What You’ll Uncover in Nancy Joyner Nearing the End of Life Dare to Care
- School:
- Nancy Joyner
- Period:
- 6 Hours 25 Minutes
- Format:
- Audio and Video
- Copyright:
- Mar 09, 2018
Description
- Households ask . . . what would you do if this have been your beloved? Learn the way to reply with out bias …
- Artistic methods to focus on withdrawing or withholding remedy
- Handle affected person ache and signs: Medical marijuana, morphine, palliative sedation or fewer medicines?
- Ideas to information code standing conversations with sufferers and households
- Resolve household dysfunction surrounding finish of life selections
- Requests to “humanely euthanize”/hastening demise: How to reply?
- Hear highly effective case research that present examples of professional, holistic care
Eleanor is an 83-yr-previous widowed woman with identified power coronary heart failure and superior dementia. She is now hospitalized with a big stroke and dysphagia. She doesn’t have a healthcare directive and had by no means mentioned what she would need, aside from staying at residence till she dies. She is full code. Her household nonetheless desires resuscitation tried. Her kids admit they’re involved about what’s greatest for his or her mom.
What are choices for Eleanor and her household? Would she profit from synthetic hydration and vitamin? How is she going to obtain medicines? Can some of her medicines be discontinued? Who’s going to be her caregiver?
On this compelling seminar, a number of case research like Eleanor’s will give you examples you could incorporate when care is extra essential than treatment. To ship professional, holistic care, healthcare professionals want to have a toolbox full of new interventions to promote high quality care at the finish of life.
Have you ever ever been requested, “what would you do if this was your family member?” Be taught dialog choices to use whereas staying impartial.
Do you know {that a} affected person would possibly enroll on hospice care and be a full code? We are going to focus on how that is carried out.
What can we do for sufferers in search of euthanasia who see this as the greatest answer? These conditions have gotten extra frequent. Anticipate how you’ll reply.
Methods concerning consolation, communication, selections and management have distinctive points and challenges for sufferers, households and well being professionals. We now have an obligation to know the way to assist present emotional, non secular, existential, and bodily consolation for individuals who have life-limiting circumstances and to assist them via tough selections. It’s time to assume exterior the field.
Handouts
Handbook (6 MB) | 173 Pages | Out there after Buy |
Define
- An Inexact Artwork & Science
- Sickness and dying trajectories
- Frailty
- Dementia
- Prognostication and prognostic scales
- When to refer to palliative care or hospice (illness particular)
- Necessities of Care: Consolation, Communication, Decisions, Management
- Consolation At all times
- Morphine: Nonetheless the gold customary?
- Ache throughout the ultimate hours of life
- Drug misuse: How to keep away from it
- Opioids for dyspnea
- Thirst vs. xerostomia
- Medical marijuana
- Complementary and different therapies
- Emotional misery interventions
- The position of spirituality
- Palliative sedation
- Communication: Everyone seems to be Concerned
- Advance care planning: Greater than only a kind
- The terminology issues
- Your position in these vital conversations
- How a lot can we share?
- Fact vs. hope
- Code standing discussions
- DNR doesn’t imply don’t deal with
- Addressing issues and desires of the household
- Thanatophobia: Is it concern of dying or concern of demise?
- Premortem surge
- Close to demise consciousness
- The dying course of
- Decisions: Shared Determination-Making
- Diet & hydration selections
- Voluntarily Stopping Consuming and Consuming (VSED): Advantages & burdens
- Life-sustaining remedy
- Non-helpful remedy selections
- Religion-primarily based influences
- Ventilator assist
- Dialysis or renal palliative care
- Units to lengthen life
- Hastened demise request: Why not humanely euthanize?
- Permitting Management: Affected person-Centered Care
- Reframing hope
- What do relations need you to take into account
- Who makes the resolution
- What about household dysfunction…
- Is the focus high quality or amount?
- Determination to withhold or withdraw care
- Difficult selections: Honoring sufferers’ needs
- Cultivating Ethical Resiliency
- Ethical resilience–preserving/restoring integrity
- Private vs. skilled grieving
- Enabling character and honorable motion
- Moral Competency
- Consolation At all times
School
Nancy Joyner, RN, MS, APRN-CNS, ACHPN Associated seminars and merchandise: 4
Nancy Joyner is presently a Palliative Care Medical Nurse Specialist for Altru Well being System in Grand Forks, North Dakota. Nancy has intensive expertise caring for sufferers with finish stage illness, and dealing with hospice sufferers and their households at residence and in the acute care setting. Her take care of this specialised affected person inhabitants contains intensive care, surgical vital care, oncology and renal sufferers. Nancy has had coaching via the Heart to Advance Palliative Care, Palliative Care Management Heart at Fairview Well being Providers in Minneapolis. She holds a certification as an Superior Apply Hospice and Palliative Care Nurse and has prescriptive authority inside her palliative scope of observe.
Nancy is an End-of-Life Nursing Schooling Consortium skilled presenter, having introduced and revealed at native, state and nationwide ranges. She has researched and revealed persevering with training articles on ache, hydration and vitamin in terminal care, in addition to Alzheimer’s Illness. She serves as an energetic work group member for the Institute for Medical Methods Enchancment (ICSI) Palliative Care Guideline improvement. She acknowledges that caring for sufferers with finish stage illness, and their households, requires excessive sensitivity, deep compassion and extraordinary data.
Speaker Disclosures:
Monetary: Nancy E. Joyner is CEO and President of Nancy Joyner Consulting, P.C. She receives a talking honorarium from PESI, Inc.
Non-monetary: Nancy E. Joyner has no related non-monetary relationships to disclose.
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