The Older Chinese Patient ACMA 2014 Dr Yu-Min Lin Geriatrician, Middlemore Hospital.
Jacqueline Schmidt-Busby - Middlemore Hospital, New Zealand - The Re-Working of Mainstream ACP...
-
Upload
informa-australia -
Category
Healthcare
-
view
312 -
download
2
Transcript of Jacqueline Schmidt-Busby - Middlemore Hospital, New Zealand - The Re-Working of Mainstream ACP...
![Page 1: Jacqueline Schmidt-Busby - Middlemore Hospital, New Zealand - The Re-Working of Mainstream ACP Guidelines and Resources for Pacific Island Populations](https://reader035.fdocuments.in/reader035/viewer/2022062400/589fba9a1a28abf9038b693f/html5/thumbnails/1.jpg)
The Re-Working of Mainstream ACP Guidelines and Resources for Pacific Island Populations
Jacqueline Schmidt-BusbyKo Awatea
Counties Manukau District Health Board
Advance Care Planning ConferenceSydney Australia
2-3 May 2016
![Page 2: Jacqueline Schmidt-Busby - Middlemore Hospital, New Zealand - The Re-Working of Mainstream ACP Guidelines and Resources for Pacific Island Populations](https://reader035.fdocuments.in/reader035/viewer/2022062400/589fba9a1a28abf9038b693f/html5/thumbnails/2.jpg)
Contents
• Overview
• Background
• Re-working the Guidelines
• Re-working the Resources
• The Bigger Picture
![Page 3: Jacqueline Schmidt-Busby - Middlemore Hospital, New Zealand - The Re-Working of Mainstream ACP Guidelines and Resources for Pacific Island Populations](https://reader035.fdocuments.in/reader035/viewer/2022062400/589fba9a1a28abf9038b693f/html5/thumbnails/3.jpg)
Overview:
Asian (including Indian)Pacific
Māori
Guidelines for Northern Region
![Page 4: Jacqueline Schmidt-Busby - Middlemore Hospital, New Zealand - The Re-Working of Mainstream ACP Guidelines and Resources for Pacific Island Populations](https://reader035.fdocuments.in/reader035/viewer/2022062400/589fba9a1a28abf9038b693f/html5/thumbnails/4.jpg)
Overview:
of the Counties Manukau population are Pacific
16%
21%63%
Māori
Pacific
NZ Euro / Other
Population Profile
![Page 5: Jacqueline Schmidt-Busby - Middlemore Hospital, New Zealand - The Re-Working of Mainstream ACP Guidelines and Resources for Pacific Island Populations](https://reader035.fdocuments.in/reader035/viewer/2022062400/589fba9a1a28abf9038b693f/html5/thumbnails/5.jpg)
Overview:
16%
21%63%
MāoriNZ Euro / Other
76%
of the Pacific population live in severe deprivation
Population Profile
of the Counties Manukau population are Pacific
Pacific
![Page 6: Jacqueline Schmidt-Busby - Middlemore Hospital, New Zealand - The Re-Working of Mainstream ACP Guidelines and Resources for Pacific Island Populations](https://reader035.fdocuments.in/reader035/viewer/2022062400/589fba9a1a28abf9038b693f/html5/thumbnails/6.jpg)
Overview:
48%
16%
21%63%
MāoriNZ Euro / Other
76%
29%
23%
15-44 Yrs
65 + Yrs
45-64 Yrs
of the Pacific population have one or more LTC*
*Diabetes, gout, CVD, COPD, CHF, Asthma, Bronchiectasis
Population Profile
of the Counties Manukau population are Pacific
Pacific
of the Pacific population live in severe deprivation
![Page 7: Jacqueline Schmidt-Busby - Middlemore Hospital, New Zealand - The Re-Working of Mainstream ACP Guidelines and Resources for Pacific Island Populations](https://reader035.fdocuments.in/reader035/viewer/2022062400/589fba9a1a28abf9038b693f/html5/thumbnails/7.jpg)
Overview:
Manukau Surgical Centre
Localities
CMDHB
Middlemore Hospital Ko Awatea
16 Collaboratives
Manaaki Hauora Supporting Wellness
Campaign
Organisation Chart
![Page 8: Jacqueline Schmidt-Busby - Middlemore Hospital, New Zealand - The Re-Working of Mainstream ACP Guidelines and Resources for Pacific Island Populations](https://reader035.fdocuments.in/reader035/viewer/2022062400/589fba9a1a28abf9038b693f/html5/thumbnails/8.jpg)
Overview:
Manukau Surgical Centre
Localities
CMDHB
Middlemore Hospital Ko Awatea
16 Collaboratives
Manaaki Hauora Supporting Wellness
Campaign
Organisation Chart
![Page 9: Jacqueline Schmidt-Busby - Middlemore Hospital, New Zealand - The Re-Working of Mainstream ACP Guidelines and Resources for Pacific Island Populations](https://reader035.fdocuments.in/reader035/viewer/2022062400/589fba9a1a28abf9038b693f/html5/thumbnails/9.jpg)
Background:
Cook Island Niuean Samoan Tongan
2012 1 1
2013 5
2014 3 1 10 9
Number of advance care plans: Pacific Baseline data: Jan 2012 – Dec 2014
30
Baseline Data
![Page 10: Jacqueline Schmidt-Busby - Middlemore Hospital, New Zealand - The Re-Working of Mainstream ACP Guidelines and Resources for Pacific Island Populations](https://reader035.fdocuments.in/reader035/viewer/2022062400/589fba9a1a28abf9038b693f/html5/thumbnails/10.jpg)
Background:
Cultural factors play an important role on how conversations andactions surrounding death and dying are carried out.
