Palliative Care and Hospice. Silver Linings: Reflecting on Our Past & Transitioning into our Future
|
|
|
- Madeleine McCoy
- 5 years ago
- Views:
Transcription
1 Palliative Care and Hospice Silver Linings: Reflecting on Our Past & Transitioning into our Future
2 Objectives: 1. What is Palliative Care? What is Hospice? What is the difference? 2. What are the trending models for today s medicine and Palliative Care Medicine? 3. What is the value in Community Based Palliative Care Medicine?
3 NPR kirk siegler 7/16/17 doctor shortage in rural Arizona sparks another crisis in forgotten America. Telemedicine Mid levels Increase incentive to doctors Stop using ER for normal health needs
4 End of Life Care = Define Palliative and Hospice Medicine
5 END OF Life Care: Palliative and Hospice Medicine Goal relief of suffering and distressing symptoms To enable the patient to live fully and comfortably until he/she dies is a success.
6 Palliative care Medicine versus Hospice medicine Life expectancy: Palliative Medicine less than 1 year Hospice Medicine less than 6 months Insurance: Palliative Medicine - Medicare B (medical svc) Hospice - Medicare A (hospital svc)
7 Other names for palliative/hospice medicine = End of Life Care = Supportive Care = Advanced Illness Services = Progressive Life Limiting Illness Care
8 Trending Model of Today s Medicine
9 Traditional (thru the 20 th century) Medicine Focus: Diagnosis Therapeutics Prognosis (very little)
10 Modern (~2010) Medicine Focus: Chronic Disease Care Prognosis Palliative Care
11
12 Other factors affecting death rates Sedentary lifestyle Unhealthy diet Tobacco use Drinking too much alcohol
13 By 2030 nearly half (49.2%) of the population will be affected by chronic disease
14 Chronic disease: Leading Cause of Death and Disability in U.S. Only10% deaths are sudden Most pts gradually accumulate serious chronic diseases i.e. heart trouble, emphysema, strokes, dementia, cancer, renal failure, liver failure These conditions eventually cause disruption in daily life, and eventually worsen to cause death.
15 It s going to take a village
16
17 Trending Models of Today s Palliative Care Medicine
18 diagnosis death Palliative Care Old Model Palliative Care time
19
20 SNF/NH Palliative Care Hospital Palliative Care Home Palliative Care Hospice/End of Life
21 Value in Palliative Care in the Rural Community
22 Site of Death: sites of care at EOL Site of death: 1989 to 2009 Site Hospital 62.3% 51.7% 24.6% Nursing Home Unit 19.2% 23.0% 27.6% Home 15.9% 22.9% 33.5%
23 Palliative Care Philosophy Prevent and relieve suffering Enhance quality of life Optimize functioning Help with Decision Making Provide opportunities for personal growth
24 When to call for Palliative Care... Would you be surprised if the patient died in the next year? General prognostication: decline in months, prognosis months; multiple hospital admissions for exacerbation of disease.
25 Other indicators for Palliative Care ICU stay > 7 days Difficult to control physical or psychological symptoms Lack of clarity and documentation of treatment goals Decline in function, feeding intolerance, or unintended decline in weight Disagreement or uncertainty among pt/family/staff (Weissman,Meier.2011) Admit from LTC facility Metastatic cancer Pt/family, emotional, spiritual, or relationship distress Chronic home oxygen use Limited social support No history of advanced care documentation Ethics concerns Elderly patient with cognitive impairment
26 Chronic Diseases suited for End of Life Care Discussion
27 General Debility with ANY diagnosis Life-limiting disease Decline in functional status in last 3 months -Decreasing ADL (dependent on > 2 ADL) -Decreasing mobility -Decreasing intake -Decreasing mentation Weight loss Frequent hospitalizations/er visits Often dysphagia, postural hypotension
28 Dementia Bedfast Speaks 6 words or less Incontinence Infection, decubiti, weight loss, hip fracture
29 Guidelines that encourage Palliative Care and Hospice ACC/AHA American College Cardiology/American Heart Association 2013: NYHA class III-IV/C- D GOLD (Global initiative in Chronic Obstructive lung disease) criteria 2016: COPD class C/D
30 Chronic CHF Frequent ER and hospitalizations ACC/AHA pts need repeat exposure to education CHF pts worried about future, about having MI and dying ACC/AHA recommend pt have a plan for sudden decompensation and advanced directives Duke study showed CHF pts lived average 81 days longer with hospice
