Palliative Care Across the Spectrum: Care When There is No Cure
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Course Description
This two-day program is designed to educate nurses and other healthcare professionals from a variety of settings including critical care, medical-surgical, emergency department, long-term care and hospice care about palliative care. Palliative care encompasses chronic and terminal disease management, pain and symptom management, excellent communication strategies, goals setting and end-of-life therapies. Because the nurse’s role in each of these areas is crucial, this seminar will help prepare the nurse to provide effective palliative care.
Key Learning Outcome
- After completing the program, 80% of participants will report an increase in knowledge that will positively impact their practice.
Program Objectives
This program prepares the learner to:
- Prepare the participant to engage in primary palliative care strategies in a variety of settings.
- Describe the differences between hospice care and palliative care.
- Formulate an approach to having a goal of care conversation.
- Recognize natural opportunities for death based on specific disease trajectories.
- Develop a plan of care for the patient who is actively dying.
Agenda
Sign-in begins at 7:30 am. Each day includes a one-hour lunch (on your own), as well as a morning and afternoon break of 15 minutes each. The order of lectures presented and break times may vary according to speaker preference.
Day 1, 8:00 am to 3:45 pm
- Palliative Care: What Is It?
Historical Perspectives: How did We get Here? | Definitions: End-of-Life, Comfort Care, Hospice Care—Is There a Difference? | Goals of Care: Whose Goals are They Anyway? | Dying the Good Death: Can Death be Good? - The Disease Trajectory
CHF | COPD | Dementias | HIV, AIDS | Cancers - Symptom Management: Across All Settings—ICU to Home
Dyspnea and Cough | Anxiety and Agitation | Nausea and Vomiting | Fatigue and Depression - Grief, Loss and Bereavement
The Grief Process: Types of Grief | Grief Assessment: Who is Grieving? | Bereavement Interventions: What Can We Do? - Cultural and Spiritual Considerations
Cultural Differences: Are They Important? | Spiritual Beliefs Regarding Death and Dying - Taking Care of You
Death Anxiety | Cumulative Grief | Self Care
Day 2, 8:00 am to 3:45 pm
- Pain Management
Barriers to Pain Relief: They Don’t Look Like They are in Pain | Pain Assessment: What Am I Assessing? | Pharmacologic Therapies: Opioids, Adjunctive Meds | Non-Pharmacologic Interventions: Is it Quackery? - Ethical and Legal Issues
Decision-Making Issues | Advance Directives | Withdrawing and Withholding Treatments | Double Effect Principal - Dying a Good Death
Terminal Dehydration | Terminal Anorexia - Having “Those” Conversations: “Am I Dying?”
The Communication Process | Factors Influencing Communication - Deceleration of Treatment
Is This Legal? | What are We Doing? - The Imminently Dying Patient
Psychological and Spiritual Signs | Physical Symptoms | Universal Signs of Imminent Death | Death Findings