Escolar Documentos
Profissional Documentos
Cultura Documentos
Page 2
Page
VISION
MISSION
OBJECTIVES
ETHICS
“Death should become simply a discreet but dignified exit of a special person from a helpful
society without pain or suffering and ultimately without fear”. (Phillip Aires)
Page 4
AGENDA
The Nineteenth Annual General Meeting of the Goulburn Valley Hospice Care
Service is to be held at 5.30 p.m. on Wednesday, 3rd October, 2007
at Rotary Hospice House, 32 Packham Street, Shepparton.
Minutes of the 18th Annual General Meeting of the Goulburn Valley Hospice
Care Service held at 5.30 p.m. on Wednesday, 8th November, 2006 at Rotary
Hospice House, Packham Street, Shepparton.
The President Dr. John Hetherington welcomed everyone to the 18th Annual General
Meeting.
PRESENT: John Hetherington, John Beaver, Pat Gibson, Greg Luscombe, Rob
Sands, Paul O’Dwyer, Michael Blake, Andrew Neaum, Wendy Cook,
Marg Watts, Carmel Smith, Kerrie Frappell, Carmel Johnson, Jeanette
Powell, M.L.A., Christine Ryan ADON G.V.H, Barbara Evans,
Richard Moloney, Ian Barker and Stephen Merrylees.
APOLOGIES: Mayor Jenny Houlihan Mayor of Shepparton, Bob Laing C.E.O City of
Greater Shepparton, Catherine Hattersley Hume Palliative Care, Dr.
Sharman Stone Federal Member for Murray, The Hon. Wendy Lovell
M.L.C, Dr. Bruce Warton Director of Medical Services G.V.H, Greg
Pullen C.E.O G.V.H, Chris Thompson C.E.O Shepparton Private
Hospital, Dr. Adrian Buncle, Wendy Lewis, Peter Ross-Edwards A.M.,
Les Young, Bunty Gundry, Julie Poon, Annette McDougall, Sonia
Allert, Celie Cameron, Sharon Bover, Annette Cudmore, Lorraine
Tuckett, Sharyn Oxenbury and Sally Parker.
REPORTS:
PRESIDENT’S REPORT:
Moved by John Hetherington, seconded by Wendy Cook, that the report of the President be
received. Carried
Page 6
Reports cont.
TREASURER’S REPORT:
Greg Luscombe presented the Audited Financial Statements for the financial year ending
30/06/2006.
Moved by Greg Luscombe, seconded by John Beaver, that the Audited Financial Statements
be received. Carried.
CO-ORDINATOR’S REPORT:
Carmel Smith presented her report which also incorporated the report of the Bereavement
Counsellor, the Co-ordinator of Volunteers, Nurses Special Interest Group and the Clinical
Advisory Committee which comprises Dr. Adrian Buncle and Dr. Paul O’Dwyer.
Moved by Rob Sands, seconded by Greg Luscombe, that the report of the Co-ordinator be
received. Carried.
Moved Wendy Cook, seconded by Andrew Neaum that the reports of the fundraising
committees be accepted. Carried.
APPOINTMENT OF AUDITOR:
Moved by Greg Luscombe, seconded by Marg Watts that Mr. Frank Metzke of Metzke &
Allen be appointed Auditor for the 2006/2007 financial year.
Carried.
ANNUAL SUBSCRIPTION:
Moved by John Beaver, seconded by Wendy Cook, that this meeting confirm that the Annual
Subscription for membership of the Goulburn Valley Hospice Care Service Inc. is $10. with
the exception of volunteers’ subscription which is set at $2. Carried.
GENERAL BUSINESS:
No items of General Business had been received as per the Rules of Association.
Page 7
The President declared all positions vacant; Mrs. Carmel Johnson an inaugural member of
this Committee was invited to take the chair for the election of the Committee and to outline
the establishment of this service in 1988.
MRS. JOHNSON –
Paid tribute to the Committee, Co-ordinator Carmel Smith and Staff of the service for their
continuing work for the community and how wonderful it was to see how far the service had
come.
