Palliative Care Education Question Title * 1. What is your name (first name and last name)? Please provide your full name so we can send you an invitation to the Palliative Care Event. Question Title * 2. Where do you practice (clinic name)? Question Title * 3. Please select the palliative care (adult) topics you would like to receive further training/education on: How to recognise a palliative care patient/how to determine prognosis The new palliative care patient Your local palliative care providers and their services Symptom management: Cachexia and Anorexia in Palliative Care Symptom management: Constipation in Palliative Care Symptom management: Corticosteroids for Cancer Symptoms in Palliative Care Symptom management: Cough in Palliative Care Symptom management: Diabetes Mellitus Management in Palliative Care Symptom management: Dyspnoea in Palliative Care Symptom management: Hiccups in Palliative Care Symptom management: Nausea and Vomiting in Palliative Care Symptom management: Oral Care in Palliative Care Symptom management: Pruritus (Itch) in Palliative Care Symptom management: Retained Airways Secretions (Death Rattle) Symptom management: Sleep Disturbances in Palliative Care Symptom management: Sweating in Palliative Care Symptom management: Weakness and Fatigue in Palliative Care Pain Management and Pain Medications Emergencies: Bowel Obstruction in Palliative Care Emergencies: Delirium and Terminal Restlessness in Palliative Care Emergencies: Hypercalcaemia of Malignancy Emergencies: Raised Intracranial Pressure in Palliative Care Emergencies: Seizure Management in Palliative Care Emergencies: Spinal Cord Compression Emergencies: Superior Vena Cava Obstruction (SVCO) in Palliative Care Emergencies: Terminal Haemorrhage in Palliative Care Terminal Phase Management Caring for the Dying Patient (Home & RACF) Communication skills in Palliative Care Conversations with the patient and their carer and family Death Certificate Advance Care Planning Other topics (please specify) Question Title * 4. What factors will affect your decision to attend a palliative care education session? Schedule / time Venue / location Speakers Other factors (please specify) Question Title * 5. Where is your preferred general location? Outer East Melbourne (Lilydale) East Melbourne (Scoresby) Central Melbourne (e.g. Melbourne CBD) Northern Melbourne (e.g. Northern Hospital) Question Title * 6. Which type of training would you prefer: Saturday ALM (40 CAT 1 Points) Weeknight event (20 CAT 2 Points) Question Title * 7. Would you like an in-practice demo on HealthPathways Melbourne, focusing on the suite of palliative care clinical and referral pathways? Yes No Done