International Advance Care Planning Conference 2010

Inaugural International Advance Care Planning Conference - Melbourne 2010

PROGRAM

To view the full Conference program including detailed concurrent sessions please click on the following button:

This program is provisional and subject to change.

Thursday 22 April 2010
0730	Registration Opens
	*Plenary Room 105 & 106*
0900-0930	Opening Ceremony with Ministerial Launch
0900-0930	Welcome and Introductions Assoc Prof W (Bill) Silvester, Austin Health, Melbourne, Australia, Conference Convenor
0930-1045	ADVANCE CARE PLANNING: THE PRESENT Chairs: Assoc Prof W (Bill) Silvester & Prof Annette Street
	Plenary Room 105 & 106
9.30 - 9.50	What is advance care planning and what realities have created a need for it? Dr Bud Hammes, ethicist and advance care planning expert, Wisconsin, USA
9.50 - 10.10	What has worked, what has failed, where is our focus now? Prof Jane Seymour, palliative and end-of-life care expert, Nottingham, UK
10.10 - 10.30	Advance care planning: a human right burdened by law Julian Gardner, Julian Gardner Consultancy, Melbourne, Australia
10.30 - 10.45	*Questions & Discussion*
1045-1115	Morning tea, exhibition and poster viewing
CONCURRENT SESSION 1 1115 -1245	ADVANCE CARE PLANNING IN HOSPITALS	ADVANCE CARE PLANNING IN RURAL AND GENERAL PRACTICE	ADVANCE CARE PLANNING; EDUCATION AND TRAINING	ADVANCE CARE PLANNING IN THE COMMUNITY
1115 – 1245	Plenary Room 105 & 106	*Room 104*	*Room 103*	*Room 101 & 102*
	Chairs: Dr Peter Saul & Dr Patrick Kinsella	Chairs: Dr Rob Grenfell & Ms Claudia Giugni	Chairs: Dr Charlie Corke & Prof Annette Street	Chairs: Sue Race & Andriana Koukari
	The impact of advance care planning (ACP) on end-of-life care in elderly patients: a randomised controlled trial Karen Detering	Utes, ‘roos, sand and surf... spreading the message of advance care planning from the country to the coast Christine Ashley	Advance care planning: education and training Linda Briggs	How to do advance care planning in the community Prof Jane Seymour
	Advance care planning in NSW - the advantages and limitations of a "viral" approach Peter Saul	Advance care planning beyond tomorrow Heather Wickham	Begin at the beginning - teaching undergraduate nursing and paramedic students the value of advance care directives Gilly Smith	Advance care planning in indigenous communities Sue Grant
	The Spanish model of advance care planning Prof Pablo Simon Lorda	Implementing advance care planning in a small rural health service with no specific funding or project office Merrill Cole	Skill development: involving patients in decisions about their care Susan Lee	Gold Standards Framework: optimising care at the end-of-life Prof Keri Thomas
	The Respecting Choices® model Dr Bud Hammes	What comes first the chicken or the egg? Robyn Allen	Creating an effective eLearning advance care planning tool for busy health professionals Anne Wilkinson	An advance care planning project for general practice and community Roger Hunt
	Implementing advance care planning into ambulatory care programs and the wider community Jill Mann	Advance care planning in rural aged care using GP divisions Lynne Jackson	Respecting Patient Choices® : How to educate health professionals Andrew Hancock	Educating across the community to raise awareness and create champions Penny Abbington
		Training GPs in shared decision making to do advance care planning: a randomized controlled trial Thorsten Dürk		Against the odds Elizabeth Weaver
	12 mins each, 30 mins discussion	12 mins each, 18 mins discussion	12 mins each, 30 mins discussion	12 mins each, 18 mins discussion
1245 – 1345	Lunch poster viewing, Level 1 foyer
