As part of their response, the Ministry has committed to working with Local Health Integration Networks (LHINs) and other partners to improve the co-ordination and delivery of palliative care, including facilitating the transition for patients who move between care settings and health-service providers, as well as a review of the currently available provincial palliative resources and a position on educational requirements for health care providers who provide palliative care.
Pallium Canada understands that the provision of palliative services throughout Ontario and the rest of Canada is notably heterogeneous and inconsistent, and in part, this reflects the variance of patient need. Though the majority of patients receiving palliative services carry malignant diagnoses, the numbers that would benefit from palliative care increasingly comprise chronic, non-malignant disease, such as end-stage organ failure and progressive neurologic disease, with often diverse symptomatology and protracted illness trajectories.
Pallium Canada recognizes the foundational and indispensable role of all health care providers in the provision of primary palliative care, especially that of the primary care team in coordinating a collaborative approach across the patient’s spectrum of care. This underscores the importance of training and education for health care providers to help work towards accessible, timely and appropriate palliative services for all Canadians.
As part of our commitment towards building the future of palliative care and in response to the findings of the Ontario Auditor General, Pallium Canada will continue to develop and support a spectrum of interprofessional educational resources and clinical decision-making tools for health care providers caring for those who could benefit from palliative and end-of-life care, in order to improve the quality of care for Canadians through knowledge translation, implementation and capacity building. Our initiatives include:
- Learning Essential Approaches to Palliative and End-of-Life (LEAP) Renewal Core curriculum
- LEAP Thematic Courseware
- Pallium Canada Portal (Learning Management System (LMS))
- Clinical Decision-Support Tools
- Pallium Palliative Pocketbook
- Essential Conversations
- Clinical Resource App
- Developing Spiritual Care
- Pallium Canada Learning Apps
- Pallium Canada Mind Maps
- Compassionate Communities
- Compassionate Schools
- Compassionate Corporations
Pallium Canada is committed to E-Care support through identification and testing new, efficient and low-cost technologies (iPad, Skype, E-Health) that are able to support bedside teaching/learning and link patients in real time with health care professionals (e.g. patients in rural and urban areas with nursing and family physicians and these in turn with specialists for specialist-level palliative care support).
Pallium Canada promotes and supports collaboration among interprofessional teams and organizations involved in primary health care to develop, manage and diffuse a standardized curriculum for consistent, competency based, patient and family centred palliative and end-of-life care. Pallium Canada champions all palliative care settings through strengthening collaborative partnerships to have access to ongoing education and training.
Pallium Canada creates public awareness and education strategies to promote “re-normalizing the life journey as death included” to allow earlier and appropriate patient/clinician open, honest conversations on appropriate goals of care decision-making.
Pallium Canada has an accessible and supportive Portal (Learning Management System (LMS)) to positively engage, identify, track and support changes to practice patterns for primary health care providers by supporting learning and e-learning for health care professionals across all sectors.
Palliative care delivery in Canada must account for considerable patient variation with respect to illness presentation, course and experience. Meeting these needs will require a suitably trained interprofessional workforce that can deliver and maintain consistent, patient-centred care across diverse settings. It is through these initiatives that Pallium Canada aims to increase health provider capacity by developing community engagement strategies essential to increasing awareness and confidence in meeting palliative and end-of-life care needs for Canadians.