114th Annual Convention – Palliative Care
3.0 contact hours will be awarded to participants
Program Available until July 8, 2022
114th Annual Convention
Palliative Care
The Art and Science of Supporting Patients with
Life-Limiting Illness: A guide for patient, family, and self-care
Free Virtual Convention
The end of life experience for both patients and caregivers is unique and personal. This experience tells a different story for everyone involved.
During challenging and uncertain times, nurses can benefit from opportunities for personal and professional growth.
Join us to explore our role as a professional nurse in addressing life-limiting illnesses and learn about self-care strategies that you, the caregiver, can use to navigate through these difficult times.
AGENDA
Challenging Conversations: Nurses leading the way
Mary Kate Eanniello, RN, DNP, OCN
Maryann Steed, RN, MSN, CHPN
Medical Orders for Life Sustaining Treatment (MOLST)
Elizabeth MB Visone, DNP, ANP-BC, FNP-BC, APRN, FAANP
Strategies for Self-Care for Nurses Witnessing End-of-Life
Cheryl Green, PhD, DNP, RN, LCSW, CNL, CNE, ACUE, MAC, FAPA
Social Work in Palliative Care
Katherine Lepak, MSW, LCSW, APHSW-C
Palliative Care Panel
Wrap-Up and Q&A
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Presentation Handout #1 – Challenging Conversations
Presentation Handout #2 – Connecticut MOLST
Presentation Handout #3 – Strategies for Self Care
Presentation Handout #4 – Social Work and Palliative Care
The ANA statement on Palliative Care
https://www.nursingworld.org/~497158/globalassets/practiceandpolicy/health-policy/palliativecareprofessionalissuespanelcallforaction.pdf
Shared Decision Making
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3445676/
Different languages
https://medlineplus.gov/languages/palliativecare.html
Cultural communication nursing
www.thinkculturalheath.hhs.gov
Communication: Conversation starters
https://www.vitaltalk.org/
Check this out helps with conversation.
https://portal.ct.gov/-/media/Departments-and-Agencies/DPH/dph/MOLST/042715MOLSTSeriousIllnessConversationGuidepdf.pdf
The Medical Pause: Taking a moment after a patient has died
https://thepause.me/
Connecticut MOLST References
MOLST CT website
http://www.ct.gov/dph/cwp/view.asp?a=4751&pm=1&Q=564016
National POLST website:
http://www.polst.org/about-the-national-polst-paradigm/
References
Challenging Conversations References
American Nurses Association Professional Issues Panel. (2017). Call for action: Nurses lead and transform palliative care. March 13, 2017.
Anderson-Head, B., Song, M., Wiencek, C., Nevidjon, B., Fraser, D., Mazanec, P. (2018). Nurses leading change and transforming care: The nurse’s role in communication and advance care planning. Journal of Hospice & Palliative Nursing, 20(1), 23-29.
DeForest, A. (2019). Better words for better deaths. NEJM, 390, 211-213.
Pittman, P. (2019). Activating nursing to address unmet needs in the 21st century. Robert Wood Johnson Foundation. Princeton, NJ. March 12, 2019.
Wittenberg-Lyles,E., Goldsmith, J., Ferrell, B., Ragan, S.L. (2013). Communication in palliative nursing. New York, NY: Oxford University Press
Bekelman, J. E., Halpern, S. D., Blankart, C. R., Bynum, J. P., Cohen, J., Fowler, R., Kaasa, S., Kwietniewski, L., Melberg, H. O., Onwuteaka-Philipsen, B., Oosterveld- Vlug, M., Pring, A., Schreyogg, J., Ulrich, C. M., Verne, J., Wunsch, H., & Emanuel, E. J. (2016). Comparison of sit of death, health care utilization and hospital expenditures for patients dying with cancer in 7 developed countries. JAMA, 315(3), 272-283. doi: 10.1001/jama.2015.18603
Marczak, L, O’Rourke, K., & Shepard, D. (2016). JAMA Infographic When and Why People Die in the United States, 1990-2013. JAMA, 315(3), 214. doi: 10.1001/jama.17599.
U.S. Department of Health and Human Services, National Institute of Nursing Research. (2011). Palliative Care: The relief you need when you’re experiencing the symptoms of serious illness (NIH Publication No. 11-6415). Retrieved from http://www.ninr.nih.gov/sites/www.ninr.nih.gov/files/palliative-care-brochure.pdf
Wright, A. A., Keating, N. L. Zyznian, J. Z., Chrischilles, E. A., Kahn, K. L., Ritchie, C. S., Weeks, J. C., Earle, C. C., & Landrum, M. B. (2016). Family perspectives on aggressive cancer care near end of life. JAMA, 315(3); 284-292. doi:10.1001/jama.2015.18604.
