Podcast (Palliative)

THE OPIOID DILEMMA : Recent Changes to Regulations regarding Opioid Prescriptions in Australia – What has Changed?

Host: Dr Russell Shute

Guest Speaker: Professor Deborah Rowett

PROFESSOR DEBORAH ROWETT 

We are extremely delighted to have Professor Deborah Rowett, from the School of Pharmacy and Medical Sciences at the University of South Australia talk with Russell about this current topic, particularly as we face the challenges of COVID-19.

Debra Rowett is Professor and Discipline Leader Pharmacy, School of Pharmacy and Medical Sciences at the University of South Australia and Director of the Drug and Therapeutics Information Service (DATIS), Southern Adelaide Local Health Network.

Debra stepped down this year as President of the Australian Pharmacy Council having served on the Pharmacy Board of South Australia and then the Australian Pharmacy Council over a period of 20 years. Debra has worked extensively in the area of quality use of medicines, inter-professional practice, health policy and workforce development in Australia and internationally. Debra has also been at the forefront of academic detailing training and implementation in Australia and her research and clinical interests are in implementation science, inter professional communication and practice.

Debra is a member of the national Drug Utilisation Sub-Committee of the Australian Pharmaceutical Benefits Advisory Committee (PBAC). Debra was credentialed as an Advanced Practice Pharmacist and is a member of the Australian Advancing Practice Advisory Board which comprises leaders from across the pharmacy profession and consumer health. In 2002 Debra was awarded the SHPA’s Australian Clinical Pharmacy Award, and in 2016, Debra received the prestigious SHPA Fred J Boyd award and is a Fellow of the Pharmaceutical Society of Australia.

There are some conversations that you hope start more conversations and this is another of them.

USEFUL LINKS:

Reach for the Facts CLICK HERE

Tame the Beast CLICK HERE

 

Preparing for End of Life by Karen E. Steinhauser  – CLICK HERE

NPS MEDICINEWISE | Opioids, chronic pain and the bigger pictureCLICK HERE

 

The SUSTAINABLE DOCTOR – Putting the GP’s Heath in Palliative Care

Host: Dr Russell Shute

Guest Speaker: Dr Roger Sexton

Dr Roger Sexton – MBBS (Adel), DRCOG(UK), FRACGP, FACRRM, MBA (Adel), FAICD

We are extremely delighted to have Dr Roger Sexton, from Doctor’s Health SA talk with Russell about this very relevant subject, particularly as we face the challenges of COVID-19 and to launch to you on RU OK day.

Dr Roger Sexton has practised as a rural procedural GP for over 35 years in the Adelaide Hills and Barossa regions and as a rural locum across SA. He has enjoyed a very broad clinical practice which has included obstetrics, anaesthetics, and emergency rural medicine. 

His special interest and contribution to medical education has been recognised. He has a long-standing interest in doctors’ health and played a major role in establishing the rural doctors’ Dr DOC program in 2000, the Doctors’ Health SA Program in 2010 and the Doctors’ Health NT program in 2016. He is recognised nationally for his work in this area.   

Roger has been a member of the national Pharmaceutical Benefits Advisory Committee (PBAC), board director of the National Prescribing Service (NPS MedicineWise) and the last Presiding Member of the Medical Board of SA in 2010 as it transitioned into the national regulator.

He is currently Deputy Chair of medical indemnity provider, MIGA, Chair of its Clinical Risk Management Committee and member of its Claims Committee and Governance Committee.

He is a board director of Doctors’ Health Services Pty Ltd which oversees the doctors’ health programs across Australia.

He completed his MBA at the University of Adelaide in 2015 and was awarded the prize for Strategic Management. He has a strong belief in the benefits of life-long professional development as a doctor and board director.

Roger’s unique experience in and understanding of rural clinical medicine, education, medical indemnity, and doctors’ health drive his long-standing commitment to improve the health of the profession for the good of the community.  

There are some conversations that you hope start more conversations and this is another of them.

 

USEFUL LINKS:

Doctor’s Health SA | Resources CLICK HERE

MindfulnessCLICK HERE

The Resilience Myth in Medicine | By Geoffrey ToogoodCLICK HERE

Mental Health Resources for GPs – RACGP CLICK HERE

Palliative Care and GPsCLICK HERE

 

‘SPIRITUAL GUIDANCE’

An informal chat with Reverend Nicholas Rundle

Host: Dr Russell Shute

Guest Speaker: Reverend Nicholas Rundle

Reverend Nicholas Rundle

We are delighted to have Rev. Nicholas Rundle, from the Uniting Church in Australia and Chaplain at the Royal Adelaide Hospital talk with Russell about this very relevant subject, particularly as we face the challenges of COVID-19. He has been known to use the analogy of the sea and its ambivalence as a place of solace and of storms to describe the hospital as a ‘holding place’ where the human hand – despite all the technology – is still paramount in healing.