31 Chronic COPD Average 3-4 hospitalizations/year Quality of life is inversely proportional to exacerbation frequency Patients report health status worse than death Patients report a desire for education, how to manage their breathlessness COPD patients have high level emotional issues contributing to breathlessness cycle COPD patients worse px received if no palliative care
32 And other accepted non-malignant chronic debilitating diseases when. Chronic renal disease - no dialysis or txplnt planned, cr clear < 15cc/min Chronic liver disease - INR > 1.5 & serum albumin <2.5 Debilitating Stroke - acute or chronic Debilitating Neuromuscular diseases: ALS, advanced MS, Parkinson s HIV/AIDS
33 Benefits Community Based Palliative Care Medicine Decreased hospitalization Initiation of discussion w/better transition to hospice care Better pain and symptom management Help with decision making Improved Quality of Life: physical, emotional, social, spiritual
34 Additional Benefits of Palliative Care Medicine Better support for caregivers Better grief support
35 CDC Guidelines for Prescribing Opioids for Chronic Pain United States, 2016 Nonopioid therapy is preferred for treatment of chronic pain. Opioids are now recommended to be reserved for certain specialties such as pain clinic and hospice or palliative care.
36
37
38
39
40 Discussion of why EOL care use live longer 1. people in palliative/hospice care may forego certain aggressive cure directed therapies, that carry a higher mortality rate 2. may improve monitoring and treatments patients receive (telemedicine) 3. several studies have shown psychosocial support tends to prolong life
41 This extra time is crucial to patients and their families as time for resolution, closure, and PEACE...
Life is pleasant. Death is peaceful. It s the transition that s troublesome. Isaac Asimov ( )
Life is pleasant. Death is peaceful. It s the transition that s troublesome. Isaac Asimov (1920-1992) Objectives Palliative care versus hospice care. Admission guidelines to hospice services. Having the
CareFirst Hospice. Health care for the end of life. CareFirst
Hospice Health care for the end of life 1 What is Hospice? Hospice is a philosophy- When a person in end stages of an illness can no longer receive, or wants to receive, life sustaining treatment, he or
BACK TO THE FUTURE: Palliative Care in the 21 st Century
BACK TO THE FUTURE: Palliative Care in the 21 st Century Section 3: Hospice 101 I m not afraid of death; I just don t want to be there when it happens. -Woody Allen A Century of Change 1900 2000 Age at
TRAJECTORY OF ILLNESS IN END OF LIFE CARE
TRAJECTORY OF ILLNESS IN END OF LIFE CARE By Dr Helen Fryer OBJECTIVES To be aware of the three commonest trajectories of decline in the UK To understand the challenges faced in delivering effective Palliative
THE ROLE OF PALLIATIVE CARE IN TREATMENT OF PATIENTS WITH CHRONIC, INFECTIOUS DISEASE
THE ROLE OF PALLIATIVE CARE IN TREATMENT OF PATIENTS WITH CHRONIC, INFECTIOUS DISEASE JESSICA MCFARLIN MD ASSISTANT PROFESSOR OF NEUROLOGY DIVISION CHIEF, PALLIATIVE AND SUPPORTIVE CARE I HAVE NO COI OR
Hospice Basics and Benefits
Hospice Basics and Benefits Goal To educate health care professionals about hospice basics and the benefits for the patient and family. 2 Objectives Describe the history and philosophy of the hospice movement
Three triggers that suggest that patients could benefit from a hospice palliative care approach
Why is it important to identify people nearing the end of life? About 1% of the population dies each year. Although some deaths are unexpected, many more in fact can be predicted. This is inherently difficult,
Hospice and Palliative Care An Essential Component of the Aging Services Network
Hospice and Palliative Care An Essential Component of the Aging Services Network Howard Tuch, MD, MS American Academy of Hospice and Palliative Medicine Physician Advocate, American Academy of Hospice
Objectives 2/11/2016 HOSPICE 101
HOSPICE 101 Overview Hospice History and Statistics What is Hospice? Who qualifies for services? Levels of Service The Admission Process Why Not to Wait Objectives Understand how to determine hospice eligibility
