EPECEPECEPECEPEC American Osteopathic Association AOA: Treating Our Family and Yours Osteopathic...

18
E E P P E E C C American Osteopathic Association AOA: Treating Our Family and Yours Osteopathic EPEC Osteopathic EPEC Education for Osteopathic Physicians on End-of- Life Care Based on The EPEC Project, created by the American Medical Association and supported by the Robert Wood Johnson Foundation. Adapted by the American Osteopathic Association for educational use. American Osteopathic Association AOA: Treating Our Family and Yours

Transcript of EPECEPECEPECEPEC American Osteopathic Association AOA: Treating Our Family and Yours Osteopathic...

EEPPEECC

American Osteopathic AssociationAOA: Treating Our Family and Yours

Osteopathic EPECOsteopathic EPEC Osteopathic EPECOsteopathic EPEC Education for Osteopathic Physicians on End-of-Life

Care

Based on The EPEC Project, created by the American Medical Association and supported by the Robert Wood Johnson

Foundation. Adapted by the American Osteopathic Association for educational use.

American Osteopathic AssociationAOA: Treating Our Family and Yours

EEPPEECC

American Osteopathic AssociationAOA: Treating Our Family and Yours

Plenary 4

Next Steps

EEPPEECC

American Osteopathic AssociationAOA: Treating Our Family and Yours

Objectives

• List the important themes from the EPEC materials

• Identify barriers to good end-of-life care

• Develop potential solutions

EEPPEECC

American Osteopathic AssociationAOA: Treating Our Family and Yours

EPEC themes, next steps• Relief of suffering is a goal of

medical care

• Palliative care knowledge is now extensive

• Role of families

• Teamwork

• Physician as patient advocate

EEPPEECC

American Osteopathic AssociationAOA: Treating Our Family and Yours

Relief of suffering

• 4 dimensions of suffering• Physical

• Psychological

• Social

• Spiritual

• Expected by patients, families

EEPPEECC

American Osteopathic AssociationAOA: Treating Our Family and Yours

Palliative care

• Not the absence of care

• More powerful than ever in the history of medicine

• A positive, humanistic philosophy

• Technically sophisticated area of expertise

EEPPEECC

American Osteopathic AssociationAOA: Treating Our Family and Yours

Osteopathic Philosophy• Treatment of the entire person

• Utilize all available medical procedures and technologies

• Understanding of relationship to structure and function

• Utilization of osteopathic manipulative treatment options

EEPPEECC

American Osteopathic AssociationAOA: Treating Our Family and Yours

Families . . .

• How we die is an important personal legacy

• Dying well often demands• The chance to be close to family,

friends

• Family / proxy assistance with decisions

• Good communication

EEPPEECC

American Osteopathic AssociationAOA: Treating Our Family and Yours

. . . Families

• None of this is possible without good symptom management

EEPPEECC

American Osteopathic AssociationAOA: Treating Our Family and Yours

Teamwork . . .• The whole person goes

through the dying process, not just his / her physiology

• No one person can meet all the needs

EEPPEECC

American Osteopathic AssociationAOA: Treating Our Family and Yours

. . . Teamwork• Teamwork usually includes

• Physicians• Nurses• Social workers• Chaplains• Others

• Hospice philosophy can be integrated into mainstream practice

EEPPEECC

American Osteopathic AssociationAOA: Treating Our Family and Yours

Advocacy

• Professional duty to patient care

• Professional duty to ensure availability of services

• Personal desire to be able to die with quality care

EEPPEECC

American Osteopathic AssociationAOA: Treating Our Family and Yours

Barriers

• Institutional

• Regulations

• Reimbursement

• Attitudes

EEPPEECC

American Osteopathic AssociationAOA: Treating Our Family and Yours

Physicians’ personal support needs . . .• Patients are asking us to do

better

• Find a forum for candid discussion of experiences

• Transference is powerful; personal comfort is important

EEPPEECC

American Osteopathic AssociationAOA: Treating Our Family and Yours

. . . Physicians’ personal support needs• Professional distance,

empathic closeness must balance

• Know yourself

EEPPEECC

American Osteopathic AssociationAOA: Treating Our Family and Yours

Action Plan

Barrier Plan

EEPPEECC

American Osteopathic AssociationAOA: Treating Our Family and Yours

Barriers

• “I” = Institutional

• “O” = Others

• “U” = Personal

EEPPEECC

American Osteopathic AssociationAOA: Treating Our Family and Yours

Next StepsSummary