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Digital Seminar

Serious Illness Messaging and Crucial Conversations


Speaker:
Nancy E. Joyner, RN, MS, APRN-CNS, ACHPN®
Duration:
3 Hours
Format:
Audio and Video
Copyright:
Oct 20, 2023
Product Code:
POS078704
Media Type:
Digital Seminar


Description

One of the biggest challenges healthcare professionals face is the serious illness messaging and critical conversations that are vital for patient care.  Advance care planning is often overlooked. Many patients we see simply do not have one.  However, the important aspect of guiding patients through their medical treatment and care involves very specific discussions for them.  In this session, you will learn about advance care planning and your role in it.  You will also learn about serious illness messaging, conversation steps and guidelines, the power of four words, and how to address consent and decision-making challenges.  We will end with a discussion on addressing the most difficult questions “how long do I have?” 

Credits

Planning Committee Disclosure - No relevant relationships

All members of the PESI, Inc. planning committee have provided disclosures of financial relationships with ineligible organizations and any relevant non-financial relationships prior to planning content for this activity. None of the committee members had relevant financial relationships with ineligible companies or other potentially biasing relationships to disclose to learners.  For speaker disclosures, please see the faculty biography.



* Credit Note - **

NOTE: Tuition includes one free CE Certificate (participant will be able to print the certificate of completion after passing the online post-test (80% passing score) and completing the evaluation). Instructional methods will include PowerPoint, didactic lecture, and others.

Continuing Education Information:  Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Program content is reviewed periodically per accrediting board rules for currency and appropriateness for credit. Credit approvals are subject to change. 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 info@pesi.com or 800-844-8260 before purchase.

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.


* Credit Note - ---

Earn up to 3.0 CE hours. Please see below, for more details, as credit amounts vary by state and profession. 


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 this course. ACE provider approval period: January 27, 2023 - January 27, 2026. Social workers completing this course receive 3.0 Clinical continuing education credits.

 

Course Level: Intermediate Format: Recorded asynchronous distance. Full attendance is required; no partial credits will be offered for partial attendance.

 

Canadian Social Workers: Canadian provinces may accept activities approved by the ASWB for ongoing professional development.


Social Workers - 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 self-study activity consists of 3.0 clock hours of continuing education instruction.


Social Workers - Colorado Social Workers

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 3.0 continuing education hours. 

 

COLORADO PARTICIPANTS ONLY: If you did not answer YES to be reported to the Colorado Chapter of the NASW on the 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.


Social Workers - 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 self-study course qualifies for 3.0 continuing education credits. 


Social Workers - Illinois Social Workers

PESI, Inc. is an approved provider with the State of Illinois, Department of Financial and Professional Regulation, Division of Professional Regulation. License #: 159-000154. Successful completion of this self-study activity qualifies for 3.0 contact hours.


Social Workers - Kansas Social Workers

PESI, Inc. is an approved provider with the Kansas Behavioral Sciences Regulatory Board. Provider #14-006. This self-study course has been approved for 3.0 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 self-study package has been approved for 3.0 continuing education hours. This certificate has been issued upon successful completion of a post-test.


Social Workers - Montana Social Workers

The Montana Board of Behavioral Health no longer pre-approves any courses or sponsors. Each licensee is responsible for taking courses which contribute to their competence and directly relate to their scope of practice as defined in board statute (MAR 24-219-32). Licensees must keep CE documentation for three years in case of an audit. This intermediate level self-study activity consists of 3.0 clock hours of instruction.


Social Workers - 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 self-study activity will qualify for 3.25 contact hours. Full attendance is required; no partial credits will be offered for partial attendance. 


Social Workers - 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 3.0 clock hours of general continuing education. Tracking number: 20-1129004


Social Workers - 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 self-study activity consists of 3.0 clock hours of continuing education instruction.


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 completing these self-study materials will earn 3.0 contact hours. Expires: 09/29/2026.


California Nurses

PESI, Inc. is a provider approved by the California Board of  Registered Nursing, Provider #: 17118 for 3.0 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.


