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TOWNSVILLE COMMUNITY ACTIVITY REPORT
Connecting End of Life Care in Townsville Project (CELC-T)
NAIDOC Week: 13th July 2018 ..................................................................................... 8
Belgian School Parade ................................................................................................ 9
Dying to Know day ....................................................................................................... 9
Queensland Palliative Care Film Night- Townsville ................................................. 9
James Cook University Market Day ......................................................................... 10
Mater Community Connect provider Expo .............................................................. 10
Community Aged Care Round Table ....................................................................... 11
Townsville City Council: ............................................................................................ 11
Light up the TSV bridge and Townsville sign ......................................................... 11
Creating our own Community Event ................................................................ 12 Good Life Good Death Expo ................................................................................................................. 12
CELC-T Community Activities Summary Report 2018 Page 2 of 13
BACKGROUND
Palliative Care Queensland is a peak body representing palliative care providers, consumers and their families and those with an interest in palliative care. Connecting End of Life in Townsville project (CELC-T) is administered by PCQ, funded by North Queensland Primary Health Network (NQPHN). The CELC-T project aims to improve the capacity of aged care and general practice service providers within The Greater Townsville region, to provide quality palliative care and end-of-life planning thereby assisting in the management of after-hours service need. Community focus: the Connecting End of Life Care in Townsville project provides Palliative Care Queensland an opportunity to connect with Townsville community to understand community needs, strength and weakness. It is a process of engaging and bringing people together. The key purpose of the community activities within this project include:
1. COMMUNITY ENGAGEMENT: to start conversations around loss,
ageing, dying and grief in an open, honest and friendly environment, and
to help people understand that end of life shouldn’t be considered a taboo
subject.
2. INFORMATION SHARING: to showcase services, supports and
resources related to end of life in the form of exhibition booths,
presentations, discussions and handouts. To facilitate networking
opportunities for local service providers, community organisations, groups
and members.
3. EDUCATION: to share information, stories and best practice in relation to
palliative and end of life through education sessions free for community to
attend with health professionals.
CELC-T Community Activities Summary Report 2018 Page 3 of 13
PALLIATIVE CARE COMMUNITY SURVEY
Community survey was conducted in Townsville in 2018. The purpose of this community focused survey was to explore Townsville’s:
- Public knowledge about palliative care
- To gain an understanding about how the
Townsville public are accessing and sharing
information about palliative care
- Promote awareness of palliative care
Key findings of the survey included:
• 60% indicated they learned about palliative
care through their personal experience and the next highest response was
through friends, families and co-workers
• 50% of respondents rated good on their current knowledge about palliative care
• The majority (46%) of respondents indicated that they are ‘reasonably confident’
about both having a conversation and accessing information and support about
palliative care and end of life issues
• 82% respondents would choose quality of life over length of life
In addition, ‘Grey feedback’ received from social media engagement indicated that health professional’s explanations and approach to end of life care were not always understood by community members. Four key recommendations were identified for the next stage of the CELC-T project:
1. Build community confidence to source palliative care information and services,
to ensure the information their source is accurate and relevant to their needs.
2. Build on the community confidence in facilitating conversations about end of life
to empower the community to initiate these conversations with health
professionals.
3. Improve health professional’s ability to explain the process of end of life care.
4. Share patient experiences and stories about end of life.
CELC-T Community Activities Summary Report 2018 Page 4 of 13
COMMUNITY CONVERSATION STARTER ACTIVITIES
PUBLIC INFORMATION BOOTH: SHOPPING CENTRE AND MARKETS
SHOPPING CENTRE (WILLOWS AND STOCKLAND)
Palliative care Queensland (PCQ) used this method to raise palliative care awareness in the community. This also allowed PCQ to connect with the community and understand their needs and challenges. PCQ had an information booth at 2 major shopping centres in Townsville (Stockland and Willows), where around 2000+ people enter the shopping centre on week days. PCQ provided information resources like discussion starters, statement of choice and had a Before I Die wall and What Matters Most banners at the booth for attendees to share. What did we learn?
• Most attendees would like to know more about Palliative Care and Palliative Care Queensland
• Most attendees identified palliative care means end of life care
• Statement of choice, and the PCA discussion starters were popular resources
• People noted that the ‘What Matters Most display banner’ which hopefully initiated a few conversations also made it easier to engage with the information booth
• Some attendees asked about death café and how they can volunteer
• Free Henna tattoo provided an incentive to attracting people of all ages and inviting them to join our conversation on palliative care and what matters most. While having henna, it provided an opportunity to chat with the attendees and know about their perspective on palliative care
CELC-T Community Activities Summary Report 2018 Page 5 of 13
WILLOWS SUNDAY MARKET
Palliative Care Queensland had an information table at Willows Sunday Market. The market provided PCQ an opportunity to connect with community. Attendees come from diverse backgrounds and age groups. Approximately 100 people engaged with the booth. What did we learn?
