It has never been more important to understand what matters most to your residents and their whānau, to be prepared for any future change in their health and to know what their priorities, concerns and preferences might be if their health did deteriorate.

In addition to the resources elsewhere on this webpage, we have developed some specific aged residential care resources to support you and other staff working in ARC to use the Serious Illness Conversation Guide and capture any shared goals of care for residents.

When to have shared goals of care discussions

Shared goals of care discussions are part of the overall assessment and planning for residents.

We recommend that you aim to have this discussion during the first two or three weeks of a resident’s stay as part of the admission process and development of their long-term plan.

The discussion is not a one-off discussion. It would be ideal to revisit the shared goals of care decision with the resident and whānau as part of regular care plan reviews or where there has been a significant change in the resident’s health.

We recommend that shared goals of care discussions are led by a senior clinician after he/she has gathered as much information as possible from the wider care team working with the resident.

Demonstration video

We have created a 25-minute-long video demonstrating how to prepare for, talk about and capture goals of care for your residents. This demonstration video is just one example of a shared goals of care discussion. We created this example using Zoom as we were under COVID level 3 at the time of recording. Ideally these discussions would take place in person.

We have used the Aotearoa Serious Illness Conversation Guide to support this shared goals of care discussion.

This video is a supplement to the training video and we recommend that before you watch this ARC video that you watch the training video and have copies of the Aotearoa Serious Illness Conversation Guide and ARC shared goals of care form in front of you.

ARC shared goals of care form

We have created an ARC-specific shared goals of care form, to capture the discussion and document the shared goals of care for residents. There are two factsheets that will help you use this form.

The form is a fillable PDF you can add your facility’s logo to. If you do use it and want to save it as a final version that cannot be edited, you will need to 'Print to PDF' before you save or share it. This short video below explains how to do that. Or you can download this PDF, which includes the instructions in printable format. 

Relevant resources

Aotearoa Serious Illness Conversation Guide
ARC shared goals of care form
ARC factsheet for nurses and allied health workers
ARC factsheet for clinicians
Serious Illness Conversation Guide programme
Advance care planning programme

 

Last updated 27/05/2020