Florida Nurses

PESI, Inc. is an approved provider by the Florida Board of  Nursing. Provider #: FBN2858. These materials qualify for 3.0 self-study contact hours.

CE Broker


Iowa Nurses

PESI, Inc. is an approved provider by the Iowa Board of Nursing. Provider #: 346. Nurses successfully completing these self-study materials will earn 3.0 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.


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 3.0 hours for completing this self-study program. This activity was originally recorded on 10/20/2023. It was last reviewed on 10/11/2023 and is valid until 10/10/2026

 

PESI, Inc. is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. PESI, Inc. designates this enduring material for a maximum of 3.0 AMA PRA Category 1 Credit(s)™.


Physicians

PESI, Inc. is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. PESI, Inc. designates this enduring material for a maximum of 3.0 AMA PRA Category 1 Credit(s)™. This activity was originally recorded on 10/20/2023. It was last reviewed on 10/11/2023 and is valid until 10/10/2026.

 

Physicians should only claim credit commensurate with the extent of their participation in the activity. You are required to successfully complete and submit a post-test prior to receiving a certificate of completion.


Other Professions

This self-study activity qualifies for 3.0 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/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 for Self-Study (Non-Interactive)

Access never expires for this product.

 

For a more detailed outline that includes times or durations of time, if needed, please contact cepesi@pesi.com  


Questions?

Visit our FAQ page at www.pesi.com/faq or contact us at www.pesi.com/info


Objectives

  1. Determine three measures to bring awareness of Advance Care Planning (ACP) to your facility. 
  2. Analyze two action steps to implementing ACP conversations. 
  3. Evaluate serious illness messaging and how to incorporate it into your practice/agency.  
  4. Recognize tools, tests and instruments used in assessing and discussing prognosis. 
  5. Plan your own conversations regarding choices, values, and wishes. 

Outline

What is Advance Care Planning (ACP) 

  • Why is ACP important and needed? 
  • Benefits and barriers 
  • Continuum of ACP 
  • Impact of unwanted, nonbeneficial treatment 
  • Why ACP discussions are not started 

What is Serious illness 

  • Serious illness/Dying trajectories 

Serious Illness Messaging 

  • Serious illness conversation guide 
  • COVID-19 response tool 
  • Vital talks 
  • 2023 serious illness conversation guide 

Communication and Critical Conversations 

  • Communication needs of the patient 
  • Communication needs of the family 
  • Patient and family expectations 
  • Communication and shared decision making 
  • Who initiates the discussion 
  • Tools to assist ACP conversations 
  • Explain the default policy 
  • Non-beneficial treatment 
  • Questions for the doctor 
  • Questions at the time of diagnosis 
  • How much can we share 

The Power of Four Words 

  • “What Matters to You” 
  • What to discuss 
  • Culturally appropriate discussions 
  • Goals of care/ Treatment options discussion 
  • Centering treatment on what matters 
  • Lack of continuity 

Treatments to Prolong life 

  • Video, “Ain’t No Way to Die” 
  • CPR discussion 
  • Responding to emotion 
  • COVID 19 and critical conversations 
  • Maintaining hope and truth  

Addressing Consent and Decision-Making Challenges 

  • Medical/professional obligations 

Advance Care Planning Documents 

  • What is an advance directive (vs a will)? 
  • When to review an advance directive 
  • Misconceptions about advance directives 
  • When to do an advance directive 
  • What is a healthcare agent 
  • Things to consider when choosing a healthcare agent 
  • Examples of a healthcare agent 
  • What is POLST 
  • Where does POLST fit in? 
  • Comparing advance directive to POLST 
  • Our role with POLST 
  • What happens in an emergency situation? 

“How long do I have?” 

  • What is medical prognosis 
  • Determining prognosis 
  • What about the probable outcome 
  • Scales and tools to assist with prognostication 
  • Our role is prognosis communication 
  • Using the Serious Illness Conversation Guide 
  • Cultural considerations about disclosure of diagnosis and prognosis 

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