1300 – 1330	DVD showing - Room 104
1345 - 1520	When is it time to stop? Chairs: Prof Malcolm Fisher & Peter Hudson
	*Plenary Room 105 & 106*
1345 - 1405	The diagnosis of dying Prof Rinaldo Bellomo, Intensive Care Consultant, Austin Health, Melbourne, Australia
1405 - 1425	The ethics of futility: intensive care vs. palliative care Prof John Luce, critical care and end-of-life care specialist, San Francisco, USA
1425 - 1445	Quality care at the end-of-life Prof Keri Thomas, national clinical lead palliative care in the UK National Health Service End-of-life care program Session sponsored by NSW Health
1445 - 1505	The ethics of advance care planning and end-of-life care Christine Mitchell, Director, office of ethics, Children's Hospital Boston, USA
1505-1520	*Discussion*
1520-1550	Afternoon tea, exhibition and poster viewing
CONCURRENT SESSION 2 1550-1720	End-of-life care and advance care planning in chronic disease	End-of-life care and advance care planning in palliative care and oncology	End-of-life care and advance care planning in paediatrics	End-of-life care and advance care planning in aged care
1550 – 1720	Plenary Room 105 & 106	Room 104	Room 103	Room 101 & 102
	Chairs: Dr Peter Hudson & Dr Roger Hunt	Chairs: Dr Mark Boughey & Prof Carol Tishelman	Chairs: Prof Christine Kilpatrick & Dr Jenny Hynson	Chairs: A/Prof Rosalie Hudson & Fiona Nicholls
	Advance care planning in chronic obstructive pulmonary disease Karen Detering	Palliative oncology in the US: the dilemmas of diversity and the uninsured Judith Luce	End-of-life care in adolescents with HIV Linda Briggs	Advance care planning in aged care facilities Bill Silvester
	Advance care planning in motor neuron disease Jim Howe	"We've got enough to do": changing attitudes to advance care planning in a community-based palliative care organisation Sally Brown	Nurses' views and experiences of discussing treatment limitiation in a paediatric setting Lyn Gillam	Resuscitation practice in aged care facilities Beverly Walker
	End-of-life care and advance care planning in heart failure Bud Hammes	Primary care palliative care project in Auckland, New Zealand Sara Rishworth	Fear, love and uncertainty: paediatric intensive care at the end-of-life Jonathon Gillis	Advance care planning as an innovative approach for older people in residential aged care facilities Sarah Yeun-Sim Jeong
	Advance care planning for patients with end stage renal disease Jane Seymour	What is important to terminally ill patients and their closest carer when discussing advance care planning? Philomena Swarbrick	Building the capacity of paediatric health professionals to improve advanced care planning at the Royal Children's Hospital Melbourne Mike Forrester	Advance care planning in residential aged care: outcomes of a research project leading to a continuum model of practice Chris Shanley
	Tracheostomy management; advanced care planning considerations Tanis Cameron	Advance care planning, an art, not an algorithm Peter Allcroft	Improving advanced care planning for adolescents and young adults with cancer Odette Spruyt	A complex intervention to implement advance care planning in one town’s nursing homes and hospital: a controlled inter-regional study Jürgen in der Schmitten
	“You have to keep a positiveoutlook”: advance care planning discussions inadvanced respiratory disease Teresa Burgess		A child health advisory plan Christine Mitchell
	12 mins each, 18 mins discussion	12 mins each, 30 mins discussion	12 mins each, 18 mins discussion	12 mins each, 30 mins discussion
1720 - 1830	Conference Welcome Reception with performance from the Royal Children's Sings Choir Level 1, foyer area

