Summary Writer: Alex Bolger
Script Writer: Jared Ellsmore
Editor: Eamon Merrick
Interviewee: Imogen Mitchell
Eamon Merrick, Registered Nurse, Assistant Professor & Clinical Academic with the University of Canberra, talks with Professor Imogen Mitchell about end of life care, which presents a number of clinical and communication challenges in the hospital setting.
With a background as an Intensive Care specialist, Imogen Mitchell is committed to improving medical delivery and education and to making a difference to practice through research and teaching that benefits patients, students and colleagues.
Imogen was in 2013 the recipient of a Harkness Fellowship for Health Policy and Practice, which she undertook at Johns Hopkins Bloomberg School of Public Health in the United States. She is a nationally and internationally recognised clinical and health systems researcher, specifically in the development of sustainable processes to manage patient deterioration and the early mobilisation of intensive care patients. Her research is currently focused on improving end-of-life care. Imogen’s teaching has been recognised with multiple awards, including Senior Fellowship of the Higher Education Academy and the Taoiseach Public Service Excellence Award (Ireland). She played a key role in the development of an innovative patient deterioration teaching program, COMPASS©, which is now embedded in healthcare organisations internationally.
With Professor Imogen Mitchell, Intensive Care Specialist, Canberra Hospital, and Dean of the Medical School of Australian National University, Canberra, Australia
End of life management in the hospital setting presents a number of clinical and communication challenges, especially for junior doctors who may be unfamiliar with the process of dying. These challenges will become more prevalent as an increasing number of patients with multiple comorbidities die within hospitals.
Case – A 77 year old male who was bought in by his family to the Emergency Department (ED) for drainage of ascites on a background of pancreatic cancer with extensive liver metastases. On presentation, he is jaundiced with Glasgow Coma Scale (GCS)15 and a heart rate of 70. His respiratory rate is 17 and SpO2 is 97%. Hisblood pressure is 105/60. The patient is admitted under Gastroenterology for drainage of his ascites and for assessment for further services.
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