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Digital Seminar

Nearing the End of Life: Accompanying the Dying


Speaker:
Lores Vlaminck, MA, BSN, RN, CHPN, LALD
Duration:
Full Day
Copyright:
Mar 26, 2020
Product Code:
POS077985
Media Type:
Digital Seminar


Description

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.

Credit


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 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 professions standards.



Speaker

Lores Vlaminck, MA, BSN, RN, CHPN, LALD's Profile

Lores Vlaminck, MA, BSN, RN, CHPN, LALD Related seminars and products

Owner

Lores Consulting


Lores J. Vlaminck, MA, BSN, RN, CHPN, LALD
Principal, Lores Consulting, LLC

Lores Consulting, LLC has been a leading provider of consulting, training, and mentoring for hospice, assisted living, home care and related health care providers for the past 17 years. "Lores has the heart of a teacher, and her passion is to support others in the hospice, palliative, and the home care industry."

Lores Consulting, LLC provides providers with education training and mentoring as well as mock surveys, agency analysis and audits. Drawing on her 45 years of nursing experience, Lores seeks to empower all her client providers to utilize their skills and expertise to reach their greatest potential. Her extensive nursing background includes clinical practice in cardiac and intensive care, outpatient clinic services, as well as serving as a home care and hospice administrator/director for 19 years in greater Minnesota.

In addition to being a certified hospice and palliative care nurse, Lores is also a trainer for the End-of-Life Nursing Education Consortium (ELNEC) curriculum that encompasses palliative and hospice care. She was named the "2010 Geriatric ELNEC Educator of the Year" by ELNEC.

Speaking topics include end-of-life care, grief and loss, compassion fatigue, professional boundaries, pain and symptom management, and many health and employee related topics. Lores also offers national, international consulting and mentoring services – encompassing education, training and compliance evaluations – to hospice and home care agencies, assisted living providers, and long-term care facilities.

As Principal of Lores Consulting, LLC, Lores sees her company’s mission to coach and encourage care providers to work to the ‘top of their license’ to ensure excellence in their delivery of care.

Currently, Lores serves as a board member of three non-profit health care organizations, and is a national speaker for PESI Healthcare and ELNEC. Lores is a graduate of Bethel University in St Paul, MN and holds a Bachelor of Science degree in nursing, as well as a master’s degree in nursing education.

 

Speaker Disclosures:
Financial: Lores Vlaminck receives compensation as an independent consultant, coach, and educator. She receives a speaking honorarium and recording royalties from PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: Lores Vlaminck is a member of the American Association of Palliative Medicine, the Minnesota Network for Hospice and Palliative Care, the National Hospice and Palliative Care Organization, and the National Hospice and Palliative Care Nurses Association.


Additional Info

Access for Self-Study (Non-Interactive)

Access never expires for this product.


Objectives

  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.

Outline

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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