Recalling the humble beginnings of the service noting the first meetings were held in a small
room at Ambermere House which was cold and had minimal kitchen facilities. The first
grant of $15,000 was graciously received from the Fairley Foundation. The passion and
enthusiasm in these early days of people such as BOBBIE HOLMES, JENNY LEWIS and
FRANK PURCELL resulted in an initial grant from the Health Department of $60,000,
which was used to employ JENNY LEWIS a well respected Palliative Care Nurse in the
community. Mrs. Johnson also paid tribute to Roger Coates, Ian Barker, Margaret
Humphreys Robin Holmswood and Brian Bradbury for their support in the early days.
Mrs. Johnson stated that Nomination Papers had been received for the following people:
John Hetherington, John Beaver, Pat Gibson, Greg Luscombe, Paul O’Dwyer, Rob Sands,
Les Young, Michael Blake, Andrew Neaum, Marg Watts and Wendy Cook.
As the number of nominations did not exceed the number to be elected, Mrs Johnson
declared the above persons duly elected to the Committee of Management.
The Chairman advised that the following members have completed 10 and 15 years’
volunteering service:
As Pat Anderson and Jo Barker were not present the Chairman will present their certificates
on another occasion.
The Chairman closed the meeting, thanking those who attended for their continued support
and issued an invitation to remain for light refreshments.
Since its eighteenth Annual Report the Goulburn Valley Hospice Care Service (GVHCS) has
enjoyed a year during which clinical services have gained breadth and depth. We are now
able to do more for our patients, who come to us with more diverse and more complicated
problems – and their families.
Voluntary work remains the backbone of the infrastructure which supports our clinical staff.
It remains true that government funding would provide a “nine to five”, five days a week
service by community nurses assisted by a nurse specialist. Our service is provided by
specialist nurses 24 hours a day, seven days a week.
Our voluntary fund raising is aided considerably by the generosity of the Community Fund
which has once again come to our assistance with money towards improving our storage area
for equipment and records. As well, we benefit from cycling events; the “Murray to Moyne”
in April remains popular and the “Fruit Loop” in September generates much interest amongst
riders and many dollars for us. These events don’t just happen and it is not just the riders
who put in the effort. They happen because of active enthusiastic groups of people who work
long and hard behind the scenes, doing the ground work and inspiring the sponsors. If riding
a bike is not your scene we can offer a weekend motoring tour – called “The Hospice
Rallye” which is held in May. Again, a lot of work, a lot of fun, a lot of money.
All these people volunteer their time and effort and as well we have specific teams of
volunteers doing defined jobs. One way to make a nurse’s hours go further is to assist a
patient and family at home with a “patient volunteer”. We have a panel of these fine folk and
we are about to train more recruits. This is in the hands of Tanya Holt whom we welcome to
our service as Co-ordinator of Volunteers.
Page 9
Tanya brings with her expertise at her job, a bright personality and an ability to raise money.
Welcome, Tanya! She will also co-ordinate that other important team of permanent
volunteers – those who work in the Opportunity Shop. The “Op Shop” continues to produce
the income stream which underwrites our expenditure over and above our government
grants. It therefore remains a central plank in our model of care. Sharyn Oxenbury is now the
manager, ably assisted by Julie Argus who has just joined the staff. They, along with all the
volunteers, keep that essential but well oiled machine running.
It is a pleasure to be able to report that all this voluntary activity has supported a nursing
service which is increasingly broad and deep. As anticipated a year ago, the Department of
Human Services brought into effect major changes in the way Palliative Care is delivered in
Victoria. In the Hume Region, wherein lies Shepparton, this has meant more funds have been
diverted from a central bureaucracy to the front line services which provide the care. Because
we employ nurses with great experience in Palliative Care we provide consultative advice to
smaller services in the western and southern parts of the region. At the same time we are able
to access expert medical advice from the medical team with which Hume Region is
contracted. This is valuable when our own small team of expert (voluntary) medical
practitioners is not available.
Our Co-ordinator, Carmel Smith’s role has had to change to allow more of her time to be
spent on administration and less on clinical nursing. Annette Cudmore has re-joined our
nursing staff as Clinical Nurse Consultant and as well as nursing is busying herself with
matters pertaining to Strategic Planning and renewal of Accreditation of Standards. Last year
we employed Sharon Bover on “nurse bank” but it was not long before she started permanent
part time hours so the nurse bank is again empty! And this is at a time when we can foresee
the need for more nursing hours as we establish the system of electronic record keeping and
communication which we are planning to introduce.