• Attendees would like to know more about Palliative Care
and upcoming related activities
• Statement of choice, and the PCA discussion starters were popular resources
• The What Matters Most banner provided a good
opportunity to begin engagement with the booth
CELC-T Community Activities Summary Report 2018 Page 6 of 13
BEFORE I DIE BANNER
The Before I Die Walls is a participatory public art project that invites people to
reflect on life and share their personal aspirations in public. The before I die
banner helped in revealing one’s longings, anxieties, joys, and struggles, and
create public space that allowed self-examination and empathy among
community.
PCQ received permission to utilise this for the project. PCQ printed the Before I Die… onto banners to enable them to be more portable. The before I die banners were displayed at over 15 events and locations throughout the project. Some locations where this was displayed: North Queensland Primary Health Network, HealthLink Medical centre and Townsville Aboriginal AND Islander Health Services, Loreto Nursing Home, Townsville - Suburban Medical Practice, Carinity Fairfield, Parkland Aged Care and a GP Practice. What did we learn?
• The Before I Die banner is easy for people to engage with and prompts
conversation starters
• Completed Before I Die banners can be displayed like an art
exhibition for people to read and stimulates conversations
• Positive feedback from 1 GP, who could not gain permission to
display the banner in their waiting room, therefore displayed it
in his consult room – he noted that this helped start
conversations about palliative care with his patients.
CELC-T Community Activities Summary Report 2018 Page 7 of 13
AWARENESS CAMPAIGN: WHAT MATTER MOST?
Talking about end-of-life care is different for everyone—some people find it overwhelming and confronting, others may be more accepting. Palliative Care Queensland developed a banner “What matters most?” an A4 Card which asks people to reflect on what would be most important to them if they became seriously ill. By having a conversation with loved ones and health professionals, people can ensure their treatment and care best aligns with their values and preferences. It allows for delicate discussions about death and dying, and what would matter most to them during this difficult time. This awareness campaign was picked up by Palliative Care Australia and became the National Palliative Care Week theme. What did we learn?
• The Majority of people identified family as what matters
most when they are facing the end of their life.
• What Matters Most Banner with stars and speech
bubbles – with existing options is a good interactive
activity at events
• One comment from a health student “This made me
think of palliative care completely differently – its makes
me focused on what I want rather than what I don’t have
anymore”
CELC-T Community Activities Summary Report 2018 Page 8 of 13
(CELC-T) project participated in the TAIHS chronic
disease management Expo. The expo provided an
opportunity to connect with staff and Indigenous
community in Townsville.
What did we learn?
• A very small number of attendees knew about
Statement of Choice or PCA discussion
starters
• Many attendees stated they would like to
complete an advance care plan but were not
sure where to start
• Most attendees would like to know more about palliative care
• Staff from TAIHS would like to know about upcoming education and
training sessions in relation to palliative care
NAIDOC WEEK: 13TH JULY 2018
NAIDOC week celebration was held in Townsville to celebrate the history,
culture and achievement of Aboriginal and Torres
Strait Islander peoples. The week provided an
opportunity for the CELC-T project to participate in a
NAIDOC march and provided opportunity to have
palliative care resources in the NQPHN information
booth.
Around 2500 people attended the all-day event. The
age ranges from 20-45 years attended the information
booth at the event.
What did we learn?
• Conversations, information sharing and networking
can occur while marching
CELC-T Community Activities Summary Report 2018 Page 9 of 13
BELGIAN SCHOOL PARADE
The CELC-T project was invited to attend the Belgian School Parade and present the award to the winner of the 2018 Townsville Good Life Good Death expo art competition. Approximately 40 submitted to teachers and the teachers selected 3 to represent Belgian School at the Good Life Good Death expo art competition. What did we learn?
• School art competitions are an effective method
to engage schools in conversations about caring and loss
• Teachers were engaged in the art competition and felt that it was
appropriate for students to participate in this activity.
DYING TO KNOW DAY
QUEENSLAND PALLIATIVE CARE FILM NIGHT- TOWNSVILLE
In support of Dying to Know Day 2018 CELC-T successfully hosted a film screening followed by Q&A session with local experts from public health, palliative care, aged care and community in Townsville on Tuesday 07 August 2018 at BCC cinemas. Love in Our Own Time was shown - a documentary on the big thing in life: birth, love and death. What did we learn?
