Image of End Stage Diseases: Care When There Is No Cure
Digital Seminar

End Stage Diseases: Care When There Is No Cure


Average Rating:
   4.7
Faculty:
Nancy Joyner
Duration:
6 Hours 35 Minutes
Format:
Audio and Video
Copyright :
Oct 07, 2016
Product Code:
POS012520
Media Type:
Digital Seminar


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.

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

This self-study activity 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

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


Counselors

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.


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.


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 self-study course qualifies for 6.0 continuing education credits.


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 completing these self-study materials will earn 6.3 contact hours. Expires: 10/07/2019.


California Nurses

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


Florida Nurses

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.


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 7.6 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.


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 self-study 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.


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 self-study 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.


Florida Social Workers, Marriage & Family Therapists, and Mental Health Counselors

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 #50-399. This self-study 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. Successful completion of this self-study activity 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 self-study 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 self-study package 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 self-study activity will qualify for 7.5 contact hours. Full attendance is required; no partial credits will be offered for partial attendance. 


Ohio Social Workers, Counselors, and Marriage & Family Therapists

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.


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

The State of California, Board of Behavioral Sciences will recognize and accept continuing education programs that are sponsored by providers approved by the APA and the ASWB. Full participation in this self-study course will qualify for 6.0 hours of continuing education credit.


Certification in Thanatology

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.


Other Professions

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: 2

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. 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.

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

Target Audience

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

Reviews

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Overall:      4.7

Total Reviews: 137

Comments

Elizabeth W - Yorba linda

"very interesting and helpful, learned a lot"

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