Palliative care. Policy and procedures
|
|
- Harvey McGee
- 8 years ago
- Views:
Transcription
1 Palliative care Policy and procedures Final 1.0 Accommodation Policy and Development Directorate Ageing, Disability and Home Care Department Family and Community Services NSW October 2005 Amended September 2010, April 2012
2 Document approval The document Palliative care policy and procedures has been endorsed and approved by: Chief Executive, ADHC Deputy Director-General, ADHC Document version control Document name: Palliative care policy and procedures Version: 1.0 Document status: File name: Authoring unit: Final Palliative care policy and procedures Accommodation Policy and Development Directorate Date approved: October 2005 Amended September 2010, April 2012 Distribution: ADHC operated and funded accommodation support services
3 Table of contents 1 Background Purpose Minimum requirements Legislative framework Target groups Position statement Principles Explanation of terms Legislation Attachments Resources and guidelines Contacts Operational procedures for services operated by ADHC Appendix 1: Chairing a palliative care planning meeting Appendix 2: Ethical decision making Attachment 1 Palliative Care Plan
4 1 Background Palliative care is the active total care of people whose disease is not responsive to curative treatment. Care is delivered by coordinated medical, nursing and allied health services and is provided, where possible, in the environment of the person s choice. Control of pain, management of other symptoms and support for psychological, social, emotional issues and spirituality is paramount. It includes the provision of grief and bereavement support for the families, partners and carers during the life of the client and following his or her death. Palliative care is generally provided to people of all ages whose condition has progressed beyond the stage where curative treatment is effective and/or a cure is attainable, or to those who choose not to pursue curative treatment. 2 Purpose This document sets out policy to direct staff to support a person with a disability living in a Department Family and Community Services NSW, Ageing, Disability and Home Care (ADHC) funded or operated accommodation support service who has been diagnosised with a progressive advanced disease or terminal illness to develop, implement and review a palliative care plan. The operational procedures are mandatory for ADHC and its operated services. Funded services may develop their own procedures or adapt and use these. 3 Minimum requirements Every person with a disability in an ADHC operated or funded accommodation support service with a diagnosis of a terminal illness or a progressive advanced disease must have a palliative care plan that is developed and reviewed with the NSW Department of Health s palliative care services. Staff in ADHC operated or funded services must maintain documented procedures for developing and reviewing a palliative care plan that give effect to this policy and meet the principles set out below. 4 Legislative framework Disability Services Act 1993 and standards. 5 Target groups People with a disability in an ADHC operated or funded accommodation support service. 1
5 6 Position statement ADHC will ensure that services to clients with a terminal illness or progressive advanced disease reflect good health practices. Early access to services that embody the concepts and principles of palliative care has significant impact upon the health and quality of life of the client. This policy is consistent with the New South Wales palliative care framework: a guide to the provision of palliative care in NSW Every client in an ADHC funded or operated accommodation support service with a diagnosis of a terminal illness or progressive advanced disease will have a palliative care plan. 7 Principles 1. All clients have the right to be informed that they have a terminal illness or progressive advanced disease. 2. A palliative care planning process is based on a comprehensive approach and includes the needs and wishes of the client. 3. The client, their family, person responsible or guardian have the right to information and to make decisions regarding support needs and medical treatment. 4. The client, their family, person responsible or guardian are supported to access information about available diagnostic and therapeutic options, and to be involved in decision making about withholding and withdrawing life prolonging treatment where the risks and benefits of doing so are understood. 5. Clients are supported to participate as fully as possible in the decisions regarding the medical care they receive. 6. It is the responsibility of the treating medical officer to communicate to the client and/or person responsible about the diagnosis, treatment and prognosis. 7. Every client with a diagnosis of a terminal illness or progressive advanced disease will have a palliative care plan. If staff feel that the name palliative care plan may cause distress for clients, their family and/or person responsible with a diagnosis of a progressive advanced disease the name of the plan can be changed accordingly. 8. It is mandatory that the palliative care plan include documented evidence of decision-making processes and outcomes to demonstrate accountability. 9. The client, their family, person responsible or guardian s preference for life prolonging treatment is not static over time. Changes either in favour of, or against, active treatment may occur as an appreciation of their clinical situation develops. Regular review of the palliative care plan is a mandatory part of the planning development. 2
6 10. Where there is disagreement or dispute around decision making, the use of a dispute resolution strategy is required. A referral to a mediation service may be necessary. 11. The client receives support to continue regular social contact and involvement in daily activities to the extent they are able to and choose to do so. 12. It is recognised that the prognoses from doctors are only ever estimates. Individuals will respond differently to treatment. The length of time and how well a person lives are dependent on many factors beyond predicability. 13. It is important to have the same staff member, if possible, deliver information about the client s health to the client, their family, person responsible and/or advocate to ensure consistency. 14. An interdisciplinary team approach to providing coordinated medical, nursing and allied services to the client, their family, person responsible and/or advocate is encouraged to maximise positive outcomes for the client. 15. The client, their family, person responsible or guardian are referred to a bereavement support program if the need is identified in the planning process. 16. The primary responsibility of health care rests with the NSW Department of Health. The client s accommodation support needs are met by services funded or operated by ADHC. 17. When a client s health care becomes their highest priority, for instance the client requires care that is beyond the capabilities and/or skill of the residential support staff or carer, or beyond the assistance that can be provided to residential support staff or carer by the NSW Department of Health, palliative care team, they are then transferred to a hospital or palliative care facility. 18. Palliative care is provided in a culturally appropriate way. Cultural and linguistic diversity will be appreciated and reflected in planning provision of support to people with a disability and their families. 19. Service providers need to be sensitive to the needs of families from culturally and linguistically diverse backgrounds. Families may need to be supported to access services as in many cases they will not know how the service system works, what services are available and what questions to ask. 20. When the client and family is from an Aboriginal and Torres Strait Island culture the planning process must support the social structure of the Aboriginal and Torres Strait Islander community. Issues to consider when planning palliative care for clients and their families who are Aboriginal or Torres Strait Islanders The notion of family in Aboriginal communities may be different to the contemporary western concept or understanding of a nuclear family. There may be more than one set of parents and the extended family may play a major role in decision-making. Access to specialist Aboriginal services, carers and staff is an important part of the recognition of self-determination principles for people with a disability who are Aboriginal. 3
