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Bushland Health Group Ltd (NSW)

Bligh Street Taree NSW

Palliative Approach - Nurse Practitioner Model

Karingal Gardens | Banyal Lodge | Bushland Place

Residential Care - Regional - Multiple Home Programs

Award descriptors

• Clinical care/medication management

• Health and wellbeing

• Leadership and culture

Palliative Approach – Nurse Practitioner Model was developed to enhance the palliative care services provided at Bushland Health Group and in response to the National Palliative Care Strategy 2010.

This model is comprised of a full-time Nurse Practitioner who is responsible for the provision of palliative care across the 263 residential aged care beds.

To successfully implement this model, we developed a steering committee - comprised of the Nurse Practitioner, Director of Care, Clinical Nurse Educator, and the organisation’s Pastor - to lead a policy and process review with extensive initial and continuing education of the nursing staff.

To assist with this change, several strategies were developed including an Advance Care Plan (ACP) document detailing goals of care with residents, carers and families. A resource library with information about the palliative approach was a positive addition and a Palliative Care Interest Group was formed to continually review the current process and to discuss other topics of interest.

Other strategies such as ‘Grief Debrief’ for staff and volunteers, and the Annual Remembrance Service that relatives are invited to attend were recently implemented. These strategies provide further support for grieving families and also meet the national standards for palliative care.

To ensure continuous improvement, an After Death Review document has recently been implemented to identify areas or aspects of palliative care which could be improved on.

Based on extensive feedback, the organisation considers the NP Model of Collaborative Palliation is achieving the goal of a ‘dignified death’ as demonstrated over time and across the three residential aged care facilities operated by Bushland Health Group.

More information on this program

Mrs Bernadette Burke, Director of Care, Bushland Health Group at 

Friday, 7 December 2018 - 6:11pm