This special episode is all about Spiritual Care which goes beyond medical treatment and is centered on needs and beliefs. It does not impose but seeks to listen respectfully and confidentially to promote comfort and healing.

There are some conversations that you hope start more conversations and this is another of them.

Spiritual Care

Spiritual Care Services provides patients and their families and/or carers with spiritual, religious, and emotional support to enhance health and well-being during the patient’s stay in hospital or if the patient is at home.

Spiritual Care can provide support during times of trauma, ill health, palliative care, end-of-life, sadness, and grief through:

  • Non-judgemental, attentive, and respectful listening.
  • Talking through questions about meaning, purpose, relationships, life and death and feelings of despair,          sadness, loss, and grief.
  • Human connectedness and friendship.
  • Facilitation of spiritual and religious care for people whose faith requires liaison with their community.
  • Religious and sacramental care such as prayer, communion or anointing as requested.
  • Mindfulness and meditation.
  • Self-expression through creativity such as music, art, or writing.
  • Spiritual care goes beyond medical treatment and is centered on your needs and beliefs. It does not impose but seeks to listen respectfully and confidentially to promote comfort and healing.

Additional Links:

‘ON THE COUCH’

A casual chat with our GP Advisors to the GP Palliative Shared Care Program

Dr Chris Moy
Dr Russell Shute
Dr Stephen Hobson

 

Host: Dr Russell Shute

Guest Speaker: GP Advisors | Dr Chris Moy, Dr Russell Shute and Dr Stephen Hobson

 

Dr Chris Moy

Dr Chris Moy is a GP working in Parkside with a long standing involvement in the areas of aged care, end of life decision making, palliative care and digital health at both state and national levels.

He is a former member of the Expert Advisory Group of the SA Advance Care Directives Review and SA Health End of Life Working Group- which developed the Resuscitation Plan-7 Step Pathway currently being implemented across health in South Australia.

He participated in the development of the GP Partners, GP Palliative Shared Care Model and he is an amazing GP Advisor to the Program.

He is also on  the SA Health End of Life Program Board.

Chris is the AMA(SA) President and the current Chair of the Federal AMA Ethics and Medico-legal Committee.

Dr Russell Shute

Dr Russell Shute is a GP with wide experience in both country and urban locations.

He has recently commenced working at Mary Potter Hospice, at Calvary North Adelaide.

He has had considerable extra training and experience in palliative care and is involved in education with medical students, GP registrars and GPs in this area.

He is also an amazing GP Advisor to the SA Palliative Shared Care Program, and he is also an examiner for the college of GPs.

He enjoys following the Crows (but will watch any sport if given the chance), watching movies and loves to go walking with his border collie Tilly!

Dr Stephen Hobson 

Dr Stephen Hobson has worked as a GP in Tea Tree Gully for the last 10 years.

He has special interests in the areas of Palliative Care and Diabetes management.

He is one of the three amazing GP Advisors for the GP Palliative Shared Care Program and has previously worked in the Northern Palliative Care team.

He is a proponent of maintaining a good work/life balance, and as such has accumulated a variety of odd hobbies!

 

This is the first in our series of 2020 Podcasts.

There are some conversations that you hope start more conversations and this is one of them.

This special episode is all about basic Palliative Care 101 featuring our three GP Advisors to the GP Palliative Shared Care Program sharing their valuable insights.

Thanks to Russell, Chris and Stephen for this important episode.

Additional Links:

 

EXTENDED CARE PARAMEDICS AND RESUSCITATION UPDATE FOR GENERAL PRACTITIONERS

Host: Dr Russell Shute – GP Advisor to the SA Palliative Shared Care Program

Guest Speaker: Professor Hugh Grantham

Hugh Grantham ASM, MBBS, FRACGP, is Professor of Paramedics, Flinders University and Senior Medical Practitioner, South Australian Ambulance Service, Adelaide, South Australia.

Professor Hugh Grantham previously worked as the Medical Director, South Australian Ambulance Service until 2011. Professor Grantham has interests in clinical education, emergency medicine, disaster medicine and resuscitation. He is also the national educator for the advanced life support program (ALS) and senior instructor of ALS and early management of severe trauma (EMST) courses. Professor Grantham is currently an examiner for the RACGP and clinically active as a part-time senior medical officer at Flinders Medical Centre emergency department.

In this Podcast Professor Grantham describes the latest changes in resuscitation recommendations in the field of resuscitation and the Advanced Life Directives with an emphasis on issues of particular relevance to GPs.

