Education Archive
Community-Based Palliative Care Conference: CARE Recommendations and Best Practices
Wednesday, May 11, 2011 - COMPLETED
8:30 AM — 5:00 PM
Conveners
Cristina Flores, PhD, RN - Institute on Aging; University of California, San Francisco
Nate Hinerman, PhD - University of San Francisco; Chair, SF-EOL network
Facilitator
Patrick Arbore, EdD, Director, Center for Elderly Suicide Prevention and Grief-Related Services, Institute on Aging
Morning Plenary Session: 8:30AM to Noon
Moderator
Nate Hinerman, PhD - University of San Francisco; Chair, SF-EOL network
Part I. Advance Care Planning
Speakers: Anne Hughes, PhD, RN - Laguna Honda Hospital
Connie Borden, RN, MSN - Saint Mary’s Hospital
Topics will include:
• Advance Care Planning Begins on Admission
• POLST: Determining Client Wishes
• The Role of an Advance Directive
• Advance Care Planning is an On-Going Process
• Client-Directed Care Planning
• Including Family Members in the Caring Community
Part II. Client-Directed Care Considerations at the End of Life
Speakers: September Williams, MD — Laguna Honda Hospital and
Anne Kinderman, MD — San Francisco General Hospital
Topics will include:
• Use of the Terms Palliative Care and Comfort Care
• Change of Condition
• How Do We Know When Someone is Dying?
• Evidence-Based Care Practices
• Stop and Think Before You Transfer
• Managing Pain and Reducing Suffering
• Helping Families Understand
• Client-Directed Care
Part III. Dying Well
Speaker: Bruce (BJ) Miller, MD — Zen Hospice Project and University of California San Francisco
Topics will include:
• A Person-Centered Philosophy of Caring
• A Person-Centered Model of Caring
• Cultural Considerations
• The Comfort of Ritual as Death Nears
• No One Has to Die Alone
• Caring for the Deceased
• Caring for the Living
On-Site Lunch: Noon — 12:45PM
Afternoon Breakout Session I (Choose One):
12:45 — 2:15PM
Compassion Fatigue
Speaker: Patrick Arbore, EdD — Institute on Aging
Topics will include:
• What is Compassion Fatigue
• Recognizing Compassion Fatigue
• Compassion Fatigue and Life Stress Self-Tests
• Path to Wellness
Physician Orders for Life Sustaining Treatment: Choices and Values
Speakers: Catherine McGregor, RN, MSN —
Coalition for Compassionate Care of California / Sutter Health
Mark Apfel, MD — Medical Director Anderson Valley Health Center
Topics will include:
• Honoring Clients’ Wishes for Treatment
• POLST: Having the POLST Conversation
• Choices and Values (case studies)
Afternoon Breakout Session II (Choose one):
2:30 — 4:00PM
Cultural Humility and Compassionate Presence at the End of Life
Speakers: Rev. Jennifer Block, MA —
Zen Hospice Project
Eric Poche, Director of Volunteer Services and Training — Zen Hospice Project
Topics will include:
• engaging in self-reflection and self-critique
• bringing into check the power imbalances, by using client-focused interviewing and care
• assessing anew the cultural dimensions of the experience of each client
• relinquishing the role of expert to the client, becoming the student of the client
• seeing the client's potential to be a capable and full partner in the therapeutic alliance
Special Considerations for Community-Based Care Facilities (RCFE, SNF)
Moderator: Cristina Flores, PhD, RN
Speakers: Mary Louise Fleming, PhD, RN — University
of California, San Francisco / University Mound Ladies Home
Judith Redwing Keyssar, RN, Jewish Family and Children’s Services
Lynn Flint, MD Jewish Home San Francisco;
Jackie Wong, LCSW, Chinese American Coalition for Compassionate Care/OnLOK
The CARE Recommendations were designed to improve end-of-life care for nursing home clients by enhancing the advance care planning process and palliative care services.
Topics will include:
• Promising Practices: Several Bay Area organizations representing the continuum of Long Term Care will discuss the successes, challenges and barriers faced, especially as they relate to the CARE recommendations.
Closing Session: 4:00 — 5:00 PM
Facilitator
Nate Hinerman, PhD - University of San Francisco; Chair, SF-EOL network
Closing Remarks
Jeff Newman, MD - Sutter Health Institute for Research and Education
Optional Booster Session
Booster Session 2 – COMPLETED
Wednesday, June 1, 2011
11:30 AM — 1:30 PM
Senior Campus, Institute on Aging
Speakers: Catherine McGregor, RN, MSN — Coalition for Compassionate Care of California / Sutter Health
Mark Apfel, MD – Medical Director Anderson Valley Health Center
At the completion of this booster session, the active participant will be able to:
1) Identify the target population for POLST completion
2) Facilitate a POLST conversation with a client/surrogate and document the client’s treatment wishes on a POLST form
Booster Session 1 — COMPLETED
Online, Friday May 20, 2011
10:30 AM — Noon
POLST in Practice: Challenges and Successes of Implementation
Speakers: Catherine McGregor, RN, MSN — Coalition for Compassionate Care of California / Sutter Health
Erin Henke — Coalition for Compassionate Care of California / Sutter Health
Judy Citko — Coalition for Compassionate Care of California / Sutter Health
At the completion of this booster session, the active participant
will be able to:
1) Describe the purpose of the POLST Paradigm
2) List the differences between an Advance Directive and the POLST form
3) Differentiate between POLST and DNR forms
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