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Full Course Description

How Will I Die?  Talking with Patients and Families about the Dying Process

How we talk about dying affects how our patients and families respond and accept the changes that can occur. Compassion, simplicity, and presence are key to helping them replace fears with understanding and acceptance. This talk examines the physical, psychosocial, and mysterious aspects that can occur and the impact on the patient and family. By effectively communicating this process, you will better help your families manage the changes and promote comfort.

Program Information

Target Audience

  • Nurses
  • NPs
  • PAs
  • DOs
  • MDs
  • CNS

Objectives

  1. Discuss 2 reasons why talking about the dying process is important
  2. Adopt a simple approach to communicate natural changes related to the dying process and appropriate responses to promote comfort
  3. Identify the physical and emotional impact of physical changes
  4. Examine issues of communication, closure and healing at the end of life
  5. Explore the impact of mysteries such as the timing of death and visions

Outline

  1. Impact of presence to prepare for talking with patients about dying
    • Use of language and body language
  2. Understanding the dying process
    • When comorbidities exist, choosing how to die
    • Preparation to avoid guilt and fear
  3. Most common symptoms of the dying and how to communicate that to pts/families
    • Changes in:
      • Activity
      • nutrition/hydration
      • breathing
      • circulation
      • agitation
  4. Psychosocial issues
    • Closure
    • Communication
    • Letting go
  5. The Mystery Surrounding Dying and the meaning it can provide
    • Timing of death
    • Visions

Copyright : 07/10/2024

Transforming the End-of-Life Journey: A Comprehensive Caregiver’s Guide

This workshop is designed for the frontline workers in advanced illness and end of life. Dying is a dynamic process that will affect the physical, emotional, psychosocial and spiritual aspects of everyone involved, along with ethical and legal conundrums. There are often no easy answers. With a foundation of patient and family centered care, this workshop will provide a deeper exploration of the daily complex challenges and offer practical suggestions while providing a compassionate but simple approach for all impacted by the dying process. Because our guidance and presence is critical for those patients and families making difficult end of life decisions and managing dying, it also asks the participant to reflect on their own values, beliefs and grief and how our work can transform our experiences.

Program Information

Target Audience

  • Nurses
  • NPs
  • PAs
  • DOs
  • MDs
  • CNS

Objectives

  1. Identify, prevent or overcome potential communication barriers in end of fie decision-making
  2. Incorporate patient and family centered care into daily practice.
  3. Adopt a simple approach to communicate natural changes related to the dying process
  4. Discuss the emotional and psychosocial impact of the dying experience
  5. Explore your own fears, values and perceptions about dying and how they can impact your work with the dying
  6. Recognize the manifestations and impact of grief on you as a provider and the work we do.
  7. Describe ways we can help the caregiver of the terminally ill to enhance communication and self care.

Outline

Module 1: Navigating the Communication Minefield of EOL Decision-making
or Balancing on a shifting Rug – Navigating end of life decision-making Avoiding the Potholes in the road to decision-making near the end of life This includes, ethical and legal issues

  1. Consequences of poor communication
    • Physical, psychosocial, emotional, spiritual and financial
    • Barriers to decision-making and how to overcome them
      • Language, fragmentation, omission, training, attachment, fear of failure
      • Truth-telling vs hope
        • Paternalism in medicine
        • Issues of DNR and technology
      • Why living wills fail us
      • Family death history
      • Emotional, physical, spiritual and financial barriers
      • Our own death history
  2. Physician history, values & communication
  3. Patient & family centered communication
    • Techniques to improve communication and care
    • Keys to navigation
  4. Our professional role

Module 2: Transforming Dying, Transforming Ourselves
Identifying QOL fears:

  1. Increasing dependence
    • Fear of the unknown
    • Lack of value
    • Loss of meaning
    • Suffering
    • Desire for hastened death
  2. Identify own values, beliefs and fears
  3. Examples of transformation and how to support that process
  4. View 5 scenarios and note own triggers, concerns re: responding to these patients
  5. Discuss approaches to these issues and how both our perceptions and those of our families can be transformed

Module 3: Navigating the Storm – Tools for the Caregiver
Naming the losses

Module 4: The impact of grief on Us and Those we Serve

  1. Awareness of our death & grieving history
  2. The impact of grief on you as a provider
  3. Identify possible manifestations of grief
    • Confronting different styles of grief
  4. Discuss how to help yourself and others process their grief
  5. Identify ways in which grief opens us to change
  6. Discuss the ways our own grief may impact our ability to help others make difficult decisions

Copyright : 07/10/2024