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HA 6.1.1
Culturally diverse patients' understanding of palliative care, including experience of pain and pain management, and cultural factors and beliefs that impact upon end-of-life decision making.
HA 6.1.2
Diversity of cultural expressions of grief and important cultural rituals and protocols following a death in the ED.
HA 6.1.3
Circumstances that may lead to a dying patient being managed in the ED.
HA 6.1.4
The ED not being the ideal environment in which to manage a dying patient.
HA 6.1.5
Demonstrate compassion towards patients and their family/whānau and/or carers when discussing and providing end of life care.
HA 6.1.6
HA 6.1.7
Document end of life decisions clearly in the medical record.
HA 6.1.8
Advocate for the provision of an appropriate environment for a patient who is dying in the ED.
HA 6.1.9
Identify a patient as a potential organ donor according to recognised medical criteria.
HA 6.2.1
Medically non-beneficial treatment.
HA 6.2.2
Clinical situations where end of life care must be discussed.
HA 6.2.3
Initiate discussion in the ED with a patient and their family/whānau and/or carers about their values, goals and wishes regarding medical treatment.
HA 6.2.4
Advocate for a patient by initiating discussion regarding end of life care with inpatient clinicians and community health professionals.
HA 6.2.5
Identify and utilise resources that are locally available for a patient who is dying in the ED.
HA 6.2.6
Work effectively with Indigenous and other culturally diverse families following the death of a patient in the ED, taking into consideration relevant cultural factors.
HA 6.2.7
Notify the organ donation service and inpatient critical care clinicians appropriately.
HA 6.3.1
Assess the impact of an acute illness or injury on the chronic state of a patient and identify where the goals of emergency care should become palliative.
HA 6.3.2
Record discussions and decisions about end of life care clearly in the medical record.
HA 6.3.3
Advocate by communicating the expressed wishes of a patient and their family/whānau and/or carers regarding medical treatment to the inpatient clinicians.
HA 6.3.4
Complete the required notifications and documentation after a death in the ED.
HA 6.3.5
Take responsibility for ceasing resuscitation appropriately in a simple presentation.
HA 6.3.6
Manage dyspnoea and pain in the dying patient.
HA 6.3.7
Facilitate the provision of cultural and spiritual support to the dying patient and their family/whānau/carers.
HA 6.4.1
Recognise resuscitation presentations where ongoing resuscitation may be non-beneficial.
HA 6.4.2
Limit monitoring and investigations appropriate where the goals of emergency care are palliative.
HA 6.4.3
Explain the decisions regarding medical management and the goals of end of life care to a patient and their family/whānau and/or carers.
HA 6.4.4
Lead the discussion with patients and their family/whānau and/or carers regarding the medical decisions and goals for end of life care.
HA 6.4.5
HA 6.4.6
Take responsibility for ceasing resuscitation appropriately in a complex presentation.
HA 6.4.7
Decide on appropriate goals of care and limitation of medical treatment for a dying patient.
HA 6.4.8
Deliver appropriate end of care palliative care to a patient who is dying in the ED.
HA 6.4.9
Sensitively elicit patient and carer wishes regarding organ donation where appropriate in the ED.