The Heart of Living and Dying All Ireland Social Work Research Conference 2019
The Heart of Living and Dying
All Ireland Social Work Research Conference
2019
Deirdre Mc Kenna Specialist palliative care
social worker SHSCT
Trigger alert
Deirdre Mc Kenna Specialist palliative care
social worker SHSCT
What is the heart of living & dying?
•
A group process contributing to a public health approach to
advance care planning
•
Advance care planning is an on-going process of discussion
between the person, those close to them and their health care
professionals focusing on the person’s wishes and preferences for
their care as they approach the end of their life
•
The heart of living and dying brings advance care planning into the
public domain
•
It encourages people who are well, to think forward and explore
their goals, hopes, concerns, or fears and plan ahead
Deirdre Mc Kenna Specialist palliative care
social worker SHSCT
Why do this?
•
Aging population
•
Rising health care needs
•
Difficulty of finding the
right time
to introduce ACP
•
Growing public health approach
to palliative and EOLC eg
compassionate communities
•
Health and social care
professionals awareness or
knowledge of ACP
•
Fear among health and social
care professionals of having these
difficult conversations
Deirdre Mc Kenna Specialist palliative care
social worker SHSCT
Why do this?
•
In 2015, the All Ireland Institute of Hospice
and Palliative Care (AIIHPC) published a
survey report called “Let’s Talk”; a key
finding was that 68% of people said that
planning for their future was their greatest
concern.
Deirdre Mc Kenna Specialist palliative care
social worker SHSCT
Why?
A systematic narrative review of social workers involvement
in ACP found that
•
Social
workers in varied care settings are often the key
professionals who interface with the person and their
families during life transitions because of their skills of
communication,
negotiation, support and advocacy.
•
Social
work practice is founded on a holistic model which
embraces all areas of need.
•
The involvement of social workers is critical to EoL care
provision. (Chow et al 2017)
Deirdre Mc Kenna Specialist palliative care
social worker SHSCT
What does the “Heart of Living and
Dying” group process look like?
•
2 hour facilitated session
•
Table talk
•
Using prompt questions
•
Invitational
•
Gentle
•
Supported
Deirdre Mc Kenna Specialist palliative care
social worker SHSCT
Our Task
To create and hold a space
To create and hold a space
for people where they can have
for people where they can have
this conversation
this conversation
Deirdre Mc Kenna Specialist palliative care
social worker SHSCT
What some people have said
“I thought it was interesting that I can be immersed in reading
about issues relating to living and dying without applying it to
myself. It takes time and consideration and this conversation offered
me that.”
“very difficult subject that you want to put off, culture of N
Ireland/don’t talk/stiff upper lip, it is very important that next of kin
know what you want”
“It was so good to share experiences both within the smaller groups
and the larger groups, we need to talk more openly about what
matters to me”
Deirdre Mc Kenna Specialist palliative care
social worker SHSCT
Deirdre Mc Kenna Specialist palliative care
social worker SHSCT
Outcome Measure?
Research Question
How does “the heart of living and dying” group
process enable people talk about death and
dying and support them to plan ahead?
Deirdre Mc Kenna Specialist palliative care
social worker SHSCT
The heart of living and dying is a group process that brings advance care planning into the public domain, encouraging individuals to explore their goals, hopes, concerns, and fears for end-of-life care. Deirdre Mc Kenna, a specialist palliative care social worker, highlights the importance of this process in light of an aging population and rising healthcare needs. Social workers play a critical role in facilitating discussions and providing support during life transitions, making their involvement essential in end-of-life care provision.
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Presentation Transcript
The Heart of Living and Dying All Ireland Social Work Research Conference 2019 Deirdre Mc Kenna Specialist palliative care social worker SHSCT
Trigger alert Deirdre Mc Kenna Specialist palliative care social worker SHSCT
What is the heart of living & dying? A group process contributing to a public health approach to advance care planning Advance care planning is an on-going process of discussion between the person, those close to them and their health care professionals focusing on the person s wishes and preferences for their care as they approach the end of their life The heart of living and dying brings advance care planning into the public domain It encourages people who are well, to think forward and explore their goals, hopes, concerns, or fears and plan ahead
Deirdre Mc Kenna Specialist palliative care social worker SHSCT
Why do this? Aging population Rising health care needs Difficulty of finding the right time to introduce ACP Growing public health approach to palliative and EOLC eg compassionate communities Health and social care professionals awareness or knowledge of ACP Fear among health and social care professionals of having these difficult conversations Deirdre Mc Kenna Specialist palliative care social worker SHSCT
Why do this? In 2015, the All Ireland Institute of Hospice and Palliative Care (AIIHPC) published a survey report called Let s Talk ; a key finding was that 68% of people said that planning for their future was their greatest concern. Deirdre Mc Kenna Specialist palliative care social worker SHSCT
Why? A systematic narrative review of social workers involvement in ACP found that Social workers in varied care settings are often the key professionals who interface with the person and their families during life transitions because of their skills of communication, negotiation, support and advocacy. Social work practice is founded on a holistic model which embraces all areas of need. The involvement of social workers is critical to EoL care provision. (Chow et al 2017) Deirdre Mc Kenna Specialist palliative care social worker SHSCT
What does the Heart of Living and Dying group process look like? 2 hour facilitated session Table talk Using prompt questions Invitational Gentle Supported Deirdre Mc Kenna Specialist palliative care social worker SHSCT
Our Task To create and hold a space for people where they can have this conversation Deirdre Mc Kenna Specialist palliative care social worker SHSCT
What some people have said I thought it was interesting that I can be immersed in reading about issues relating to living and dying without applying it to myself. It takes time and consideration and this conversation offered me that. very difficult subject that you want to put off, culture of N Ireland/don t talk/stiff upper lip, it is very important that next of kin know what you want It was so good to share experiences both within the smaller groups and the larger groups, we need to talk more openly about what matters to me Deirdre Mc Kenna Specialist palliative care social worker SHSCT
Deirdre Mc Kenna Specialist palliative care social worker SHSCT
Outcome Measure? Research Question How does the heart of living and dying group process enable people talk about death and dying and support them to plan ahead? Deirdre Mc Kenna Specialist palliative care social worker SHSCT
