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End Stage Diseases: Care When There Is No Cure, 10/7/2016 12:00:00 AM CDT, Digital Seminar More info »
End Stage Diseases: Care When There Is No Cure, 10/7/2016 12:00:00 AM CDT, DVD More info »
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Live Webcast

End Stage Diseases: Care When There Is No Cure


Speaker:
Nancy E. Joyner, RN, MS, APRN-CNS, ACHPN®
Duration:
Full Day
Format:
Audio and Video
Product Code:
LWC012520
Brochure Code:
PLW47552
Media Type:
Live Webcast - Also available: Digital Seminar | DVD

Dates

Normal Price:      $249.99 - Now:  $49.99 - Exclusive offer when combined with this live training.

Description

Are you ever looking for creative ways to make sure someone’s legacy will be passed on? Well think about what we did with Harold, a patient with metastatic bowel cancer. He was part of a local “village” that, over the years, transformed from acres of farmland to housing and a town. In an effort to keep his heritage alive, he had photos made into large posters and used his carpentry skills to create an entire model of the town. When we made visits, his only focus was teaching us about this legacy. He did not want it lost with his death. So we began to videotape the whole story from Harold. But he was not satisfied yet. So, with his permission, we got a local TV station to come do a story on the model, the photos, and the stories behind them. To their credit, the TV personnel never mentioned Harold was ill, or a hospice patient. The video aired on the local station and Harold was ecstatic - and at peace. He died soon after, his legacy passed on.

Harold’s story and other case studies will provide examples of amazing opportunities that can be experienced when caring for parents dealing with end stage diseases. Caring for patients with end stage disease requires extreme sensitivity, deep compassion, and extraordinary knowledge. In order to deliver expert, holistic care, healthcare professionals need to be knowledgeable of new interventions to promote quality of life for patients with all types of disease processes. To add to the challenge, each particular end stage disease has unique complexities for the patient, the family and the healthcare professional.

Very little has been written about end stage liver disease. Many texts do not mention it at all. Did you know that a patient seeking a liver transplant can be on hospice care while waiting? We will discuss how this is done. What can we do about patients with COPD who have no solution for exacerbations except to come to the emergency department, or go to ICU? One medical director has an excellent intervention for this. It’s time to think out of the box more than we ever have as providers. We will discuss a patient named Adele, who had ovarian cancer for 10 years, was in the final stage, but had a list of 20 items that all had to be “fixed” before she died. The team did a wonderful job helping her obtain peace. It only took a pencil, a yellow pad of paper, and dedicated friends. Find out how the team rallied to help carry out her final wishes! What can we do to keep costs down…yet assist the patient with symptoms experienced? Come learn about the latest strategies that have been proven successful in practice. You are guaranteed to leave with new tools that you can put to use when a cure is not possible, yet quality support and care most definitely are.

OUTLINE

Disease Prognostication: An Inexact Art & Science

  • Illness and Dying Trajectory
  • Performance Scales
  • Prognosis Tools
  • Determining Palliative Care vs. Hospice
  • National Consensus Project: Eight Domains for Quality Practice
  • Crucial Conversations

Heart Failure

  • Stages
  • Treatment options
  • Devices to Extend Life
  • Symptom Burden/Management
  • Prognostic Models
  • Living better - or prolonging suffering?

Advanced Cancer/ Neoplastic conditions

  • Staging Cancer
  • Spiritual needs
  • Complications and interventions
    • Spinal cord compression
    • Superior vena cava syndrome
    • Bowel obstruction
    • Hypercalcemia
    • Fungating wound care
    • Signs of impending death

Pulmonary Disease

  • Staging the disease
  • Spirometry: a required test
  • The MMRC Breathlessness Scale
  • Treating dyspnea: The pain of non-malignant disease
  • The medical toolbox: oxygen, bronchodilators, opioids & steroids

Amyotrophic Lateral Sclerosis

  • Diagnostic tests
  • Post-polio syndrome: An ALS mimic
  • Advance directives and life support decisions: nutrition & gastrostomy, non-invasive ventilation or invasive?
  • Table of useful medications

Advanced Dementia

  • Stages
  • Ethical issues: feeding, medications
  • Ensuring comfort
  • Delirium & dementia
  • Interventions for agitation and aggression

Renal Disease

  • Appropriate use of dialysis
  • Staging disease with Glomerular Filtration Rate (GFR)
  • Hemodialysis mortality predictor
  • Symptom burden
  • Underutilization of hospice

Liver Disease

  • Prognostic Determination
  • Ethical issues
  • Signs of ‘end stage’

Challenging Decisions

  • What do People Want at the End of Life?
  • Honoring Patients Wishes
  • Delirium vs near death experience
  • Dying Signs, symptoms and needs - is hydration needed?
  • Mental health needs of the dying
  • Managing pain as death nears
  • Palliative sedation therapy: for intractable symptoms

Moral Distress

  • Ethical dilemmas
  • Medication errors
  • Conflicted consciences
  • Giving the last dose
  • Attending the first death
  • Strategies for diminishing death discomfort
  • Personal versus professional grieving

OBJECTIVES

  1. Evaluate two performance and prognostic methods that are predictive of poor survival.
  2. Compare palliative care services to hospice care.
  3. Differentiate unique palliative care interventions for the complexities of five end stage diseases.
  4. Identify two ethical issues often seen in end stage disease.
  5. Specify three challenges faced at the end of life.
  6. Recognize two strategies to overcome fear of death and moral distress.

Satisfaction Guarantee
Your satisfaction is our goal and our guarantee. Concerns should be addressed to PESI, Inc., PO Box 1000, Eau Claire, WI 54702-1000 or call 1-800-844-8260.