Electronic communication has a well established place in obtaining pathology and radiology
reports but systems are less well developed for providing relevant and timely information
when patients have to move between different health care facilities. The need for “old
ground” to be covered again can be tiresome and inconvenient for all concerned when a
patient has to be moved between our service and the hospital but it can be diminished or even
removed with well planned communication. Such communication allows admission/
discharge to proceed more smoothly and more quickly. But electronics alone do not allow
this; it requires co-operation and planning. Our staff and that of Goulburn Valley Health (GV
Health) have co-operated and planned most successfully – to the point where “Direct
Admission” of our patients to the medical ward of the hospital now occurs. In another
example of co-operation for the benefit of patients and families GVHCS is committing funds
for decoration and furnishings to permit the opening of a second dedicated “Palliative Care”
Single Bed Ward at GV Health. This much needed facility should be available soon and will
be a welcome addition to the existing bed and the Respite Care Bed we currently lease at
Ave Maria Village.
Page 10
Recently a survey was carried out, by the Press-Ganey Organisation, covering USA and
Victoria (being the first part of Australia into which they are expanding). That survey sought
to find out how satisfied recently bereaved families were with their experience of home
based palliative care. It is wonderful to be able to report that GVHCS came out on top. Yes!
Number One! That really does say a lot about our standards of care but we are aware that our
model of care requires more nurses with specialist training than simpler models so we are
committed to continuing education.
Our Staff are involved in the education of medical students at the Rural Medical School of
the University of Melbourne. They are all involved in the on-going education of nurses
working in Aged Care Facilities. Under the leadership of Sonia Strachan there is a (Palliative
Care) Special Interest Group of nurses in the Goulburn Valley. We were pleased to be able to
support our Clinical Nurse and Bereavement Counsellor Julie Poon in her study for her
Masters of Health Studies at the University of Queensland. She has just gained her
qualification. As well as all of these activities there is something else happening which is
really exciting. We have entered into a co-operative arrangement with Banksia Palliative
Care Service, based in Ivanhoe, to provide formal Palliative Care training for nurses – in
Shepparton. Banksia is the pre-eminent provider of such education within Victoria and its
successful students gain credits with the University of Melbourne. So it is not just education
that we are providing locally but first class education of high repute. The first course, for
twenty five students, is due to commence in early July and is already over-subscribed. We
look forward to this venture continuing and hopefully expanding because an ageing
population with a longer life span is bound to demand more palliative care.
This Annual Report outlines a year in the life of our small but busy service. I hope that it
informs you and interests you enough to maintain your support, for we are truly a grass-roots
organisation. We believe we do those things you ask of us and we intend to go on doing them
and doing them well for a long time to come.
My fourth annual report reflects another busy year at Hospice House and in the community.
Our wonderful team has once again worked their magic in supporting many families to
achieve the wishes of their loved ones to die in their place of choice. In most cases this was
at their home, but if not, the staff were able to ensure that their time at home was maximised
before they were transferred to hospital or into our Ave Maria bed for their final days. We
have had many wonderful and challenging experiences and our clients have ranged in age
from 3 to 99.
There have been some changes to our staff at Hospice House and at the Opportunity Shop.
Jacinta Goodman (Clinical Nurse) resigned and was replaced by Annette Cudmore. Celie
Cameron (Co-ordinator of Volunteers) also resigned and was replaced by Tanya Holt.
Lorraine Tuckett (Opportunity Shop) resigned and was replaced by Julie Argus. Sharon
Bover has joined our staff as a permanent part time Clinical Nurse. I would like to thank
Jacinta, Celie and Lorraine for their valuable contribution to GVHCS and wish them all the
very best in their future endeavours. I would also like to extend a warm welcome to Annette,
Tanya, Julie and Sharon who join our team.
The nursing staff have had a busy year fulfilling the education requests from the area. We see
this as an important role that we play in the region to help upgrade the qualifications and
knowledge of all those who are involved in the care of dying patients. We provide education
to nurses from aged care facilities, acute hospitals, student nurses both Division 1 and
Division 2, and also to medical students as requested.
