1. Example title for notes and handouts
1 April 2017
Strengthening palliative care through health promotion
Bruce Rumbold,
Palliative Care Unit, School of Public Health, La Trobe University, Victoria
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4. Downstream and Upstream
Clinical services
Individual focus
Specific problem-solving
Expert interventions
Biological science perspectives dominant
Public health
Community focus
Network analysis
Culture change
Social science perspectives dominant

5. Health Promotion Preventive strategies Harm-minimisation strategies
Early interventions
Community development
Participatory/partnership relationships
Ecological approach to health & safety

6. Public Health & Palliative Care
Public health approaches:
Health promoting palliative care
Compassionate communities
Need health promoting palliative care services to facilitate and contribute to compassionate communities
Need to locate end of life care outside the health services for genuine and sustainable community change to take place.

7. The tiered approach Fitch, M
The tiered approach Fitch, M. (2000) Supportive care for cancer patients, Hospital Quarterly 3: 39-46
ALL PEOPLE
MANY
SOME
FEW
The step-up approach with increasing specialisation or intensity for more complex needs
Respectful and dignity conserving care
Good communication and information
Screening for need.
Link with self-help and peer support programs
Access practical assistance
Participate in psycho-educational groups
Behavioural interventions eg relaxation .
Specialist care for identified issues eg depression, anxiety, relationship problems and more complex physical or social issues.
Intensive or comprehensive care for acute or complex and multi-factorial psychological and social problems.

8. Conceptualising Health Promoting Palliative Care
SERVICE
REORIENTATION
GOAL: A HEALTH PROMOTING PALLIATIVE CARE SERVICE
Develop personal skills
Create supportive environments
Strengthen community action
Build
public
policy

9. Community café conversations on death, dying, loss and care
Café to Go
Community café conversations on death, dying, loss and care
Could holding a café in your community be a possibility?

10. Strengthening Palliative Care in Victoria through Health Promotion
Examples of successful implementation that encourage community conversations
Book and journal club discussions on publications like Tuesdays with Morrie or The Spare Room
Café Conversations in local communities
Movie nights that address death and dying with discussion afterwards such as The Bucket List or Tulip
Consortium logo
Strengthening Palliative Care in Victoria through Health Promotion 10

11. Do you belong to other groups in your community?
Be brave and look for opportunities to use ideas such as these as a way to encourage people to talk about life and loss
Multicultural club

12. Key components of project
Coordination/leadership
A designated, appropriately-skilled person/group accountable to palliative care services and community
Consultation
A resource group of interested people from various community sectors
Support
Local expertise, La Trobe University PCU
Proven strategies and resources

13. Terms of the partnership: The checklist Require at least one of 1-4, all of 5-7
Prevention
Harm-minimisation
Early interventions
Changing settings or environment
Participatory/partnership
Sustainable
Evaluated

14. What else could be done?
Seek partners to organise:
Plant a Tree and Remember Mum on Mothers Day event
A Community Christmas Tree of Remembrance
Community information sessions
EG:
Coping with Christmas
Living with grief
Living with Life threatening illness
How to Care, What to Say
…………the list goes on
Invite community kitchen facilitators, physical fitness group leaders, school peer support leaders, youth group leaders….

15. What else could be done? Reflective place at the cemetery
Support program for carers
Death education in schools
Eg:
Café conversations
Visiting an elderly friend in aged care
program
Loss and grief art show
Memory boxes

16. Project findings to date
LEADERSHIP ROLE for palliative care services in initiating end of life discussions in local communities
NON- THREATENING approach that draws on people’s experiences and questions is effective in initiating end of life discussions
DIVERSE rewarding PARTNERSHIPS
Requires a LONG TERM COMMITMENT; continuing attention rather than occasional promotions
PC VOLUNTEERS are key AMBASSADORS in linking palliative care services with local community structures and needs.

17. Larger issues to be addressed
Governance: locating end of life care policy – more than a health issue
The shameful death and social exclusion