Nearing the End of Life: Dare to Care – Nancy Joyner

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Unlock your potential with the Unlock your potential with the Nearing the End of Life: Dare to Care - Nancy JoynerNearing the End of Life: Dare to Care - Nancy Joyner course for only course for only $$199.99199.99 Original price was: $199.99.Original price was: $199.99.$$85.0085.00Current price is: $85.00.Current price is: $85.00. at at Giolib.comGiolib.com! Explore our comprehensive library of over 60,000 downloadable digital courses across various ! Explore our comprehensive library of over 60,000 downloadable digital courses across various Medical skillsMedical skills. Get expert-led, self-paced learning at up to 80% savings. Elevate your skills today!. Get expert-led, self-paced learning at up to 80% savings. Elevate your skills today!

• Families ask . . . what would you do if this were your loved one? Learn how to reply without bias …Families ask . . . what would you do if this were your loved one? Learn how to reply without bias …
• Creative ways to discuss withdrawing or withholding treatmentCreative ways to discuss withdrawing or withholding treatment
• Manage patient pain and symptoms: Medical marijuana, morphine, palliative sedation or fewer medications?Manage patient pain and symptoms: Medical marijuana, morphine, palliative sedation or fewer medications?
• Tips to guide code status conversations with patients and familiesTips to guide code status conversations with patients and families
• Resolve family dysfunction surrounding end of life decisionsResolve family dysfunction surrounding end of life decisions
• Requests to “humanely euthanize”/hastening death: How to respond?Requests to “humanely euthanize”/hastening death: How to respond?
• Hear powerful case studies that provide examples of expert, holistic careHear powerful case studies that provide examples of expert, holistic care

Eleanor is an 83-year-old widowed lady with known chronic heart failure and advanced dementia. She is now hospitalized with a significant stroke and dysphagia. She does not have a healthcare directive and had never discussed what she would want, other than staying at home until she dies. She is full code. Her family still wants resuscitation attempted. Her children admit they are concerned about what is best for their mother.Eleanor is an 83-year-old widowed lady with known chronic heart failure and advanced dementia. She is now hospitalized with a significant stroke and dysphagia. She does not have a healthcare directive and had never discussed what she would want, other than staying at home until she dies. She is full code. Her family still wants resuscitation attempted. Her children admit they are concerned about what is best for their mother.

What are options for Eleanor and her family? Would she benefit from artificial hydration and nutrition? How is she going to receive medications? Can some of her medications be discontinued? Who is going to be her caregiver?What are options for Eleanor and her family? Would she benefit from artificial hydration and nutrition? How is she going to receive medications? Can some of her medications be discontinued? Who is going to be her caregiver?

In this compelling seminar, multiple case studies like Eleanor’s will provide you with examples that you can incorporate when care is more important than cure. To deliver expert, holistic care, healthcare professionals need to have a toolbox full of new interventions to promote quality care at the end of life.In this compelling seminar, multiple case studies like Eleanor’s will provide you with examples that you can incorporate when care is more important than cure. To deliver expert, holistic care, healthcare professionals need to have a toolbox full of new interventions to promote quality care at the end of life.

Have you ever been asked, “what would you do if this was your family member?” Have you ever been asked, “what would you do if this was your family member?” Learn conversation options to use while staying neutral.Learn conversation options to use while staying neutral.

Did you know that a patient might enroll on hospice care and be a full code?Did you know that a patient might enroll on hospice care and be a full code? We will discuss how this is done. We will discuss how this is done.

What can we do for patients seeking euthanasia who see this as the best solution? What can we do for patients seeking euthanasia who see this as the best solution? These situations are becoming more frequent. Anticipate how you will respond.These situations are becoming more frequent. Anticipate how you will respond.

Strategies regarding comfort, communication, choices and control have unique issues and challenges for patients, families and health professionals. We have an obligation to know how to help provide emotional, spiritual, existential, and physical comfort for those who have life-limiting conditions and to support them through difficult decisions. It’s time to think outside the box.Strategies regarding comfort, communication, choices and control have unique issues and challenges for patients, families and health professionals. We have an obligation to know how to help provide emotional, spiritual, existential, and physical comfort for those who have life-limiting conditions and to support them through difficult decisions. It’s time to think outside the box.