During the year we teamed up with Partners in Training to present education to all the local
aged care facilities especially in relation to syringe driver competencies. The demand on our
staff in this respect required some careful resource planning. We introduced an “Education
Calendar” to help us plan in advance and ensure that there is enough staff to service the
patients while someone is away presenting education. We plan to continue to commit to
delivery of education throughout 2007/2008 which includes education to the Moira and
Lower Hume Shires.
We are all very excited about the commencement of the Banksia Palliative Care Course,
which is running for the first time out of Melbourne. We are supporting Banksia to provide
this valuable accredited course in Shepparton. Our first intake of 25 nurses is from all over
the Hume Region, and with various nursing backgrounds. We have enough expressions of
interest to warrant running another course in 2008. The Banksia Palliative Care Course will
help with the broader education of general nurses throughout our region. We hope that in
time, the increased understanding of palliative care amongst the general nurses in the
community will provide an important positive link when seeking specialist palliative care
support from our Hospice Service and other palliative care services in the region.
Page 12
Our regular meetings at GV Health continued, and we have formalised a Direct Admission
Policy for clients who require admission to the hospital. The direct admission is seen as a
logical and necessary procedure for our clients requiring medical interventions. Being able to
admit them directly to the ward ensures that they are seen and treated promptly, without
having to have lengthy waits in casualty.
Another great step forward is that we are now able to access our clients’ Goulburn Valley
Health pathology results electronically, which reduces otherwise lengthy waiting times for
phone and fax results, and further streamlines our clients care.
Our respite bed at Ave Maria Village continued to enhance the services we provide to our
clients and their families, and our room is fully utilised. We continue to maintain an active
role in the management of all our clients while they are in Ave Maria, and to support their
respective families and carers.
Professional development is an ongoing priority for all the staff at Hospice. The nursing staff
have continued to be involved in formal study, including attending conferences and
workshops relevant to palliative care. All other staff are actively involved in appropriate
education opportunities as required. We again thank the Committee of Management for their
ongoing financial commitment to our professional development.
We continued our commitment to maintain our Accreditation status and our quality practices.
Annette Cudmore took over this important part of our service and is ably assisted by Kerrie
Frappell. Our committee meet monthly and included Margaret Watts and Rob Sands, whose
support and expertise in this area were greatly appreciated by the team. We have passed our
mid cycle review and will go through another formal review in 2008.
Palliative Care Week was as always a wonderful time to reflect on the year gone, and to
remember those we have lost and support their wonderful families and carers in our
memorial service. Bunty Gundry continued to put her special mark on this wonderful
memorial service, and was well supported by all the other staff and the volunteers. Palliative
Care week offers us an opportunity to make the community aware of the practice of
palliative care and the many ways we are able to support and care for the terminally ill
clients and their carers who need our help.
Statistics:
• Patient referrals 118
Again it is interesting to note that the 27 patients who passed away at Goulburn Valley
Health and Tatura had been in the our service for a total of 1,274 days, and although they
passed away in hospital, which in all cases was planned, they only spent 124 days
collectively as inpatients in their final days.
I look forward to the year ahead with all its challenges and again would like to thank my
wonderful team for all that they do to make this such a special service. Our team could not
achieve what we do in the community without the wonderful support and work done by all
our volunteers, whether they be working at the Op Shop, on committees or along side us with
our clients and their families. My heartfelt thanks to all of you for making my position at
Hospice House so enjoyable. My team and I look forward to another exciting year.
Carmel Smith
Co-ordinator
Page 14
It is with much pleasure that I present the annual report from the Goulburn Valley Palliative
Care Nurses Special Interest Group.
This group was established in 2003 for the main purpose of providing an opportunity for
nurses with a particular interest in palliative care to meet and exchange ideas, network and
overall offer support to one another.
This group has 4 meetings through out the year and hold these at Hospice House in Packham
Street.
