Self Directed Learning Package - University of Queensland

25 • Self Directed Learning Package - Introductory Registered & Enrolled NurseIn the DVD “All on the same page” a careworker attended thecase conference. She was able to describe important aspects ofAlfred’s care of which the nurse may not have been aware.Key PointCareworkers often notice important changes ina resident’s mood, ability to function, swallow,walk, breathe etc. Residents may say things tocareworkers that are important for other careproviders to know.What is the nurse’s role in a palliative carecase conference?Key PointAs a nurse, you may be asked to:• assist to organise and/or attend a palliative carecase conference• seek information from family members and/orcare staff about any questions or informationthey would like discussed• collect or collate information before the caseconference such as clinical records, medicationcharts, advance directives etc.If you are asked to organise or facilitate a palliative care caseconference, there is a planning checklist and facilitators guide inKey Processes (Module 2) of the PA Toolkit.What happens in a palliative care case conference?The DVD demonstrated the process clearly:• introductions• clarify the goal of the meeting• determine what the resident/family already knows• review current clinical status, prognosis and treatment options• discuss the resident’s wishes about their future care (if known)• deal with any conflict• summarise consensus, disagreements, decisions and plan• schedule follow-up meetings as needed.Key PointIt is particularly important to document the keyissues and outcomes of the palliative care caseconference.Equally, it should be clear who is responsible foractions/tasks and when they are expected to beresolved or completed.Thinking PointIn the DVD “All on the same page”, Penny, a palliativecare link nurse attended the case conference. Shenot only facilitated the process but also provided anupdate from the nurse’s perspective.Think about a resident you have recently cared forthat requires a palliative approach. What informationwould be important to mention from a nurse’sperspective?