Product Detail

1. Explore the myths of hospice.
2. Compare and contrast hospice and palliative care.
3. Evaluate the eight domains of the National Consensus Project.
4. Formulate strategies to diminish fear of death and dying.
5. Analyze complications related to artificial hydration and nutrition.
6. Connect moral resiliency to palliative and hospice work.

An Inexact Art & Science

• Illness and dying trajectories frailty
• Dementia
• Prognostication and prognostic scales
• When to refer to palliative care or hospice: What is the difference?

Essentials of Care: Comfort, Control, Choices, Communication

Comfort Always

• Morphine: Still the gold standard?
• Pain during the final hours of life
• Drug misuse: How to avoid it
• Opioids for dyspnea
• Thirst vs. xerostomia
• Integrative therapies
• Emotional distress and interventions
• The role of spiritual care
• Palliative sedation

Allowing Control: Patient-Centered Care

• Reframing hope
• What do family members want you to consider?
• Who makes the decision?
• What about family dysfunction...
• Is the focus quality or quantity?
• Decision to withhold or withdraw care
• Challenging decisions: Honoring patients’ wishes

Choices: Shared Decision-Making

• Nutrition & hydration choices
• Voluntarily stopping eating and drinking
  • VSED: Benefits & burdens
  • Life-sustaining treatment
• Non-beneficial treatment choices
• Faith-based influences
• Ventilator support
• Dialysis or renal palliative care
• Devices to extend life
• Hastened death request: Why not humanely euthanize?

Communication: Everyone is Involved

• Advance care planning: More than just a form
• The terminology matters
• Your role in these critical conversations
• How much can we share?
• Truth vs. hope
• Code status discussions
• DNR/AND does not mean do not treat
• Addressing concerns and needs of the family
• Thanatophobia: Is it a fear of dying or fear of death?
• Premortem surge
• Nearing death awareness
• The dying process

Cultivating Moral Resiliency

• Moral resilience – preserving/restoring integrity
• Personal vs. professional grieving
• Enabling character and honorable action
• Ethical competency

Lores J. Vlaminck, MA, BSN, RN, CHPN, LALD
Principal, Lores Consulting, LLC

Lores Consulting, LLC has been a leading provider of consulting, training, and mentoring for hospice, assisted living, home care and related health care providers for the past 17 years. "Lores has the heart of a teacher, and her passion is to support others in the hospice, palliative, and the home care industry."

Lores Consulting, LLC provides providers with education training and mentoring as well as mock surveys, agency analysis and audits. Drawing on her 45 years of nursing experience, Lores seeks to empower all her client providers to utilize their skills and expertise to reach their greatest potential. Her extensive nursing background includes clinical practice in cardiac and intensive care, outpatient clinic services, as well as serving as a home care and hospice administrator/director for 19 years in greater Minnesota.

In addition to being a certified hospice and palliative care nurse, Lores is also a trainer for the End-of-Life Nursing Education Consortium (ELNEC) curriculum that encompasses palliative and hospice care. She was named the "2010 Geriatric ELNEC Educator of the Year" by ELNEC.

Speaking topics include end-of-life care, grief and loss, compassion fatigue, professional boundaries, pain and symptom management, and many health and employee related topics. Lores also offers national, international consulting and mentoring services – encompassing education, training and compliance evaluations – to hospice and home care agencies, assisted living providers, and long-term care facilities.

As Principal of Lores Consulting, LLC, Lores sees her company’s mission to coach and encourage care providers to work to the ‘top of their license’ to ensure excellence in their delivery of care.

Currently, Lores serves as a board member of three non-profit health care organizations, and is a national speaker for PESI Healthcare and ELNEC. Lores is a graduate of Bethel University in St Paul, MN and holds a Bachelor of Science degree in nursing, as well as a master’s degree in nursing education. Speaker Disclosures:
Financial: Lores Vlaminck receives compensation as an independent consultant, coach, and educator. She receives a speaking honorarium and recording royalties from PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: Lores Vlaminck is a member of the American Association of Palliative Medicine, the Minnesota Network for Hospice and Palliative Care, the National Hospice and Palliative Care Organization, and the National Hospice and Palliative Care Nurses Association.

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CE Information Coming Soon
Continuing education credit information is coming soon for this non-interactive self-study package.

CEs may be available for select professions, as listed in the target audience. Hours will be dependent on the actual recording time. Please check with your state licensing board or organization for specific requirements.

There may be an additional fee for CE certificates. Please contact our Customer Service at 1-800-844-8260 for more details.

**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.

All members of the PESI, Inc. planning committee have provided disclosures of financial relationships with ineligible organizations and any relevant non-financial relationships prior to planning content for this activity. None of the committee members had relevant financial relationships with ineligible companies or other potentially biasing relationships to disclose to learners. For speaker disclosures, please see the faculty biography.

• Nurses
• Nurse Practitioners
• Clinical Nurse Specialists
• Physician Assistants
• Social Workers
• Counselors
• Case Managers
• Chaplains
• Clergy