7 Except where there are well-established Indigenous medical services, healthcare facilities of all types are used reluctantly. Health decisions tend to be a family or community affair. Family structure is complex and can be governed by recognised obligations and cultural rules. Gender issues are important, with women s business and men s business being defined and generally held separate. Causes of disease in Indigenous communities can sometimes be understood or perceived as stemming, in part, from exposure to metaphysical forces, alienation from the homeland or some personal deficiency. Different interpretations of diagnosis and cause may create distrust between staff and clients. 8 Explanation of terms Accommodation support service The following service types are included under the accommodation support program: large residential, small residential, group homes and in-home accommodation support care. Bereavement A form of grief, which refers specifically to the subjective response a person experiences as the result of the death of a significant person. Bereavement may be experienced by any person who has had an involvement with the deceased. Bereavement support and counselling The support provided to persons who are experiencing bereavement or grief following the death of a significant person. Staff may make a referral to a bereavement counselling service. Delegate In ADHC a staff member appointed by a Manager and/or Senior Manager to perform specific tasks. Ethical decision making Ethical decisions are required when questions are raised concerning quality of care, conflict with clients, relationships with other professionals and equity in service delivery. Just as in other collaborative service delivery models, ethical decision-making requires all involved to cooperate in efforts to arrive at a decision. Rules and principles are not sufficient in addressing ethical questions, particularly in situations where there are no adequate rules on which to base a solution. Health care problems require rational application of evidence and reason, but rules and principles are best considered within a holistic frame of reference that considers the context of the ethical question. 4
8 Arguments and opinions relating to ethical questions are value-laden and each participant brings to the process their own interpretation of the facts and their own bias in considering the options. There are three central characteristics of effective ethical decision-making processes: 1. participants within a discussion must bring true and relevant evidence to the conversation, so that the focus of communication is on sound arguments including evidence about facts, values, emotions, beliefs and cultural differences; 2. in order for the conversation to proceed, the participants need to adopt an open and empathic attitude. This requires sensitivity and tolerance to the opinions held by others and a willingness to negotiate and respect each other; and 3. the consensus decisions reached through the process are deemed valid. Grief Grief reactions generally occur in response to the loss of one or more persons to whom the person is strongly emotionally attached. The journey through grief is a highly individual experience. Grief does not follow a linear pattern. Much grieving is about expressing emotion. Major cultural factors also influence how grief is expressed and managed. People from some cultures express their grief loudly and publicly, while others become silent and withdrawn. Manager In ADHC this term refers to Team Leaders and Coordinators Accommodation and Respite and Residential Nurse Unit Managers. No cardiopulmonary resuscitation (CPR) orders Cardiopulmonary resuscitation (CPR) is a medical intervention designed to support circulation and respiration in the event of cardiac or cardiopulmonary arrest while the cause of the arrest is managed and spontaneous function restored. The appropriateness of CPR is determined by the treating medical doctor in consultation with the client and their person responsible. The appropriateness is determined having regard to the broad goals of treatment for that particular person. The decision will be documented and signed by the treating medical officer and the person responsible. As with emergency procedures, an exemption to the requirement for consent occurs as most clients are incapable at the moment of arrest of communicating their treatment preferences, and failure to render immediate care is certain to result in death. Where no explicit decision has been made about the appropriateness, or otherwise, of attempting resuscitation in the hospitalised patient, then resuscitation should be commenced until a senior doctor is available who should determine, based on likely prognosis, whether CPR should continue and then direct the team accordingly. Palliative care planning Best outcomes can be realised through planning. Good planning focuses on client needs, including physical, emotional/psychological, social, family, spiritual/religious, future care, communication with others, equipment and/or additional human resources and education about palliative care. Good planning strengthens the linkages between acute and specialist palliative care services, inpatient and community based services, 5
9 general medical practitioners, community nurses, allied health professionals and disability services. Palliative care plan A palliative care plan documents the agreed strategies to meet the client s needs related to their terminal illness or progressive advanced disease. A palliative care plan is developed with parties involved in the client s life, while consulting closely with medical professionals, determining how care is to be provided as death approaches. A client s cultural needs are documented in the palliative care plan through the planning areas. These include physical, emotional/ psychological, social, family, spiritual/religious, future care, communication with others about the illness, and equipment and/or additional human resources. The planning areas that form part of the palliative care planning are factors that influence individual and family and cultural needs. Effective communication with clients their family, person responsible and/ or advocates will address this need. The palliative care plan may propose treatments, pain management, how and when admission to hospital will occur, where the client would like to die and the use of life sustaining medical intervention. Palliative care services Palliative care services provide a range of services to clients and their families. These may be nursing, medical care including consultancy to the person s treating medical doctor, day care, counselling, diet advice, loan of equipment, physiotherapy, occupational therapy, social workers, bereavement support, pastoral care and a wide range of support from trained workers. Palliative care services are involved in the care of clients who are distressed, or who are at risk of being distressed as a consequence of this process. A palliative care service may be provided, in collaboration with the client s primary care team, at any time from the diagnosis of a condition with a limited prognosis until after the death of a client. Person responsible As stated in the Guardianship Act 1987 a person responsible only exists where the client is unable to give informed consent. 1) Person responsible for a child is the person having parental responsibility (within the meaning of the Children and Young Persons (Care and Protection) Act 1998) for the child. However the person responsible is the Minister if the child is in the care of the Minister or Chief Executive if the child is in the care of the Chief Executive. 2) Person responsible for person in care of Chief Executive. The person responsible for a person in the care of the Chief Executive under section 13 is the Chief Executive, 3) Person responsible for another person. There is a hierarchy of persons from whom the person responsible for a person other than a child or a person in care of the Chief Executive under section 13 is to be ascertained. That hierarchy is, in descending order: a) The person s person responsible, if any, but only if the order or instrument appointing the person responsible to exercise the function of 6
10 giving consent to the carrying out of medical or dental treatment on the person, b) The spouse of the person, if any, if 1. Operational hierarchy If: (i) The relationship between the person and the spouse is close and continuing, and (ii) The spouse is not a person under guardianship, (iii) A person who has the care of the person, (iv) A close friend or relative of the person. a) a person who is, in accordance with the hierarchy referred to in subsection (4), the person responsible for a particular person declines in writing to exercise the functions under this Part of a person responsible, or b) a medical practitioner or other person qualified to give an expert opinion on the first person s condition certifies in writing that the person is not capable of carrying out those functions, the person next in the hierarchy is the person responsible for the particular person. The role of the person responsible is to: Disclose to the service providers relevant statements and wishes previously made by the client. Present any documents containing these advance statements. Contribute to discussion of what may be in the client s best interests. Under the Guardianship Act 1987 substitute consent to medical care and treatment, whether by a person responsible must promote the client s health and wellbeing. A person responsible may also refuse to consent to medical treatment. The person responsible is not necessarily the client s next of kin, but is selected in accordance with the following hierarchy (Guardianship Act 1987) If the person is under guardianship, the guardian is the person responsible. If there is no enduring guardian, a spouse or de facto spouse who must have a close, continuing relationship with the client may be the person responsible. A de facto spouse includes same sex partners. If there is no person responsible or spouse, an unpaid carer who has provided care for the client may be the person responsible. If there is no carer, then a relative or friend who has a close personal relationship with the client can perform the role of person responsible /person responsible. Where doubt exists, the Guardianship Tribunal can clarify who is the appropriate person responsible. Telephone (02) or Religion A particular system of faith and worship. Religion is human beings' relation to that which they regard as holy, sacred, spiritual, or divine. Religion is commonly regarded as consisting of a person's relation to God or to gods or spirits. Worship is the most basic element of religion, but moral conduct, right belief, and participation in religious 7
