[Download Now] Nearing the End of Life: Dare to Care – Nancy Joyner

Don’t forget to watch the video of all the content here!

Nearing the End of Life: Dare to Care – Nancy Joyner

Salepage: https://catalog.pesi.com/item/nearing-life-care-30696

Archive: View

• Families ask . . . what would you do if this were your loved one? Learn how to reply without bias …
• Creative ways to discuss withdrawing or withholding treatment
• Manage patient pain and symptoms: Medical marijuana, morphine, palliative sedation or fewer medications?
• Tips to guide code status conversations with patients and families
• Resolve family dysfunction surrounding end of life decisions
• Requests to “humanely euthanize”/hastening death: How to respond?
• Hear powerful case studies that provide examples of expert, holistic care

Eleanor is an elderly woman with advanced dementia and chronic heart failure. She was hospitalized with a stroke. She doesn’t have a healthcare directive and doesn’t want to leave her home until she dies. She has full code. Her family wants her to be resuscitated. The children are concerned about what is best for their mother.

Eleanor and her family have options. Is it possible that she would benefit from hydration and nutrition? How will she receive her medication? Can some of her drugs be stopped? Who is going to look after her?

Eleanor’s case study will give you 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 if you would do anything for your family member? Stay neutral while learning conversation options.

Did you know that a patient can be a full code on Hospice care? We will talk about how this is done.

What can we do for patients who want to end their lives? The situations are becoming more frequent. You should anticipate how you will respond.

There are unique issues and challenges for patients, families and health professionals when it comes to comfort, communication, choices and control. We have an obligation to know how to help those with life-limiting conditions and to support them through difficult decisions. It is time to think outside the box.

1. Explain how complementary therapies enhance quality of life for patients.
2. Evaluate the risks and benefits of medical marijuana.
3. Acknowledge the eight domains of the National Consensus Project.
4. Analyze five complications related to artificial hydration and nutrition.
5. Explore ethical issues often seen at the end of life.
6. Formulate two strategies to diminish fear of death and dying.
7. Connect moral resiliency to palliative care.

• An Inexact Art & Science
  • Illness and dying trajectories
  • Frailty
  • Dementia
  • Prognostication and prognostic scales
  • When to refer to palliative care or hospice (disease specific)
• Essentials of Care: Comfort, Communication, Choices, Control
  • 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
    • Medical marijuana
  • Complementary and alternative therapies
    • Emotional distress interventions
    • The role of spirituality
    • Palliative sedation
    • 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 does not mean do not treat
    • Addressing concerns and needs of the family
    • Thanatophobia: Is it fear of dying or fear of death?
    • Premortem surge
    • Near death awareness
    • The dying process
  • 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?
  • 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
  • Cultivating Moral Resiliency
    • Moral resilience–preserving/restoring integrity
    • Personal vs. professional grieving
    • Enabling character and honorable action
    • Ethical Competency