Module 1: Principles of Palliative Care. Part I: Dying Well. A Good Death Defined
E L N E C End-of-Life Nursing Education Consortium Geriatric Curriculum Module 1: Principles of Palliative Care Part I: Dying Well A natural part of life Opportunity for growth Profoundly personal experience
Hospice Care vs Palliative Care
Hospice Care vs Palliative Care Easing the burden of illness, Improving quality of life Seasons Hospice and Palliative Care Cheryl Ledesma, FNP-BC Jacklyn Griffin, ACNP-BC Objectives After completing this
Palliative Care for Older Adults in the United States
Palliative Care for Older Adults in the United States Nathan Goldstein, MD Associate Professor Hertzberg Palliative Care Institute Brookdale Department of Geriatrics and Palliative Medicine Icahn School
12/6/2016. Objective PALLIATIVE CARE IN THE NURSING HOME. Medical Care in the US. Palliative Care
Objective PALLIATIVE CARE IN THE NURSING HOME Deborah Morris, M.D., M.H.S. Assistant Professor of Medicine The Glennan Center for Geriatrics and Gerontology Eastern Virginia Medical School Describe program
Definitions in Palliative Care
Definitions in Palliative Care Palliative care is specialist care provided for all people living with, and dying from a terminal condition and for whom the primary goal is quality of life. Palliative Care
What You Need To Know About Palliative Care. Natalie Wu Moy, LCSW, MSPA RUHS Medical Center Hospital Social Services Director
What You Need To Know About Palliative Care Natalie Wu Moy, LCSW, MSPA RUHS Medical Center Hospital Social Services Director None of the faculty, planners, speakers, providers, nor CME committee members
Center to Advance Palliative Care South 700 East suite 700, Salt Lake City, UT 84107
Center to Advance Palliative Care 801.538.5082 info@accountablecarelc.org 4001 South 700 East suite 700, Salt Lake City, UT 84107 HOUSEKEEPING To minimize feedback, please mute your line If you are using
5/3/2012 PRESENTATION GOALS RESPIRATORY THERAPISTS ROLE IN END OF LIFE CARE FOR THE PULMONARY PATIENT
RESPIRATORY THERAPISTS ROLE IN END OF LIFE CARE FOR THE PULMONARY PATIENT Presented by Carrie Black Bourassa, LRT, RRT PRESENTATION GOALS Define palliative care Define hospice care Discuss pulmonary hospice
Hospice Approach to Caring Ellen M. Brown M.D.
Hospice Approach to Caring Ellen M. Brown M.D. bjectives By the conclusion of this session, attendees will be able to: Explain the hospice philosophy and goals Understand what is covered by the hospice
A END-OF-LIFE PROGRAMME LONG TERM CARE MODEL
A EVALUATION OF A END-OF-LIFE PROGRAMME EMBEDDED WITHIN A COMMUNITY LONG TERM CARE MODEL IN SINGAPORE PILOT STUDY of COMMUNITY END-OF-LIFE CARE for older non-cancer patients 1 October 2010 30 Sept 2012
Paul E. Stander, MD, MBA, FACP Division of Palliative Care Geriatrics and Extended Care Phoenix VAHS
Paul E. Stander, MD, MBA, FACP Division of Palliative Care Geriatrics and Extended Care Phoenix VAHS Objectives Define a population of patients with serious illness for whom improved communication holds
Palliative Care and Hospice. University of Illinois at Chicago College of Nursing
Palliative Care and Hospice University of Illinois at Chicago College of Nursing 1 Learning Objectives Upon completion of this module, participants will be better able to: 1. Describe Palliative Care 2.
Palliative Care & Hospice
Palliative Care & Hospice Kenneth Brummel-Smith, M.D. Charlotte Edwards Maguire Professor, Department of Geriatrics Florida State University College of Medicine 1 Diane Meier, MD Director, Center to Advance
Determining Eligibility for Hospice Care
Determining Eligibility for Hospice Care Main Number: 203 739-8300 Toll Free Number: 888 357-3334 www.regionalhospicect.org Many people may not understand all that Regional Hospice can offer or they are
Palliative Approach to Chronic Disease Management versus End-of-Life Care
Palliative Approach to Chronic Disease Management versus End-of-Life Care 1 Acknowledgements Marg Poling, RN, Palliative Pain and Symptom Management Consultant North West Community Care Access Centre (Thunder
HOSPICE My lecture outline
Objectives: o Describe a brief history of the development of hospice care o Describe the hospice philosophy of care o Describe the referral process o Describe hospice services o Describe reimbursement
How Can Palliative Care Help Your Patient Get Home Sooner?