11 institutions generally also constitute elements of the religious life as practised by believers and worshippers and as commanded by religious sages and scriptures. Senior Manager In ADHC this term refers to Managers, Accommodation and Respite and Regional Managers, Accommodation and Respite and Nurse Manager Accommodation and Nursing Services (Residence). Spirituality In the palliative care context, spiritual care supports people in searching for meaning in their dying. Spiritual care encourages and supports people in a quest for meaning and personal autonomy. It is offered, not imposed. In palliative care, responsibility for spiritual care is shared by the whole team, with leadership given by specialist practitioners such as pastoral care workers. In the case of an Aboriginal or Torres Strait Islander client this could include a specialist practitioner or pastoral care worker, but it may also be a significant Aboriginal or Torres Strait Islander community person. 9 Legislation Guardianship Act 1987 Disability Services Act 1993 and standards 10 Attachments Attachment 1 Palliative care plan 11 Resources and guidelines Decision making and consent policy and procedures Family relationships policy and procedures The Centre for Developmental Disability Studies, February 2002, Swallowing and nutrition difficulties in people with developmental disability: a literature review with bibliography. Health care policy and procedures Bruce D Rumbold, The Medical Journal of Australia 2003, Caring for the spirit: lessons from working with the dying. Individual planning policy and procedures Client death policy and procedures 8
12 12 Contacts Guardianship Tribunal Locked Bag 9 Balmain NSW 2041 Tel: Monday to Friday 9 a.m. to 5.15 p.m. phone: (02) or tollfree: or TTY (02) mailto:gt@gt.nsw.gov.au St James Ethic Centre Telephone on +61 (0) or by at contact@ethics.org.au List of palliative care services NSW Department of Health Multicultural Health Services and Programs in NSW 13 Operational procedures for services operated by ADHC Informing clients of diagnosis 1. Manager and/or delegate, together with the family identify the person responsible (see explanation of terms) in regard to decisions about medical care and treatment. The person responsible is documented in the client s file and staff communicate with the person responsible about the client s illness and treatment. Where doubt exists, the Guardianship Tribunal can clarify who is the appropriate person responsible. Telephone (02) or Where a client does not have a person responsible an application is made by the Manager for the appointment of a Public Guardian to make decisions about the client s medical care and treatment. 2. It is the responsibility of the treating medical officer to inform the person responsible of the client s diagnosis. If the client has seen the doctor without the person responsible, it is the responsibility of staff present at the appointment to communicate to the treating medical officer that he/she will need to inform the person responsible of the diagnosis. 3. If the client has not previously been informed that they have a terminal illness or a progressive advanced disease, the doctor asks the person responsible how they would like the client to be informed of their illness. The Manager will document the discussions and outcome and place the information on the client s file. 4. The Manager and/or delegate must ensure that the information is provided to the client in a language that optimises their understanding of the diagnosis and treatment. 9
13 5. If the person responsible requires support to inform the client about their diagnosis then a referral to a social worker at the treating hospital or other appropriate venue can be facilitated by the Manager with permission of the person responsible. 6. The Manager asks the client and the person responsible whether they agree to inform the other clients with whom they live about the client s illness. All discussions and outcomes will be documented and filed in the client s individual file. 7. The Manager will inform the staff working directly with the client of the diagnosis in order to implement the palliative care plan. Caution must be taken in disclosing medical information without sufficient need or justification. 8. The Manager discusses with the client and/or the person responsible whether they would like to develop a Will and documents the decision in the client s file. Referral to other services 1. A second opinion maybe obtained when a client is diagnosed with a terminal illness as diagnosis, treatment options and prognosis can differ from one doctor to another. If required the Manager will arrange an appointment for a second opinion in consultation with the person responsible. 2. The Manager and/or delegate ensure the client has a referral by the treating medical doctor to the Local Area Health Service palliative care team. The Manager ensures that the palliative care team is informed if the client is Aboriginal, Torres Strait Island or culturally and linguistically diverse background so they can receive specialist services where possible. 3. Following the diagnosis of a terminal illness or progressive advanced disease a referral to Community Support Team may be required for assistance with the development of a palliative care plan. 4. If the client and their family are from an Aboriginal, Torres Strait Islander or cultural and linguistically diverse background the Manager refers the client and/or person responsible to the ADHC Community Support Team so they can receive relevant specialist services, where possible. 5. When a client and their family are from a cultural and linguistic diverse background the Manager asks the client/ family what support they require in order to communicate. Proficiency in English needs to be considered in terms of listening, speaking, reading and writing. When communication needs are determined the Manager makes a referral to an Interpreter service for specific communication support. 6. The Manager ensures that, where required, the counselling needs of staff members and clients (where agreement has been sought to inform the clients) who reside in the same accommodation service are met. 7. The Manager provides the client and the person responsible with information about appropriate support services and/or bereavement services. 10
14 Developing palliative care plans 1. A palliative care plan (attachment 1) is developed with all clients with a terminal illness or progressive advanced disease within four weeks of the diagnosis of the illness. 2. Palliative care plans are dynamic and need to be updated regularly as the client s condition and preferences change. 3. The treating medical officer(s) and other providers along with the client and the person responsible contribute to the planning process on a regular basis. 4. The palliative care plan documents the agreed strategies to meet the client s needs related to their terminal illness or progressive advanced disease. Palliative care planning meetings are minuted and all treatment options are considered and discussed. The Senior Manager will identify a staff member who will coordinate the planning process. 5. The Senior Manager discusses with the client and the person responsible where they would like to have the palliative care meetings. 6. The Senior Manager ensures each of the areas of need are discussed in the planning process and prioritised with the client and the person responsible. Categories for discussion at the palliative care plan meeting include: Physical Emotional/ psychological Social Family Spiritual/religious Socio-economic Communication with others about the diagnosis Support requirements including equipment and/or additional human resources. 7. The Senior Manager chairs the palliative care plan meeting, discusses with the client and the person responsible in advance who should be invited and decides on a suitable venue to hold the meeting (refer to appendix 1). The meeting should include all relevant health and service providers, for example Manager, Key Worker, treating medical officer(s), palliative care nurse, therapists and social worker. 8. The Senior Manager books a meeting room (if a meeting room setting is identified as an appropriate setting by the person responsible ) in a quiet location and sends invitations to all persons selected to attend the meeting. Where a member of the palliative care plan meeting cannot attend in person or by teleconference a report is provided and tabled at the meeting. 9. The Senior Manager reviews their knowledge of the illness, prognosis and treatment options prior to the meeting. Implementing and reviewing palliative care plans 1. The Manager briefs all staff working with the client about the client s illness and the palliative care plan. 11
