charles Roth speak about "The Challenges of Chronic Disease Management in the Prison Population", as part of the Centre for Palliative Care's regular Hot Topic lecture series.
This presentation provides a brief overview of Prisoner Health Services, patient demographics and statistics in Australian prisons and discusses the high risk behaviours encountered in the prison population and their association with mental health and various infectious diseases. The presentation also provides examples of the challenges of mental illness and chronic disease management, as illustrated with case studies, as well as discussion about the current processes and limitations of managing the dying patient in prison.
2016: Hot Topics in Palliative Care: How 'hot' is dementia? Exploring issues for palliative and aged car
Filmed on 29 June 2017 - Watch Deirdre Fetherstonhaugh PhD speak about "How 'hot' is dementia? Exploring issues for palliative and aged care", as part of the Centre for Palliative Care's regular Hot Topic lecture series.
In 2013 dementia was the second leading cause of death for Australians. Over 50% of people living in residential aged care have a diagnosis of dementia. Most people who live in residential aged care will die there and not everyone will receive specialist palliative care; in fact very few people do. Residential aged care is palliative care. Therefore, staff working in aged care need to ensure that residents have a ‘good’ death and care provided is evidence-based. This presentation will explore some of the issues faced by aged care and palliative care services with the increasing prevalence of dementia in the Australian community. It will also draw on some of the research conducted by ACEBAC in this area.
2015: Hot Topics in Palliative Care: Lifting their spirits: Who provides spiritual care at the end of life?
Filmed on 10 November 2015 - Over the past decade or so spiritual care has become enshrined in palliative care rhetoric and is increasingly reported upon in the general healthcare literature. This literature is not entirely coherent; nor is the rhetoric. There is no agreed definition of spirituality, for example, and this both undermines measurement and blurs the formulation and implementation of policy. But there is a growing consensus around the core themes of spirituality and the need for an organised response.
One of these core themes is meaning-making. Clearly an encounter with the health system is for many people an event that shatters security and disrupts meaning; creates spiritual need, in other words. What is less clear is how the health system should respond – to what extent should healthcare practitioners be responsible for the effects of news they deliver? And if spirituality is a whole-of-life phenomenon, what are limits to a healthcare contribution?
A multi-disciplinary team that takes spiritual care seriously thus faces a range of questions, and some of these were explored in the hot topic discussion.
Dr Bruce Rumbold (Director, Palliative Care Unit, Department of Public Health, La Trobe University)
2014: Hot Topics in Palliative Care: Sedation in Palliative Care - Indications and Guidelines
Filmed on the 22nd October 2014, this webcast includes a lecture style presentation by A/Prof Jennifer Philip about the indications and guidelines around sedation in palliative care, followed by a mulit-disciplinary discussion with the following panellists:
- Dr Justin Dwyer, Psychiatrist in Psychosocial Cancer Care Team, St. Vincent’s Hospital
- John Dalla, Palliative Care Nurse Coordinator at Alfred Health
- Annette Cudmore, Palliative Care Nurse Consultant at Goulburn Valley Hospice Care Consultancy Service Inc
- Dr David Brumley, Palliative Care Physician at Barwon Health and Lecturer at Deakin University
*Three cases will be discussed after the presentation which are all fictitious and an amalgam of patient-clinician scenarios.*
Download the Sedation in Palliative Care - Indications and Guidelines slides.
Slide the timer bar to each section.
- Sedation in Palliative Care- Presentation: 00:25 - 23:35
- Case Study 1 - Joe: 27.45
- Case Study 2 - Mrs K: 40.55
- Case Study 3 - Joyce: 49.06
Care at the end of life: Has the Liverpool Care Pathway lost its way?
Filmed in March 2014, A/Prof Mark Boughey (Director of Palliative Medicine, St Vincent’s Hospital Melbourne and Co-Deputy Director of the Centre for Palliative Care) presented on the outcomes of the Liverpool End-of-Life Care Pathway conference which he attended in late 2013. Additional resource: Response to the Neuberger Review by the International LCP Reference Group