Nearing the End of Life: Dare to Care
Digital Seminar

Nearing the End of Life: Dare to Care


Faculty:
Nancy Joyner
Duration:
Full Day
Format:
Audio and Video
Copyright :
Mar 09, 2018
Product Code:
POS077635
Media Type:
Digital Seminar


Description

  • Families ask . . . what would you do if this were your loved one? Learn how to reply without bias …
  • Creative ways to discuss withdrawing or withholding treatment
  • Manage patient pain and symptoms: Medical marijuana, morphine, palliative sedation or fewer medications?
  • Tips to guide code status conversations with patients and families
  • Resolve family dysfunction surrounding end of life decisions
  • Requests to “humanely euthanize”/hastening death: How to respond?
  • Hear powerful case studies that provide examples of expert, holistic care

Eleanor is an 83-year-old widowed lady with known chronic heart failure and advanced dementia. She is now hospitalized with a significant stroke and dysphagia. She does not have a healthcare directive and had never discussed what she would want, other than staying at home until she dies. She is full code. Her family still wants resuscitation attempted. Her children admit they are concerned about what is best for their mother.

What are options for Eleanor and her family? Would she benefit from artificial hydration and nutrition? How is she going to receive medications? Can some of her medications be discontinued? Who is going to be her caregiver?

In this compelling seminar, multiple case studies like Eleanor’s will provide you with examples that you can incorporate when care is more important than cure. To deliver expert, holistic care, healthcare professionals need to have a toolbox full of new interventions to promote quality care at the end of life.

Have you ever been asked, “what would you do if this was your family member?” Learn conversation options to use while staying neutral.

Did you know that a patient might enroll on hospice care and be a full code? We will discuss how this is done.

What can we do for patients seeking euthanasia who see this as the best solution? These situations are becoming more frequent. Anticipate how you will respond.

Strategies regarding comfort, communication, choices and control have unique issues and challenges for patients, families and health professionals. We have an obligation to know how to help provide emotional, spiritual, existential, and physical comfort for those who have life-limiting conditions and to support them through difficult decisions. It’s time to think outside the box.

 

Credits

**

NOTE: Tuition includes one free CE Certificate (participant will be able to print the certificate of completion after completing and passing the on-line post-test evaluation). 

Continuing Education Information:  Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Please note, your state licensing board dictates whether self-study is an acceptable form of continuing education. Please refer to your state rules and regulations. If your profession is not listed, please contact your licensing board to determine your continuing education requirements and check for reciprocal approval. For other credit inquiries not specified below, please contact cepesi@pesi.com or 800-844-8260 before the event.

Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of mental health professionals.  As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your professions standards


*Ethics (Self-Study)

This self-study course includes 1.0 hours of general ethics instruction. Not all boards allow ethics credit for self-study products. If ethics is not specified within your licensing board’s approval statement below, please contact your board to determine the applicability and amount of ethics allowed.


Chaplains/Clergy (Self-Study)

This self-study program is designed to qualify for 6.25 continuing education hours.


Counselors (Self-Study)

This intermediate self-study activity consists of 6.25 clock hours of continuing education instruction. Credit requirements and approvals vary per state board regulations. Please save the course outline, the certificate of completion you receive from the activity and contact your state board or organization to determine specific filing requirements.


Counselors - New York (Self-Study)

PESI, Inc. is recognized by the New York State Education Department's (NYSED) State Board for Mental Health Practitioners as an approved provider of continuing education for Licensed Mental Health Counselors. #MHC-0033. This self-study activity will qualify for 7.5 contact hours. Full attendance is required; no partial credits will be offered for partial attendance


Counselors - Texas (Self-Study)

PESI, Inc. has been approved as a continuing education sponsor through the Texas State Board of Examiners of Professional Counselors. Provider #: 2477. This self-study course qualifies for 6.0 continuing education credits.


Counselors, Marriage & Family Therapists and Psycho-Educational Specialists - South Carolina (Self-Study)

This program has been approved for 6.0 continuing education hours by the South Carolina Board of Examiners for Licensure of Professional Counselors, Marriage and Family Therapists, and Psycho-Educational Specialists. Approval #4540.


Nurses - California (Self-Study)

PESI, Inc. is a provider approved by the California Board of  Registered Nursing, Provider #: 13305 for 6.0 self-study contact hours. 

** You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.


Nurses - Florida (Self-Study)

CE Broker

PESI, Inc. is an approved provider by the Florida Board of  Nursing. Provider #: FBN2858. These materials qualify for 6.0 self-study contact hours.

** Florida Participants Only: To automatically be reported to CE Broker, after completing and passing the online post-test/evaluation, please contact cepesi@pesi.com. You will need to provide the full title of the activity, speaker name, date of live broadcast, your name and your license number in the email.


Nurses - Iowa (Self-Study)

PESI, Inc. is an approved provider by the Iowa Board of Nursing. Provider #: 346. Nurses successfully completing these self-study materials will earn 6.3 self-study contact hours. Please email cepesi@pesi.com with your license number, include the title, speaker name and date. PESI must have this number on file in order for your hours to be valid.


