Dignity Health Inaugural Pain & Palliative Care Symposium

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1 Dignity Health Inaugural Pain & Palliative Care Symposium September 5-6, 2018 Leonard Goldman Auditorium Chandler Regional Medical Center Mercy Gilbert Medical Center St. Joseph s Hospital and Medical Center St. Joseph s Westgate Medical Center

2 Dignity Health Inaugural Pain & Palliative Care Symposium Purpose The inaugural pain management and palliative care symposium is designed to provide participants with an overview of strategies employed throughout the continuum of care for acute and chronic pain, symptom management, and end-of-life care. Participants will appreciate new techniques for identifying and managing cognitive and behavioral factors in pain, and treating chronic pain syndrome including headache. Course Objectives 1. Explore the pain management successes and barriers of care from the patient and the professional care team perspectives. 2. Describe loss and emotional suffering experiences of existential pain. 3. Discuss available treatments, benefits and barriers in an acute care setting of status migrainous. 4. Report on the opioid epidemic in Arizona and review the Governor s proposals and requirements for providers. 5. Examine general principles of opioid tapering, how to communicate with patients about tapering, and review case study strategies. 6. Identify benefits of alternative modes of therapy to support complex care. 7. Describe the mechanisms of action and benefits and barriers to care of cannabinoids. 8. Explain the concepts and goals of palliative care for patient support and symptom management. CME Accreditation is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. Designation designates this live activity for a maximum of AMA PRA Category 1 Credits TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity. CEU The Inaugural Pain & Palliative Care Symposium, has been approved for contact hours: This continuing nursing education activity was approved by the Western Multi-State Division, an accredited approver by the American Nurses Credentialing Center s Commission on Accreditation. Arizona, Idaho, and Utah Nurses Associations are members of the Western Multi-State Division.

3 Registration 2 Day Registration: $180 1 Day Registration: $100 Dignity Health Employees register through MyJourney. Non-Dignity Health Employees or Dignity Health Employees without access to My Journey are to register by calling Resource Link at or online at Registration Fee Includes: Symposium, continental breakfast, lunch, program materials and continuing education credits. Cancellation Policy All cancellations must be addressed through the original site where registration occurred. is not responsible for the refund of travel or hotel expenses under any circumstance. Additional Information Additional information can be provided by ing Madona Plueger at Madona.Plueger@DignityHealth.org

4 Dignity Health Inaugural Pain & Palliative Care Symposium Day 1 - Wednesday, September 5th, :30 am - 8:35 am Introduction and Welcome Madona Plueger, MSN, ACNS-BC, CNRN 8:35 am - 8:45 am Opening Remarks and Reflection Robin Shepherd, MSN, RNVP Patient Care Svcs/CNEO 8:45 am - 9:30 am Pain Assessment: Focus on the Facts Susan Croopnick, MS, RN, CNS, CNRN Educator/CNS 9:30 am - 10:30 am What a difference a year makes: Risk Trigger Monitoring in Oversedation and Multimodal Pain Power-plans Candace Fong, Pharm.D. Austin Peterson, BSN, RN, MBA-HCM 10:30 am - 11:00 am Break 11:00 am - 11:45 am Other Side of the Pain Scale Patient Panel Participants 11:45 am - 12:15 pm The Existential Experience of Pain Sedona Montelongo, BCC-ACPHC Palliative Care Chaplain 12:15 pm - 1:15 pm Symposium Lunch Non-CME Luncheon Presentation in the Sonntag Pavilion: Pain Management & Cannabis: Preliminary Evidence Aryn Seiber, Founder CEO, CannaCauses Foundation 1:15 pm - 1:45 pm Status Migrainous - Are There Solutions? Kerry Knievel, MD 1:45 pm - 2:15 pm Methadone - Myths and Pearls: Understanding its Use in Palliative Care & Pain Management Belinda Ordonez, MSN-FNP-BC, CHPN 2:15 pm - 2:45 pm Break 2:45 pm - 3:30 pm Data Review and Demographics Overview of the Opioid Epidemic in Arizona - Governor s Proposal: 2018 Laws and Regulations Cara Christ, MD, MS, Director, AZ DHS 3:30 pm - 4:00 pm Drug Shortages: How to Treat When We Have Minimal Treatments Anthony Lucchi, Pharm.D., Director of Pharmacy 4:00 pm - 4:15 pm Closing and Evaluation

