peter groom, waitemata dhb new zealand - can we prevent inappropriate escalation of therapy before...
DESCRIPTION
Peter Groom presented this at the 2014 Managing the Deteriorating Patient Conference. The conference discussed the latest strategies to recognise and respond to the acute patient in clinical deterioration. You can find out more about next year's conference at http://bit.ly/1sjQubiTRANSCRIPT
ACP in NZ. Can we prevent inappropriate escalation of therapy before
critical care gets involved? Whose decision is it anyway?
Peter Groom ( a confused Critical Care Nurse)
If the consumer was competent at the time the DNR order was made, there is no obligation to consult with family about its contents. The views of family members about any type of valid advance directive are not binding. HDC 2013
MP Maryan Street Announces Withdrawal of EOLC Bill
The Code of Rights The Code of Rights establishes the rights of consumers, and the obligations and duties of providers to comply with the Code. It is a regulation under the Health and Disability Commissioner Act.
Where are we currently.
Because perhaps ours makes no sense and follows our agenda.
Why we need the patients voice
What’s really going on?
On the whiff of an oily rag….
The Advance Care Planning Co-operative, NRA & HWNZ have: • Developed an over arching programme • Developed Advance Care Planning: A guide for the New Zealand
health care workforce (2012) • Developed a national website and e-learning (Basic & L1) • Delivered a 2.5 day ACP Practitioner communication training
programme to over 755 health workers (L2) • Trained 10 ACP Facilitators to deliver training across NZ (L3) • Trained 2 ACP Trainers to lead the ACP Training Programme (L4) • Trained 13 actors to simulate realistic communication scenarios • Over delivered on targets to hold ACP conversations with
consumers • Presented everywhere from Melbourne to the North Shore
Auckland Brass Band Hall (you guys to Grey Power).
The Advance Care Planning Competency Model
advancecareplanning.org.nz
Who’s training who and where.
Resources and literature.
ACP Programme
General Public
Conversations that Count Trainers
Conversations that Count Communicators
Health care
Trainers, Facilitators & Practitioners
Communicating more effectively
All of us talking about, thinking
about and writing down our future
care plans.
e-Learning modules, basic film & resources
The future: An ACP partnership with consumers
The Future. Fewer midnight conversations with distressed patients and their families.
Perhaps. Why is he here
again, we’ve got nothing to
offer?
Don’t these people talk to each other, I
wanted to go to hospice.
Thank-you
www.advancecareplanning.org.nz http://conversationsthatcount.org.nz https://www.facebook.com/Conversationsthatcount