National Hospice and Palliative Care Organization

Session : NHPCO1480
2A: Employee Resilience in a Corporate Culture
Conference : 15th Clinical Team Conference And Pediatric Intensive: 40 Years of Excellence
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$10.00

Primary Presenter: Carla Cheatham, MA, MDiv, PhD, TRT Co-presenters: Melinda M. Graham, MBA, CFRE , Sandy Jones-McClintic, LCSW, ACHP-SW , Daniel Maison, MD, FAAHPM and Bridget Montana, MSN, APRN, FPCN, MBA

All disciplines in hospice and palliative care contend with the daily stress of constantly changing and increasingly corporatized healthcare culture. Patient care staff as well as contractors and managers can benefit from developing the personal and organizational factors known to promote resilience, the adaptive means of responding to and recovering from challenges. This session will be provided by the Section Leaders of the National Council of Hospice and Palliative Professionals' Executive Committee and will represent multiple disciplines. It will describe resilience as a solution to the stressors we face, strategies for building resilience individually and as part of a professional team, and overcoming barriers to resilience an organization may face.

Learning Objectives: 1. Define resilience in professional and personal terms 2. Identify strategies for building resilience 3. Discuss ways to overcome barriers to resilience

Session : NHPCO1481
2B: Withholding/Withdrawing Treatments: A Framework for Discussion
Conference : 15th Clinical Team Conference And Pediatric Intensive: 40 Years of Excellence
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Primary Presenter: Ronald J. Crossno, MD, FAAHPM

Most discussions about withholding or withdrawing treatments concentrate on how to have the conversation. Protocols are often helpful for this, and this session will present a variety of examples. It is also very important to frame such discussions around when treatments are no longer helpful in meeting goals of care. Participants will learn how to tailor the discussion to suit how decision-makers best receive information and make decisions. Assessing for this and incorporating it into our protocols will be discussed.

Learning Objectives: 1. Discuss the legal and ethical rationale used to justify withholding and/or withdrawing non-beneficial treatments 2. Identify common clinical interventions that are involved in such discussions (e.g. artificial nutrition & hydration, ventilatory support and medications) 3. Describe processes to assess and adapt conversations with patients and families regarding withholding/withdrawing non-beneficial treatments

Session : NHPCO1482
2C: "Universal Precautions": An Innovative and Effective Approach to Drug Misuse and Diversion in Hospice
Conference : 15th Clinical Team Conference And Pediatric Intensive: 40 Years of Excellence
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Primary Presenter: Cleanne Cass, DO, FAAHPC, FAAFP Co-presenters: Ruth Thomson, DO, FACOI, FAAHPM , Rebecca Bledsoe, PharmD and Elizabeth Durkin, MD

Dealing with drug diversion and misuse in hospice is exhausting and demoralizing for staff. As this problem increases on a national level, hospice is potentially at risk of stringent legislation that will make our mission of relieving suffering more difficult to achieve. The presenters of this workshop have developed a proactive approach to management of scheduled drugs which is effective in minimizing the risk of misuse. Participants will review the current standards of their accrediting organizations, learn how to implement universal precautions in their hospice and will review components of a drug diversion tool kit.

Learning Objectives: 1. Describe the current perceived prescription opioid misuse and diversion epidemic and the resultant federal and state initiatives and guidelines which compel hospice programs to implement policies and procedures for more stringent management of scheduled medications 2. Describe the components of an effective toolkit for management of scheduled medications in hospice 3. Describe how adopting a policy of universal precautions for medication misuse improves safety, compliance and engagement for patients, families and staff

Session : NHPCO1483
2D: Guided Imagery and Dream Processing: Providing Comfort Care and Support During Life's Final Journey
Conference : 15th Clinical Team Conference And Pediatric Intensive: 40 Years of Excellence
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Primary Presenter: Gretchen Franklin, LISW-S

Guided imagery and dream processing can be used as healing techniques for psychosocial and spiritual care. The purpose of this session is to increase knowledge and awareness of alternative methods of healing/care for palliative and hospice patients. The goal of the presentation is to encourage the use of guided imagery and dream processing by healthcare providers and agencies so that more patients may benefit from these amazing techniques.

Learning Objectives: 1. Discuss research-based evidence supporting use of guided imagery and dream processing 2. List the physical and psychosocial benefits of guided imagery and dream processing 3. Describe a plan for incorporating guided imagery and dream interpretation into palliative/hospice patient care

Session : NHPCO1484
2E: Spiritual Kickoffs and Touchdowns! Win with a Coach Approach to Care
Conference : 15th Clinical Team Conference And Pediatric Intensive: 40 Years of Excellence
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Primary Presenter: Martha Rutland, DMin Co-Presenter: Don Eisenhauer, D., Min., PCC

Coaching is a proven tool for identifying strengths that lead to action plans where dreams emerge, grow, come true - a spiritual journey. Coaching is not rah, rah-lets go! Coaching is deeply listening with curiosity to the experience of another. Listening becomes a lens through which to mirror gifts and challenges. Review foundations for coaching and support tools for end-of-life care. Feel excitement build when static, entrenched dilemmas shift. Watch a coaching demonstration. See the process work. Hear cases of diverse histories (ethic, racial, cultural, children) where coaching brings about change. Receive resources for using a coach approach. Practice the process. Take away first steps to a coach approach to care for yourself, your staff, patients and families.