How Can Palliative Care Help Your Patient Get Home Sooner? Annette T. Carron, D.O. Director Geriatrics and Palliative Care Botsford Hospital OMED 2014 Patient Care Issues That Can Delay Your Day/ Pain
Temiskaming Hospital Hospice Palliative Care. Presented by: Dr. Don Davies January 31, 2017
Temiskaming Hospital Hospice Palliative Care Presented by: Dr. Don Davies January 31, 2017 Objectives Talk a little about Palliative Care. In general A quick look at Temiskaming District and Hospice Model
Symptoms Assess symptoms and needs across all domains. Screen using Edmonton Symptom Assessment System (ESAS) for: Pain Nausea Depression
A Palliative Care Approach for Primary Care Integrating a palliative care approach earlier in the disease trajectory improves the quality of living and dying, and relieves suffering for patients and families
Objectives. End-of-Life Exercise. Palliative Care Can Help Patients and Decrease 30-Day Hospital Readmissions.
Palliative Care Can Help Patients and Decrease 30-Day Hospital Readmissions. Objectives Describe how palliative care meets the needs of the patient and family. Discuss how out-patient palliative care can
Objectives. ORC Definition. Definitions of Palliative Care. CMS and National Quality Forum Definition (2013) CAPC 9/7/2017
Objectives General overview of palliative care Define the role of palliative care Palliative Care Management and Transition Joan Hanson, Director of WRN Palliative Care, RN, CHPCA Jennifer Martnick, Team
Partnership HealthPlan s Implementation of SB Robert Moore, MD MPH MBA. Chief Medical Officer, Partnership HealthPlan of California
Partnership HealthPlan s Implementation of SB 1004 Robert Moore, MD MPH MBA Chief Medical Officer, Partnership HealthPlan of California Medi-Cal Managed Care Model: County Organized Health System Mission:
HOSPICE 101. Another choice for patients facing a terminal prognosis. De Anna Looper, RN, CHPN, CHPCA. Carrefour Associates L.L.C.
HOSPICE 101 Another choice for patients facing a terminal prognosis. De Anna Looper, RN, CHPN, CHPCA Senior Vice President of Clinical Operations Carrefour Associates L.L.C. HOSPICE 101 Patients and their
Alzheimer s s Disease (AD) Prevalence
Barriers to Quality End of Life Care for People with Dementia Steve McConnell, PhD Alzheimer s s Association Washington, DC Office Alliance for Health Care Reform Briefing on End of Life Care June 8, 2007
Chronicity and Aging: The Geriatric Imperative
Chronicity and Aging: The Geriatric Imperative Steven L. Phillips, MD Medical Director Sanford Center for Aging Professor, Clinical Internal Medicine University of Nevada, Reno School of Medicine dhs.unr.edu/aging
Chapter 6. Hospice: A Team Approach to Care
Chapter 6 Hospice: A Team Approach to Care Chapter 6: Hospice: A Team Approach to Care Comfort, Respect and Dignity in Dying Hospice care provides patients and family members with hope, comfort, respect,
Palliative Care. Jennifer K. Clark, MD. Something Old, Something New, Something Borrowed, Something Blue
Palliative Care Something Old, Something New, Something Borrowed, Something Blue Osteopathic Founders Foundation Richard C. Staab, DO Memorial Symposium April 6-7, 2018 Jennifer K. Clark, MD Disclosures
Improving End-of-Life Cardiac Care Case Studies. Alan T. Kono, MD Associate Professor of Medicine DHMC & Geisel School of Medicine
Improving End-of-Life Cardiac Care Case Studies Alan T. Kono, MD Associate Professor of Medicine DHMC & Geisel School of Medicine Palliative Care provides relief from pain and other distressing symptoms
Pediatric Palliative Care and Having Difficult Conversations
Pediatric Palliative Care and Having Difficult Conversations UCSF Pediatric Neurology and Palliative Care Audrey Foster-Barber, MD, PhD Pediatric Hospital Medicine Boot Camp 6/14 Palliative Care A philosophy
COPD AND PALLIATIVE CARE JEAN WATERS FNP-BC SENTARA RMH PALLIATIVE CARE JANUARY 13, 2018
