2016 NSMHPCN Regional Conference Hot Trends & Topics in...
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2016 NSMHPCN Regional Conference Hot Trends & Topics in Hospice Palliative Care Thursday, June 2 nd & Friday June 3 rd , 2016 Casino Rama, Orillia, ON Day One: June 2 nd , 2016 Keynote: “Hospice Palliative Care: Where we came from, where we are, where we’re heading” Presenter: Rick Firth, President & CEO, Hospice Palliative Care Ontario Hospice Palliative Care (HPC) is increasingly gaining attention as people are beginning to talk about (and think about) what it means to provide good care through illness, death and grief. HPC was introduced in Ontario decades ago, and has been evolving ever since. What are the key values and goals that define HPC? How do we maintain the integrity of HPC while we face the pressing demands and realities of life in 2016? Workshops (Choose 2 of 3) **NOTE: the same workshops will be offered twice; once in the morning breakout session and again in the afternoon. Please choose your top two selections. See next page for options. Workshop A: “Incorporating a palliative approach to care in LTC” Presenters: Kim Lattimore, Resident Services Coordinator, Sienna Senior Living & Cori Johnson, HPC Nurse Consultant, NSMHPCN Workshop B: “Integrated Palliative Care Program: Improving Hospice Referrals” Presenter: Susan Cathro, M.A.Sc., Integrated Care Coordinator, Hospice Georgian Triangle Workshop C: “Advance Care Planning: Stories from the ICU” Presenter: Sherry Hubbert, RN, Royal Victoria Regional Health Centre Closing Presentation: “Being Virtuous in a Time of Uncertainty: Physician assisted dying, organ donation and the law” Presenter: Sherri Yazdani, LLM, Legal Analyst & Storyteller, University of Ottawa Sherri offers this presentation as part storyteller, part legal analyst. The Supreme Court of Canada 2015 decision in the Carter case ushered in a new era in Canadian health law by decriminalizing physician-assisted dying. While this procedure is new to Canada, organ donation is well established. Can these two procedures be combined for those who are medically suitable to donate? Should they be? Sherri explores these questions through both analysis and story.
Transcript of 2016 NSMHPCN Regional Conference Hot Trends & Topics in...
2016NSMHPCNRegionalConferenceHotTrends&TopicsinHospicePalliativeCare
Thursday,June2nd&FridayJune3rd,2016CasinoRama,Orillia,ON
DayOne:June2nd,2016
Keynote:“HospicePalliativeCare:Wherewecamefrom,whereweare,wherewe’reheading”Presenter:RickFirth,President&CEO,HospicePalliativeCareOntario
HospicePalliativeCare(HPC)isincreasinglygainingattentionaspeoplearebeginningtotalkabout(andthinkabout)whatitmeanstoprovidegoodcarethroughillness,deathandgrief.HPCwasintroducedinOntariodecadesago,andhasbeenevolvingeversince.WhatarethekeyvaluesandgoalsthatdefineHPC?HowdowemaintaintheintegrityofHPCwhilewefacethepressingdemandsandrealitiesoflifein2016?
Workshops(Choose2of3)**NOTE:thesameworkshopswillbeofferedtwice;onceinthemorningbreakoutsessionandagainin theafternoon.Pleasechooseyourtoptwoselections.Seenextpageforoptions.
WorkshopA:“Incorporating a palliative approach to care in LTC”Presenters:KimLattimore,ResidentServicesCoordinator,SiennaSeniorLiving&
CoriJohnson,HPCNurseConsultant,NSMHPCN
WorkshopB:“IntegratedPalliativeCareProgram:ImprovingHospiceReferrals”Presenter:SusanCathro,M.A.Sc.,IntegratedCareCoordinator,HospiceGeorgianTriangle
WorkshopC:“AdvanceCarePlanning:StoriesfromtheICU”Presenter:SherryHubbert,RN,RoyalVictoriaRegionalHealthCentre
ClosingPresentation:“BeingVirtuousinaTimeofUncertainty:Physicianassisteddying,organdonationandthelaw”
Presenter:SherriYazdani,LLM,LegalAnalyst&Storyteller,UniversityofOttawa
Sherrioffersthispresentationaspartstoryteller,partlegalanalyst.TheSupremeCourtofCanada2015decisionintheCartercaseusheredinanewerainCanadianhealthlawbydecriminalizingphysician-assisteddying.WhilethisprocedureisnewtoCanada,organdonationiswellestablished.Canthesetwoproceduresbecombinedforthosewhoaremedicallysuitabletodonate?Shouldtheybe?Sherriexploresthesequestionsthroughbothanalysisandstory.
