How to assess palliative care needs: Should we be taking a more creative approach?

PROGRAMME

Making a difference by identifying people with palliative care needs using SPICT

Dr Kirsty Boyd 

The 2022 Lancet Commission reminds us of the central role of a palliative care approach focused on holistic, value based care in enabling people to live and die well.  People around the world are still identified too late to benefit from early palliative care and proactive future planning for changes in their health, care or personal situation.  Using clinical indicators prompts clinicians and teams to identify people and their families who can benefit from palliative care and/or proactive, personalised care planning.  SPICT is a simple clinical tool designed to do this that is now available in many languages and in versions adapted to different countries and contexts including lower income settings (SPICT-LIS).  A version in lay language (SPICT-4ALL) empowers people to ask for more help and support and also suits residential care settings.  This presentation gives an overview of the range of SPICT resources that are freely available to support identification and holistic care planning.

Palliative paramedicine: Challenging perceptions, building paramedic capacity and embracing integrated models of care

Ms Madeleine Juhrmann

Paramedics are a highly skilled and unique workforce, attending to patients in the community 24/7 across all locations.  As global populations age and community preferences to die at home increase, new models of paramedic practice are required to respond to the growing needs of palliative care patients, especially out-of-hours.  In this presentation, Australian PhD Candidate Madeleine Juhrmann will report on the findings of her research exploring the role of paramedics delivering palliative and end-of-life care in Australian communities, which aims to develop a palliative paramedicine framework suitable for national implementation.  Strong consensus exists amongst experts that a multi-faceted framework is required to address the structural, service, community and individual factors influencing palliative paramedicine practice. Implementing this framework, in partnership with ambulance services and the palliative care community, will aim to standardise best practice and strengthen a culture of interdisciplinary palliative care across Australia.

Questions and Answers

Moderated by Professor Naveen Salins

Questions can be submitted using the Chat function during the webinar. 

SPEAKERS

Dr Kirsty Boyd, MBChB, MD, FRCPS (Glas)

Usher Institute, University of Edinburgh

Dr Kirsty Boyd worked clinically as consultant in Palliative Medicine for over 20 years and leads the multidisciplinary Primary Palliative Care Research Group (PPCRG) at the University of Edinburgh, including the SPICT (Supportive and Palliative Care Indicators Tool) international programme (www.spict.org.uk). The PPCRG conducts mixed method research and promotes service redesign and educational initiatives (for professionals and members of the public). Our aim is to support improvements in general palliative care delivered by teams working in the community, care homes and hospital settings alongside specialist palliative care in the UK and internationally. We are committed to effective public-patient involvement including with people from underserved or minority groups.

Ms Madeleine Juhrmann

University of Sydney Faculty of Medicine and The Palliative Centre HammondCare

Madeleine Juhrmann is a final year PhD Candidate at the University of Sydney’s Northern Clinical School, and Research Assistant at HammondCare’s Palliative Centre.  With a clinical, policy and research background in paramedicine, public health and palliative care, Madeleine’s key interests lie in improving care for people with life-limiting illnesses and reducing avoidable hospital admissions.  Her PhD focusses on broadening the role of paramedics delivering palliative and end-of-life care in Australian communities.  As part of this research, Madeleine is developing a palliative paramedicine framework suitable for national implementation, to standardise best practice and embrace integrated models of palliative care. 

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