NHPCO 11th Clinical Team Conference - (Page 14)
Concurrent Sessions
Monday, september 13, 2010 10:15 am - 11:45 am
2A Crossing the Line: Real Life Stories of Professional Boundary Problems and What We Can Learn From Them
April Perry APRN, MEd, Duke Home Care & Hospice, Durham, NC
2D
Life Validation with the Minimally Responsive End-of-Life Care Patient: A Character Strengths-Based Intervention
Kevin Henry MSW, Forbes Hospice, Monroeville, PA
Providing care in patients’ homes has the potential to foster a decreasing awareness of the professional boundaries which are so essential to safe and effective patient care. Regulations and oversight that exist in acute care settings are not as evident in the home setting. While their intentions may be honorable, home care clinicians who “cross the line” may not fully understand the serious implications and the risk of exposure to liability of not maintaining professional boundaries for the agency. This session will use real life situations to illustrate principles of professional boundaries and the problems that can result when they are crossed.
Every possible attempt should be made to communicate to every hospice patient the dignity, value, beauty, and strength of contribution of his/her life. For those patients who are minimally responsive, however, such attempts can be especially problematic. This workshop will offer a rationale, protocol, modeling and practice for gathering, organizing, and effectively communicating cogent, character strengths-based life validation information to these patients at bedside (that includes, importantly, “gleaming moments”), thereby diminishing the further chance of neglecting their basic psychosocial needs while increasing the likelihood of their dying with a deeper sense of peace.
2B
Dying without Dyspnea
Luis Gonzalez MD, FACP, FAAHPM, CMD, Odyssey HealthCare, Inc, Phoenix, AZ
2E
Speaking the Unspeakable through Psalm and Lament
Robert Phillips MDiv, VITAS Innovative Hospice Care of Greater Washington, Washington, DC
Dyspnea occurs in 90% of dying patients in the final 48 hours, is the most prevalent symptom in dying nursing home patients and occurs almost universally in terminally ill patients with COPD and CHF. Nearly all patients with advanced cancer, in particular lung cancer suffer with dyspnea. The management of this common and distressing symptom is challenging and the options of treatment include numerous modalities. Understanding and implementing treatment for dyspnea is critical to providing compassionate palliative and end-of-life care. Review of the available published data related to management of dyspnea in terminally ill patients is the framework of this presentation.
Hospice patients, their families, and their interdisciplinary caregivers oftentimes find themselves in situations in which their need to express their emotions and feelings is not fulfilled using traditional forms of communication, but rather through the creative usage of images, metaphors, and symbols. Within this context of creative expression, the ancient Israelites experienced a nuanced type of healing through their experience of death and dying using poetic expression as articulated through the Lament Psalm — a sacred vehicle of poetic expression also appropriate for enabling healing for hospice patients, their families, and their interdisciplinary caregivers today.
2C
Wake Up! BiPAP Beyond Sleep Apnea
Mary Jo Quinn MS, ARNP, ACHPN, HPC Healthcare, Inc, Temple, FL
2F
Guidelines for Bereavement Care: What Programs Need to Know
Nancy Sherman LICSW, Hospice of the North Shore, Danvers, MA Robin Fiorelli MSW, LCSW, VITAS Innovative Hospice Care, San Diego, CA
The use of bi-level positive airway pressure (BiPAP) in acute respiratory failure secondary to COPD has been shown to decrease the need for intubation, hospital length of stay and mortality. Although research has also demonstrated improvements to COPD patients’ quality of life, dyspnea, fatigue and overall work of breathing with BiPAP, its role in hospice care has mostly been limited to sleep apnea. Current standards of care include BiPAP for chronic COPD dyspnea management and as the preferred method (over invasive intubation) for mechanical ventilation. This presentation will provide an overview of BiPAP therapy and HPC’s practices for management. Additionally, the dilemma of the increasing use BiPAP as life support and the role of hospice will be explored.
This session will review the major standards in NHPCO’S recently revised Guidelines for Bereavement Care (2008). The presenters will describe each standard, discuss ways to implement each in a hospice program, and describe several best practices related to each standard gleaned from years of experience working with bereavement professionals throughout the country through the National Council of Hospice and Palliative Professionals (NCHPP) Bereavement Steering Committee participation. Topics will include: Scope of services, CoPs related to bereavement, documentation, plans of care, use of volunteers, culturally competent care and more.
14
Performing in the Key of
E:
Excellence in Interdisciplinary Care
Table of Contents for the Digital Edition of NHPCO 11th Clinical Team Conference
NHPCO 11th Clinical Team Conference
Contents
Conference Overview
Conference Logistics
General Information
Conference Highlights
Education Highlights
Continuing Education and Evaluation
Special Preconference Events
Preconference Seminars
Plenary Sessions
Concurrent Sessions
Posters
Agenda-at-a-Glance
General Registration Information
Registration Form
Exhibitor Information
Future NHPCO Conference Dates and Locations
NHPCO 11th Clinical Team Conference
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