Our service is…
For people requiring education about a non- dialysis pathway of care
For any person in the renal service who wishes to undertake Advance Care Planning conversations +/- Directive completion
For people requiring symptom management (non-dialysis and dialysis)
For those approaching end of life, requiring integration of palliative approach to care (dialysis, non-dialysis and transplant)
For GP and community services support and access to Renal Services at Western Health
To support the Renal Service as a whole with information, education, mentoring and professional expertise in the area of Renal Supportive Care
Referral requirements
From GP and/or Nephrologist only
Referral form – email to [email protected]
Introduction to supportive care philosophy and advance care planning information must be provided prior to referral. “Flagging” patients not accepted
Triage
Clinical Nurse Consultant (CNC) – Conduct initial further information gathering and telephone assessment
CNC Decide need and direct flow to Medical/Nurse Practitioner (NP)/CNC Clinic or Home visit
MDT discussion
Discharge
Advance care planning conversations facilitated and documented +/- Directive completed
Symptoms stable demonstrated by Integrated Palliative Care Outcome Scale (IPOS) – Renal
Patient no longer wishes to attend
Referral to Palliative Care – Palliative Care becomes primary service, Supportive Care follows up with renal bereavement support alongside Palliative care services
Death