15 2. The Manager is responsible for ensuring the palliative care plan is reviewed regularly with the client, the person responsible and other relevant health and service providers. 3. The client s individual plan is reviewed by the Manager, key worker, client and the person responsible to ensure the goals in the individual plan reflect the client s current needs. 4. Staff implement the palliative care plan. Withdrawal of active treatment 1. Where a decision is required about the withdrawal of active treatment and/or pain management, the treating medical officer discusses this with the client and the person responsible. Any consent sought from the client should be consistent with considerations for valid consent outlined in the decision making and consent policy and procedures. 2. The treating medical officer is responsible for referring a matter to the Guardianship Tribunal in cases where the client s person responsible is unable to reach agreement about the withdrawal of medical treatment or medication. 3. Where the death of a client appears imminent, the responsibility for the delivery of medical care to the client, who is terminally ill, lies with the attending medical officer. Details regarding options must be discussed and documented fully. The attending medical officer is required to seek the client s informed consent and/or consent from the person responsible for the provision or cessation of treatment. No cardiopulmonary resuscitation (CPR) orders (See Explanation of Terms) 1. Cessation of breathing and circulation is an inevitable part of the dying process. The appropriateness of CPR in this event is determined by the treating medical doctor in consultation with the client and the person responsible. The treating medical officer considers CPR within the broad goals of treatment for that particular person. The decision will be documented and signed by the treating medical officer and the client (if appropriate) and/or their person responsible. The No CPR order is placed in the client s individual file. 2. The Manager is responsible for ensuring an No CPR order is clearly documented in the client s palliative care plan to demonstrate that the client and their person responsible are exercising their right of refusal of CPR treatment and that decisions about the use of resuscitation techniques have not been arbitrarily made. This Order is to be discussed with all relevant staff to ensure they are informed of the decision. 3. Where the treating medical doctor has determined in consultation with the client and their person responsible that CPR is not to be used on a client, it is appropriate that staff implement the No CPR order in a group home or residence. 4. The Manager will ensure that the No CPR order is documented on and attached to the palliative care plan form which is stored in the client s file. 5. At every appointment the client has with the treating medical doctor, the validity of the No CPR order is confirmed by the issuing doctor. The doctor signs and dates the order on each occasion. 12
16 Dispute Resolution 1. In some instances disputes may arise between the client, the person responsible and those making recommendations about medical procedures or treatment(s). 2. In these instances the Senior Manager works with the client and the person responsible to resolve the dispute. 3. When working with the client and the person responsible, the Manager will adopt an ethical decision making framework (see explanation of terms) in order to develop strategies (see appendix 2) that are in the best interests of the person. 4. When ethical dilemmas arise and information is required, the St James Ethics Centre have trained Ethics Counselors who may assist on telephone Where irresolvable disputes arise between the client, the person responsible and those making recommendations about medical treatment(s) and procedures, the Senior Manager seeks advice from the Guardianship Tribunal. When a client dies 1. When a client dies, refer to the client death policy. 13
17 14 Appendix 1: Chairing a palliative care planning meeting The Chair will complete the following duties: 1. Introduce all members. 2. Collect all names and contact details of members of the meeting. 3. Discuss the goals of the meeting. 4. Establish the client's or person responsible understanding of the condition and ask them to narrate how they or the client has come to this stage. 5. Review what has happened and is happening for them or to the client. 6. Discuss the prognosis. 7. Acknowledge any uncertainty in the prognosis if this exists. Ask the treating medical officer to describe what the client s death might be like, if this is imminent, and what practical steps follow next. 8. If the client has a person responsible review the principle of substituted judgement: what would the client want were he or she here deciding for themselves? 9. Support the client or person responsible decisions. 10. Make explicit what care will be provided and by whom care can be delivered. 11. Use repetition to show that you understand what the client or person responsible is saying. 12. Be prepared for the possible strong expression of grief or anger. 13. Allow sufficient time for others to absorb information. 14. Ask for questions. 15. Prioritise actions and set a date to review the plan. 16. Plan a communication system and elect a core group of essential people (for example the person responsible, treating medical doctor, Manager Accommodation and Respite/ Nurse Manager Accommodation and Nursing Services) to consult with in the case where the client s health deteriorates quickly or in an emergency. 17. Develop a follow up plan and ensure the client or person responsible knows how to reach you, the chair, with questions. 18. Having a support person such as a nurse, social worker or pastoral care worker stay with the client or person responsible and family after the meeting concludes may be helpful. After the meeting 19. Write minutes and actions on the palliative care plan (PCF01) and distribute to all participants. 20. Circulate the palliative care plan and contact list to all members. 21. Put the palliative care plan and contact list in the client s palliative care plan folder. 22. Brief all staff working in the unit on the current palliative care plan. 14
18 15 Appendix 2: Ethical decision making A quick guide If you are faced with an ethical dilemma and are considering which course of action to take, the following questions may help you in your decision-making process. What are the relevant facts? Which of my values make these facts significant? What assumptions am I making? What are the weaknesses in my own position? Would I be happy if my family knew what I d done? What will doing this do to my character or the character of the organisation? What would happen if everybody took this course of action? How would I feel if my actions were to impact upon my child or parent? Have I really thought through the issues? Have I considered the possibility that the ends may justify the means? This information is from the St James Ethics Centre, Sydney NSW, Ethical decision making - a quick guide. For further information about St James Ethics Centre, Please contact by telephone on +61 (0) or by at contact@ethics.org.au 15
Priorities of Care for the Dying Person Duties and Responsibilities of Health and Care Staff with prompts for practice
Priorities of Care for the Dying Person Duties and Responsibilities of Health and Care Staff with prompts for practice Published June 2014 by the Leadership Alliance for the Care of Dying People 1 About
More informationDecision-making for the End of Life
COLLEGE OF PHYSICIANS AND SURGEONS OF ONTARIO POLICY STATEMENT #1-06 Decision-making for the End of Life APPROVED BY COUNCIL: REVIEWED AND UPDATED: PUBLICATION DATE: TO BE REVIEWED BY: KEY WORDS: RELATED
More informationRelease: 1. HLTEN515B Implement and monitor nursing care for older clients
Release: 1 HLTEN515B Implement and monitor nursing care for older clients HLTEN515B Implement and monitor nursing care for older clients Modification History Not Applicable Unit Descriptor Descriptor This
More informationTRIM: 93267. National Consensus Statement: Essential Elements for Safe and High-Quality End-of-Life Care in Acute Hospitals
TRIM: 93267 National Consensus Statement: Essential Elements for Safe and High-Quality End-of-Life Care in Acute Hospitals Consultation draft January 2014 Commonwealth of Australia 2014 This work is copyright.