• 44 people attended the movie session
• All attendees stated they would like to participate
in a similar event again
• All attendees enjoyed the Q&A session which
followed
• It provided a good opportunity for health staff to
bring their family or friends
CELC-T Community Activities Summary Report 2018 Page 10 of 13
JAMES COOK UNIVERSITY MARKET DAY
The CELC-T project participated in two James Cook University (JCU) orientation market days. The booth provided PCQ with an opportunity to connect and discuss Palliative Care with students of all ages and many studying health related topics. What did we learn?
• students were engaged and interested in the booth
• many students didn’t feel that advance care
planning was relevant to them, but after a
discussion understood how it’s relevant for
everyone
• Students appreciated that the CELC-T project was present at a university
and providing awareness and information
• Most students would like to know more about palliative care
• Most students said their friends and family matters most to them
MATER COMMUNITY CONNECT PROVIDER EXPO
The expo provided the CELC-T project an opportunity to connect with the nursing, allied health and pastoral care staff on referral agencies in the community. What did we learn?
• Many people asked about advance care planning tools and where they
could access these
• Many people said they wanted to learn more about palliative care and
asked where they could get quality information
CELC-T Community Activities Summary Report 2018 Page 11 of 13
COMMUNITY AGED CARE ROUND TABLE
The CELC-T project participated in the Golden Age Advisory round table focus group for aged care industry providers, to share and discuss the needs of better aged care services for senior Australians and their families in North Queensland. Although the attendees of the round table were mainly service providers it created a great opportunity to share community initiatives. What did we learn?
• Services providers are often keen to learn from
experiences of others and are willing to try
community awareness raising activities but often
do not know where to begin
TOWNSVILLE CITY COUNCIL:
LIGHT UP THE TSV BRIDGE AND TOWNSVILLE SIGN
During National Palliative Care Week 2018 the Townsville bridge was lit in Palliative Care Queensland colours (Blue and Marron). Also the new Townsville sign was lit in Blue for 2 days during this week. The CELC-T project team met with the deputy-mayor of Townsville to discuss the project – the Deputy-Mayor suggested the idea of using their bridge and sign lights to shine a spotlight on palliative care. What did we learn?
• Local Councils are very supportive of community initiatives and
compassionate communities
• Work with local councils with their existing community awareness
activities
CELC-T Community Activities Summary Report 2018 Page 12 of 13
CREATING OUR OWN COMMUNITY EVENT
GOOD LIFE GOOD DEATH EXPO
Palliative Care Queensland successfully conducted 2-day
Good Life Good Death Expo in Townsville.
The three main aspects of the Expo were:
1. Community Conversations Aspect
2. Exhibition and Information Aspect
3. Education Aspect
Over 400 people attended the Good Life Good Death expo in
Townsville.
• 47% Health Professional
• 53% Community Member
o Including 6% identifying as Carer and 2%
identifying they have a palliative condition.
In total 35 exhibitors attended the Expo. These included local, Queensland and National Exhibitors.
• 100% of exhibitors said that they enjoyed the Expo
• 94% of respondents said that they would exhibit again and/or recommend the
Expo to a friend or colleague
The Education aspect to the Expo was sponsored by the Connecting End of Life Care in Townsville project, administered by Palliative Care Queensland and funded by Northern Queensland Primary Health Network.
• 61 people attended the Education Breakfasts
• 157 people attended the Expert Panel Sessions across the two days
• 21 people attended the Palliative Care in Aged Care roundtable
“End of life is a big fact of life and it is being discussed in a very big way in
Townsville” Michael Clarke, ABC Radio North Queensland
CELC-T Community Activities Summary Report 2018 Page 13 of 13
CONCLUSION
The engagement of this project with the community through a variety of methodologies
enabled the project to gain deep understanding of opportunities and challenges of
community engagement within the framework of palliative care.
In general, people we engaged with as part of our community activities stated they had
a:
• greater level of understanding of the benefits of early conversations about health
care choices and understand who in the community can assist them to achieve
their wishes at end of life.
• better understanding of the benefits of palliative care and the positive impact it
can have on individuals and families in supporting people as they live with life-
limiting illnesses.
• increased confidence in starting discussions related to loss and dying
The Townsville community engagement with the project was exceptional and being a regional community could have created a bias that may not occur in a metropolitan setting. However, it is Palliative Care Queensland’s aim that key learnings from these engagement activities can be utilised in other community engagement events throughout Queensland.