Next, I’ll be tweeting from the 'Innovate and Change' session in the last concurrent session for Day #1 of #21OPCC, chaired by Shyla Mills
This a jam-packed session with discussions about innovation in palliative paramedicine, advance care planning and more #21OPCC
Serena Hoffman is about to start discussing "care at the end of life paramedic toolkit" #21OPCC
Based in West Moreton Region (QLD), population is ageing - huge implications for health and hospital system #21OPCC
From 2017-2041, 195% projected increase in #palliativecare needs #21OPCC
Paramedic toolkit developed from the need to increase #palliativecare services and support in the West Moreton region #21OPCC
But 12 months down the track, the paramedic toolkit project has strengthened relationships between Qld Ambulance Service and West Moreton health #21OPCC
Qld Ambulance Service sit on all #PalliativeCare expert reference project groups in the region #21OPCC
Recommendations and implications = increase funding, engagement and moving towards integrated care for ongoing education for paramedics and #palliativecare #21OPCC
Next up is @MJuhrmann, PhD candidate @Sydney_Uni, discussing 'palliative paramedicine: broadening the role of paramedics delivering palliative and end-of-life care in community-based settings." #21OPCC
Inspired by work in regional Australia where community members expressed wishes to die at home, but had minimal awareness to help deliver that #21OPCC
Growing expectation for paramedics to treat and refer complex end-of-life care situations #21OPCC
Themes from the review: broadening the traditional paramedic role (it is typically multidimensional), and specific education in #PalliativeCare needed #21OPCC
Second theme found in review: understanding patient wishes, including advocacy for their wishes, is needed but often a barrier for paramedics providing appropriate #PalliativeCare #21OPCC
Final theme in review: role of families. Disconnect between individual's wishes and families. #21OPCC
Implications of review: describes scope of practice, barriers, facilitators and perspectives of ambulance staff, patients and family members #21OPCC
In particular, paramedic #palliativecare likely to be beneficial in afterhours care.
In particular, paramedic #palliativecare likely to be beneficial in afterhours care.
Stacey Heer from PHN Murrumbidgee is talking about 'improving access to care for patients with non-malignant conditions in general practice' #21OPCC
More common for patients with malignant conditions to receive #palliativecare than those who have non-malignant conditions, often because condition is not considered life limiting #21OPCC
Trial worked with a medical practice in Hay, NSW, with the aim to increase non-malignant condition representation data in #PalliativeCare #21OPCC
They developed 'recipes' to help identify characteristics in people to identify life limiting conditions that otherwise may go missed #21OPCC
Identification of people with non-malignant life limiting conditions increased, but did not increase referrals to #PalliativeCare - investigating other models #21OPCC
Leeanne Clemesha is up next to talk about Queensland's Advance Care Planning #21OPCC
Advance Care Planning is integral to patient-centred care. Was recognised that people were not dying as they wish, structures and systems put in place to address this. #21OPCC
Systems are required to support Advance Care Planning. Integral to QLD ACP is the ACP Tracker #21OPCC 
As at 26 August 2021, 83,886 ACP documents received - showing a great interest and awareness in the tracker #21OPCC
More research is going to continue to determine enablers and barriers to using the ACP tracker #21OPCC
More information about ACP in Queensland #21OPCC metrosouth.health.qld.gov.au/acp
'MASS pall care equipment program - bringing assistive technology to the forefront'- Renae Knight talks about the evaluation of a program providing equipment to people with life limiting conditions incl mobility aids, daily living aids, home oxygen equipment. #21OPCC
Great that they've acquired recurrent funding! #21OPCC
One of the most important findings of the evaluation is that the equipment and aids helped the person stay in their own home #21OPCC
Another finding is that referrals to OTs and #palliativecare specialists increased- impacting their workload. Good finding, indicating an area that needs improvement #21OPCC
Lovely client story by someone who found that having access to the equipment meant he could sit out on the deck with the sun shining on his face 🙂 #21OPCC
Next up - 'STOP Cancer Pain guideline' - presented by Melanie Lovell @HammondCare #21OPCC
Study conducted to address cancer pain - ongoing evidence indicates that pain relief for cancer patients is an unmet need #21OPCC
Results - intervention did not find reduced pain levels - maybe for a few reasons, such as insufficient fidelity to intervention, dose may have been inadequate, and it was a complex intervention #21OPCC
Health systems are dynamic and need to be taken into consideration in study design - Melanie Lovell #21OPCC
The final presentation in the Innovate and Change session is presented by James Connor & Louise Mayo, about 'piloting Leo's Place - a world-first, non-clinical, palliative care respite house' #21OPCC
70% of people wish to die at home. Only 12% of people achieve this wish #21OPCC @PCA_Call_Aus
#PalliativeCarers need to take a break, recharge, attend to other personal/family responsibilities, work #21OPCC
Clinical #palliativecare covered in ACT, but non clinical respite is limited. #21OPCC
New model developed that focuses on the individual with life limiting illness and their carer team #21OPCC
'Leo's Place' opened in ACT in January 2021, an interim solution while a purpose-built facility was developed #21OPCC
'Leo's Place' is not only for people with life limiting illness to have a break/support, but also their carers #21OPCC
Clients and carers have given overwhelming support of 'Leo's Place' concept - a home away from home, where people feel comfortable staying. #21OPCC
Risk and challenges in delivering these kind of services - people happy about what 'Leo's Place' provides, but behind-the-scenes challenges exist in delivering service (such as medication safety, real estate challenges renting a #palliativecare home) #21OPCC
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