COPD AND PALLIATIVE CARE JEAN WATERS FNP-BC SENTARA RMH PALLIATIVE CARE JANUARY 13, 2018 THOUGHTS TO CONSIDER What is Palliative Care? COPD and impact on Quality of Life. Prognosis and impact of co-morbidities
Palliative Care Referral/Triage Tool
Palliative Care Referral/Triage Tool Gippsland Region Palliative Care Consortium Clinical Practice Group Title Keywords Ratified Palliative Care Referral/Triage Tool Palliative Care, triage, symptom assessment,
Hospice Eligibility August 2018
Hospice Eligibility August 2018 Objectives Identify who can make a hospice referral Review hospice eligibility and disease-specific prognostic indicators Review Open Access philosophy Who Can Make A Referral
Introducing Amanda Dunnem. Welcome! Kath Murray 10/27/2017. Webinar for Hospice Aides National Hospice and Palliative Care Organization
Webinar for Hospice Aides National Hospice and Palliative Care Organization Understanding the Common Patterns of Dying and Preparing to Care by Katherine Murray, RN, BSN, CHPCA(C), FT Life and Death Matters
The Pulse of Palliative Care
The Pulse of Palliative Care Marianne E. Hess MSN, RN, CCRN-K George Washington University Hospital Disclosures: I do not have any relevant financial interest to disclose. I have no commercial interest
Hospice 101: A Primer for the PCP/Hospitalist. John Thompson, II DO, DABFM, HMDC
Hospice 101: A Primer for the PCP/Hospitalist John Thompson, II DO, DABFM, HMDC Objectives: Understand the difference between Hospice and Palliative Medicine. Have a general understanding of hospice criteria
Cambia Palliative Care Metrics: Where are we and where are we going?
Cambia Palliative Care Metrics: Where are we and where are we going? J. Randall Curtis, MD, MPH Director, Cambia Palliative Care Center of Excellence www.uwpalliativecarecenter.com Overview of System-Wide
The Role of Palliative Care in the Management of Advanced Heart Failure
Disclosure The Role of Palliative Care in the Management of Advanced Heart Failure I have no conflict of interest to disclose. Darrell Craig MD Medical Director, Palliative Care Services St. Joseph Mercy
Understanding the Role of Palliative Care in the Treatment of Cancer Patients
Understanding the Role of Palliative Care in the Treatment of Cancer Patients Palliative care is derived from the Latin word palliare, to cloak. This is a form of medical care or treatment that concentrates
PALLIATIVE CARE IN NEW YORK STATE
Collaborative for Palliative Care In collaboration with its partners End of Life Choices New York Finger Lakes Geriatric Education Center at the University of Rochester COLLABORATIVE FOR PALLIATIVE CARE
Delivering personalised care to end of life patients. Jane Naismith Nurse Consultant in Palliative care St Joseph s Hospice London
Delivering personalised care to end of life patients Jane Naismith Nurse Consultant in Palliative care St Joseph s Hospice London Over View This session will cover Supporting patients with long term conditions
Palliative Care in the ED:
Palliative Care in the ED: Don t Just Do Something Stand There Eric Isaacs, MD, FACEP Attending Physician, San Francisco General Hospital and Trauma Center Professor of Emergency Medicine, University of
Department of Health Care Services SB 1004 Medi-Cal Palliative Care Policy September 1, 2016 Update
Department of Health Care Services SB 1004 Medi-Cal Palliative Care Policy September 1, 2016 Update This document provides an update on the Department of Health Care Services (DHCS) Medi-Cal palliative
Abby Woods, DNP, FNP Southern Illinois Healthcare Supportive Care Program END OF LIFE ISSUES IN THE CARE OF CARDIAC PATIENTS
Abby Woods, DNP, FNP Southern Illinois Healthcare Supportive Care Program END OF LIFE ISSUES IN THE CARE OF CARDIAC PATIENTS Objectives Describe a team approach in the setting of critical illness Differentiate
The role of palliative care in non-malignant disease
The role of palliative care in non-malignant disease Dr. Tony O Brien Consultant Physician in Palliative Medicine Marymount Hospice & Cork University Hospital School of Medicine, University College, Cork