Learning Objectives: 1. Discover tools for coaching at the end of life 2. Identify how spiritual strengths empower meaningful change 3. Watch a live coach demonstration to experience the process

Session : NHPCO1485
2F: Anxiety Complicates Everything - Especially Grief!
Conference : 15th Clinical Team Conference And Pediatric Intensive: 40 Years of Excellence
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Primary Presenter: Ruth Williams, LCSW

Anxiety plagues our population more than ever. Consequently, those individuals who already approach their lives from an anxious perspective may be more at risk for complicated grief. Relaxation techniques and practices that include the concept of mindfulness (being fully in the present moment) can bring tangible relief to bereaved individuals, reducing their overall experience of anxiety and giving them welcome support in their journey to healing.

Learning Objectives: 1. Demonstrate one way of identifying clients who enter the grieving process with a pre-existing anxiety disorder 2. Describe mindfulness and how it can be helpful in addressing anxiety with grieving clients 3. List three relaxation techniques that may help with anxiety

Session : NHPCO1486
2G: Hospice Regulatory Update
Conference : 15th Clinical Team Conference And Pediatric Intensive: 40 Years of Excellence
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Primary Presenter: Jennifer Kennedy, MA, BSN, CHC, LNC

Hospice regulatory issues are becoming increasingly complex, but NHPCOs Regulatory Department is your go-to resource for regulatory information! In this session, NHPCO Regulatory staff will highlight the important compliance issues on the hospice industry front today. Participants will receive cutting edge information about what is happening within CMS, the OIG, and other federal entities that affect hospice care.

Learning Objectives: 1. Identify the current hot issues in the hospice industry and how they affect hospice providers and the hospice industry as a whole 2. Describe the climate within CMS and other federal entities regarding hospice care 3. Identify resources available for support for the hospice clinician

Session : NHPCO1487
2H: The Hospice Story Catcher Project: Incorporating and Valuing the "Voice" of the Hospice Interdisciplinary Team
Conference : 15th Clinical Team Conference And Pediatric Intensive: 40 Years of Excellence
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Primary Presenter: Mary Cahoe, RN, MSN Co-presenters: Marcia McGrew, RN, BA and Alyssandra McKaye, MDiv, MEd, BS, BA

Even the most experienced hospice teams encounter new situations in their work with patients. Facilitating interaction and collaboration with every member on the team adds value to the patient/family in your care. Walking through real hospice situations through stories allows for optimum growth of your team and enhancement of patient care. The activities in this session allow for a birds eye view of a team in action, demonstrating the value of the voice of multiple disciplines. The information is adaptable to large experienced teams as well as small new teams.

Learning Objectives: 1. Demonstrate ways a hospice team can work effectively through new situations together 2. Evaluate critical situations to stimulate thought processes and critical thinking of the hospice team 3. Identify the importance of the expertise each team member contributes to the team

Session : NHPCO1488
2I: Addressing the Goldilocks Syndrome: Too Sick for Hospitals, Too Well for Hospice
Conference : 15th Clinical Team Conference And Pediatric Intensive: 40 Years of Excellence
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Primary Presenter: Sumathi Misra, MD, MPH, CMD Co-presenters: Carol Nestler, MSN, FNP-C and Katsiaryna Khatsilovich, BA

Hospitals and providers struggle with options to provide care to patients who have advancing serious illness, a limited life expectancy and high morbidity, but who emotionally are not ready to engage in hospice related discussions. This workshop describes an innovative demonstration project showcasing a five year collaboration and outcomes between a hospice agency, inpatient hospital-based palliative services and community-based oncologic and primary care practices. The session provides interactive case-based discussions of home-based palliative care for those patients who emotionally decline discussions related to hospice but have frequent hospitalizations and clear physical decline. The session will also highlight how this program enhanced and facilitated timely end-of-life care for patients engaged in palliative services.

Learning Objectives: 1. Describe two models of care that focus on collaboration to provide home-based palliative medicine services across the continuum of care 2. Identify two examples of how patient-centered care can be provided for those who are emotionally not ready for discussions related to hospice care 3. Describe evaluation models of symptom and outcome-based data

Session : NHPCO1489
2J: Communication Counts: A Toolkit for Families Experiencing Childhood Illness
Conference : 15th Clinical Team Conference And Pediatric Intensive: 40 Years of Excellence
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Primary Presenter: Beth Seyda, BS

Participants in this session will learn about the development and evaluation of the NIH-funded Communication Counts toolkit that is a comprehensive, flexible program for parents of children with a life-threatening illness. Faculty will examine how the toolkit teaches parents how to facilitate open and direct communication with their ill child, other family members and their childs healthcare team

Learning Objectives: 1. List the benefits of open communication among families and with the healthcare team 2. Demonstrate open communication techniques to use with ill children and well siblings 3. Describe the impact of the Communication Counts curriculum