ADA Needs

PESI would be happy to accommodate your ADA needs; please call our Customer Service Department for more information at 800-844-8260.

Credit


* Credit Note - *

NOTE: Tuition includes one free CE Certificate (participant will be able to print the certificate of completion after passing the on-line post-test (80% passing score) and completing the 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 your profession.  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 profession's standards.

For Planning Committee disclosures, please see the statement above.  For speaker disclosures, please see the faculty biography.

CE Information is based on 100% attendance.

 


* Credit Note - Ethics

THIS ACTIVITY QUALIFIES FOR 1.0 HOURS  OF  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.


Counselors - Counselors

This educational offering consists of 6.25 clock hour(s) 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 this offering and contact your state board or organization to determine specific filing requirements. 


Counselors - Texas Counselors

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


Counselors - South Carolina Counselors, Marriage & Family Therapists and Psycho-Educational Specialists

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.


Social Workers - 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 the course. ACE provider approval period: January 27, 2017 - January 27, 2020. Social Workers completing this course receive 5.25  and  Ethics continuing education credits for completing this intermediate level course. No more than 6.25 total CE hours may be awarded for this activity. A certificate of attendance will be awarded at the end of the program to social workers who complete the program evaluation. Full attendance is required. No partial credit will be offered for partial attendance.


Social Workers - Canadian 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 the course. ACE provider approval period: January 27, 2017 - January 27, 2020. Social Workers completing this course receive 5.25 Clinical and 1.0 Ethics continuing education credits for completing this intermediate level course. A certificate of attendance will be awarded at the end of the program to social workers who complete the program evaluation. Full attendance is required. No partial credit will be offered for partial attendance. Canadian provinces may accept activities approved by the ASWB for ongoing professional development.


Social Workers - Florida Social Workers, Marriage & Family Therapists, and Mental Health 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.


Social Workers - 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.


Social Workers - 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.


Social Workers - 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.


Case Managers

This program has been pre-approved by The Commission for Case Manager Certification to provide continuing education credit to CCM® board certified case managers. The course is approved for 6.25 CE contact hour(s).


Chaplains/Clergy

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


Nurses, Nurse Practitioners, and Clinical Nurse Specialists

PESI, Inc. is accredited as a provider of nursing continuing professional development 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

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

CE Broker


Iowa Nurses

PESI, Inc. is an approved provider by the Iowa Board of Nursing. Provider #: 346. Full attendance at this activity qualifies for 7.6 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.


Ohio Social Workers, Counselors, and Marriage & Family Therapists

PESI 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, Counselors, and Marriage & Family Therapists

This intermediate activity is approved for 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.


California Social Workers, Counselors, Marriage & Family Therapists, and Licensed Educational Psychologists

PESI, Inc. is an approved provider with the State of California, Board of Behavioral Sciences, Provider #: 2087. Successful completion of this course meets the qualifications for 6.0 hours of continuing education credit as required by the California Board of Behavioral Sciences.

** 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.


Certification in Thanatology

This 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.


Other Professions

This activity qualifies for 6.25 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. 



Handouts/Brochure

Speaker

Nancy E. Joyner, RN, MS, APRN-CNS, ACHPN®'s Profile

Nancy E. Joyner, RN, MS, APRN-CNS, ACHPN® Related seminars and products


Nancy Joyner, RN, MS, APRN-CNS, ACHPN® is a nationally recognized consultant, speaker, educator and author. As a Palliative Care Clinical Nurse Specialist, she works as the palliative care specialist disseminating awareness and education regarding palliative care statewide. Nancy has over 40 years of nursing proficiency that includes 17 years as an advanced practice nurse in palliative care. Nancy is an End-of-Life Nursing Education Consortium (ELNEC) trainer. She has had training through the Center to Advance Palliative Care (CAPC). Nancy created numerous CME sessions on palliative care for the University of North Dakota’s Project ECHO and is involved with the Dakota Geriatric Workforce Enhancement Program. She has presented and published at local, state, and national levels. She has researched and published articles on POLST and advance care planning. Nancy is an ambassador for the Serious Illness Community of Practice, Ariadne Labs. She is currently president of Honoring Choices® North Dakota, North Dakota’s POLST Program Coordinator and co-creator of the HCND ACP Facilitator Certification Course.

 

Speaker Disclosures:
Financial: Nancy Joyner maintains a private practice and has employment relationships with CSU Shiley Haynes Institute for Palliative Care, UND Dakota Geriatrics, WilliamsTown Communications, and Honoring Choices® North Dakota. She receives royalties as a published author. Nancy Joyner receives a speaking honorarium and recording royalties from PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: Nancy Joyner is a member of Minnesota Network of Hospice and Palliative Care, the National Association of Clinical Nurse Specialists, and others. For a complete list, please contact info@pesi.com.


Additional Info

Access Period for Live Webcast

For live CE credit, you must watch the live webcast in its entirety at its scheduled time. 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.


Target Audience

Case Managers, Chaplains/Clergy, Counselors, Nurses, Social Workers

Reviews

5
4
3
2
1

Overall:      4.7

Total Reviews: 9

Comments

Elizabeth W

"very interesting and helpful, learned a lot"

Satisfaction Guarantee
Your satisfaction is our goal and our guarantee. Concerns should be addressed to: PO Box 1000, Eau Claire, WI 54702-1000 or call 1-800-844-8260.

ADA Needs
We would be happy to accommodate your ADA needs; please call our Customer Service Department for more information at 1-800-844-8260.

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