Friday 23 April 2010
From 0800	Registration Open
0830 - 1015	Advance care planning and end-of-life care - the global perspective Chairs: Linda Briggs and Prof John Luce
	*Plenary Room 105 & 106*
0830 - 0845	United States of America Dr Bud Hammes, ethicist and advance care planning expert, Wisconsin, USA
0845 - 0900	United Kingdom Prof Jane Seymour, palliative and end-of-life care expert, Nottingham, UK
0900 - 0915	Australia Assoc Prof W (Bill) Silvester, Austin Health, Melbourne, Australia, Conference Convenor
0915 - 0930	Canada Sue Grant, advance care planning expert, Vancouver, Canada
0930 - 0945	Europe Prof Pablo Simón Lorda, advance care planning expert, Granada Spain
0945 - 1000	Asia Prof Edwin Hui, ethics and end-of-life care specialist, Hong Kong
1000 - 1015	*Discussion*
1015 - 1045	Morning tea, exhibition and poster viewing
CONCURRENT SESSION 3 1045 - 1215	ADVANCE CARE PLANNING AND END-OF-LIFE CARE: THE INFLUENCE OF DIFFERENT CULTURES	ADVANCE CARE PLANNING: SUSTAINABILITY AND POLICY	ADVANCE CARE PLANNING FOR NON-COMPETENT PEOPLE	GETTING DOCTORS TO COMMUNICATE PROPERLY
	Chairs: Sue Grant & Dr Mark Boughey	Chairs: Dr Rob Grenfell & Julie Letts	Chairs: Prof Robert Pearlman & Julian Gardner	Chairs: A/Prof Bill Silvester & Dr Brendan Murphy
	Advance care planning in 3-steps negotiates cultural diversity Barbara Hayes Anne Marie Fabri	Are medical records merely palatine? Susan Lee	Assessing competence Peteris Darzins	How do we get doctors to talk and break bad news? Dan Thompson (20 mins)
	The impact of Chinese culture on advance care planning/advance directives Prof Edwin Hui	How is advance care planning conceptualised by key stakeholder organisations and experts? Joel Rhee	Advance directives for mental health – maintaining well-being in community Catherine Leslie
	The challenges of adapting anglosaxoncentric advance care planning to the Spanish culture Javier Júdez	Implementing Advance Care Planning in NSW Annette Marley	Presenting advance care planning information to people diagnosed with mild cognitive impairment/early stage dementia Mandy Nicholes	Teaching doctors "when enough is enough" Charlie Corke
	Challenges in implementing advance care planning in a cuturally diverse community Deanne Layton Carol Quayle	Changing the system: An opportunistic approach to end-of-life legislation and policy implementation in Western Australia Simon Towler Heather Wilson	Global aphasia and consent for ACD John Quinlan	Video presentation: "when enough is enough" Charlie Corke
	Advance care planning and substitute decision making in aboriginal communities Lynda Binskin	Developing policy to support advance care planning Nicole Doran	Advance care planning for people with mental illness: ethics and law Penny Weller	Teaching end-of-life discussions: simulation and role-play Malcolm Fisher
	Community decision making: promoting advance care planning with Aboriginal and Torres Strait islander people John McMahon			Roleplay played by Malcolm Fisher and Peter Saul
	12 mins each, 18 mins discussion	12 mins each and 30 mins discussion with panel including Jackie Kearney	12 mins each, 30 mins discussion	12 mins each + 22 mins panel discussion
1215 – 1315	Lunch and poster viewing, Level 1 foyer
1230 – 1300	DVD showing - Room 103 & Room 104
1315 - 1505	THE FUTURE FOR ADVANCE CARE PLANNING AND END-OF-LIFE CARE Chair: Dr Mukesh Haikerwal
	Plenary Room 105 & 106
1315 - 1335	Improving end-of-life care in the ICU: the transition from intensive to palliative care Prof John Luce, critical care and end-of-life care specialist, San Francisco, USA