Strategies for Self-care for Nurses Witnessing End-of-life References.
Angel, S. & Vatne, S. (2017). Vulnerability in patients and nurses and the mutual vulnerability in the patient-nurse relationship. Journal of Clinical Nursing, 26(9-10), 1428-1437. https://doi.org/10.1111/jocn.13583
Crane, P.J. & Ward, S.F. (2016). Self-healing and self-care for nurses. Association of Perioperative Registered Nurses, 104(5), 386-400. https://doi.org/10.1016/j.aorn.2016.09.007
Green, C. (2014). The Knowledge Our Patients Impart. Clinical Journal of Oncology Nursing, 18(2), 250. doi: 10.1188/14.CJON.250
Green, C. (2018). Complimentary care: When our patients request to pray. Journal of Religion and Health, 57(1), doi: 10.1007/s10943-018-0599-x
Hospice of Philadelphia. (2015). Signs of approaching death. Philadelphia, PA: Author.
Mary Kate Eanniello is the Director of Nursing Education and Professional Development for the Hartford HealthCare Cancer Institute. Mary Kate earned her BSN in Nursing Education from the University of Connecticut, MSN in Nursing Education from the University of Hartford, and her DNP in Nursing Leadership from Sacred Heart University. Mary Kate started her career at Hartford Hospital and has spent the majority of her career dedicated to oncology nursing and specifically patient, family and staff education as a nurse educator. She has served as the co-chair of the Hartford Hospital Clinical Nursing Practice Council and presently serves on the Hartford Healthcare Nursing Practice Council. She is an ELNEC (End of Life Nursing Education Consortium) trainer and an adjunct professor at Sacred Heart University. She also serves on the Connecticut Nursing Association (CNA) Government Relations Committee as well as representing CNA on the Department of Public Health Connecticut Public Advisory Council on Palliative Care. Mary Kate is also a director at large for the Central Connecticut Oncology Nursing Society.
Maryann Steed, RN, MSN, CHPN is a member of the palliative care team at Hartford Healthcare. Maryann has consulted with numerous patients and families to provide a holistic approach to care, offering education and guidance to support care that emphasizes patient values and preferences. Currently, Ms. Steed’s interest in education has shifted her focus to developing palliative care skills for clinicians throughout the system, providing ELNEC (End of Life Nursing Education Consortium) training and supporting a variety of educational programs. She also devotes her time to quality improvement initiatives, helping to grow the Palliative Care program based on national quality metrics.
Maryann earned her nursing degree from Saint Joseph University in West Hartford, CT. She obtained her Master’s in Nursing, with a concentration in education, in 2011 from the University of Hartford. She has earned and maintained certification in Hospice and Palliative Care Nursing (CHPN) since 2006.
Elizabeth MB Visone, DNP, ANP-BC, FNP-BC, APRN, FAANP is certified in both Adult and Family Primary Care. She has been providing primary care for over 20 years to adults. She is currently providing Palliative Care full time to patients at home. Dr. Visone specializes in Internal Medicine and Geriatrics. She is also the Assistant Medical Director at a rural Skilled Nursing Facility providing primary care and palliative care to her 125 residents. Dr. Visone also sat on a Connecticut Department of Public Health Task force creating the MOLST (Medical Orders for Life Sustaining Treatment) program and the task force that implemented its roll out.
Cheryl Green, PhD, DNP, RN, LCSW, CNL, CNE, ACUE, MAC, FAPA is an Associate Professor at Southern Connecticut State University within the Department of Nursing and an Off-Shift Nurse Leader at Yale-New Haven Hospital in New Haven, Connecticut. Dr. Green has been a registered nurse for over 30 years and a licensed clinical social worker for over 26 years. Areas of research include: Incivility, mental illness, medication error prevention, incivility and discrimination, prayer and spirituality, self-care, distraction, stress and anxiety, health disparities, nursing education, addictions, medical and surgical health issues, simulation, and mindfulness.
Katie earned her undergraduate degree in psychology from Colby College in 2004 and her Master’s Degree in Social Work from Boston College in 2006. She completed a post graduate fellowship program at Boston Children’s Hospital, in collaboration with Harvard Medical School and Dana Farber Cancer Institute, in 2007. Ms. Lepak completed specialty certification in Palliative Care, as one of the first cohorts in the field, in 2019.