2016NSMHPCNRegionalConferenceHotTrends&TopicsinHospicePalliativeCare
Thursday,June2nd&FridayJune3rd,2016CasinoRama,Orillia,ON
DayOne:WorkshopSelectionsThursday,June2nd,2016
WorkshopA:“Incorporating a Palliative Approach to Care in LTC”Presenters:KimLattimore,ResidentServicesCoordinator,SiennaSeniorLiving&
CoriJohnson,HPCNurseConsultant,NSMHPCN
WorkshopB:“IntegratedPalliativeCareProgram:ImprovingHospiceReferrals”Presenter:SusanCathro,M.A.Sc.,IntegratedCareCoordinator,HospiceGeorgianTriangle
WorkshopC:“AdvanceCarePlanning:StoriesfromtheICU”Presenter:SherryHubbert,RN,RoyalVictoriaRegionalHealthCentre
Infall2015,HospiceGeorgianTriangle(HGT)initiatedasimplifiedreferralprocesswithphysicianstofacilitatetheearlyidentificationofpalliativepatients.Usingthequestion:“wouldyoubesurprisedifyourpatientdiedinthenextsixmonths?”physiciansmakeadirectreferraltoHGTusingthePracticeSolutions/EMRsystem.ThisreferralprocessispartofHGT’sIntegratedPalliativeCareProgram,whichaimstoprovideonepointofentryforpalliativepatientsforsupportandconnectionwithappropriatecommunityresources.Inthispresentationweaddress:implementationofthereferralprocess,physicianengagement,andtheresultsforpatients.WewillalsodiscusstheuseofVolunteerNavigatorsandlessonslearned.
Palliativecareinlong-termcarehasbeenhappeningforaverylongtime.Now,inagrowingareaofhealthcare,homesarebeingaskedtoincorporateapalliativeapproachtocarefromthepointofadmission.This75-minuteworkshopwillexplorewithparticipantsWHATthisreallymeans,WHYthisapproachisimportantandWHYweneedtocontinuethiswork.WewillalsoshowcasecurrentworkbeingdoneintwohomesinNSManddiscussHOWtobegintheprocessofimplementinganewapproachtocareanddiscusstheculturechangeaspectsofthiswork.
Patient-centeredcareisdeterminedbyhowalignedmedicalcareiswithwhatisimportanttothepatient.Forthistohappen,itisimperativetohavetimelydiscussionswithhospitalizedpatientswhoareatahighriskofdying.Failuretodosomayleadtounwantedmedicalintervention,prolongeddeathwithincreasedsuffering,complicatedgriefforfamilymembersandincreasedhealthcarecosts.Barrierstoeffectivecommunicationaremulti-facetedandincludepatient,physicianandsystem-relatedfactors.Inthispresentation,Sherrywillreviewcasestudiesanduseaninteractiveexercisetoexplorehowtospeakwithpatientsandfamiliesabouttheirgoalsandvalues.
2016NSMHPCNRegionalConferenceHotTrends&TopicsinHospicePalliativeCare
Thursday,June2nd&FridayJune3rd,2016CasinoRama,Orillia,ON
DayTwo:June3rd,2016
Keynote:“HealthCareConsentandAdvanceCarePlanninginOntario:Fairlygoodlaw,notalwaysbestpractice”
Presenter:JudithWahl,LLB,President,AdvocacyCentrefortheElderly(ACE)
Obtaininginformedconsentandengaginginadvancecareplanning(ACP)isanintegralpartofprovidinggoodhospicepalliativecare,andyetsometimeswedon’thaveenoughinformation(orwehavemisinformation)onwhatthisprocessisallabout.Theneedforaclear,consistentunderstandingofsubstitutedecision-making,providingconsenttotreatmentandhowitallfitstogetherwithintheOntarioLegalframeworkhasneverbeensoimperative.Inherstraight-forward,shootfromthehipstyle,JudithwillbringclaritytosomeofthemythsandmisconceptionswemayunknowinglybeperpetuatinginourworkwithACP.