Identify essential primary palliative care (PPC) communication skills that every provider needs AND clinical triggers for PPC conversations
Identify essential primary palliative care (PPC) communication skills that every provider needs AND clinical triggers for PPC conversations Esmé Finlay, MD Division of Palliative Medicine University of
There For You. Your Compassionate Guide. World-Class Hospice Care Since 1979
There For You Your Compassionate Guide World-Class Hospice Care Since 1979 What Is Hospice? Hospice is a type of care designed to provide support during an advanced illness. Hospice care focuses on comfort
End of life is the new black... End of life in the hospital setting. Objectives of today s conversation: 9/11/2017
End of life is the new black... Dying by design: reimagining the end of life in health systems and communities Ken Rosenfeld, MD Section Chief, Palliative Care UH Cleveland Medical Center Hospice of Western
Hospice May Prolong Life
OBJECTIVES Shatter some myths about Hospice care Revisit difference between Hospice/PC Learn to use a Discussion Guide to clarify GOC Expand the Letterman Technique of Presentation Myths Myth # 20, Prognostic
Brought to you by the Massachusetts Medical Society and its Committee on Geriatric Medicine
Brought to you by the Massachusetts Medical Society and its Committee on Geriatric Medicine What is palliative care? Care focused on helping support and guide patients who have life limiting and serious
August 16, Healthy Living Conference For Seniors and Caregivers VITAS 1. What we Know. Defining Palliative Care: Comfort. Symptom Management.
Comfort. Symptom Management. Respect. & Hospice Care Pam Wright, LCSW Licensed Clinical Social Worker pamela.wright@vitas.com 626-918-2273 What we Know Defining : Palliative care is medical care that relieves
ADVANCE CARE PLANNING FOR KIDNEY PATIENTS: THE IMPORTANCE OF AN ONGOING DISCUSSION
ADVANCE CARE PLANNING FOR KIDNEY PATIENTS: THE IMPORTANCE OF AN ONGOING DISCUSSION Melissa Hale, MSW, LCSW Advance Care Planning Coordinator ProHealth Care Thank You. CMS: Conditions for Coverage Renal
Health Care in Appalachia. Foundations of Modern Health Care, Lecture 12 Anya K. Cope, DO
Health Care in Appalachia Foundations of Modern Health Care, Lecture 12 Anya K. Cope, DO Learning Objectives: At the completion of this exercise, learners should be able to: Discuss the mortality rates
Palliative Care. Treating the patient as well as the disease. Kelly Baxter, APRN Connie Ducharme, RN
Palliative Care Treating the patient as well as the disease Kelly Baxter, APRN Connie Ducharme, RN CNE Palliative Care Team in collaboration with Healthcentric Advisors, Warwick Coalition Objectives To
Partners in Palliative Care Pilot Evaluation. James Cotter, MD MPH
Partners in Palliative Care Pilot Evaluation James Cotter, MD MPH Partnership HealthPlan of California County Organized Health System 14 Northern California Counties 560,000 health plan members The Problem
Road Blocks in Non-Cancer Palliative Care Obstacles observed from outpatient non-cancer palliative practice.
Road Blocks in Non-Cancer Palliative Care Obstacles observed from outpatient non-cancer palliative practice. 25th Annual Palliative Education and Research Days, West Edmonton Mall. Edmonton. 2014 Amanda
How to overcome barriers to Palliative Care provision for patients with heart failure. Dr. Piotr Sobanski Prof. Dr.
How to overcome barriers to Palliative Care provision for patients with heart failure Dr. Piotr Sobanski Prof. Dr. Bernd Alt-Epping 1 When have you experienced barriers in providing Palliative Care for
PART one. The Palliative Care Spectrum: Providing Care Across Settings
PART one The Palliative Care Spectrum: Providing Care Across Settings Chapter 1 An Introduction to Palliative Pharmacy Care Jennifer M. Strickland To palliate means to alleviate. Palliative care, as the
Palliative Care: Improving quality of life when you re seriously ill.
