PRH par­tic­i­pates in suc­cess­ful pilot

Pilot project en­hances pal­lia­tive care for ad­mit­ted pa­tients

The Daily Observer - - NEWS -

As part of their com­mit­ment to qual­ity im­prove­ment, mem­bers of the Pem­broke Re­gional Hos­pi­tal’s health-care team re­cently par­tic­i­pated in a pilot project for pal­lia­tive care that, be­cause of its suc­cess, is now be­ing rolled out to ru­ral hos­pi­tals across the Cham­plain re­gion.

“Over the years, Pem­broke Re­gional Hos­pi­tal has worked hard to en­sure that com­pas­sion­ate, high qual­ity end-of-life care and sup­port is pro­vided for our pal­lia­tive pa­tients,” said Sabine Mers­mann, vice-pres­i­dent of Pa­tient Ser­vices – Se­niors and Com­mu­nity Care.

To achieve this, the jour­ney to date has in­cluded spe­cial­ized train­ing in pal­lia­tive care for physi­cians and nurses on the med­i­cal unit.

PRH has been rep­re­sented on the Cham­plain Hospice Pal­lia­tive Care Pro­gram Ad­vi­sory Coun­cil and on the Ren­frew County Pal­lia­tive and Hospice Care Net­work which brings to­gether re­gional and lo­cal pal­lia­tive and hospice care providers for reg­u­lar dis­cus­sions on how to im­prove ac­cess to high qual­ity pal­lia­tive care. The hos­pi­tal has also part­nered with the Cham­plain Re­gional Pal­lia­tive Con­sul­ta­tion Team (RPCT) for pain and symp­tom man­age­ment.

The RPCT is a pal­lia­tive care ini­tia­tive funded by the Min­istry of Health and Long-Term Care in part­ner­ship with Elis­a­beth Bruyere Con­tin­u­ing Care and the Cham­plain Lo­cal Health In­te­gra­tion Net­work’s (LHIN)

Home and Com­mu­nity Care divi­sion.

Through RPCT, a team of reg­is­tered and ad­vanced prac­tice nurses and nurse prac­ti­tion­ers are as­signed to work in the com­mu­nity and pro­vide 24/7 on-call sup­port for health-care pro­fes­sion­als through­out the Cham­plain re­gion.

Pem­broke Re­gional Hos­pi­tal has a long-stand­ing prac­tice of host­ing bi-weekly Pal­lia­tive Care rounds to dis­cuss the pal­lia­tive care needs of pa­tients un­der its care. These

rounds bring to­gether the hos­pi­tal’s dis­charge plan­ner, pas­toral care and unit man­age­ment, along with com­mu­nity-based pal­lia­tive care providers and lo­cal physi­cians ac­tive in pal­lia­tive care.

It was iden­ti­fied at these rounds a lit­tle more than a year ago that if the RPCT was able to of­fer con­sul­ta­tions within hos­pi­tal it may not only im­prove the com­fort and qual­ity of care for those pa­tients but would also po­ten­tially im­prove the con­ti­nu­ity of care from hos­pi­tal to com­mu­nity – this be­came the

ba­sis for the pilot project.

“This pilot, along with the Pal­lia­tive Care Rounds, has been key to help­ing to pro­vide in­di­vid­u­al­ized, per­son-cen­tred care, manag­ing pain and other symp­toms and sup­port­ing seam­less tran­si­tions in care that are co-or­di­nated ef­fec­tively among set­tings and providers,” said Dr. Jill Rice, who is a mem­ber of the RPCT.

Dur­ing the past year, RPCT nurse con­sul­tant Erin McCabe be­came ac­tively in­volved in con­sul­ta­tions at PRH and through this par­tic­i­pated in Pal­lia­tive Care Rounds, of­fered sup­port in the ar­eas of pain and symp­tom man­age­ment and end of life care is­sues, pro­vided ed­u­ca­tion and men­tor­ing, col­lab­o­rated in plan­ning for­mal ed­u­ca­tion ses­sions and by pro­vid­ing ac­cess to pal­lia­tive care re­sources and fa­cil­i­tated tran­si­tions be­tween com­mu­nity and hos­pi­tal

“Part­ner­ing with the Pem­broke Re­gional Hos­pi­tal was a nat­u­ral fit,” said McCabe. “I have sup­ported health-care pro­fes­sion­als and their pa­tients in the com­mu­nity for sev­eral years. The abil­ity to now con­tinue as part of their care team in the hos­pi­tal al­lows for seam­less qual­ity pal­lia­tive care to be de­liv­ered. A fun­da­men­tal prin­ci­ple of pal­lia­tive care is that it is a team ap­proach. The part­ner­ship be­tween PRH and RPCT puts that prin­ci­ple to prac­tice.”

Lo­cal physi­cians say the part­ner­ship has had a real im­pact on pal­lia­tive care de­liv­ery.

“Erin McCabe’s spe­cialty in pal­lia­tive care has been a tremen­dous re­source to physi­cians and nurs­ing staff in op­ti­miz­ing pal­lia­tive care at PRH,” said hos­pi­tal­ist Dr. My­lene Gagne.

Dr. Scott Mur­ray said he’s hon­oured to be part of the ini­tia­tive.

“There has been a long tra­di­tion of car­ing for pa­tients near­ing the end of their life’s jour­ney in the area that in­volves nurses, fam­i­lies, physi­cians, and many other health care work­ers. Present and fu­ture sup­port from the LHIN for pal­lia­tive care is greatly ap­pre­ci­ated,” he said.

As part of the project’s ex­pan­sion to ru­ral hos­pi­tals within the Cham­plain re­gion, additional nurse con­sul­tants will be hired.

SUB­MIT­TED PHOTO

Pem­broke Re­gional Hos­pi­tal has a long-stand­ing prac­tice of host­ing bi-weekly Pal­lia­tive Care Rounds to dis­cuss the pal­lia­tive care needs of pa­tients un­der its care. These rounds bring to­gether the hos­pi­talís dis­charge plan­ner, pas­toral care and unit man­age­ment, along with com­mu­nity-based pal­lia­tive care providers and lo­cal physi­cians ac­tive in pal­lia­tive care. Tak­ing part in a re­cent rounds ses­sion (from left) were PRH Pas­toral Care co-or­di­na­tor Betty Hughes; PRH med­i­cal pro­gram clinical man­ager Lau­rie Me­nard; Dr. Scott Mur­ray, Mar­i­an­hill unit man­ager Chris­tine Rossi; PRH so­cial worker Michael Peters; PRH med­i­cal pro­gram reg­is­tered nurse Kelly Mal­ley; PRH Clinical Care and Dis­charge re­source nurse Karen Gau­thier; Au­drey Edwards, Care­for Health and Com­mu­nity Ser­vices com­mu­nity sup­port ser­vices team leader and Erin McCabe, nurse con­sul­tant for the Cham­plain Re­gional Pal­lia­tive Con­sul­ta­tion Team (RPCT). Miss­ing from photo were Tammy McGre­gor (Mar­i­an­hill), Mar­i­lyn Hig­gin­son (Cham­plain LHIN Home and Com­mu­nity Care), Dr. De­clan Rowan and Judy Cobus (Hospice Ren­frew).

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