More informationPalliative Care Role Delineation Framework
Director-General Palliative Care Role Delineation Framework Document Number GL2007_022 Publication date 26-Nov-2007 Functional Sub group Clinical/ Patient Services - Medical Treatment Clinical/ Patient
More informationexcellence in care Authorised Adult Palliative Care Plan Respecting patient wishes General Practitioner Information Kit
excellence in care Authorised Adult Palliative Care Plan Respecting patient wishes General Practitioner Information Kit Authorised Adult Palliative Care General Practitioners (GPs) involved in palliative
More informationRelease: 1. HLTEN511B Provide nursing care for clients requiring palliative care
Release: 1 HLTEN511B Provide nursing care for clients requiring palliative care HLTEN511B Provide nursing care for clients requiring palliative care Modification History Not Applicable Unit Descriptor
More informationWhat services are provided by JSSA Hospice? Our personalized services for patients and family members include:
FAQ S ABOUT HOSPICE What is Hospice? Hospice is a specialized type of healthcare for patients and families who are faced with a terminal illness. A team of physicians, nurses, social workers, bereavement
More informationA Guide to Enduring Power of Guardianship in Western Australia
A Guide to Enduring Power of Guardianship in Western Australia Preface This guide is produced by the Public Advocate, the independent statutory officer appointed by the Western Australian Government to
More informationFrequently Asked Questions about Pediatric Hospice and Pediatric Palliative Care
Frequently Asked Questions about Pediatric Hospice and Pediatric Palliative Care Developed by the New Jersey Hospice and Palliative Care Organization Pediatric Council Items marked with an (H) discuss
More informationCircle of Life: Cancer Education and Wellness for American Indian and Alaska Native Communities. Group Discussion True False Not Sure
Hospice Care Group Discussion True False Not Sure 1. There is no difference between palliative care and hospice care. Palliative care is different from hospice care. Both palliative and hospice care share
More informationPower of Attorney for Health Care For
Power of Attorney for Health Care For Name: Date of Birth: Address: Telephone: This document is on file at Copies of this document have been given to my health care agent(s) and: 1. 2. 3. 4. 5. Courtesy
More informationHuman Services Quality Framework. User Guide
Human Services Quality Framework User Guide Purpose The purpose of the user guide is to assist in interpreting and applying the Human Services Quality Standards and associated indicators across all service
More informationGuidelines for end-of-life care and decision-making
Guidelines for end-of-life care and decision-making NSW DEPARTMENT OF HEALTH 73 Miller Street NORTH SYDNEY NSW 2060 Tel. (02) 9391 9000 Fax. (02) 9391 9101 TTY. (02) 9391 9900 www.health.nsw.gov.au This
More informationGuidance for doctors. Treatment and care towards the end of life: good practice in decision making
Guidance for doctors Treatment and care towards the end of life: good practice in decision making The duties of a doctor registered with the Patients must be able to trust doctors with their lives and
More informationPalliative Care Certification Requirements
Palliative Care Certification Requirements Provision of Care, Treatment, and Services PCPC.1 1 Patients know how to access and use the program s care, treatment, and services. 2 3 Patients and families
More informationADVANCE DIRECTIVE. A LIVING WILL A Directive To Withhold Or To Provide Treatment. A Durable Power Of Attorney FOR HEALTH CARE
ADVANCE DIRECTIVE A LIVING WILL A Directive To Withhold Or To Provide Treatment and A Durable Power Of Attorney FOR HEALTH CARE Name Date of Birth Form # 8-0553 (7-07) LIVING WILL AND DURABLE POWER OF
More informationend-of-life decisions Honoring the wishes of a person with Alzheimer's disease
end-of-life decisions Honoring the wishes of a person with Alzheimer's disease Preparing for the end of life When a person with late-stage Alzheimer s a degenerative brain disease nears the end of life
More informationHealth Care. Policy and Procedures
Health Care Policy and Procedures Final 1.1 Accommodation Policy and Development Directorate Ageing, Disability and Home Care, Department of Family and Community Services NSW March 2007, amended September
More informationSeeking consent: working with older people
Seeking consent: working with older people Contents Page Introduction 1 Seeking consent: people with capacity 3 When adults lack capacity 9 Research 13 Withdrawing and withholding life-prolonging treatment
More informationThe Australian Charter of Healthcare Rights in Victoria
The Australian Charter of Healthcare Rights in Victoria The Australian Charter of Healthcare Rights in Victoria The Australian Charter of Healthcare Rights The Australian Charter of Healthcare Rights describes
More informationCPSM DRAFT STATEMENT ON PHYSICIAN ASSISTED DYING OCTOBER 15, 2015
CPSM DRAFT STATEMENT ON PHYSICIAN ASSISTED DYING OCTOBER 15, 2015 BACKGROUND The Supreme Court of Canada (SCC) declared that as of February 6, 2016 it is legal for a physician to assist a competent adult
More informationCompetencies for entry to the register: Adult Nursing
for entry to the register: Adult Nursing Domain 1: Professional values All nurses must act first and foremost to care for and safeguard the public. They must practise autonomously and be responsible and
More informationTEST OF COMPETENCE PART 1 - NURSING TEST. Please do NOT book your online Test of Competence until you have studied and reviewed the following modules.
CBT STUDY GUIDE TEST OF COMPETENCE PART 1 - NURSING TEST Please do NOT book your online Test of Competence until you have studied and reviewed the following modules. This Guide is to be used in conjunction
More informationALLOW NATURAL DEATH/WITHHOLDING AND/OR WITHDRAWING L I F E - S U S T A I N I N G T R E A T M E N T / NON-BENEFICIAL CARE AND RESUSCITATION POLICY
PURPOSE SUPPORTIVE DATA To specify the parameters within which decisions regarding the withholding and/or withdrawing of life-sustaining treatment/non beneficial care and/or no initiation of cardiopulmonary
More informationWA HEALTH LANGUAGE SERVICES POLICY September 2011
WA HEALTH LANGUAGE SERVICES POLICY September 2011 CULTURAL DIVERSITY UNIT PUBLIC HEALTH DIVISION . WA HEALTH LANGUAGE SERVICES POLICY WA HEALTH LANGUAGE SERVICES POLICY... 2 Foreword... 3 1 CONTEXT...
