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Sarah Rose

Project:Patna

I am a registered nurse very excited to be at the beginning of my career in palliative care. I am currently working in community palliative care at Melbourne City Mission in Melbourne.

 

From my first clinical placements as a student nurse, I knew I wanted to work in palliative  care. In my first two years of nursing I worked at Peter MacCallum Hospital.  I find great fulfillment caring for people at the end of their life    – the very raw and real connection with patients is something I truly value. At Peter MacCallum I was also a member of the Palliative Care Champion Group which further sparked my interest in the area. I then completed a Graduate Diploma in Advanced Nursing Practice in Oncology and Palliative Care at the University of Melbourne.

I have also spent some time working in Intensive Care at The Alfred Hospital.

I have a very keen sense of adventure and am always endeavoring to experience new ways of living and appreciate the World beyond my own. Over the years I have traveled extensively in countries such as Zambia, The Democratic Republic of Congo, South Africa, Bangladesh, India, Malaysia, Nepal and China. In 2008 I lived in the Philippines teaching English to children in the slums of Manila.

 

WHY APLI

I have always had a passion for connecting with others; it brings me so much happiness. Ensuring that human dignity is maintained, even just in small ways, is something that drives me and is very close to my heart. As a child I was brought-up with the mantra “To whom much is given much is expected”, and this has remained at the forefront of everything I do.

I constantly count myself fortunate to have the privilege of sharing and participating in patients’ end-of-life care.

APLI has offered the perfect opportunity to combine my love of travel and nursing with my passion for palliative care and adventure. I hope through building relationships with my colleagues in India over time we can work towards building palliative care for patients in India.

Project Focus

As some of you may be aware, in early 2016 the Asia Pacific Hospice Palliative Care Network (APHN) held four ‘APHN Dialogs’, in which clinicians across the Asia Pacific region could link in through Skype to attend a webinar. The following webinars took place:

- A discussion of palliative care service development in the Asia Pacific region, presented by Odette Spruyt
- Pain control in palliative care by Yoshiyuki Kizawa from Kobe, Japan
- Management of the cancer wound by Edward Poon from Singapore
- Bereavement care by Jun-Hua Lee from Taiwan

These sessions were well received and provided a valuable opportunity for clinicians in different countries to learn from an expert in that field and also to share their own professional experiences. Unfortunately, not all countries in the region have reliable internet coverage or sufficient bandwidth so some attendees were unable to join the meetings. In response to this, in recent months APLI has been looking at a new educational initiative in partnership with APHN.

Project Focus aims to set up online discussion groups between palliative care clinicians in specific countries in the Asia Pacific region and APLI mentors. Some nascent palliative care centres struggle with isolation, limited practitioner experience and variable institutional support. In effect, Project Focus would work towards similar objectives to Project Hamrahi: to improve the capacity for best practice patient care in the local setting and to reduce the isolation of palliative care providers in emergent services.

APLI is therefore calling for expressions of interest for mentors to volunteer their services to help support our regional partners. Project Focus would particularly suit clinicians who might otherwise find it difficult to travel overseas for mentoring work, as the contact will be online using a small group discussion format on the ‘Slack’ communication platform. APHN has already identified local clinicians in two separate services in remote and regional Indonesia who would like to be partnered with APLI mentors. In addition to this, there has also been some interest from doctors in Vietnam, Brunei and Nepal whose learning needs were unable to be supported by the APHN Dialogs.

Although the exact process will be flexible, it is proposed that education would begin with case presentations from the local APHN clinicians. These would then serve as a springboard for the APLI mentors to explain current evidence based practice recommendations. The subsequent discussion would then take into account local factors such as medication availability, local resources, staffing and other factors such that a viable and culturally appropriate management plan can be formulated.

I hope that you will share our excitement for this initiative. Project Hamrahi has demonstrated the value of teams of mentors made up of both doctors and nurses working together with local Indian clinicians over a sustained period of time. Project Focus has the potential to broaden the scope of such partnerships to other countries and so I invite you to contact me via chairman@apli.net.au with a short biography and reflection on why you would wish to work as a mentor.

- Anil Tandon

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Your donations to APLI help in the following ways:

assist with training of doctors and nurses in palliative care practice in developing nations

support nurses to travel and teach as part of Project Hamrahi

help with purchase of critical site resources such as essential equipment and supplies,  medicines and educational materials