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Live Webcast

Nearing the End of Life: Accompanying the Dying


Faculty:
Lores Vlaminck
Duration:
Full Day
Product Code:
LWC077985
Brochure Code:
PLW77038
Media Type:
Live Webcast


Description

Eleanor is an 83-year-old widowed lady with known chronic heart failure and advanced dementia. She is how 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 live webcast, 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 live interactive webcast. This webcast is a broadcast of a live event. You will be able to type questions to the speaker. The speaker will see the questions and address them during the presentation as time allows. Please note, your state licensing board dictates whether web based activities are 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.

CE Information is based on 100% attendance.

Information obtained in this course should be used within your scope of practice.


Ethics

THIS ACTIVITY QUALIFIES FOR 1.0 HOURS  OF General ETHICS INSTRUCTION. Not all boards allow ethics credit for on-line programs. 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

This course is designed to qualify for 6.25 continuing education hours.


Counselors

This 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.


California Counselors

The California Board of Behavioral Sciences accepts CE programs that are approved by other approval agencies, including several that approve PESI and its programs.  A full list of approval agencies accepted by the BBS can be found at www.bbs.ca.gov/licensees/cont_ed.html under “Where to find CE Courses.”  This intermediate level level activity consists of 6.0 clock hours of continuing education instruction.


Florida Counselors

PESI, Inc. is an approved provider with the Florida Board of Clinical Social Work, Marriage and Family Therapy and Mental Health Counseling. Provider Number 50-399. This course qualifies for 6.25 continuing education credits.


Illinois Counselors

This intermediate activity consists of 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.


New York Counselors

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 activity will qualify for 7.5 contact hours. Full attendance is required; no partial credits will be offered for partial attendance


Ohio Counselors

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


Pennsylvania Counselors

The Pennsylvania State Board of Social Workers, Marriage and Family Therapists and Professional Counselors accepts many national association CE approvals, several of which PESI offers. For a full list, please see your State Board regulations at https://www.dos.pa.gov/ProfessionalLicensing/BoardsCommissions/. This intermediate level activity consists of 6.25 clock hours of continuing education instruction.


South Carolina Counselors

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. Provider #4540.


Texas Counselors

This activity consists of 6.0 clock hours of continuing education instruction. Texas State Board of Examiners of Professional Counselors no longer approves programs or providers. PESI activities meet the continuing education requirements as listed in Title 22 Texas Administrative Code, Chapter 681, Subchapter J, Section 681.142 Acceptable Continuing Education. Please retain the certificate of completion that you receive and use as proof of completion when required.


Nurses, Nurse Practitioners, and Clinical Nurse Specialists

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

Nurses in full attendance will earn 6.3 contact hours.


California Nurses

PESI, Inc. is a provider approved by the California Board of Registered Nursing, Provider Number 17118 for 6.0 contact hours. Full attendance is required. No partial contact hours will be issued for partial attendance. 


Florida Nurses

CE Broker

PESI, Inc. is an approved provider with the Florida Board of Nursing, Provider # FBN2858. This course qualifies for 6.0 contact hours. 


Iowa Nurses

PESI, Inc. is an approved provider by the Iowa Board of Nursing. Provider #: 346. Full attendance at this activity qualifies for 6.3 contact hours. Full attendance in the activity is required; no partial contact hours will be issued for partial attendance. These contact hours are used for your license renewal. Please email cepesi@pesi.com with your license number, include the webcast title, speaker name and date. PESI must have this number on file in order for your hours to be valid for the webcast.


Physician Assistants

AAPA accepts certificates of participation for educational activities certified for AMA PRA Category 1 Credit™ from organizations accredited by ACCME such as PESI. Physician assistants may receive a maximum of 6.0 hours for completing this program.


PESI, Inc. is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. PESI, Inc. designates this activity for a maximum of 6.0 AMA PRA Category 1 Credit(s)™.


Social Workers

PESI, Inc., #1062, is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved as ACE providers. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. PESI, Inc. maintains responsibility for this course. ACE provider approval period: January 27, 2020 - January 27, 2023. Social Workers completing this course receive 5.25 Clinical and 1.0 Ethics continuing education credits. No more than 6.25 total CE hours may be awarded for this activity. Course Level: Intermediate. Full attendance is required; no partial credits will be offered for partial attendance. A certificate of attendance will be awarded at the end of the program to social workers who complete the program evaluation.


California Social Workers

The California Board of Behavioral Sciences accepts CE programs that are approved by other approval agencies, including several that approve PESI and its programs.  A full list of approval agencies accepted by the BBS can be found at www.bbs.ca.gov/licensees/cont_ed.html under “Where to find CE Courses.” This intermediate level activity consists of 6.0 clock hours of continuing education instruction.