More informationNational end of life qualifications and Six Steps Programme. Core unit mapping tool for learning providers
National end of life qualifications and Six Steps Programme Core unit mapping tool for learning providers National end of life qualifications and Six Steps Programme - Core unit mapping tool for learning
More informationMental Health Act 2009
Version: 29.3.2015 South Australia Mental Health Act 2009 An Act to make provision for the treatment, care and rehabilitation of persons with serious mental illness with the goal of bringing about their
More informationA national framework for the development of decision-making tools for nursing and midwifery practice
A national framework for the development of decision-making tools for nursing and midwifery practice Introduction The Nursing and Midwifery Board of Australia The Nursing and Midwifery Board of Australia
More informationInformation for authorised carers on out-of-home-care adoption
Fact Sheet October 2015 Information for authorised carers on out-of-home-care adoption This fact sheet is for authorised carer(s) wising to adopt a child or young person in their care who is under the
More informationHoly Cross Palliative Care Program. Barb Supanich,RSM,MD Medical Director June 19,2007
Holy Cross Palliative Care Program Barb Supanich,RSM,MD Medical Director June 19,2007 Goals Define Palliative Care Scope of Palliative Care Palliative Care Services at Holy Cross Hospital Definition of
More informationNorth Shore Palliative Care Program
North Shore Palliative Care Program This booklet is intended for patients and families who are facing a life threatening illness. We hope that this booklet provides you with answers to some of your questions
More informationProfessional Competencies of the Newly Qualified Dental Prosthetist
Professional Competencies of the Newly Qualified Dental Prosthetist February 2016 Australian Dental Council Level 2, 99 King Street Melbourne Victoria Australia Copyright 2016 This work is copyright 2016.
More informationRelease: 1. CHCFCS802B Provide relationship counselling
Release: 1 CHCFCS802B Provide relationship counselling CHCFCS802B Provide relationship counselling Modification History Not Applicable Unit Descriptor Unit Descriptor This unit of competency describes
More informationDying at home: Preferences and the role of unpaid carers
Dying at home: Preferences and the role of unpaid carers A discussion paper on supporting carers for in-home, end-of-life care May 2014 1 When someone has an illness which will lead to death and no effective
More informationProducts and Services Catalogue
Products and Services Catalogue When planning for your care needs or a loved one s, plan with Blue Care. We are more than you imagined. Our diverse range of services and our presence in over 80 communities
More informationACM Interim Council, MEAC & SRAC collated response to the Public consultation on review of the Registered nurse standards for practice
Question Detail ACM Comments 1. Are you a registered nurse? 2. Which of the following best indicates your current role? 3. What is your age? 4. If you work in nursing what is your current area of practice?
More informationConsent to Treatment, Admission to Long-Term Care Home and Community Services
Consent to Treatment, Admission to Long-Term Care Home and Community Services 4.1 Overview of Consent Provisions Client consent is a critical component of the various pieces of legislation that affect
More informationFamily Caregiver s Guide to Hospice and Palliative Care
Family Caregiver Guide Family Caregiver s Guide to Hospice and Palliative Care Even though you have been through transitions before, this one may be harder. If you have been a family caregiver for a while,
More informationwww.seniorclix.com www.elderweb.com National Eldercare Locator 1-800-677-1116 Administration on Aging www.aoa.gov Medicare 1-800-MEDICARE
Introduction This Patient and Family Guide to Hospice Care is designed to be a practical source of information about hospice care. It introduces you to the history and philosophy of the hospice movement.
More informationAustralian Medical Council Limited. Standards for Assessment and Accreditation of Primary Medical Programs by the Australian Medical Council 2012
Australian Medical Council Limited Standards for Assessment and Accreditation of Primary Medical Programs by the Australian Medical Council 2012 Medical School Accreditation Committee December 2012 December
More informationCHC40308 Certificate IV in Disability
CHC40308 Certificate IV in Disability Course information and vocational outcomes This is nationally accredited course addresses work in residential group homes, training resource centres, day respite centres
More informationAge-friendly principles and practices
Age-friendly principles and practices Managing older people in the health service environment Developed on behalf of the Australian Health Ministers Advisory Council (AHMAC) by the AHMAC Care of Older
More informationGuidelines for Physicians: Forgoing Life-Sustaining Treatment for Adult Patients
Guidelines for Physicians: Forgoing Life-Sustaining Treatment for Adult Patients Joint Committee on Biomedical Ethics of the Los Angeles County Medical Association and Los Angeles County Bar Association
More informationHealth Care Consent Act
Briefing Note 2005, 2007 College of Physiotherapists of Ontario 2009 Contents Overview...3 Putting the in Context...3 The HCCA in Brief...4 Key Principles Governing Consent to Treatment...4 Key Aspects
More informationSUGGESTIONS & REQUIREMENTS For Medical Power of Attorney & Completing the Texas Will to Live Form
SUGGESTIONS & REQUIREMENTS For Medical Power of Attorney & Completing the Texas Will to Live Form 1. This Medical Power of Attorney (also known as the Health Care Agent Designation Form) allows you to
More informationPalliative Care Program Wentworth-Douglass Hospital
Palliative Care Program Wentworth-Douglass Hospital Patrick S. Alix, MD Director Michele Loos, RN, MS, CHPN Nurse Coordinator DEFINITION: PALLIATIVE CARE Interdisciplinary care that aims to relieve suffering
More informationTALKING ABOUT YOUR HEALTH CARE CHOICES: ADVANCE DIRECTIVE INFORMATION, FORM AND GUIDELINES
TALKING ABOUT YOUR HEALTH CARE CHOICES: ADVANCE DIRECTIVE INFORMATION, FORM AND GUIDELINES Adults have a right to accept or refuse medical care. You have the legal right to make an advance directive. In
More informationWorkcover Guidelines on Injury Management Consultants
4210 SPECIAL SUPPLEMENT 28 September 2012 Workcover Guidelines on Injury Management Consultants Workplace Injury Management and Workers Compensation Act 1998 I, Julie Newman, the Acting Chief Executive
More informationGUIDELINES ISSUED UNDER PART 5A OF THE EDUCATION ACT 1990 FOR THE MANAGEMENT OF HEALTH AND SAFETY RISKS POSED TO SCHOOLS BY A STUDENT S VIOLENT
GUIDELINES ISSUED UNDER PART 5A OF THE EDUCATION ACT 1990 FOR THE MANAGEMENT OF HEALTH AND SAFETY RISKS POSED TO SCHOOLS BY A STUDENT S VIOLENT BEHAVIOUR CONTENTS PAGE PART A INTRODUCTION AND STATEMENT
More informationFramework of competencies in spiritual care: A Modified Delphi study for nurses and midwives
Framework of competencies in spiritual care: A Modified Delphi study for nurses and midwives (generated from the public to the public) Josephine Attard PhD student. Lecturer in Nursing and Midwifery University
More informationHOSPICE INFORMED CONSENT
HOSPICE INFORMED CONSENT PATIENT NAME: INSTRUCTIONS: This form is used to acknowledge receipt of our Orientation Booklet and confirm your understanding and agreement with its contents. Your signature below
More informationCentral & Eastern Cheshire End of Life Care Competency Framework
Central & Eastern Cheshire End of Life Care Competency Framework Registered Nurses (St. Christopher s Level 2) Name:.. Formulated by Cheshire End of Life Care Model (2011), with acknowledgement to St.