Additional Links:

 

MANAGEMENT OF PALLIATIVE SYMPTOMS – PART 1

Host: Dr Russell Shute – GP Advisor to the SA Palliative Shared Care Program

Guest Speaker: Dr Lawrie Palmer

Dr Lawrie Palmer (MBBS; FRACGP; FAChPM, MPH, Board Certified by the American Board of Family Practice) Lawrie Palmer is a Palliative Medicine Specialist at Modbury Hospital, Medical Head of Unit for Northern Adelaide Palliative Service, is a Senior Consultant in Palliative Medicine at Southern Adelaide and a Senior Clinical Lecturer at the University of Adelaide.

In this podcast, Lawrie presents an introduction for GPs talking about the management of nausea and vomiting in patients in a palliative care environment.

Additional Links:

 

MANAGEMENT OF PALLIATIVE SYMPTOMS – PART 2 

Host: Dr Russell Shute – GP Advisor to the SA Palliative Shared Care Program

Guest Speaker: Dr Lawrie Palmer

Dr Lawrie Palmer (MBBS; FRACGP; FAChPM, MPH, Board Certified by the American Board of Family Practice)
Lawrie Palmer is a Palliative Medicine Specialist at Modbury Hospital, Medical Head of Unit for Northern Adelaide Palliative Service, is a Senior Consultant in Palliative Medicine at Southern Adelaide and a Senior Clinical Lecturer at the University of Adelaide.

In this podcast, Lawrie presents part 2 of our series for GPs to the management of patients symptoms in a palliative care environment.

 

CANCER IMMUNOTHERAPIES – WHAT GPS NEED TO KNOW

Host: Dr Russell Shute

Guest Speaker: Dr Dainik Patel

Dr. Dainik Patel is practicing medical oncologist at Adelaide Cancer Centre and also at Lyell McEwin Hospital.

He completed 2 years of research fellowship in Gastrointestinal cancers. He is passionate for research and teaching.

He serves as senior clinical lecturer at University of Adelaide and he has been appointed as state coordinator for physician training lecture series.

Additional Links:

 

CARING@HOME PROJECT

Host: Dr Russell Shute

Guest Speaker: Professor Liz Reymond, PhD, FRACGP, FAChPM

Prof Reymond is Deputy Director, Metro South Palliative Care Service and Director, Brisbane South Palliative Care Collaborative. Her research interests include palliative care symptom management, advance care planning (ACP), and service delivery and development. Liz is currently directing the Queensland-wide Office of ACP, the Improving End-of-Life Care for Residential Aged Care Facility Residents Initiative (in collaboration with Brisbane South PHN), and the national caring@home project to improve the quality of palliative care service delivery across Australia to support people to be cared for and to die at home, if that is their choice.

Additional Links:

 

DEPRESSION AND MENTAL HEALTH ISSUES FACING PALLIATIVE PATIENTS

Host: Dr Russell Shute

Guest Speaker: Professor Greg Crawford

Gregory Crawford is a senior Palliative Medicine Physician with SA Health and Professor of Palliative Medicine at the University of Adelaide.

He is a full time clinician and an active researcher. He is a Chief Investigator on his third NHMRC research grant. These have examined issues for people with end-stage lung failure, prognostication and how to develop complex public policy for vulnerable populations. He has a wide range of academic skills with over 50 peer reviewed publications, grants in excess of $1.3M and has supervised 4 PhD students and examined 6 higher degrees for national and international Universities. He has qualitative and quantitative research skills and coordinates a wide research program with teams in the University of Adelaide and Northern Adelaide Palliative Service.

His doctoral thesis was on depression in Australian palliative care patients awarded by Flinders University in 2008.

Additional Links:

 

 

Objectives: To examine the prevalence and predictors of depression and anxiety in palliative care patients with cancer in Western Australia and New South Wales.

Background

There is a dearth of data regarding the optimal method of detecting and treating depression in palliative care. This study applied the Delphi method to evaluate expert opinion on choice of screening tool, choice of antidepressant and choice of psychological therapy. The aim was to inform the development of best practice recommendations for the European Palliative Care Research Collaborative clinical practice guideline on managing depression in palliative care.

 

 

 

 

 

THE ESSENCE OF PALLIATIVE CARE

Host: Dr Russell Shute

Guest Speaker: Professor Greg Crawford

Gregory Crawford is a senior Palliative Medicine Physician with SA Health and Professor of Palliative Medicine at the University of Adelaide.

Palliative care was first defined by World Health Organization (WHO) in 1989, as care especially for “patients whose disease is not responsive to curative treatment. The WHO further broadened the target population to “the patients and their families facing the problems associated with life-threatening illness” in 2002. Furthermore, the scope of palliative care has become even broader over time, which resulted in the idea that “palliative care” should be delivered regardless of the diagnosis and prognosis, the time, and the place/situation.

There are some conversations that you hope trigger more conversations and this is one of them.

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