Seminar Detail

End Stage Diseases: Care When There is No Cure

Wednesday, September 28, 2016 at 8:00 AM - 4:00 PM

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For more information: Call (800) 844-8260
Course Description
Are you ever looking for creative ways to make sure someone's legacy will be passed on? Well think about what we did with Harold, a patient with metastatic bowel cancer. He was part of a local "village" that, over the years, was transformed into acres of housing and farmland. In an effort to keep his heritage alive, he had photos made into large posters and used his carpentry skills to create an entire model of the town. When we made visits, his only focus was teaching us about this legacy. He did not want it lost with his death. So we began to videotape the whole story from Harold. But he was not satisfied yet. So, with his permission, we got a local TV station to come do a story on the model, the photos, and the stories behind them. To their credit, the TV personnel never mentioned Harold was ill, or a hospice patient. The video aired on the local station and Harold was ecstatic - and at peace. He died soon after, his legacy passed on. These are the types of amazing opportunities that can be experienced when caring for patients with end stage diseases.

Caring for persons with end stage disease requires extreme sensitivity, deep compassion, and extraordinary knowledge. In order to deliver expert, holistic care, healthcare professionals need to be knowledgeable of new interventions to promote quality of life for patients with all types of disease processes. To add to the challenge, each particular end stage disease has unique complexities for the patient, the family and the healthcare professional.
  • Very little has been written about end stage liver disease. Many texts do not mention it at all. Did you know that a patient seeking a liver transplant can be on hospice care while waiting? We will discuss how this is done.
  • What can we do about patients with COPD who have no solution for exacerbations except to come to the emergency department, or go to ICU? One medical director has an excellent intervention for this. It's time to think out of the box more than we ever have as providers.
  • Discuss a patient named Adele, who had ovarian cancer for 10 years, was in the final stage, but had a list of 20 items that all had to be "fixed" before she died. The team did a wonderful job helping her obtain peace. It only took a pencil, a yellow pad of paper, and dedicated friends. Find out how the team rallied to help carry out her final wishes!

What can we do to keep costs down… yet assist the patient with symptoms experienced? Come learn about the latest strategies that have been proven successful in practice. You are guaranteed to leave with new tools that you can put to use when a cure is not possible, yet quality support and care most definitely are.
Please refer to the course brochure for continuing education information.
Learner Objectives:

  1. Evaluate functional assessment scales that are predictive of poor survival.
  2. Explain the benefits of using palliative care principles for patients with end stage disease.
  3. Analyze five complications related to feeding tubes.
  4. Determine clinical scenarios when hydration would be beneficial for the patient who is at the end of life.
  5. Differentiate end stage symptoms across various diseases.
  6. Compare when palliative services vs. hospice services are most appropriate for the patient.


Judy Dobson is employed as a hospice and palliative care nurse educator. Judy has gained extensive experience caring for patients with end stage disease through her time working as a hospice director; Judy organized the first local bereavement camp for children and teens in her area. She earned her MSN as a Clinical Nurse Specialist and also holds certifications as a Hospice and Palliative Care Nurse and as a Hospice Trainer. Judy remains a strong advocate for excellence in the field of hospice and palliative care and prepares nurses to sit for the NBCHPN certification examination.

In addition to Judy's expertise caring for end stage disease hospice patients, she will draw from her invaluable experiences in acute care departments caring for this specialized patient population as well, including: emergency departments, medical/surgical, end stage renal disease, pediatric oncology, gastroenterology, and flight nursing. She has also encountered many of these end stage diseases through personal family experiences as well, which adds another important perspective to the discussion.

She is a sought-after end-of-life presenter, having shared her keen insights at the local, state, and national levels. Judy is an ELNEC (End-of-Life Nursing Education Consortium) trained presenter in Core and Geriatric Education. She recognizes that caring for persons with end stage disease requires extreme sensitivity, deep compassion, and extraordinary knowledge. Attend this seminar to learn from Judy's passion and expertise to provide optimal care for patients confronting the progression of an end stage disease.

Speaker Disclosures

Financial Judith A. Dobson is a Hospice/Palliative Care Educator. She receives a speaking honorarium from PESI, Inc.

Nonfinancial: Judith A. Dobson has no relevant nonfinancial relationships to disclose.
Credits listed below are for full attendance at the live event only. After attendance has been verified, pre-registered attendees will receive an email from PESI Customer Service with the subject line, “Evaluation and Certificate” within one week. This email will contain a link to complete the seminar evaluation and allow attendees to print, email or download a certificate of completion if in full attendance. For those in partial attendance (arrived late or left early), a letter of attendance is available through that link and an adjusted certificate of completion reflecting partial credit will be issued within 30 days (if your board allows). Please see “live seminar schedule” for full attendance start and end times. NOTE: Boards do not allow credit for breaks or lunch.

If your profession is not listed, please contact your licensing board to determine your continuing education requirements and check for reciprocal approval. For other credit inquiries not specified below, or questions on home study credit availability, please contact or 800-844-8260 before the event.

Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of mental health professionals. As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your professions standards.

The planning committee and staff who controlled the content of this activity have no relevant financial relationships to disclose. For speaker disclosures, please see speaker bios.

PESI, Inc. offers continuing education programs and products under the brand names PESI, PESI Healthcare, PESI Rehab and Psychotherapy Networker.

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