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Product Detail

Nearing the End of Life
Audio CD
$219.99 USD
Currently Unavailable
Product Details
Audio CD - 4+ hours   Instructions
Multi-disc audio recording with electronic manual and instructions.
CE Available:
Yes, See CE credit tab for complete continuing education details
Product Code:
  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 Vlaminck, RN, BSN, MA, CHPN, is a consultant for home care, palliative care, hospice, and assisted living providing education, training, mock surveys, and mentoring for staff development. Lores’ extensive professional nursing experiences span clinical practice in cardiac and intensive care, outpatient clinical services and as a founder/director of a Medicare certified home care/hospice director in greater MN. Her role in the ‘trenches’ gives her a unique understanding of the challenges and opportunities professionals and volunteers face in accompanying the patient and family facing a serious or life-limiting illness.

Lores offers state and national education on palliative and hospice care and is certified trainer of the ELNEC (End-of-Life Nursing Education Consortium) modules, EPEC (Education on Palliative and End-of-Life Care) modules and the HPNA’s (Hospice and Palliative Care Nurses Association) curriculum. She is a member of MHCA (Minnesota Home Care Association), MNHPC (Minnesota Network for Hospice and Palliative Care), Leading Age MN, NHPCO (National Hospice and Palliative Care Organization), HPNA (Hospice Palliative Nursing Association- MN Chapter) and Sigma Theta Tau. Additionally, Lores also serves on two not-for-profit long-term care boards.

Through a blend of both grief and joy filled patient stories, clinical expertise and referenced material, Lores will be sure to engage you at both an intellectual and heart level. Participants across the country have consistently shared that Lores’ humility, honesty, humor and genuine compassion allow for permission to ‘feel what is felt’.

Speaker Disclosures:

Financial: Lores Vlaminck is Principal for Lores Consulting. She receives a speaking honorarium from PESI, Inc.

Non-financial: Lores Vlaminck has no relevant nonfinancial relationship to disclose.
Continuing Education Credits

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.

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.

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