Train the Mentor Session - June 2015


How to approach difficult 'goals of care' conversations

In this video series, residential care experts Gina Gaspard and Dr Trevor Janz, walk you through some difficult conversations with families around end of life goals of care. Conversations cover sensitive issues, such as; what to expect as a loved one's disease progresses (using dementia as one example); use of antibiotics, hospitilization vs comfort care, and others.

The Palliative Approach in Residential Care

Introducing the palliative approach in a residential care context.

Care Conferences - Working with Families

Helping families know what to expect as their loved one's disease progresses.

Hip Fractures - Hospitalization vs Comfort Measures

What to consider as frailty and risk of falls increases. Short Q&A included.

System Shut-Down versus treatable symptoms

Preparing families for the approaching death of their loved one.

The Best Investment

Importance of early conversations with family regarding their loved one's failing health, especially involving those in disagreement with other.

End Stage Disease and Antibiotics

End stage disease and antibiotics in the context of palliative care. 

Preparing the Family: Decisions and Expectations - Role-Play

This role-play shows how to discuss advance care planning and decision-making for the best care of Mrs. Smith's mother who has Alzeimers.

Difficult Conversations with Family - Role-Play

How to deal with emotional conversations with family regarding the care of their loved one.


You Decide Sheets

 

The following summaries have been compiled and reviewed by an expert clinical advisory group to inform medication reviews and decision making. The materials are continually modified and improved in response to feedback from the field.

Physician Perspective

What to consider when changing drugs, including looking at the non-pharmacologic approach.
 

 

 

Dr Chris Rauscher
Geriatrician and Clinical Lead

 


Tools, Guidelines and Resources

Through experience gained as one of the prototypes for the Polypharmacy Risk Reduction initiative, Mount St. Mary’s (Victoria) has developed tools and guidelines to support a team approach to meaningful medication reviews in residential care. These can be modified to suit your particular care setting if required. 

Medical QI and Pharm Review

Medical QI and Interdisciplinary Team Medication Review

Chart Reviews by Medical Coordinator

Interdisciplinary Team Medication Reviews


PATH - Short Diabetes Guidelines for the Frail Elderly:

http://pathclinic.ca/wp-content/uploads/2013/11/Diabeties-Guidelines_PATH-Nov-2013.pdf

 


Contacts

Keith White, Physician Lead

kjwhitedoc@gmail.com


Chris Rauscher, Clinical Lead

rauscherchris50@gmail.com


Margaret English, Initiatives Lead

menglish@doctorsofbc.ca