Last days of life

Kate Grundy discusses Te-ara-whakapiri - symptom management in the last days of life.

Topics

Intro
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Te Ara Whakapiri- the unifying path
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Holistic approach
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Anticipatory flow charts and care plans
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Addressing breathlessness
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Additional flowcharts (diagnosing dying)
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Managing a covid patient
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Advance care planning
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Take home messages
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Take home messages

Diagnosing dying is the first important step in the process.
Te-ara-whakapiri provides a holistic frame to guide the practitioner.
Care plans and anticipatory flow charts guide you. Prescribe in anticipation to maximise symptom management and comfort.
You only get one chance to do dying right- so take the time to do it well.
COVID-19 may see you caring for all types of patients in the community. Do your advanced care plan in advance so the patient’s wishes are all ready documented.

Resources

Te Ara Whakapiri: Principles and guidance for the last days of life NZ MOH (2017)
Palliative Care Handbook (2019)
Palliative Care NZ Formulary
Hospice NZ resources

Patient Resources

Presenter

Kate Grundy

Palliative care physican

Kate is the Clinical Director of Palliative Care, Christchurch Hospital Palliative Care Service, Honorary Secretary, Australasian Chapter of Palliative Medicine and a Clinical Lecturer, at Christchurch School of Medicine.