Download - 2016 NSMHPCN Regional Conference Hot Trends & Topics in ...nsmhpcn.ca/wp-content/uploads/2016/05/RAMA-CONFERENCE-INFO.pdf2016 NSMHPCN Regional Conference Hot Trends & Topics in Hospice

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.



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.



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”..



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.