1335 - 1355	Education materials for advance care planning: lessons learned from stakeholder feedback Prof Robert Pearlman, Chief, Ethics Evaluation, National Center for Ethics in Health Care (VHA) USA
1355 - 1415	Advance care planning in primary care and the community Prof Keri Thomas, national clinical lead palliative care in the UK National Health Service End-of-life care program Session sponsored by NSW Health
1415 - 1435	Panel Discussion Prof John Luce, critical care and end-of-life care specialist, San Francisco, USA Prof Robert Pearlman, Chief, Ethics Evaluation, National Center for Ethics in Health Care (VHA) USA Prof Keri Thomas, national clinical lead palliative care in the UK National Health Service End-of-life Care program Jackie Kearney, Department of Human Services (DHS), VIC Dr Bud Hammes, ethicist and advance care planning expert, Wisconsin, USA Prof Pablo Simón Lorda, advance care planning expert, Granada Spain
1435-1505	Afternoon tea, exhibition and poster viewing
CONCURRENT SESSION 4	IMPLEMENTING ADVANCE CARE PLANNING	NOT FOR RESUSCITATION: HOW DOES IT WORK AT THE COAL INTERFACE?	ADVANCE CARE PLANNING: THE CONSUMER PERSPECTIVE	ADVANCE CARE PLANNING: THE LEGAL PERSPECTIVE
1505 – 1620	*Plenary Room 105 & 106*	*Room 104*	*Room 103*	*Room 101 & 102*
	Chairs: Sue Race & Lesley Podesta	Chairs: Dr Karen Detering & Dr Simon Towler	Chairs: Julie Letts & Tony McBride	Chairs: Julian Gardner & Prof Anne Wilkinson
	A case study approach to investigating end-of-life decision making in a acute health service Heather Tan	No-CPR (NFR, DNAR, AND) orders - a stalking horse for advance care planning? Peter Saul	Management of caregiver stress among carers of patients admitted to Alexandra hospital, geriatric unit Chua Hui Chin Sujata Rajaram	Advance care planning – the desperate need for uniformity Simon Towler
	Advance care planning clinicians: the success story to date Jodie Rento	NFR – How to find out about current approaches to resuscitation issues in Victorian hospitals Kerstin Knight	Advance Care Planning - making it work Wendy Shiels	How agents operate - expectations of patients and doctors Charlie Corke
	Respecting Patient Choices®:establishment at The Queen Elizabeth Hospital - five years on Marion Seal	The Medical Emergency Team and end-oflife care planning Daryl Jones	Patient/consumer self management: technology, loss of self or the genius of the chronically ill? Frank Fisher	Knowledge of legal authority for substitute decision-making Colleen Cartwright
	KAYROS program: a successful spanish adaptation of advance care planning interview tools and facilitation training from Respecting Choices® Javier Júdez	Implementing a process for resuscitation planning: Queensland health’s experience Wendy Corfield	My mother, my father and me Iola Mathews	Identifying an appropriate surrogate - effectiveness of legislation Peter Saul
	Questions to ask when advance care plans have been forgotten or overlooked Amanda Heap	Implementing a Resuscitation Plan - does it work? Karen Detering
	12 mins each, 15 mins discussion	12 mins each, 15 mins discussion	12 mins each, 27 mins discussion	12 mins each, 39 mins discussion
1620-1735	Hypothetical on Advance care planning and end-of-life care Moderator: Prof Malcolm Fisher
	*Plenary Room 105 & 106*
	Dr Peter Saul, intensive care specialist and ethicist, Newcastle, Australia Prof Keri Thomas, national clinical lead palliative care in the UK National Health Service End-of-life Care program Prof John Luce, critical care and end-of-life care specialist, San Francisco, USA Jodie Renton, Austin Health, Melbourne, Australia
1900-Late	CONFERENCE DINNER