Palliative Care The Relief You Need When You re Experiencing the Symptoms of Serious Illness Palliative Care: Improving quality of life when you re seriously ill. Dealing with the symptoms of any painful
Pacific University College of Health Professions Interdisciplinary Case Conference: Palliative Care. March 5, 2010
Pacific University College of Health Professions Interdisciplinary Case Conference: Palliative Care March 5, 2010 Learning Objectives Discuss the philosophy of palliative care and the role of various disciplines
Palliative Care Consultative Service in Acute Hospital - Impact & Challenges
Palliative Care Consultative Service in Acute Hospital - Impact & Challenges Dr. Annie Kwok Consultant Palliative Care Unit Department of Medicine & Geriatrics Caritas Medical Centre Contents Aging population
Palliative Care: Myths vs. Reality in the New Era of Healthcare
Palliative Care: Myths vs. Reality in the New Era of Healthcare Presented by: Purpose The participant will learn how palliative medical care services need to be explored as viable options in reducing re-hospitalizations
End of Life Care in IJN Our journey. Dato Dr. David Chew Soon Ping Consultant Cardiologist National Heart Institute Malaysia
End of Life Care in IJN Our journey Dato Dr. David Chew Soon Ping Consultant Cardiologist National Heart Institute Malaysia End of Life Dying is final part of everyone journey in life Deaths used to occur
The Role of Palliative Care in Readmission Reduction Steven Z. Pantilat, MD
The Role of Palliative Care in Readmission Reduction Steven Z. Pantilat, MD Professor of Clinical Medicine Alan M. Kates and John M. Burnard Endowed Chair in Palliative Care Director, Palliative Care Program
Palliative Care under a Value Based Reimbursement Model. Janet Bull MD, MBA, FAAHPM CMO Four Seasons
Palliative Care under a Value Based Reimbursement Model Janet Bull MD, MBA, FAAHPM CMO Four Seasons Objectives o Describe palliative care o Discuss benefits of palliative care o Understand differences
Palliative Care Series. Faculty School of Nursing
Palliative Care Series Faculty School of Nursing Palliative Care Series The purpose of this series of education module is to provide adequate preparation and educational support for LVNs in their practice.
A Quick Talk About Hospice As a Local Community Resource
A Quick Talk About Hospice As a Local Community Resource 1 Agenda A Very Brief Overview of Hospice Care Your Local Hospice as a Greif & Bereavement Resource 2 David Stone, LCSW, ACSW, CAE Chief Executive
Community and Mental Health Services. Palliative Care. Criteria and
Community and Mental Health Services Specialist Palliative Care Service Referral Criteria and Guidance November 2018 Specialist Palliative Care Service Referrals These guidelines cover referrals for patients
Achieving earlier entry to hospice care: Issues and strategies. Sonia Lee, APN, GCNS-BC
Achieving earlier entry to hospice care: Issues and strategies Sonia Lee, APN, GCNS-BC Objectives The learner will: Describe the benefits of hospice List at least barriers to early hospice care List at
Specialist Palliative Care Referral for Patients
Specialist Palliative Care Referral for Patients This guideline covers referrals for patients with progressive terminal illness, whether due to cancer or other disease. For many patients in the late stages
Palliative Care In North Dakota
Palliative Care In North Dakota 1 Palliative Care Emerging as a Priority in Chronic Disease Management 2 1 What is Palliative Care? Palliative care is specialized medical care for people with serious illness.
Understanding Dying in America
Understanding Dying in America Kenneth Brummel-Smith, MD Charlotte Edwards Maguire Professor of Geriatrics Florida State University College of Medicine Topics Prognosis & severity How we die Advance care
Health Resource Review - Section 4.1
Figure 1: Traditional model of care. Figure 2: Combined model of care. Figure 3: Emerging Models Figure 3: Note. From A Model to Guide Hospice Palliative Care: Based on National Principles and Norms of
Meeting the Palliative Care Needs of the Frail Elderly
Meeting the Palliative Care Needs of the Frail Elderly 5 Days in Palliative Care 2016 Dr. A. T. Kerigan Associate Clinical Professor Department of Medicine, Mc Master University 1. What is frailty? 2.
The Challenge. Bill Frist, M.D.!
