A5002466049- Palliative Care and End-of-Life Issues
- Geriatric Care and Nursing Homes
- Patient Dignity and Privacy
- Cancer survivorship and care
- Family and Patient Care in Intensive Care Units
- Interprofessional Education and Collaboration
- Childhood Cancer Survivors' Quality of Life
- Grief, Bereavement, and Mental Health
- Family Support in Illness
- Ethics in medical practice
- Chronic Disease Management Strategies
- Nutrition and Health in Aging
- Patient-Provider Communication in Healthcare
- Clinical practice guidelines implementation
- Health Systems, Economic Evaluations, Quality of Life
- Ethics in Clinical Research
- Healthcare cost, quality, practices
- Cultural Competency in Health Care
- Family and Disability Support Research
- Interpreting and Communication in Healthcare
- Healthcare Decision-Making and Restraints
- Nuts composition and effects
- Counseling, Therapy, and Family Dynamics
- Child and Adolescent Psychosocial and Emotional Development
- Medical Research and Treatments
Austin Health
2015-2021
Australasian Society for Infectious Diseases
2020
Research Network (United States)
2020
Austin Hospital
2019
University of Copenhagen
2019
Government of Victoria
2018
Department of Health and Human Services
2018
Peter MacCallum Cancer Centre
2014-2017
Cancer Australia
2017
Olivia Newton-John Cancer Wellness & Research Centre
2015
Objectives It is important that the outcomes of advance care planning (ACP) conversations are documented and available at point care. Advance directives (ACDs) a subset ACP documentation refer to structured documents completed signed by competent adults. Other includes informal person or on behalf someone else (eg, clinician, family). The primary objectives were describe prevalence correlates ACDs among Australians aged 65 over accessing health residential services. secondary aim was other...
Objective Advance care planning (ACP) assists people to identify their goals, values and treatment preferences for future care. Ideally, are documented in an advance directive (ACD) used by doctors guide medical decision-making should the patient subsequently lose capacity. However, studies demonstrate that ACDs not always adhered clinical practice. We aim describe attitudes perspectives of regarding ACD adherence utility Design Face-to-face semistructured interviews were conducted using...
The American Society of Clinical Oncology and US Institute Medicine emphasize the need to trial novel models posttreatment care, disseminate findings. In 2011, Victorian State Government (Australia) established Cancer Survivorship Program (VCSP), funding six 2-year demonstration projects, targeting end initial cancer treatment. Projects considered various models, enrolling people differing types, age residential areas. We sought determine common enablers success, as well...
ContextAdvance care planning (ACP) documentation needs to be available at the point of guide and inform medical treatment decision-making.ObjectiveTo examine concordance between self-reported completion ACP storage person's current with availability in that health record.MethodsA national multicenter audit records a self-report survey eligible participants 51 Australian residential aged services. The assessed record, whereas place care. To ascertain concordance, data were cross-tabulated...
Abstract The novel Coronavirus disease 2019 (COVID‐19) outbreak has led to rapid and profound changes in healthcare system delivery society more broadly. Older adults, those living with chronic or life‐limiting conditions, are at increased risk of experiencing severe critical symptoms associated COVID‐19 infection likely die. They may also experience non‐COVID‐19 related deterioration their health status during this period. Advance care planning (ACP) is for cohort, yet there no coordinated...
Abstract Background Advance care planning (ACP) conversations may result in preferences for medical being documented. Objective To explore the uptake and quality of advance directives (ACDs) among older Australians accessing health aged services, by overall ACP documentation prevalence, person‐level predictors ACD indicators. Design Setting National multi‐centre record audit general practices (GP), hospitals residential facilities (RACF). Participants A total 4187 people ≥65 years attending...
Introduction Advance care planning (ACP) is a process between person, their family/carer(s) and healthcare providers that supports adults at any age or stage of health in understanding sharing personal values, life goals preferences regarding future medical care. The Australian government funds number national initiatives aimed increasing ACP uptake; however, there currently no standardised data on formal documentation self-reported uptake. This makes it difficult to evaluate the impact...
This study explored associations between birth region, sociodemographic predictors, and advance care planning (ACP) uptake. A prospective, multicenter, cross-sectional audit of 100 sites across 8 Australian jurisdictions. ACP documentation was audited in the health records people aged 65 years or older accessing general practice (GP), hospital, long-term facility (LTCF) settings. Advance directives (ACDs) completed by person ("person ACDs") documents a professional other ("health someone...
Background: In 2005, the Institute of Medicine recommended that all cancer patients receive a survivorship care plan (SCP). Despite widespread support, few centers have routinely implemented them. Understanding their impact is limited. Objectives: The aims this study were to examine SCP delivery on and healthcare professionals at an Australian comprehensive center determine enablers barriers implementation. Methods: Six groups surveyed: (1) who had received SCPs; (2) nurse coordinators using...
Introduction Advance care planning (ACP), an ongoing communication and process, aims to clarify a person’s values preferences, so these guide decision-making if the person becomes unable make his or her own decisions. Ideally, ACP results in completion of advance directives (ACD), documents completed by competent people outlining their values, treatment preferences and/or appointment substitute decision-maker (SDM). ACDs are most effective at point care, where they can be used inform...
Limited information is available describing advance care planning (ACP) within correctional facilities, despite its increasing relevance due to the ageing population in prisons and high rates of complex medical comorbidities. In Western countries, self-determination with respect making future decisions a human right that prisoners do not lose when they are remanded into custody. ACP enables individuals plan for their health personal so values, beliefs preferences made known inform...
Cancer survivorship is recognised globally as a key issue. In spite of the role played by nurses in care, there an identified gap nurse's knowledge this area. This study reports on development and evaluation educational resource for working with people affected cancer. The was designed using adult learning principles includes variety materials point care resources. A mixed-methods sequential exploratory design used to undertake programme. included use online surveys semi-structured...
Objective The aim of this study was to describe timelines and challenges encountered in obtaining ethics governance approvals for an Australian multicentre audit involving 100 public (n=22) private (n=78) sites from three health sectors all eight states territories. Methods We determined compared the processes, documentation number business days required prepare applications obtain research approvals. Results In total, full process (calculated date first application started final approval...
(i) Describe the prevalence and type of advance care directives (ACDs) other planning (ACP) documentation completed by persons with dementia, healthcare providers others on behalf a person dementia; (ii) identify personal ACP programme characteristics associated having in health record; (iii) self-completed ACD. A multicentre audit was undertaken Australian hospitals, general practices residential aged facilities. Auditors extracted demographic data from records eligible patients. were...