Section 1: Introduction A. About This Course B. Learning Objectives Section 2: The Basics A. What Do You Think? B. Geriatric Palliative Care C. Multimorbidity D. Guiding Principles E. Evaluation and Management F. Testimonial #1 G. Comprehensive Care Needs H. Caregiving I. Review J. Summary Section 3: Aging Considerations A. Meet Mrs. Holman B. Geriatric Syndromes C. Age-Related Changes D. Aging and Medication E. Polypharmacy F. Medication Management G. Drug Therapy Algorithm H. Assessment I. Review J. Summary Section 4: Common Medical Conditions A. End-Stage Medical Conditions B. Heart Failure C. Causes of Heart Failure D. Assessment of Heart Failure E. Addressing Heart Failure F. COPD G. Causes of COPD H. Assessment of COPD I. COPD Prognostication J. Addressing COPD K. Cancer in the Older Adult L. Assessment in Cancer M. Comprehensive Geriatric Assessment N. Cancer Prognostication O. Addressing Cancer P. Improving Quality Cancer Care Q. Review R. Summary Section 5: Conclusion A. Summary B. Course Contributor C. Resources D. References E. Congratulations
Disclosure: The National ELNEC Project has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.Instructor: Connie Dahlin
Connie Dahlin, APRN-BC, ACHPN®, FPCN, FAAN is an advanced practice nurse with extensive administrative, clinical, and academic experience in hospice and palliative care across the health continuum. Ms. Dahlin is educated and prepared as an oncology clinical nurse specialist and a nurse practitioner in palliative care and adult primary care. She has been involved with end-of-life care for over 20 years. Her roles include administration of urban and community hospices as well as inpatient and outpatient palliative care. She co-founded one of the pioneer palliative care services at Massachusetts General Hospital where she was also Co-Director of the outpatient palliative care service. Currently, Ms. Dahlin is the Director of Professional Practice at the Hospice and Palliative Nurses Association (HPNA), a consultant to the Center to Advance Palliative Care, and Co-PI for a grant to educate rural and community APRNs on primary palliative care. She practices as a palliative nurse practitioner at the North Shore Medical Center in Massachusetts. She serves on the national ELNEC faculty and was consultant to APRN and critical care ELNEC. Ms. Dahlin is the palliative care content expert on the Measurement Applications Partnership (MAP) Clinical Workgroup as well as the Patient and Family Care Workgroup, and is on the American Hospital Association Circle of Life Award Selection Committee. She was the editor for 2nd and 3rd edition of National Consensus Project Clinical Practice Guidelines for Palliative Care, Past President and board member of the Hospice and Palliative Care Nurses Association, and past board member of the Hospice and Palliative Care Federation of MA. She is a clinical associate professor at the MGH Institute of Health Professions, and serves as faculty of the Harvard Medical School Center for Palliative Care. Ms. Dahlin is a Fellow of Hospice and Palliative Nursing and a Fellow of the American Academy of Nursing. Disclosure: Connie Dahlin has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.Instructor: Susan Gibson RN FNP-BC, ACHPN
Susan Gibson, RN, FNP-BC, ACHPN is a nurse practitioner working in both palliative and hospice care. Ms. Gibson is the program coordinator for the Community Palliative Care program in Santa Barbara which was awarded the CHAPCA 2011 Outstanding Program Achievement Award. She sees her patients across all care settings including their home, ambulatory and acute care, and in skilled nursing facilities. Ms. Gibson also cares for patients as the Attending clinician in an 18-bed inpatient/residential hospice facility and is responsible for the education in pain and symptom management of both the facility and home hospice clinical nursing staff. She has been instrumental in educating nurses in her community about end of life nursing care through annual ELNEC courses. She is also a published author in the field of palliative and hospice care. Ms. Gibson began working with dying patients as a hospice volunteer with end of life work serving as the impetus to enter the nursing field. Her initial nursing education was funded through a scholarship from a hospice agency. Throughout her career as a registered nurse, she has always been drawn to the care of dying patients and their families regardless of the setting, from surgical/trauma intensive care to an inpatient hospice facility to working as a palliative care nurse in an acute care facility. She is a Respecting Choices certified Advance Care Planner facilitator. She is also a graduate of the Sacred Art of Living Anamcara Project, a project designed to prepare healthcare providers to be fully present at the bedside and is actively involved in Viagenco, a sister hospice in Kenya. Disclosure: Susan Gibson RN FNP-BC, ACHPN has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.