Nurses/Nurse Practitioners/Clinical Nurse Specialists - ANCC (Self-Study)

PESI, Inc. is accredited as a  provider of continuing nursing education by the American Nurses Credentialing Center’s  Commission on Accreditation.

Nurses completing these self-study materials will earn 6.3 contact hours. Expires: 03/09/2021.


Social Workers (Clinical/Ethics) (Self-Study)

PESI, Inc., #1062, is approved as a provider for social work continuing education by the Association of Social Work Boards (ASWB), www.aswb.org through the Approved Continuing Education (ACE) Program. PESI, Inc. maintains responsibility for the program. ASWB Approval Period: January 27, 2017-January 27, 2020. Licensed Social Workers should contact their regulatory board to determine course approval for continuing education credits. Social Workers participating in the course will receive 5.25 (Clinical) and 1.0 (Ethics) continuing education clock hours for completing this intermediate self-study package. A certificate of attendance will be awarded at the end of the program to social workers who complete the program evaluation and pass the post-test.


Social Workers - Canadian (Clinical/Ethics) (Self-Study)

PESI, Inc., #1062, is approved as a provider for social work continuing education by the Association of Social Work Boards (ASWB), www.aswb.org through the Approved Continuing Education (ACE) Program. PESI, Inc. maintains responsibility for the program. ASWB Approval Period: January 27, 2017-January 27, 2020. Licensed Social Workers should contact their regulatory board to determine course approval for continuing education credits. Social Workers participating in the course will receive 5.25 (Clinical) and 1.0 (Ethics) continuing education clock hours for completing this intermediate self-study package. A certificate of attendance will be awarded at the end of the program to social workers who complete the program evaluation and pass the post-test. Canadian provinces may accept activities approved by the ASWB for ongoing professional development.


Social Workers - Colorado (Self-Study)

PESI, Inc. is an approved provider with the Colorado Chapter of the National Association of Social Workers. Provider #1413. This self-study course has been approved for 6.3 continuing education hours. 

 

COLORADO PARTICIPANTS ONLY: To be reported to the Colorado Chapter of the NASW, after completing and passing the online post-test/evaluation, please contact cepesi@pesi.com and provide the full title of the activity, speaker name, date of live broadcast, your name and your license number in the email.


Social Workers - Illinois (Self-Study)

PESI, Inc. is an approved provider with the State of Illinois, Department of Professional Regulation. License #: 159-000154. Successful completion of this self-study activity qualifies for 6.0 contact hours.


Social Workers - Kansas (Self-Study)

PESI, Inc. is an approved provider with the Kansas Behavioral Sciences Regulatory Board. Provider #14-006. This self-study course has been approved for 6.0 continuing education hours.


Social Workers - Minnesota (Self-Study)

PESI, Inc. is an approved provider with the State of Minnesota, Board of Social Work. Provider #: CEP-140. This self-study package has been approved for 6.0 continuing education hours. This certificate has been issued upon successful completion of a post-test.


Social Workers - New York (Self-Study)

PESI, Inc. is recognized by the New York State Education Department's (NYSED) State Board for Social Work as an approved provider of continuing education for licensed social workers #SW-0008. This self-study activity will qualify for 7.5 contact hours. Full attendance is required; no partial credits will be offered for partial attendance. 


Social Workers/Counselors/Marriage & Family Therapists - Ohio (Self-Study)

PESI, Inc. is an approved provider with the State of Ohio Counselor, Social Worker and Marriage & Family Therapist Board. Provider approval #: RCST071001. Successful completion of this self-study course meets the qualifications for 6.25 clock hours of continuing education credit.


Social Workers/Counselors/Marriage & Family Therapists – Pennsylvania

This intermediate activity is approved for 6.25 clock hours of continuing education instruction. Credit requirements and approvals vary per state board regulations. Please contact your licensing board to determine if they accept programs or providers approved by other national or state licensing boards. A certificate of attendance will be awarded at the end of the program to participants who are in full attendance and who complete the program evaluation.


Social Workers/Counselors/Marriage & Family Therapists/Licensed Educational Psychologists – California (Self-Study)

This intermediate activity consists of 6.0 clock hours of continuing education instruction. Credit requirements and approvals vary per state board regulations. Please contact your licensing board to determine if they accept programs or providers approved by other national or state licensing boards. A certificate of attendance will be awarded at the end of the program to participants who are in full attendance and who complete the program evaluation.


Social Workers/Marriage & Family Therapists/Mental Health Counselors - Florida (Self-Study)

CE Broker

PESI, Inc. is an approved provider with the Florida Board of Clinical Social Work, Marriage and Family Therapy and Mental Health Counseling. Provider Number BAP #77. This self-study course qualifies for 6.25 continuing education credits.

** Florida Participants Only: To automatically be reported to CE Broker, after completing and passing the online post-test/evaluation, please contact cepesi@pesi.com. You will need to provide the full title of the activity, speaker name, date of live broadcast, your name and your license number in the email.