5 Day 2 - Thursday, September 6th, :15 am - 8:45 am Introduction and Welcome The Questions Have Changed; the Message Remains the Same Germaine McCauley, Linda Sullivan, BSN, RN, Patient Experience 8:45 am - 9:30 am When Your Patient Takes Opioids: Prescribing Risks and Tapering Strategies Heather (Hez) Naylor, MSN, FNP-BC, FAAPM, CPMN 9:30 am - 10:15 am Debate: Medical Marijuana Voices from Both Sides of the Aisle Moderator: Doneen Grimm, Pharm.D. Pro: To Be Determined Con: Lauren Cherrier, Pharm.D., BCPS 10:15 am - 10:45 am Break 10:45 am - 11:30 am When Our Patients Leave the Hospital and Go to Hospice Tressia Shaw, MD 11:30 am - 12:00 pm Pet Therapy Participant Interaction 12:00 pm - 1:00 pm Symposium Lunch Non-CME Luncheon Presentation in the Sonntag Pavilion: Capnography and its Benefits with Respiratory Compromise Susan M. Thibeault, MS, APRN, CRNA, CEN, CCRN, CFRN, CTRN 1:00 pm - 1:45 pm Palliative Care s WHEEL of SYMPTOMS in Advanced Illness Overview of Most Common Symptoms: Evidence-Based Practice for Assessment and Management of Including Adjuncts and Side Effects Jamie Sparrow, DO and Juan Becerra, MD 1:45 pm - 2:15 pm Listen to the Rhythm of it All: Music Therapy in Pain Management Brookdale Hospice Music Therapists: Mary Gaughan, MT-BC and Elizabeth Simpson, MT-BC 2:15 pm - 2:45 pm Break 2:45 pm - 3:30 pm Professionals Practicing the Art and Science of Pain and Palliative Care Management Curtis McKnight, MD Carol Bemis, AGNP, ACHPN Heather (Hez) Naylor, MSN, FNP-BC, FAAPM, CPMN Madona Plueger, MSN, ACNS-BC, CNRN 3:30 pm - 4:00 pm Keeping the Message Moving: Sustaining a Team Approach to Palliative Care and Pain Management Diane Dick, BSN, RN-BC 4:00 pm - 4:15 pm Closing and Evaluation

6 Course Directors / Planning Committee Michael Debo, DO Madona Plueger, MSN, APRN, ACNS-BC, CNRN Pain and Palliative Care Providers Pain Resource Nurses, Pain Management Subcommittee Members Faculty Juan Becerra, MD Palliative Care Fellow, Palliative Care Department Carol Bemis, AGNP, ACHPN Palliative Care Nurse Practitioner Mercy Gilbert Medical Center and Chandler Regional Medical Center Lauren Cherrier, Pharm.D., BCPS Pharmacist, Cara Christ, MD, MS Director, Arizona Department of Health Services (AZ DHS) Susan Croopnick, MS, RN, CNS, CNRN Educator/CNS Neuro, Acute Surgical Unit Mercy General Hospital Sacramento, CA Diane Dick, BSN, RN-BC Pain Resource Nurse and Subcommittee Chairperson Candace Fong, Pharm.D. System Director of Pharmacy and Medication Safety Dignity Health Corporate Offices Mary Gaughan, MT-BC Brookdale Hospice Music Therapist Elizabeth Simpson, MT-BC Brookdale Hospice Music Therapist Doneen Grimm Pharm.D. Medication Utilization Manager Kerry Knievel, DO Neurologist, Migraine and Headache Disorders Barrow Neurological Institute

7 Anthony Lucchi, Pharm.D. Director of Pharmacy, Mercy Gilbert Hospital and Medical Center Germaine McCauley Director of Patient Experience. St. Joseph s Westgate Curtis McKnight, MD Faculty Physician Department of Psychiatry Sedona Montelongo, BCC-ACPHC Palliative Care Chaplain, Chaplain Services Heather (Hez) Naylor, MSN, FNP-BC, FAAPM, CPMN Senior Nurse Practitioner Center for Comprehensive Pain Management Belinda Ordonez, MSN, FNP-BC, CHPN Nurse Practitioner Palliative Care Austin Peterson, BSN, RN, MBA-HCM Director Risk Trigger Monitor Dignity Health Corporate Office Madona Plueger, MSN, ACNS-BC, CNRN Clinical Nurse Specialist Barrow Neurological Institute Tressia M. Shaw, MD Medical Director-Palliative Care Phoenix Children s Medical Group Robin Shepherd, RN-CNE VP Patient Care Services/CNEO SJHMC, SJWGMC, BNI, NTI, UACC Jamie Sparrow, DO Palliative Care Fellow, Palliative Care Department Linda Sullivan, BSN, RN Patient Experience Dignity Health Arizona East Valley

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