Despite cultural similarities - each Pacific culture is unique;
different languages, customs, rituals and familial expectations
Cultural Differences
![Page 11: Jacqueline Schmidt-Busby - Middlemore Hospital, New Zealand - The Re-Working of Mainstream ACP Guidelines and Resources for Pacific Island Populations](https://reader035.fdocuments.in/reader035/viewer/2022062400/589fba9a1a28abf9038b693f/html5/thumbnails/11.jpg)
Background:
Current Advance Care Planning does not accommodate culturalperspectives, customs or traditions
…for Pacific peoples both as a collective groupand as individual island nations...
Inadequate Resources
![Page 12: Jacqueline Schmidt-Busby - Middlemore Hospital, New Zealand - The Re-Working of Mainstream ACP Guidelines and Resources for Pacific Island Populations](https://reader035.fdocuments.in/reader035/viewer/2022062400/589fba9a1a28abf9038b693f/html5/thumbnails/12.jpg)
Background:
To:
1. Define ACP for Pacific peoples
2. Improve experiences of Pacific patients and families
3. Re-position conversations within Pacific culture
Overall Aim
![Page 13: Jacqueline Schmidt-Busby - Middlemore Hospital, New Zealand - The Re-Working of Mainstream ACP Guidelines and Resources for Pacific Island Populations](https://reader035.fdocuments.in/reader035/viewer/2022062400/589fba9a1a28abf9038b693f/html5/thumbnails/13.jpg)
Background:
By:
1. Providing health workers with relevant information andguidance on cultural concerns relating to death and dyingfor Pacific peoples.
2. Increasing the conversations and awareness of AdvanceCare Plans within Pacific communities.
Overall Aim
![Page 14: Jacqueline Schmidt-Busby - Middlemore Hospital, New Zealand - The Re-Working of Mainstream ACP Guidelines and Resources for Pacific Island Populations](https://reader035.fdocuments.in/reader035/viewer/2022062400/589fba9a1a28abf9038b693f/html5/thumbnails/14.jpg)
Re-working the Guidelines
![Page 15: Jacqueline Schmidt-Busby - Middlemore Hospital, New Zealand - The Re-Working of Mainstream ACP Guidelines and Resources for Pacific Island Populations](https://reader035.fdocuments.in/reader035/viewer/2022062400/589fba9a1a28abf9038b693f/html5/thumbnails/15.jpg)
Re-working the Guidelines
• Which Pacific orientation?
• Cultural competency
• Framing of conversations
• Importance perception: conversation or documented plan?
• The audience
Considerations
![Page 16: Jacqueline Schmidt-Busby - Middlemore Hospital, New Zealand - The Re-Working of Mainstream ACP Guidelines and Resources for Pacific Island Populations](https://reader035.fdocuments.in/reader035/viewer/2022062400/589fba9a1a28abf9038b693f/html5/thumbnails/16.jpg)
Re-working the Guidelines
Which Orientation?
![Page 17: Jacqueline Schmidt-Busby - Middlemore Hospital, New Zealand - The Re-Working of Mainstream ACP Guidelines and Resources for Pacific Island Populations](https://reader035.fdocuments.in/reader035/viewer/2022062400/589fba9a1a28abf9038b693f/html5/thumbnails/17.jpg)
Re-working the Guidelines
An understanding and appreciation of cultural factors that allow effective clinical care
Cultural Competency
![Page 18: Jacqueline Schmidt-Busby - Middlemore Hospital, New Zealand - The Re-Working of Mainstream ACP Guidelines and Resources for Pacific Island Populations](https://reader035.fdocuments.in/reader035/viewer/2022062400/589fba9a1a28abf9038b693f/html5/thumbnails/18.jpg)
Re-working the Guidelines
Who are you?
Framing of Conversation Structure
![Page 19: Jacqueline Schmidt-Busby - Middlemore Hospital, New Zealand - The Re-Working of Mainstream ACP Guidelines and Resources for Pacific Island Populations](https://reader035.fdocuments.in/reader035/viewer/2022062400/589fba9a1a28abf9038b693f/html5/thumbnails/19.jpg)
Re-working the Guidelines
Conversation? OrDocumented plan?