Saturday 24 April 2010
From 0800	Registration Open
0845 - 1000	WORKSHOP 1a	WORKSHOP 1b	WORKSHOP 1c	WORKSHOP 1d
	Plenary Room 105 & 106	Room 104	Room 102	Room 101 and 102
	Strategies to improve end-of-life decision making in patients with life-limiting illness Linda Briggs, ethicist and advance care planning expert, Wisconsin, USA and Dr Karen Detering, Austin Health, Respecting Patient Choices	Developing community capacity for advance care planning Prof Annette Street, palliative care researcher, Melbourne, Australia	Advance care planning in children Dr Bud Hammes, ethicist and advance care planning expert, Wisconsin, USA	Advance care planning in aged care Prof Keri Thomas, national clinical lead palliative care in the UK National Health Service End-of-life Care program
1000-1030	Morning tea, exhibition and poster viewing
1030 - 1145	WORKSHOP 2a	WORKSHOP 2b	WORKSHOP 2c	WORKSHOP 2d
	Plenary Room 105 & 106	Room 104	Room 103	Room 101 & 102
	Planning end-of-life discussions Prof Dan Thompson, Prof of surgery and anesthesiology, Alden March Bioethics Institute, USA and Prof Malcolm Fisher, intensive care and endof- life care specialist, Sydney, Australia	How to set up an advance care planning program Dr Bud Hammes, ethicist and advance care planning expert, Wisconsin, USA and Assoc Prof W (Bill) Silvester, Austin Health, Melbourne, Australia	Strengthening the role of the surrogate Linda Briggs, ethicist and advance care planning expert, Wisconsin, USA	Advance care planning in oncology and palliative care Prof Jane Seymour, palliative and end-of-life care expert, Nottingham, UK and Dr Roger Hunt, The Queen Elizabeth Hospital, SA, Australia
CONCURRENT SESSION 5 1145 - 1315	ETHICS OF ADVANCE CARE PLANNING	ADVANCE CARE PLANNING IN PALLIATIVE CARE	ACUTE IMPLEMENTATION, INTENSIVE CARE, END-OF- LIFE CARE	ADVANCE CARE PLANNING IN COMMUNITY AND GENERAL PRACTICE
1145 – 1315	Plenary Room 105 & 106	*Room 104*	*Room 103*	*Room 101 & 102*
	Chairs: Dr Karen Detering & A/Prof Lynn Gillam	Chairs: Prof Margaret O’Connor & Jackie Kearney	Chairs: Dr Charlie Corke and Dr Simon Towler	Chairs: Prof Jane Seymour & A/Prof Michael Woodward
	One patient's wish Peter Saul	Conception to gestation: preferred priorities for care (PPC) advance care planning pilot Julie Daltrey Janet Clark	How well do intensive care nurses advocate for their patients? Jodie Renton	Implementing end-of-life planning in general practice Simon Holiday
	Trust as a moral relationship; not a communication technique Barbara Hayes	A collaborative approach to Advance Care Planning in the community Helen Corbett	Advance care planning - before the curtain opens Ruth Stuivenberg	Government department and NGO working together to support Advanced Care Planning in the community Teresa Read
	Diversity, Catholics and advance care planning Kevin McGovern	Design and evaluation of an Advance Care Planning model for Australian Community Palliative Care Services Jeanine Blackford	End-of-life choices in ICU: how can we best achieve shared decision-making? Glenda Kerridge	Advance care planning in a rural GP division Janette Baker
	Predicting failure-when paradoxical ideas paralyze action Kerstin Knight	Arriving in palliative care with no advance care plan: Who’s responsible? Jeanine Blackford	Advance Directives to refuse CPR: how do we make them work? Marion Seal	Taking advance care planning to our community Mary Stewart
		Advance care planning - creating sustainable change in community palliative care Deanne Layton Carol Quayle	Intensive care nurse consultants' experiences related to advanced care and resuscitation planning Helen Young	Taking it to the streets: lessons on engaging the community in advance care planning Lynda Johnston
				The GP experienceThe GP experience Kate Stirling
	12 mins each, 42 mins discussion	12 mins each, 30 mins discussion	12 mins each, 30 mins discussion	12 mins each, 18 mins discussion
1315 – 1400	Lunch and poster viewing, Level 1 foyer
1330-1400	DVD showing - Room 104
	*Plenary Room 105 & 106* Chairs: A/Prof W (Bill) Silvester & Prof Keri Thomas
1400 - 1430	Communication / mediation / conflict resolution and panel discussion Prof Malcolm Fisher, intensive care and end-of-life care specialist, Sydney, Australia Prof Dan Thompson, Prof of surgery and anesthesiology, Alden March Bioethics Institute, USA Dr Bud Hammes, ethicist and advance care planning expert, Wisconsin, USA , Dr Peter Saul, intensive care specialist and ethicist, Newcastle, Australia Prof John Luce, critical care and end-of-life care specialist, San Francisco, USA
1430 - 1500	Summary of advance care planning 2010 Conference themes and presentation of prizes Prof Jane Seymour, palliative and end-of-life care expert, Nottingham, UK Dr Bud Hammes, ethicist and advance care planning expert, Wisconsin, USA Prof John Luce, critical care and end-of-life care specialist, San Francisco, USA
1500 - 1510	Conference Closing Remarks Assoc Prof W (Bill) Silvester, Austin Health, Melbourne, Australia, Conference Convenor