Workshops(Choose2of3)**NOTE:thesameworkshopswillbeofferedtwice;onceinthemorningbreakoutsessionandagainintheafternoon.Pleasechooseyourtoptwoselections.SeenextpageforoptionsWorkshopA:“TakingHospicePalliativeCareOn-Line:CanadianVirtualHospice”
Presenters:ShellyCory,ExecutiveDirector,CanadianVirtualHospice
WorkshopB:“CompletingtheCircle:EndoflifecarewithAboriginalFamilies”Presenter:CarrieBourassa,PhD,Professor,FirstNationsUniversityofCanada
WorkshopC:“OrganDonation:It’snotasstraight-forwardasitseems”Presenter:CathyRitter,TrilliumGiftofLifeNetwork
ClosingPresentation:“YouareMorethanYourCircumstances:TaketimetoBREATHE”Presenter:RoseAdams,LLB,Lawyer&MotivationalSpeaker
Frominfancy,Rosewasshuffledfromfosterhometofosterhome;livedinpovertyandenduredphysical,racialandemotionalabuseatthehandsofmany.Despitethesechallenges,Rosebecameamasterofherowndestiny.Shedidmorethansurvive,shethrived.Findinginnerstrengthandconfidencetosucceedwhenothersinsistedshecouldn’t,Rosewentontobuildasuccessfulcareerandbecomealeaderinhercommunityandbeyond.Inherdown-to-earth,heartwarmingstyle,RoseinspiresaudiencesacrossNorthAmericaviaher7principlesofBREATHE.Rose’ssoftbutrivetingmessageofcourage,forgivenessandperseveranceleavesaudienceshailingheras“lifechanging”,“riveting”and“transformational”..
2016NSMHPCNRegionalConferenceHotTrends&TopicsinHospicePalliativeCare
Thursday,June2nd&FridayJune3rd,2016CasinoRama,Orillia,ON
DayTwo:WorkshopSelectionsFriday,June3rd,2016
ThisworkshopwillexaminetheneedsofAboriginalpatientsatendoflife.Usingmaterialfromherresearchteam,guidedbyAboriginalEldersandcommunitymembers,CarrieusesvideoasamethodofknowledgetranslationinordertoallowElderstosharetheirwordsusingthetraditionalmethodofconveyingtraditionalknowledgeorallyandexperientially,ratherthanfilteredthroughresearchers’analyticinterpretation.Thevideoisfollowedbyabriefpresentationthatusestheresearchtoexaminewhatcanbedonetocreateculturallysafe,patientandfamilycenteredcareforAboriginalpatientsatendoflife.Thepresentationallowsparticipantstodelvemoredeeplyintosomeoftheconceptsexplainedinthevideo,providestimeforself-reflectionandprovidestheframeworkforaquestionandanswerperiod.
Whenpeoplehaveadvancecareplanningconversations,theyoftendiscusstheirdesiretobeorgandonors.However,thesewishesmaynotbecarriedoutforvariousreasons.Thismayleadtoconfusionandcomplicatedgriefforfamily.Thisworkshopwilladdresssomeofthelimitations,barriersandalsosomeofthepossibilitiesoforgandonationforthosepatientswhohavealife-limitingdisease.Cathywillclarifytheorgandonationprocess,aswellaswhatcanbedonatedandwhen.Mostimportantly,Cathywilladdresshowtomanagepeople’sexpectationswithrespecttothedetailsofbeingadonor.
WorkshopA:“TakingHospicePalliativeCareOn-Line:CanadianVirtualHospice”Presenters:ShellyCory,ExecutiveDirector,CanadianVirtualHospice
WorkshopB:“CompletingtheCircle:EndoflifecarewithAboriginalFamilies”Presenter:CarrieBourassa,PhD,Professor,FirstNationsUniversityofCanada
WorkshopC:“OrganDonation:It’snotasstraight-forwardasitseems”Presenter:CathyRitter,TrilliumGiftofLifeNetwork
Whileprofessionalstrydiligentlytoprovidehands-oncaretopatientsandtheirfamilies,therearelimitstothetime,energyandresourcesthatcanbeallocatedforanyonepatient.Wherecanpeopleturnwhentheyhavequestionsinthemiddleofthenight?Wherecanwe,asprofessionals,turnwhenwehavequestionsbeyondourscopeofknowledge?CanadianVirtualHospicecansupplementthehospicepalliativecareteam’seffortsinensuringthatpatientsandfamilieshavetherightinformation,attherighttime.Thisworkshopwillexaminethevarioustoolkitsofferedthroughthesite,andhowtomakethemostofthisrichresource.