Thanatology (Self-Study)

This self-study educational offering is recognized by the Association for Death Education and Counseling to meet the thanatology-related educational contact hour requirements to be Certified in Thanatology: Death, Dying and Bereavement. This course will award 6.25 contact hours to participants.


Θ Other Professions (Self-Study)

This self-study activity qualifies for 6.25 continuing education clock hours as required by many national, state and local licensing boards and professional organizations. Save your activity advertisement and certificate of completion, and contact your own board or organization for specific requirements.


Handouts

Faculty

Nancy Joyner Related seminars and products: 3

RN, MS, APRN-CNS, ACHPN


Nancy Joyner is currently a Palliative Care Clinical Nurse Specialist for Altru Health System in Grand Forks, North Dakota. Nancy has extensive experience caring for patients with end stage disease, and working with hospice patients and their families at home and in the acute care setting. Her care for this specialized patient population includes intensive care, surgical critical care, oncology and renal patients. Nancy has had training through the Center to Advance Palliative Care, Palliative Care Leadership Center at Fairview Health Services in Minneapolis. She holds a certification as an Advanced Practice Hospice and Palliative Care Nurse and has prescriptive authority within her palliative scope of practice.

Nancy is an End-of-Life Nursing Education Consortium trained presenter, having presented and published at local, state and national levels. She has researched and published continuing education articles on pain, hydration and nutrition in terminal care, as well as Alzheimer's Disease. She serves as an active work group member for the Institute for Clinical Systems Improvement (ICSI) Palliative Care Guideline development. She recognizes that caring for patients with end stage disease, and their families, requires extreme sensitivity, deep compassion and extraordinary knowledge.

Speaker Disclosures: 

Financial: Nancy E. Joyner is CEO and President of Nancy Joyner Consulting, P.C. She receives a speaking honorarium from PESI, Inc.

Non-financial: Nancy E. Joyner has no relevant non-financial relationships to disclose. 


Additional Info

Program Information

CD/DVD

Click here to purchase the DVD or CD recording from our product store.


Additional Resources

To order the book, End of Life - A Nurse’s Guide to Compassionate Care, please visit our product store.

To order the book, The Needs of the Dying, please visit our product store.

 


Access for Self-Study (Non-Interactive)

Access never expires for this product.


Objectives

  1. Explain how complementary therapies enhance quality of life for patients.
  2. Evaluate the risks and benefits of medical marijuana.
  3. Acknowledge the eight domains of the National Consensus Project.
  4. Analyze five complications related to artificial hydration and nutrition.
  5. Explore ethical issues often seen at the end of life.
  6. Formulate two strategies to diminish fear of death and dying.
  7. Connect moral resiliency to palliative care.

Outline

  • An Inexact Art & Science
    • Illness and dying trajectories
    • Frailty
    • Dementia
    • Prognostication and prognostic scales
    • When to refer to palliative care or hospice (disease specific)
  • Essentials of Care: Comfort, Communication, Choices, Control
    • Comfort Always
      • Morphine: Still the gold standard?
      • Pain during the final hours of life
      • Drug misuse: How to avoid it
      • Opioids for dyspnea
      • Thirst vs. xerostomia
      • Medical marijuana
    • Complementary and alternative therapies
      • Emotional distress interventions
      • The role of spirituality
      • Palliative sedation
      • Communication: Everyone is Involved
      • Advance care planning: More than just a form
      • The terminology matters
      • Your role in these critical conversations
      • How much can we share?
      • Truth vs. hope
      • Code status discussions
      • DNR does not mean do not treat
      • Addressing concerns and needs of the family
      • Thanatophobia: Is it fear of dying or fear of death?
      • Premortem surge
      • Near death awareness
      • The dying process
    • Choices: Shared Decision-Making
      • Nutrition & hydration choices
      • Voluntarily Stopping Eating and Drinking (VSED): Benefits & burdens
      • Life-sustaining treatment
      • Non-beneficial treatment choices
      • Faith-based influences
      • Ventilator support
      • Dialysis or renal palliative care
      • Devices to extend life
      • Hastened death request: Why not humanely euthanize?
    • Allowing Control: Patient-Centered Care
      • Reframing hope
      • What do family members want you to consider
      • Who makes the decision
      • What about family dysfunction…
      • Is the focus quality or quantity?
      • Decision to withhold or withdraw care
      • Challenging decisions: Honoring patients’ wishes
    • Cultivating Moral Resiliency
      • Moral resilience–preserving/restoring integrity
      • Personal vs. professional grieving
      • Enabling character and honorable action
      • Ethical Competency

Target Audience

Nurses, Nurse Practitioners, Clinical Nurse Specialists, Physician Assistants, Social Workers, Counselors, Case Managers, Chaplains, Clergy

Reviews

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Overall:     4.5

Total Reviews: 88

Comments

Kelly Ann A - MILTON, New York

"I wish I had purchased the DVD version for future reference rather than the online version. "

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