More informationConsultation Paper: Standards for Effectively Managing Mental Health Complaints
What is the purpose of this paper? The purpose of this paper is to encourage discussion and feedback from people who access, or work in, Western Australia s mental health sector. The paper proposes a draft
More informationCOMPLAINTS MANAGEMENT POLICY AND PROCEDURES
COMPLAINTS MANAGEMENT POLICY AND PROCEDURES CONTENTS 1 POLICY... 3 2 BACKGROUND... 3 2.1 RATIONALE... 3 2.2 RELATED POLICIES AND PROCEDURES... 4 2.3 KEY DEFINITIONS... 5 2.4 PRINCIPLES UNDERLYING THE POLICY...
More informationGP SERVICES COMMITTEE Palliative Care INCENTIVES. Revised 2015. Society of General Practitioners
GP SERVICES COMMITTEE Palliative Care INCENTIVES Revised 2015 Society of General Practitioners GPSC Palliative Care Planning and Management Fees The following incentive payments are available to B.C. s
More informationGuidelines for Parenting Coordination FOREWORD
BC PARENTING COORDINATORS ROSTER SOCIETY Guidelines for Parenting Coordination FOREWORD These Guidelines for Parenting Coordination in British Columbia ( Guidelines") have been developed from the Guidelines
More informationThe Palliative Care Services of Tasmania
Information Booklet TASMANIAN PALLIATIVE CARE SERVICE Thanks to the palliative care community. The Tasmanian Palliative Care Service wishes to acknowledge the support provided by the members on the Palliative
More informationNMC Standards of Competence required by all Nurses to work in the UK
NMC Standards of Competence required by all Nurses to work in the UK NMC Standards of Competence Required by all Nurses to work in the UK The Nursing and Midwifery Council (NMC) is the nursing and midwifery
More informationPersonal beliefs and medical practice
You can find the latest version of this guidance on our website at www.gmc-uk.org/guidance. Published 25 March 2013 Comes into effect 22 April 2013 Personal beliefs and medical practice 1 In Good medical
More informationPsychologist s records: Management, ownership and access. APS Professional Practice
Psychologist s records: Management, ownership and access APS Professional Practice October 2012 Copyright 2012 Psychologist s records: Management, ownership and access Table of Contents Executive summary...
More informationMajor Features of the Legislation 3 The Health Care Consent Act (HCCA) 3 The Substitute Decisions Act (SDA) 4
PRACTICE guideline Consent Table of Contents Introduction 3 Major Features of the Legislation 3 The Health Care Consent Act (HCCA) 3 The Substitute Decisions Act (SDA) 4 Definitions 4 Basic Facts About
More informationAdvance Health Care Directive
Advance Health Care Directive of This form was developed by the Committee on Law and the Elderly of the Delaware Bar Association and approved for use by the Office of the Attorney General of the State
More informationHealth Care Directive
PATIENT EDUCATION Health Care Directive Honoring Choices My Health Care Directive I created this document with much thought to give my treatment choices and personal preferences if I cannot communicate
More informationTuberculosis Management of People Knowingly Placing Others at Risk of Infection
Policy Directive Ministry of Health, NSW 73 Miller Street North Sydney NSW 2060 Locked Mail Bag 961 North Sydney NSW 2059 Telephone (02) 9391 9000 Fax (02) 9391 9101 http://www.health.nsw.gov.au/policies/
More informationCriteria For Referral
Criteria For Referral St Margaret of Scotland Hospice, founded by the Sisters of Charity in 1950, is at the heart of the Community providing wholeness of care for both body and Spirit. Philosophy St Joseph
More informationHolistic Needs Assessment Template
Holistic Needs Assessment Template Assessment information and preferences Date of last assessment The assessor should have copies of previous holistic assessments on file, should be aware of the needs
More informationInquiry into palliative care services and home and community care services in Queensland. Submission to the Health and Community Services Committee
Inquiry into palliative care services and home and community care services in Queensland Submission to the Health and Community Services Committee August, 2012 1 Introduction The Queensland Nurses Union
More informationDeciding About. Health Care A GUIDE FOR PATIENTS AND FAMILIES. New York State Department of Health
Deciding About Health Care A GUIDE FOR PATIENTS AND FAMILIES New York State Department of Health 1 A GUIDE FOR PATIENTS AND FAMILIES Introduction Who should read this guide? This guide is for New York
More informationPALLIATIVE CARE SERVICES AND RESOURCES. A guide for patients and their loved ones. Living well with serious illness
PALLIATIVE CARE SERVICES AND RESOURCES A guide for patients and their loved ones Living well with serious illness A patient and family centered approach to living with serious illness Palliative care addresses
More informationGUIDELINES FOR SOLICITORS PREPARING AN ENDURING POWER OF ATTORNEY
GUIDELINES FOR SOLICITORS PREPARING AN ENDURING POWER OF ATTORNEY Law Society of NSW, December 2003 The following guidelines are intended to assist solicitors who are advising clients who wish to draw
More informationThe La Crosse Region Power of Attorney for Healthcare Document and The Instructions for Completing this Document
Overview The La Crosse Region Power of Attorney for Healthcare Document and The Instructions for Completing this Document The attached power of attorney for healthcare form is a legal document, developed
More informationCode of Ethics for Nurses in Australia
Code of Ethics for Nurses in Australia Developed under the auspices of Australian Nursing Council Inc, Royal College of Nursing Australia, Australian Nursing Federation Code of Ethics for Nurses in Australia
More informationRegistered and Accredited Individual Non-government Schools (NSW) Manual
Registered and Accredited Individual Non-government Schools (NSW) Manual October 2014 (incorporating changes from 2004 to 2014) Please note: Amendments to the Manual are noted, as they take effect, in
More informationEthics and Palliative Care Nursing. Laurie Read, MN James Read, Ph.D.