Colorado Social Workers

PESI, Inc. is an approved provider with the Colorado Chapter of the National Association of Social Workers. Provider #1413. This 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 webcast, speaker name, date of live broadcast, your name and your license number in the email.


Florida Social Workers

PESI, Inc. is an approved provider with the Florida Board of Clinical Social Work, Marriage and Family Therapy and Mental Health Counseling. Provider Number 50-399. This course qualifies for 6.25 continuing education credits.


Illinois Social Workers

PESI, Inc is an approved provider with the State of Illinois, Department of Professional Regulation. License #: 159-000154. Full attendance at this course qualifies for 6.0 contact hours.


Kansas Social Workers

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


Minnesota Social Workers

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


New York Social Workers

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 activity will qualify for 7.5 contact hours. Full attendance is required; no partial credits will be offered for partial attendance. 


Ohio Social Workers

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


Pennsylvania Social Workers The Pennsylvania State Board of Social Workers, Marriage and Family Therapists and Professional Counselors accepts many national association CE approvals, several of which PESI offers. For a full list, please see your State Board regulations at https://www.dos.pa.gov/ProfessionalLicensing/BoardsCommissions. This intermediate level activity consists of 6.25 clock hours of continuing education instruction.
Other Professions

This activity qualifies for 380 continuing education minutes 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. 



Faculty

Lores Vlaminck's Profile

Lores Vlaminck Related seminars and products: 1

RN, BSN, MA, CHPN, Owner

Lores Consulting


Lores Vlaminck, RN, BSN, MA, CHPN, is a consultant for home care, palliative care, hospice, and assisted living providing education, training, mock surveys, and mentoring for staff development. Lores’ extensive professional nursing experiences span clinical practice in cardiac and intensive care, outpatient clinical services and as a founder/director of a Medicare certified home care/hospice director in greater MN. Her role in the 'trenches' gives her a unique understanding of the challenges and opportunities professionals and volunteers face in accompanying the patient and family facing a serious or life-limiting illness.

Lores offers state and national education on palliative and hospice care and is certified trainer of the ELNEC (End-of-Life Nursing Education Consortium) modules, EPEC (Education on Palliative and End-of-life Care) modules and the HPNA's (Hospice and Palliative Care Nurses Association) curriculum. She is a member of MHCA (Minnesota Home Care Association), MNHPC (Minnesota Network for Hospice and Palliative Care), Leading Age MN, NHPCO (National Hospice and Palliative Care Organization), HPNA (Hospice Palliative Nursing Association-MN Chapter) and Sigma Theta Tau. Additionally, Lores also serves on two not-for-profit long-term care boards.

Through a blend of both grief and joy filled patient stories, clinical expertise and referenced materials, Lores will be sure to engage you at both an intellectual and heart level. Participants across the country have consistently shared that Lores' humility, honesty, humor and genuine compassion allow for permission to "feel what is felt."

Speaker Disclosures:

Financial: Lores Vlaminck is Principal for Lores Consulting. She receives a speaking honorarium from PESI, Inc.

Non-financial: Lores Vlaminck has no relevant non-financial relationship to disclose.


Additional Info

Program Information

CD/DVD

Click here to purchase the DVD or CD recording from our product store. CE hours and approvals on products may differ from live CE approvals.


Additional Resources

To order the book, End of Life, please visit our product store.

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


Access Period for Live Webcast

For live CE credit, you must watch the live webcast in its entirety at its scheduled time and complete the CE quiz and evaluation within one week. You will have access for 90 days after the program for review.


Webcast Schedule

Please note: There will be a lunch and two 15-minute breaks; one in the morning and one in the afternoon. Lunch and break times will be announced by the speaker and at their discretion. A more detailed schedule is available upon request.


Objectives

  1. Explore the myths of hospice.
  2. Compare and contrast hospice and palliative care.
  3. Evaluate the eight domains of the National Consensus Project.
  4. Formulate strategies to diminish fear of death and dying.
  5. Analyze complications related to artificial hydration and nutrition.
  6. Connect moral resiliency to palliative and hospice work.

Outline

An Inexact Art & Science
  • Illness and dying trajectories frailty
  • Dementia
  • Prognostication and prognostic scales
  • When to refer to palliative care or hospice: What is the difference?

Essentials of Care: Comfort, Control, Choices, Communication

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
  • Integrative therapies
  • Emotional distress and interventions
  • The role of spiritual care
  • Palliative sedation
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
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?
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/AND does not mean do not treat
  • Addressing concerns and needs of the family
  • Thanatophobia: Is it a fear of dying or fear of death?
  • Premortem surge
  • Nearing death awareness
  • The dying process
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

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