Last days of life

Date Published: 
Wednesday, November 3, 2021
Duration: 
36:26

Kate Grundy discusses Te-ara-whakapiri - symptom management in the last days of life.

 

Topics:

  • 00:00 Intro
  • 00:57 Te Ara Whakapiri- the unifying path
  • 03:32 Holistic approach
  • 05:18 Anticipatory flow charts and care plans
  • 15:28 Addressing breathlessness
  • 20:41 Additional flowcharts (diagnosing dying)
  • 26:50 Managing a covid patient
  • 29:53 Advance care planning
  • 33:38 Take home messages

 

Take-home messages

  • Diagnosing dying is the first important step in the process.
  • Te-ara-whakapiri provides a holistic frame to guide the practitioner.
  • Care plans and anticipatory flow charts guide you. Prescribe in anticipation to maximise symptom management and comfort.
  • You only get one chance to do dying right- so take the time to do it well.
  • COVID-19 may see you caring for all types of patients in the community. Do your advanced care plan in advance so the patient’s wishes are all ready documented.

 

Resources

 

Presenter

Kate Grundy
Palliative care physican

Kate is the Clinical Director of Palliative Care, Christchurch Hospital Palliative Care Service, Honorary Secretary, Australasian Chapter of Palliative Medicine and a Clinical Lecturer, at Christchurch School of Medicine.

Recognition of Learning Activities

Complete and submit the learning reflection form for CPD/MOPS points provided by The Royal New Zealand College of General Practitioners below for recognition of learning activities.

Learning Reflection Form

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This presentation is intended for qualified health practitioners professional development and should not be relied upon for any other purpose. Any opinions offered are those of the presenter or other speaker and do not necessarily represent the views of Goodfellow Unit.