Continuity of Care and Palliative Care in Serious Illness

Continuity of Care and Palliative Care in Serious Illness 

Advocating for palliative care early-access and facilitating reflective discussion with patients and families is essential to settle the chaos inherent to palliative care. In the absence of a clear understanding of the degree of illness and level of functional decline, patients and their families do not know what to expect or how to respond to symptom burdens or decision crises. These patients and families face uncertainty and anxiety, and often present multiple times to varied care settings with symptom exacerbations, functional losses, and multiple stressors. Regardless of the care setting, both palliative care teams and interprofessional teams are continually challenged to meet with patients and families to settle chaos, realign goals, and match available resources for care. Sustaining early palliative care access and continuity for all patients facing serious illness requires diligent collaboration and follow up. The goal of this webinar is to provide some practical examples of palliative communication approaches and relevant practice references that staff might use in their own settings. It presents an exploratory review of trends and patterns of palliative care, and highlights the complexity of care and the dilemma of significant gaps that exist in patient understanding, which often results in insufficient decision support and unclear goals for care.

$20.00

Hours: 1.00
REL-PAL-0-CCPCSI

Certificates

Certificates provided by accrediting body (7 Match)

California Board of Registered Nursing

1.0 HOURS


Provider approved by the California Board of Registered Nursing, CEP# 13791

Nurses will receive 1.00 contact hours for participating in this course.

District of Columbia Board of Nursing

1.0 HOURS


DC-RN -- District of Columbia Board of Nursing Approved Continuing Education program (CE Provider #50-290).

Nurses will receive 1.00 contact hours for participating in this course.

Florida Board of Nursing

1.0 HOURS


Florida Board of Nursing CE Provider #: 50-290

Nurses will receive 1.00 contact hours for participating in this course.

American Nurses Credentialing Center

1.0 HOURS


Relias, LLC is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

Nurses will receive 1.00 contact hours for participating in this course.

Georgia Board of Nursing

1.0 HOURS


Georgia Board of Nursing CE Provider #: 50-290

Nurses will receive 1.00 contact hours for participating in this course.

South Carolina Board of Nursing

1.0 HOURS


This program was approved by the South Carolina Board of Nursing Approved Continuing Education Program (CE provider #50-290) CE Broker Course # 20-[Custom_Code]

West Virginia Board of Registered Nursing

1.0 HOURS


Course Details

Course Code: REL-PAL-0-CCPCSI
Hours: 1
Type: Online Course
Content Expiration Date: 1/31/2021
Learning Objectives:
Identify 2 aspects of chaos in the current acute care environment that present challenges to providing early access and continuity for palliative care support.
Describe 2 strategies to advocate for early palliative care access and continuity across settings.
Identify 1 open-ended question that would help determine what a patient or alternate decision-maker understands about their current healthcare situation and their anticipated healthcare needs.
Identify 2 national based palliative care reference websites available to assist with education, communication approaches, and planning resources to assist interdisciplinary staff.

Outline:
Section 1: Chaos in the Context of Serious Illness: Reflective Inquiry Needed A. Chaos B. Clinical Crisis Management C. Environmental Pressures D. Structured and Purposed Conversations E. Decisions and Plans F. Reflective Inquiry G. Crossroads H. Collaboration and Insight I. The Process J. Collaborative Inquiry K. Knowledge Check Section 2: Palliative Care Conversations: A Purposeful Pause A. A Purposeful Pause B. Recalculating- A Deep Dive C. Goal Sorting D. Patient as Preference and Source E. Narratives F. Purposeful Analysis G. Caregiver Confidence H. Family Meetings I. Definition and Diagnoses J. Domains K. Symptom Exacerbations L. Knowledge Check Section 3: Channeling Towards Continuity A. Reset of Anticipated Care Plans and Expectations B. Loop Closure and Information Gap Narrowing C. Word Selection and Language D. Continued Conversation E. Teach Back F. Multiple Settings G. Follow Up H. Next Step Planning I. Burdens and Benefits J. Palliative Presence K. Reality-Sourced Expectations L. Field Notes M. Keeping the Primary Care Physician in the Loop N. Knowledge Check

Instructor: Rosemary Crawford George, RN, MSN
Rosemary Crawford George serves in an inpatient role as the Clinical Nurse Specialist Palliative Care at Exeter Hospital, NH. This is primarily a hospital-based role providing Team Leadership for interdisciplinary Palliative Care Team and coordination and participation in clinical consultations, follow up visits , supportive care, interdisciplinary collaborations, and advocacy for patients and their families facing advancing serious or terminal illness. Palliative care consultations are primarily inpatient within a community hospital setting and also recent palliative care team consultations for outpatient oncology patients cared for within Exeter Health Resources Outpatient Oncology Clinic. Ms. Crawford- Georges’ role also provides support for hospital staff in collaborative consultations for coordination and continuity of care, and influencing interdisciplinary care and practice with education, all as it relates to palliative care support with exploration of available treatment choices for patients with serious and advancing illness and for patients with terminal illness and end of life care transitions. Disclosure: Rosemary Crawford George, RN, MSN has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.
Target Audience:
The target audience for this course is: intermediate level Nurses; in the following settings: Hospice, Palliative Care.
Relias will be transparent in disclosing if any commercial support, sponsorship or co-providership is present prior to the learner completing the course.
Course Delivery Method and Format
Asynchronous/Online Distance Learning; please see certificate details for specifics on delivery format.
Relias has a grievance policy in place to facilitate reports of dissatisfaction. Relias will make every effort to resolve each grievance in a mutually satisfactory manner. In order to report a complaint or grievance please contact Relias.
If you require special accommodations to complete this module, please contact Relias Support by completing the web form (https://www.relias.com/help) or by using the chat functionality.
All courses offered by Relias, LLC are developed from a foundation of diversity, inclusiveness, and a multicultural perspective. Knowledge, values and awareness related to cultural competency are infused throughout the course content.
Reference herein to any specific commercial product, process, or service by trade name, trademark, service mark, manufacturer or otherwise does not constitute or imply any endorsement, recommendation, or favoring of, or affiliation with, Relias, LLC.
All characteristics and organizations referenced in the following training are fictional. Any resemblance to any actual organizations or persons living or dead, is purely coincidental.
To earn continuing education credit for this course you must achieve a passing score of 80% on the post-test and complete the course evaluation.
Accommodations
If you require special accommodations to complete this module, please contact Relias Customer Support here.