ACP Conference Posters

Poster Listing
Posters will be displayed in the Level 1 Foyer of the Melbourne Convention Centre for the duration of the Conference.

As per the program, poster authors have been asked to stand by their posters during the second half of the scheduled lunch breaks to enable a chance to interact with interested delegates.
Posters will be displayed on the corresponding poster board numbers as listed bellow.

No.	Poster Presenter	Poster Title
How do we change the system?
1	Sujata Rajaram Alexandra Hospital, Singapore	A “thinking" bed that will alert nurses to fall risk patients who are trying to get out of bed and therefore prevent falls
2	Sujata Rajaram Alexandra Hospital, Singapore	Preventing patient from dislodging nasogastric tube
3	Joanna Dellit Peninsula Health, Victoria, Australia	Harnessing information technology to progress advance care planning system changes
4	Chris Shanley Sydney South West Area Health Service, NSW, Australia	Developing a system of advance care planning across a large metropolitan health service: the Sydney South West My Wishes Program
5	Helen Branagan The University of Queensland, QLD, Australia	Quality of life in patients in whom major non-cardiac surgery was cancelled or delayed due to cardiac risk
How do we make advance care planning work?
6	Si Ying Ho Agency for Integrated Care, Singapore	Project CARE: systematic implementation of advance care planning in Singapore nursing homes
7	Dertuen Huang Agency for Integrated Care, Singapore	Perceptions of advance care planning in Singapore
8	Khin Swe Ohn Wyong Hospital, NSW, Australia	Advance care planning: How we achieved this on the central coast of NSW
9	Yoshiyuki Kizawa University of Tsukuba, Ibaraki, Japan	Current status of advance care planning in Japan
10	Sam Radford Eastern Health, Victoria, Australia	Advanced care planning and end-of-life care: Should we include organ and tissue donation?
11	Anastasia Anastasiou St George Hospital, NSW, Japan	Advance care planning for patients with ESRD in the context of a renal palliative care clinic
12	Stanley Terman Caring Advocates, CA, USA	My way cards to plan for advanced dementia
13	Trudy Vaughan Angaston Hospital, SA, Australia	"It is possible"
14	Jürgen in der Schmitten Department of General Practice, University Hospital, Düsseldorf, Germany	The physician’s order for life-sustaining treatment in case of emergency (POLST-E): bridging the gap between advance directives and emergency decisions based on a thorough facilitation process
15	Robyn Daskein Griffith University, Nathan Campus, Research Centre for Clinical and Community Practice Innovation School of Nursing and Midwifery, QLD, Australia	Nursing care in Queensland
End-of-life care and withdrawal of treatment: is this done well?
16	Gilly Smith Edith Cowan University, WA, Australia	Providing end-of-life care in the ICU
17	Tania Elderkin Barwon Health, Victoria, Australia	Palliative care practice in the intensive care unit: perceptions of registered nurses
18	Shanyn Alliston Auckland City Hospital, Auckland, New Zealand	Improving palliative care for patients in the critical care setting
Advance care planning: who does what?
19	Sarah Yeun-Sim Jeong University of Newcastle, NSW, Australia	Advance care planning (ACP): The nurse as ‘broker’ in residential aged care facilities
20	Saundra Crump University of Minnesota, Minnesota, USA	ACP can alter nurses' perceptions of obstacles to providing EOL care but they need education to facilitate them
Advance care planning in specific patient groups
21	Sandra L Bradley Flinders University of South Australia, SA, Australia	Advance directive use in people with fluctuating capacity
22	Shyla Bauer Southern Health. Victoria, Australia	Compassion fatigue
23	Susan Power Eastern Health, Victoria, Australia	Five years on; clinicians' awareness of advance care planning
24	Merryn Gott Faculty of Medical and Health Sciences, The University of Auckland, Auckland, New Zealand	Barriers to advance care planning for older people with chronic obstructive pulmonary disease: Patient and professional perspectives
Cultural diversity and advance care planning
25	Ljubica Petrov Centre for Cultural Diversity in Ageing, Victoria, Australia	Beyond translation - development of an effective communication strategy for culturally and linguistically diverse communities
How can we promote advance care planning in the community?
26	Shyla Bauer Southern Health, Victoria, Australia	To live, to love and to leave a legacy: A photographic exhibition sharing the wisdom of the dying worldwide
27	Mandy Nicholes Alfred Health, Victoria, Australia	CDAMS clients: What do they know about advance care planning?
28	Susan Power Eastern Health, Victoria, Australia	Preadmission clinic - a window of opportunity?
29	Saad Alghanim King Saud University, Riyadh, Saudi Arabia	Determinants of health services utilization by the elderly patients in Saudi Arabia
30	Sally Brown Melbourne Citymission Palliative Care, Victoria, Australia	Making it work: Introducing advance care planning into a community-based palliative care service
Developing, implementing and evaluating models of advance care planning
31	John Quinlan SESIAHS, NSW, Australia	Improving the usage of ACDs in hospitals

PROGRAM

Thursday 22 April 2010

Friday 23 April 2010

Saturday 24 April 2010

ACP Conference Posters