The Challenge 5% of U.S. Population Spend 50% of Healthcare Dollars % of Healthcare Spending % of U.S. Population 5% of Medicare beneficiaries die each year accounting for 27.4% of Medicare expenditures
Understanding Dementia &
Understanding Dementia & Care Options for Those Suffering with the Disease Paige Landry BSN Hospice Care Consultant SouthernCare New Beacon Hospice Objectives Understand Dementia Understand Common Problems
MODULE 1 PALLIATIVE NURSING CARE
Curriculum MODULE 1 PALLIATIVE NURSING CARE Objectives Describe the role of the nurse in providing quality palliative care for patients across the lifespan. Identify the need for collaborating with interdisciplinary
Founded in 1978 as Hospice of the North Shore. Know Your Choices. A Guide for People with Serious Illness
Founded in 1978 as Hospice of the North Shore Know Your Choices A Guide for People with Serious Illness Advance Care Planning: Expressing Your Wishes In Massachusetts, all patients with serious advancing
Course Handouts & Disclosure
COPD: Disease Trajectory and Hospice Eligibility Terri L. Maxwell PhD, APRN VP, Strategic Initiatives Weatherbee Resources Hospice Education Network Course Handouts & Disclosure To download presentation
Palliative Care:It s about Living Better! Akshai Janak, M.D. Huntsville Hospital
Palliative Care:It s about Living Better! Akshai Janak, M.D. Huntsville Hospital If we could give every individual the right amount of nourishment and exercise, not too little and not too much, we would
Maureen A. Malin, MD, PhD, MBA, EdD McLean Hospital, Geriatrics Program September 1, 2016
Maureen A. Malin, MD, PhD, MBA, EdD McLean Hospital, Geriatrics Program September 1, 2016 Describe the demographics of aging and how this has shaped care needs Review evolving models of palliative and
End of Life Care Communication and Advance Illness Care Planning. Gideon Sughrue MD May 18, 2013
End of Life Care Communication and Advance Illness Care Planning Gideon Sughrue MD May 18, 2013 Objectives End of life Care Communication Describe Palliative Care Place in therapy What is hospice? What
Karl Sash, MD Board Certified: Internal Medicine, Geriatrics, and Hospice and Palliative Medicine Medical Director, St Mary s Palliative Care
Karl Sash, MD Board Certified: Internal Medicine, Geriatrics, and Hospice and Palliative Medicine Medical Director, St Mary s Palliative Care (Inpatient) Medical Director, Aseracare Hospice Evansville
Specialist Palliative Care Service Referral Criteria and Guidance
Specialist Palliative Care Service Referral Criteria and Guidance Specialist Palliative Care Service Referrals These guidelines cover referrals for patients with progressive terminal illness, whether
PHYSICIAN REFERENCE GUIDE FOR HOSPICE ELIGIBILITY. Office: (850) Fax: (850)
PHYSICIAN REFERENCE GUIDE FOR HOSPICE ELIGIBILITY www.regencyhospice.com Office: (850) 478-2695 Fax: (850) 478-9481 OUR MISSION The mission of Curo Health Services, and its hospice affiliates, is to honor
BUREAU SPEAKERS. For questions or to schedule an event call, (616) The speaker did an amazing job! She has a real gift engaging students.
It was a real gift to have the speaker here to share both her expertise and herself as we worked through our questions about hospice care. Thank you, thank you! The bereavement manager was a wonderful
Palliative Care to Hospice: Forging an Effective Partnership. Dennis Cox, LCSW
Palliative Care to Hospice: Forging an Effective Partnership Dennis Cox, LCSW The Old Days Home Care or Hospice There was a clear choice Physicians needed to take a stand Have the Hospice conversation
5 key areas for research, and how to go forward. Primary Palliative Care Research Forum, University of Capetown, September, 2010
5 key areas for research, and how to go forward Primary Palliative Care Research Forum, University of Capetown, September, 2010 Scott A Murray St Columba s Hospice Chair of Primary Palliative Care Primary
End of Life Care in Dementia. Dr Rosie Lockwood Consultant Geriatrician Sheffield Teaching Hospitals
End of Life Care in Dementia Dr Rosie Lockwood Consultant Geriatrician Sheffield Teaching Hospitals Rosie.Lockwood@sth.nhs.uk Agenda Some facts and figures What are the challenges? What is good care? How
Hospice and Palliative Care: Value-Based Care Near the End of Life
Hospice and Palliative Care: Value-Based Care Near the End of Life Mary Dittrich, MD, FASN Senior Medical Director, Remedy Partners Joseph W. Shega, MD National Medical Director, VITAS Healthcare 2017
Sharp HealthCare Hospice and Palliative Care
Sharp HealthCare Hospice and Palliative Care The Continuum for Advanced Illness and End Stage Disease Management (AAC) Daniel R. Hoefer, MD CMO, Outpatient Palliative Care and Hospice Suzi K. Johnson,