Mrs Emily Resciniti1, Mrs Tracey Briggs1, Mrs. Grace Huang1, Ms Jessica Brown1
1Eastern Palliative Care Inc., Mitcham, Australia
Biography:
Emily Resciniti has worked in palliative care for over 10 years and is currently completing her Masters in Advance Nursing Practice. Emily recently completed a secondment as a project nurse for the Comprehensive Palliative Care in Aged Care Project with Eastern Palliative Care and also works on the Palliative Care Advice Service.
Abstract:
Background: Eastern Palliative Care Association Inc (EPC) catchment is comprised of 7 local government areas, encompassing approximately 144 residential aged care facilities (RACFs). Clients admitted to the EPC program have been identified to have specialist palliative care needs, may be discharged from the service if it is determined that they no longer require service and this could include, but not limited to continued stable phase (as defined by PCOC). RACFs staff, GPs, families and clients are advised to “Re-refer” when there is a change in condition and the guidance provided is adhoc and/or not standardised. EPC received a non-recurrent grant allocation in October 2022 to improve access to palliative care for aged care residents.
Aims: To provide an alternate model of care for clients residing in RACFs identified as having specialist palliative care needs, at some stage through disease trajectory.
Methods: Development and implementation of trial program that offered an alternative to discharge from the service. Through regular interval telehealth, monitoring with RACFs staff and client’s carer/ family. Whilst ensuring clients remain registered with continued access to 24/7 phone support and advice.
Results: Impact of EASE on number of clients admitted to EPC, in the terminal phase (PCOC definition) residing in RACFs, decrease number of clients requiring re-admission to the service. Whilst enhancing communication with RACFs, contributing to a more streamlined and effective collaboration.
Conclusions: In summary, the EASE Trial Program by EPC offers an alternative care model for RACF residents with specialist palliative care needs. Through continuous access to services, early assessment, and regular telehealth monitoring, the program aims to reduce re-admissions and improve care for clients in the terminal phase. The results suggest positive outcomes, showcasing the potential of this innovative approach in addressing the unique needs of palliative care recipients in residential aged care.