Importance Perception
![Page 20: Jacqueline Schmidt-Busby - Middlemore Hospital, New Zealand - The Re-Working of Mainstream ACP Guidelines and Resources for Pacific Island Populations](https://reader035.fdocuments.in/reader035/viewer/2022062400/589fba9a1a28abf9038b693f/html5/thumbnails/20.jpg)
Re-working the Guidelines
Experienced, committed health workers
The Audience
![Page 21: Jacqueline Schmidt-Busby - Middlemore Hospital, New Zealand - The Re-Working of Mainstream ACP Guidelines and Resources for Pacific Island Populations](https://reader035.fdocuments.in/reader035/viewer/2022062400/589fba9a1a28abf9038b693f/html5/thumbnails/21.jpg)
Re-working the Guidelines
“All speech, written or spoken, is a dead language,until it finds a willing and prepared hearer”
Robert Louis Stevenson
![Page 22: Jacqueline Schmidt-Busby - Middlemore Hospital, New Zealand - The Re-Working of Mainstream ACP Guidelines and Resources for Pacific Island Populations](https://reader035.fdocuments.in/reader035/viewer/2022062400/589fba9a1a28abf9038b693f/html5/thumbnails/22.jpg)
Re-working the Resources
Tonga
Cook Islands
Niue
Samoa
For Who?
![Page 23: Jacqueline Schmidt-Busby - Middlemore Hospital, New Zealand - The Re-Working of Mainstream ACP Guidelines and Resources for Pacific Island Populations](https://reader035.fdocuments.in/reader035/viewer/2022062400/589fba9a1a28abf9038b693f/html5/thumbnails/23.jpg)
Re-working the Resources
What is Advance Care Planning?
![Page 24: Jacqueline Schmidt-Busby - Middlemore Hospital, New Zealand - The Re-Working of Mainstream ACP Guidelines and Resources for Pacific Island Populations](https://reader035.fdocuments.in/reader035/viewer/2022062400/589fba9a1a28abf9038b693f/html5/thumbnails/24.jpg)
Re-working the Resources
Simple Translation?
![Page 25: Jacqueline Schmidt-Busby - Middlemore Hospital, New Zealand - The Re-Working of Mainstream ACP Guidelines and Resources for Pacific Island Populations](https://reader035.fdocuments.in/reader035/viewer/2022062400/589fba9a1a28abf9038b693f/html5/thumbnails/25.jpg)
Re-working the Resources
Which Orientation (again)?
![Page 26: Jacqueline Schmidt-Busby - Middlemore Hospital, New Zealand - The Re-Working of Mainstream ACP Guidelines and Resources for Pacific Island Populations](https://reader035.fdocuments.in/reader035/viewer/2022062400/589fba9a1a28abf9038b693f/html5/thumbnails/26.jpg)
The Bigger Picture
Tongan Versions
Cook Island Versions
Samoan Versions
Niuean Versions
![Page 27: Jacqueline Schmidt-Busby - Middlemore Hospital, New Zealand - The Re-Working of Mainstream ACP Guidelines and Resources for Pacific Island Populations](https://reader035.fdocuments.in/reader035/viewer/2022062400/589fba9a1a28abf9038b693f/html5/thumbnails/27.jpg)
Advance Care Planning: Pasifika
Enabling conversations relies upon cultural awareness, sensitivity, communication and the inter-relationships between patients, families, communities and health workers.
Re-working guidelines and resources makes an important contribution to the provision of information and guidance for health workers, and the choices of treatment and care at the end of life for Tagata Pasifika – Pacific People.
Soifua ma ia manuia lavaJacqueline Schmidt-Busby
![Page 28: Jacqueline Schmidt-Busby - Middlemore Hospital, New Zealand - The Re-Working of Mainstream ACP Guidelines and Resources for Pacific Island Populations](https://reader035.fdocuments.in/reader035/viewer/2022062400/589fba9a1a28abf9038b693f/html5/thumbnails/28.jpg)
Advance Care Planning
(Pasifika)
Collaborative Team:
Expert Group: Fuimaono Karl Puloto-Endemann, Dr Margaret Southwick, Fakavamoeatu Lutui,To’a Fereti, Meg Goodman, Karlynne Earp, Suzanne Joseph, Sitela Vimahi, Jacqueline Schmidt-Busby
Working group: Fakavamoeatu Lutui, Karlynne Earp, Suitupe Sorensen, Meg Goodman, Sierra Faitua, Fakaola Otuafi, Kola Fue, Margaret Tuala,Vainakali Fonohea, Sorrel Renton-Green Jacqueline Schmidt-Busby
Sponsor: Geraint Martin / Denise Kivell
Clinical Lead: To’a Fereti
Project Lead: Jacqueline Schmidt-Busby