Ethics and Palliative Care Nursing Laurie Read, MN James Read, Ph.D. 1. Terminology 2. A list of typical ethical issues in clinical palliative care 3. An ethics discussion of a case 4. Review, last questions
More informationA Guide to Enduring Power of Attorney in Western Australia
A Guide to Enduring Power of Attorney in Western Australia Preface This guide is produced by the Public Advocate, the independent statutory officer appointed by the Western Australian Government under
More informationAdvanced Nurse Practitioner Specialist. Palliative
JOB DESCRIPTION ellenor Advanced Nurse Practitioner Specialist Palliative Care Responsible to Accountable to: Head of Adult Community Services Director of Patient Care General ellenor is a specialist palliative
More informationHLTEN502B Apply effective communication skills in nursing practice
HLTEN502B Apply effective communication skills in nursing practice Release: 1 HLTEN502B Apply effective communication skills in nursing practice Modification History Not Applicable Unit Descriptor Descriptor
More informationStrengthening palliative care: Policy and strategic directions 2011 2015
Strengthening palliative care: Policy and strategic directions 2011 2015 Second year report 2012 13 The Victorian Government s vision for how people dealing with a life-threatening illness, and their carers,
More informationEndLink: An Internet-based End of Life Care Education Program www.endlink.rhlurie.northwestern.edu ABOUT HOSPICE CARE
EndLink: An Internet-based End of Life Care Education Program www.endlink.rhlurie.northwestern.edu ABOUT HOSPICE CARE What is hospice? Hospice care focuses on improving the quality of life for persons
More informationPRACTICE FRAMEWORK AND COMPETENCY STANDARDS FOR THE PROSTATE CANCER SPECIALIST NURSE
PRACTICE FRAMEWORK AND COMPETENCY STANDARDS FOR THE PROSTATE CANCER SPECIALIST NURSE MARCH 2013 MONOGRAPHS IN PROSTATE CANCER OUR VISION, MISSION AND VALUES Prostate Cancer Foundation of Australia (PCFA)
More informationPlain Language. Guide
Plain Language Guide Mental Health Act 2009 Disclaimer The information contained in this publication is intended to assist in the interpretation of the Mental Health Act 2009 and is not a substitute for
More informationHow To Reform The Guardianship Regulation In New South Wales
Ms Diane Robinson President Guardianship Tribunal 2A Rowntree, Locked Bag 9, BALMAIN NSW 2041 Wednesday 21 April, 2010 Dear Ms Robinson, Re: Remaking of the Guardianship Regulation 2005 The Disability
More informationThe National Health Plan for Young Australians An action plan to protect and promote the health of children and young people
The National Health Plan for Young Australians An action plan to protect and promote the health of children and young people Copyright 1997 ISBN 0 642 27200 X This work is copyright. It may be reproduced
More informationRelease: 1. HLTEN509B Apply legal and ethical parameters to nursing practice
Release: 1 HLTEN509B Apply legal and ethical parameters to nursing practice HLTEN509B Apply legal and ethical parameters to nursing practice Modification History Not Applicable Unit Descriptor Descriptor
More informationHospice care services
Hospice care services Summary of change: Effective February 1, 2015, hospice services will be a covered benefit covered by Amerigroup Louisiana, Inc. Amerigroup Louisiana, Inc. recognizes the importance
More informationMaking the components of inpatient care fit
Making the components of inpatient care fit Named nurse roles and responsibillities booklet RDaSH Adult Mental Health Services Contents 1 Introduction 3 2 Admission 3 3 Risk Assessment / Risk Management
More informationBase Salary: $113,000 Total Salary: $142,734. Indirect Supervision: 21. Policy coordination Medical treatment
Position Title and Position Number Supervisor Community Services (P118 076) CEO Classification and Salary: Base Salary: $113,000 Total Salary: $142,734 Staff Direct Supervision: 8 Location (Note: Total
More informationMandatory Written Information on Adoption: Information for Parents of a Child in Out-of-Home Care
Mandatory Written Information on Adoption: Information for Parents of a Child in Out-of-Home Care Contents 1. Introduction... 4 2. What is adoption?... 6 How is adoption arranged in NSW?... 6 3. What is
More informationNMBA Registered nurse standards for practice survey
Registered nurse standards for practice 1. Thinks critically and analyses nursing practice 2. Engages in therapeutic and professional relationships 3. Maintains fitness to practise and participates in
More informationLECTURE NOTES ON PROFESSIONAL CHAPLAINCY George Grant
1 LECTURE NOTES ON PROFESSIONAL CHAPLAINCY George Grant April, 2003 Introduction The Three Tracks of Ministry Academics: Basic degree for any form of ministry is the Master of Divinity (M.Div.). The M.Div.
More informationFrequently Asked Questions Regarding At Home and Inpatient Hospice Care
Frequently Asked Questions Regarding At Home and Inpatient Hospice Care Contents Page: Topic Overview Assistance in Consideration Process Locations in Which VNA Provides Hospice Care Determination of Type
More informationNurse Practitioner Mentor Guideline NPAC-NZ
Nurse Practitioner Mentor Guideline NPAC-NZ Purpose To provide a framework for the mentorship of registered nurses to prepare for Nurse Practitioner (NP) registration from the Nursing Council of New Zealand.
More informationStandards of Practice for Primary Health Care Nurse Practitioners
Standards of Practice for Primary Health Care Nurse Practitioners June 2010 (1/14) MANDATE The Nurses Association of New Brunswick is a professional organization that exists to protect the public and to
More informationHow to Complete This Power of Attorney for Healthcare
How to Complete This Power of Attorney for Healthcare Overview The attached Power of Attorney for Healthcare form is a legal document, developed to meet the legal requirements of Wisconsin. This document
More informationQuality End of Life Care: A Team Approach
Quality End of Life Care: A Team Approach Presented by Dann Baker, MDiv Director Pastoral Care & Ethics, JPS Health Network; Adjunct Assistant Professor, UNTHSC-TCOM Janet Lieto, DO, FACOFP Assistant Professor
More informationSouth Australian Women s Health Policy
South Australian Women s Health Policy 1 2 South Australian Women s Health Policy To order copies of this publication, please contact: Department of Health PO Box 287 Rundle Mall Adelaide SA 5000 Telephone:
More informationContents. Section/Paragraph Description Page Number
- NON CLINICAL NON CLINICAL NON CLINICAL NON CLINICAL NON CLINICAL NON CLINICAL NON CLINICAL NON CLINICA CLINICAL NON CLINICAL - CLINICAL CLINICAL Complaints Policy Incorporating Compliments, Comments,
More informationA National Professional Development Framework for Palliative Care Nursing in Aotearoa New Zealand
A National Professional Development Framework for Palliative Care Nursing in Aotearoa New Zealand Adapted from: The National Cancer Nursing Education Project (EdCaN). 2008. National Education Framework
More information