Quality End of Life Care Education

Helping to advance meaningful and practical End of Life Care in Residential Aged Care

Helping to advance meaningful and practical End of Life Care in Residential Aged Care

The Quality End Of Life Care (QEOLC) project is a quality improvement and education initiative, which aims to advance the quality of End of Life Care for older people in residential aged care homes (RACH) in Australia. Funded by Sydney North Health Network and in collaboration with HammondCare, the Quality End of Life Care Communities of Practice has been developed in Northern Sydney.  

A dedicated team of residential palliative care experts

HammondCare’s Specialist Palliative care team consists of a Clinical Nurse Educator and Project Lead working with participating aged care homes to embed a Palliative approach to care for residents. As well as providing the best evidence-based care for those with life-limiting illness, this project helps to increase the capacity and capability of staff, including Care Managers, Registered Nurses, Care Workers, RAOs and GPs supporting aged care homes within the Northern Sydney Local Health District region, while also strengthening links between networks and integrating care pathways.

The Quality EOLC Communities of Practice community invites members to specialist tele-education sessions, shares regular highlights and member updates on current industry best practice, along with valuable resources developed by the National Palliative Care projects, such as ELDAC, CareSearch, PalliAged and The Advance Project.

HammondCare has partnered with the Palliative Care Outcomes Collaboration (PCOC) to further improve outcomes by introducing routine screening, assessment and response models to identify and respond to palliative need. 

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HammondCare pilot sites

HammondCare commenced a 12-month pilot in November 2020 at two of its residential aged care sites: North Turramurra in Sydney and Scone in the Hunter region of NSW. This pilot will consist of five streams of work, including:

  • 10 staff education modules
  • Implementing the PCOC framework
  • PEPA Placements
  • Palliative Care case conferencing
  • Embedding in practice, through developing new policies and procedures to support end-of-life care for residents

A range of qualitative and quantitative evaluation tools will be used to measure this pilot, with results available in early 2022.

If you are a health professional, who would like to learn more about the Quality End of Life Care project, then sign up to our newsletter. 

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What is the overall objective of the project?

The objective is to enable the needs, goals and preferences of residents in aged care homes (nearing the end of life) to be recognised and addressed. By achieving this objective, comfort is maximised and dignity is preserved. Workforce capacity, satisfaction and confidence is strengthened by having the knowledge and tools to achieve this.

Who is this education available to?

The education is designed to improve the capacity and confidence of Care Managers, Registered Nurses, Care Workers, Recreational Activity officers and GP’s. The QEOLC project recognises that, in order to provide quality care, all staff members have a role to play. Therefore, HammondCare has developed inclusive education modules that are aimed across the aged care home workforce.

What are the key areas of learning?

Palliative Care, End of Life Care and Advance Care Planning in residential aged care, including implementation of processes and quality improvement activities to embed a palliative care approach within the RACH.

The training models offered include:

  • A palliative approach to care
  • Assessing the deteriorating patient and diagnosing dying using tools
  • Advance Care Planning
  • Symptom control at end of life
  • Person-centred care at end of life
  • Pain and Delirium Management

What is the purpose and benefits of this training? 

The purpose of training is to help improve the confidence and capacity of staff, being able to recognise the Palliative stages of care. Ensuring that all staff are familiar with the language used and evidence-based tools that assist to identify resident needs, such as SPICT (Supportive and Palliative Care Indicators) tool both clinical and SPICT -4ALL (families and carers) and the PCOC Phases tool (Palliative Care Outcomes).

The foundation of the Advance Care Planning training is based on asking “What do I need to know about you to care for you best?”.

The training modules are based on the following:

  • Promotion of care that is consistent with a person’s goals, values, beliefs and preferences
  • Assist staff to prepare people and their substitute decision-makers for making healthcare decisions
  • Good Advance care planning improves outcomes for people, their family and carers, health, aged and community care workers, and the health system
  • ACP must be part of routine care and the person’s healthcare journey
  • An ongoing process, it’s a series of conversations not just a tick box form to fill in

How can I learn more and participate in training and education?

The QEOLC project works with residential care homes in the Northern Sydney LHD, please This email address is being protected from spambots. You need JavaScript enabled to view it. your EOI if you would like to participate in future education and training.

Tele-educations sessions are open to facilities and staff located in Northern Sydney.

However, if your organisation is interested in training opportunities please contact the Program Manager below.

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What resources are available? 

The Quality EOLC Project has produced the following resources which are available for purchase:

Quality End of Life Care Resource Book  

A comprehensive resource covering key issues from identifying patients coming to the end of life and requiring palliative care, management strategies including pain, breathlessness, opioid conversion charges and troubleshooting syringe drivers. Key links to educational and professional development and key resources included. This guide is popular with both residential care facilities and visiting General Practitioners  

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Quality End of Life Care Flipchart

The flipchart provides clear guidance for end of life symptom management. Each symptom from depression and anxiety to shortness of breath and constipation, to name a few, is addressed by reviewing possible causes, questions to ask, what to do clinically and what non-medical treatments can be provided. 

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To find out more about HammondCare's Quality End of Life Care, please fill out the contact form below:

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