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1Example title for notes and handouts 1 April 2017Strengthening palliative care through health promotionBruce Rumbold,Palliative Care Unit, School of Public Health, La Trobe University, VictoriaExample footer for notes and handouts
5Health Promotion Preventive strategies Harm-minimisation strategies Early interventionsCommunity developmentParticipatory/partnership relationshipsEcological approach to health & safety
6Public Health & Palliative Care Public health approaches:Health promoting palliative careCompassionate communitiesNeed health promoting palliative care services to facilitate and contribute to compassionate communitiesNeed to locate end of life care outside the health services for genuine and sustainable community change to take place.
7The tiered approach Fitch, M The tiered approach Fitch, M. (2000) Supportive care for cancer patients, Hospital Quarterly 3: 39-46ALL PEOPLEMANYSOMEFEWThe step-up approach with increasing specialisation or intensity for more complex needsRespectful and dignity conserving careGood communication and informationScreening for need.Link with self-help and peer support programsAccess practical assistanceParticipate in psycho-educational groupsBehavioural 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.
8Conceptualising Health Promoting Palliative Care SERVICEREORIENTATIONGOAL: A HEALTH PROMOTING PALLIATIVE CARE SERVICEDevelop personal skillsCreate supportive environmentsStrengthen community actionBuildpublicpolicy
9Community café conversations on death, dying, loss and care Café to GoCommunity café conversations on death, dying, loss and careCould holding a café in your community be a possibility?
10Strengthening Palliative Care in Victoria through Health Promotion Examples of successful implementation that encourage community conversationsBook and journal club discussions on publications like Tuesdays with Morrie or The Spare RoomCafé Conversations in local communitiesMovie nights that address death and dying with discussion afterwards such as The Bucket List or TulipConsortium logoStrengthening Palliative Care in Victoria through Health Promotion10
11Do 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 lossMulticultural club
12Key components of project Coordination/leadershipA designated, appropriately-skilled person/group accountable to palliative care services and communityConsultationA resource group of interested people from various community sectorsSupportLocal expertise, La Trobe University PCUProven strategies and resources
13Terms of the partnership: The checklist Require at least one of 1-4, all of 5-7 PreventionHarm-minimisationEarly interventionsChanging settings or environmentParticipatory/partnershipSustainableEvaluated
14What else could be done?Seek partners to organise:Plant a Tree and Remember Mum on Mothers Day eventA Community Christmas Tree of RemembranceCommunity information sessionsEG:Coping with ChristmasLiving with griefLiving with Life threatening illnessHow to Care, What to Say…………the list goes onInvite community kitchen facilitators, physical fitness group leaders, school peer support leaders, youth group leaders….
15What else could be done? Reflective place at the cemetery Support program for carersDeath education in schoolsEg:Café conversationsVisiting an elderly friend in aged careprogramLoss and grief art showMemory boxes
16Project findings to date LEADERSHIP ROLE for palliative care services in initiating end of life discussions in local communitiesNON- THREATENING approach that draws on people’s experiences and questions is effective in initiating end of life discussionsDIVERSE rewarding PARTNERSHIPSRequires a LONG TERM COMMITMENT; continuing attention rather than occasional promotionsPC VOLUNTEERS are key AMBASSADORS in linking palliative care services with local community structures and needs.
17Larger issues to be addressed Governance: locating end of life care policy – more than a health issueThe shameful death and social exclusion