Speakers for the last 12 months have included the Co-ordinator of the Hume Integrated
Cancer Service, Sharyn Oxenbury the National Palliative Care 2006 short story competition
winner, Barb Robinson – Head of Anaesthetics at GV Health who presented on the use of
Ketamine and Frances Dias, Mundipharma Drug Rep who presented on the use of Norspan
and Oxycontin.
Each meeting has had approximately 12 nurses attend. These nurses are from Shepparton,
Kyabram, Nathalia, Numurkah and work within the community, aged care facilities,
oncology, medical wards and palliative care services. The number of attendees may not
appear large but when you compare this to the Melbourne Special Interest Group who gets
approximately 20 nurses at their meetings I think we are doing really well at a local level.
The group welcomes any new members that work in palliative care or have an interest in this
specialised area.
Goulburn Valley Palliative Care Nurses Special Interest Group acknowledges the support of
G.V. Hospice Committee of Management.
Sonia Strachan
Clinical Nurse Consultant
! "
Page 15
Bereavement support is made available to patients and their carers during the period of care
and for 12 months following the death of the patient. General support is provided by nursing
staff and patient volunteers with the counsellor providing individual and family counselling,
routine contacts and facilitating group work activities (walk, creative crafts and men’s
groups).
The following statistics are presented for the year July 2006 to June 2007:
Number of bereavement counsellor workdays: 71
Contacts: Visits – 123, Phone calls – 263, Letters – 228
Number of families involved in bereavement support program: 67
• Palliative Care Victoria Loss and Grief Interest Group – writing a new leaflet
“about Bereavement Counsellors”;
• Local chapter of National Association for Loss and Grief;
• Research project “Preference for place of death” investigating whether the people
we care for achieve their wishes has been finalised and written up.
It was presented at the inaugural Palliative Care Nurses of Australia conference in
September;
• Community information on grief;
• Attended reference group for state-wide psycho-oncology service.
I would like to thank the volunteers for their valued assistance in running group work
activities.
Julie Poon
Bereavement Counsellor
!
Page 16
Earlier in the year I had the pleasure of joining the Goulburn Valley Hospice Care Service
team, taking up from where Celie Cameron had left off, as Co-ordinator of Volunteers.
Since then I have come to appreciate the role our patient care volunteers can play in the life
of our patients and their families; small actions can continue that vital link a patient has with
their community, or enable a carer to keep caring at home that bit longer.
2006-2007 has seen the continued professional development of our volunteers with many
attending seminars on spirituality, self care, grief and bereavement among a few other things.
Volunteers have been involved directly with patients and their families, helping out with the
Bereavement Walking program and the Day Hospice at Ave Maria Village assisting at the
Hospice Opportunity shop each month and the Memorial Service.
The ‘Strengthening Palliative Care- Palliative Care volunteers standards’ were published by
the Department of Human Services in April 2007 and we continue to work towards
implementing these standards. GVHCS was successful in receiving a small grant from the
RACV Foundation to contribute towards training more Patient Care Volunteers and team
building activities.
I would like to thank the entire team including (but not limited to!) the Volunteers, Carmel,
Kerrie, Annette, Annette, Sharon, Bunty, Sonia and Julie for their warm welcome,
encouragement and support.
Tanya Holt
Co-ordinator of Volunteers
! !
Page 17
In his opening remarks at HOSPICE TEA AND HARMONY, Guest Speaker: Rob Gell, said
that as he looked out from the lectern, he realised that The Windsor Hotel, in Spring Street
would have to lift its game: the beautiful china and silver and the delicacies were
sensational!!!
FRIENDS OF HOSPICE meet at Hospice House on the second Wednesday of each month at
10.30 a.m. New members are welcome. During the year ended 30/06/07, Ailsa Cook,
Margaret McMaster and Barbara Lorains joined the group.
Pat Gibson
Honorary Co-ordinator
FRIENDS OF HOSPICE
Page 18
For another year, the Opportunity Shop continues to perform well thanks to the continued
dedication of Staff and Volunteers.
Again, the challenges we have faced over the past year are the same as those faced in the
previous years.
Mostly those challenges are ensuring that there are the Volunteers and support staff to make
sure the daily operation can be performed efficiently, and that we have a regular supply of
good stock at all times.