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1. Explain how complementary therapies enhance quality of life for patients.Explain how complementary therapies enhance quality of life for patients.
2. Evaluate the risks and benefits of medical marijuana.Evaluate the risks and benefits of medical marijuana.
3. Acknowledge the eight domains of the National Consensus Project.Acknowledge the eight domains of the National Consensus Project.
4. Analyze five complications related to artificial hydration and nutrition.Analyze five complications related to artificial hydration and nutrition.
5. Explore ethical issues often seen at the end of life.Explore ethical issues often seen at the end of life.
6. Formulate two strategies to diminish fear of death and dying.Formulate two strategies to diminish fear of death and dying.
7. Connect moral resiliency to palliative care.Connect moral resiliency to palliative care.

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• An Inexact Art & Science An Inexact Art & Science
  • Illness and dying trajectoriesIllness and dying trajectories
  • FrailtyFrailty
  • DementiaDementia
  • Prognostication and prognostic scalesPrognostication and prognostic scales
  • When to refer to palliative care or hospice (disease specific)When to refer to palliative care or hospice (disease specific)
• Essentials of Care: Comfort, Communication, Choices, Control Essentials of Care: Comfort, Communication, Choices, Control
  • Comfort Always Comfort Always
    • Morphine: Still the gold standard?Morphine: Still the gold standard?
    • Pain during the final hours of lifePain during the final hours of life
    • Drug misuse: How to avoid itDrug misuse: How to avoid it
    • Opioids for dyspneaOpioids for dyspnea
    • Thirst vs. xerostomiaThirst vs. xerostomia
    • Medical marijuanaMedical marijuana
  • Complementary and alternative therapies Complementary and alternative therapies
    • Emotional distress interventionsEmotional distress interventions
    • The role of spiritualityThe role of spirituality
    • Palliative sedationPalliative sedation
    • Communication: Everyone is InvolvedCommunication: Everyone is Involved
    • Advance care planning: More than just a formAdvance care planning: More than just a form
    • The terminology mattersThe terminology matters
    • Your role in these critical conversationsYour role in these critical conversations
    • How much can we share?How much can we share?
    • Truth vs. hopeTruth vs. hope
    • Code status discussionsCode status discussions
    • DNR does not mean do not treatDNR does not mean do not treat
    • Addressing concerns and needs of the familyAddressing concerns and needs of the family
    • Thanatophobia: Is it fear of dying or fear of death?Thanatophobia: Is it fear of dying or fear of death?
    • Premortem surgePremortem surge
    • Near death awarenessNear death awareness
    • The dying processThe dying process
  • Choices: Shared Decision-Making Choices: Shared Decision-Making
    • Nutrition & hydration choicesNutrition & hydration choices
    • Voluntarily Stopping Eating and Drinking (VSED): Benefits & burdensVoluntarily Stopping Eating and Drinking (VSED): Benefits & burdens
    • Life-sustaining treatmentLife-sustaining treatment
    • Non-beneficial treatment choicesNon-beneficial treatment choices
    • Faith-based influencesFaith-based influences
    • Ventilator supportVentilator support
    • Dialysis or renal palliative careDialysis or renal palliative care
    • Devices to extend lifeDevices to extend life
    • Hastened death request: Why not humanely euthanize?Hastened death request: Why not humanely euthanize?
  • Allowing Control: Patient-Centered Care Allowing Control: Patient-Centered Care
    • Reframing hopeReframing hope
    • What do family members want you to considerWhat do family members want you to consider
    • Who makes the decisionWho makes the decision
    • What about family dysfunction…What about family dysfunction…
    • Is the focus quality or quantity?Is the focus quality or quantity?
    • Decision to withhold or withdraw careDecision to withhold or withdraw care
    • Challenging decisions: Honoring patients’ wishesChallenging decisions: Honoring patients’ wishes
  • Cultivating Moral Resiliency Cultivating Moral Resiliency
    • Moral resilience–preserving/restoring integrityMoral resilience–preserving/restoring integrity
    • Personal vs. professional grievingPersonal vs. professional grieving
    • Enabling character and honorable actionEnabling character and honorable action
    • Ethical CompetencyEthical Competency

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