Image of Nearing the End of Life: Accompanying the Dying
Digital Seminar

Nearing the End of Life: Accompanying the Dying

Lores Vlaminck
Full Day
Copyright :
Mar 26, 2020
Product Code:
Media Type:
Digital Seminar - Also available: Live Webcast


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 recording, 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.


CE Information Coming Soon

Continuing education credit information is coming soon for this non-interactive self-study package.

CEs may be available for select professions, as listed in the target audience. Hours will be dependent on the actual recording time. Please check with your state licensing board or organization for specific requirements. 

There may be an additional fee for CE certificates. Please contact our Customer Service at 1-800-844-8260 for more details. 

**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.


Lores Vlaminck Related seminars and products: 2

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


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 for Self-Study (Non-Interactive)

Access never expires for this product.


  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.


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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