During the year our long serving Supervisor, Lorraine Tuckett retired. Lorraine had been
with us for more than 5 years, and her efforts and contribution in making the Hospice Op.
Shop what it is today, cannot be understated. When we moved from Maude St. to Fryers St.,
at the time when we were entering ‘the big league’, we were struggling with Op. Shop
methods. Lorraine came to us and pointed us in the right direction, managed the Volunteers,
arranged Work for the Dole and Department of Corrections participants, and ensured all the
correct stock was in the shop at the right time, Lorraine’s husband Lou, also provided
invaluable assistance, hands on at the start of the Fryers St. operation, and more lately as
support for Lorraine.
We sincerely thank both Lorraine & Lou for their contribution to the success of the Op.
Shop.
When Lorraine retired, Sharyn Oxenbury moved into a Managers position, and Julie Argus
was employed as Assistant Manager, and runs the retail side of the Op. Shop. So far this
arrangement is working very well, and the Op. Shop is thriving.
Also during the second half of the year, we said farewell to Sally Parker, who was working
one day a week in the shop.
Some positive volunteer recruiting has been occurring over the last twelve months, and we
are grateful to the ‘boys’ at the Op. Shop, a group of male volunteers who contribute many,
many hours over the course of a year, and whose assistance is greatly appreciated by all. In
particular, our ongoing thanks go to Kevin Finteln, Rod Kelley and Trevor McGown who
have all been with us for several years, and are being joined by a good group of newcomers.
Sadly, last October, Margie Williams, one of our long serving volunteers passed away.
Margie will be remembered as a cheerful, long-serving volunteer, who always had her little
dog ‘Chelsea’ with her.
Both Margie and Chelsea are sadly missed.
We still have a group of loyal and hardworking Volunteers, who without their efforts, the
Op. Shop could not operate. We thank all Volunteers for their support.
The ‘Work for the Dole’ arrangement with Central Victoria Group Training (CVGT)
continues, and we rely on the help that the people placed with us provide. We again thank
CVGT for their continued support.
Page 19
The Op. Shop Administration Committee continues to meet to provide the commercial support
for our Manager, and help make decisions for the shop, without every item having to go to the
Committee of Management.
To everyone involved in the operation of the Op. Shop a big thank you for all the things you do.
Our Staff, Volunteers, Administration and Agency workers, all contribute significantly to help
make our Op, Shop the success it is.
John Beaver
Opportunity Shop Representative.
!
Page 20
Paul O’Dwyer
Murray to Moyne Representative.
Overall 400 cyclists took to the roads and barring a couple of mishaps, and one minor
casualty (who was given first class care by all the Hospice Nurses in attendance). All were
welcomed back safely at Lemnos Club Rooms for a well earned lunch, most ably provided
by the Shepparton Kiwanis Members.
The ride was preceded by a Pasta night at the same venue which was well attended and the
auction items generously donated by Pacific Brands our major sponsor were enthusiastically
contested.
The Ride Committee, chaired by Trevor Morris, were delighted with the $35,000.00 raised
and are sincerely grateful to all those who assisted with the ride on the day, including the
many volunteer drivers, check point marshals, masseurs and all those who give their time
throughout the year to assist with the organising of this wonderful event.
The Committee would also like to acknowledge the contribution of Ian Bull and Peter Hill
who organised and conducted a very successful Trivia Night preceding the Bike Ride which
contributed $3,500.00 to the total.
Paul O’Dwyer
Fruit Loop Committee.
! !!
Page 21
'
( )
% $
( *
* +,-
./-
.0
! "
1
# $ "
! # 2 3 44
% !
% &
!
5
!
%
1 " ( *
* .6-
.6-
.7)
! !
Page 22
% $ "
# $ "
!
8 8
!2 :
! !!
& !
Page 23
! 5
# $ "
! 3
%4
% !
! ;! ;
% !
! !
&
! $
Page 24
% !
"
!
8 !
$
!
$
&
$ 4
1 " !
$ "
9 " <
"
8
1 "
8
#
3
! # ( =)
2 3
% #
2
#
&
#
4 9
9 !
& $
! :
:
# "
! $
! 44 #
1 ! $ 4
!
Page 25
%
3
3 *
>. +..7