Guidelines for a Palliative Approach in Residential Aged Care

education of the aged care team and families, supported by clear policies and procedures. These
elements contribute to family members’ increased confidence that the aged care team will meet
the needs of residents who are dying by respecting their choices wherever possible.
In order to respect the resident’s and family’s end-of-life choices, it is important to reassess the
situation when death seems imminent. With careful planning, a conference can be arranged
with the aged care team, the GP and the family to make sure the goals of care are agreed on,
and to check that the resident’s preferences are respected. The time spent ensuring there is a
reciprocal exchange of information will contribute greatly to satisfaction with the outcome for
both the aged care team and the family, leaving positive memories for those who remain.
Guideline:
End-of-life (Terminal) Care
74. To be actively “doing everything” for a dying resident, in terms of
medication, positioning, and other medical and nursing interventions,
together with talking to, and spending time or being present with the
resident helps family members cope with the dying process.
75. Well planned family conferences, conducted in private and attended
by the GP and other members of the aged care team, provide an
opportunity for building trust and discussing end-of-life issues of concern,
which improves the family’s satisfaction with the care that is provided.
Ref No.
Evidence level
241, 409 QE
308
309
III-2
QE
Guidelines for a Palliative Approach in Residential Aged Care 171