Nancy Joyner – Nearing the End of Life: Dare to Care
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- Faculty:
- Nancy Joyner
- Duration:
- 6 Hours 25 Minutes
- Format:
- Audio and Video
- Copyright:
- Mar 09, 2018
Description
Outline
- An Inexact Art & Science
- Illness and dying trajectories
- Frailty
- Dementia
- Prognostication and prognostic scales
- When to refer to palliative care or hospice (disease specific)
- Essentials of Care: Comfort, Communication, Choices, Control
- 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
- Medical marijuana
- Complementary and alternative therapies
- Emotional distress interventions
- The role of spirituality
- Palliative sedation
- 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 does not mean do not treat
- Addressing concerns and needs of the family
- Thanatophobia: Is it fear of dying or fear of death?
- Premortem surge
- Near death awareness
- The dying process
- 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?
- 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
- Cultivating Moral Resiliency
- Moral resilience–preserving/restoring integrity
- Personal vs. professional grieving
- Enabling character and honorable action
- Ethical Competency
- Comfort Always
Faculty
Nancy Joyner, RN, MS, APRN-CNS, ACHPN Related seminars and products: 4
Nancy Joyner is currently a Palliative Care Clinical Nurse Specialist for Altru Health System in Grand Forks, North Dakota. Nancy has extensive experience caring for patients with end stage disease, and working with hospice patients and their families at home and in the acute care setting. Her care for this specialized patient population includes intensive care, surgical critical care, oncology and renal patients. Nancy has had training through the Center to Advance Palliative Care, Palliative Care Leadership Center at Fairview Health Services in Minneapolis. She holds a certification as an Advanced Practice Hospice and Palliative Care Nurse and has prescriptive authority within her palliative scope of practice.
Nancy is an End-of-Life Nursing Education Consortium trained presenter, having presented and published at local, state and national levels. She has researched and published continuing education articles on pain, hydration and nutrition in terminal care, as well as Alzheimer’s Disease. She serves as an active work group member for the Institute for Clinical Systems Improvement (ICSI) Palliative Care Guideline development. She recognizes that caring for patients with end stage disease, and their families, requires extreme sensitivity, deep compassion and extraordinary knowledge.
Speaker Disclosures:
Financial: Nancy E. Joyner is CEO and President of Nancy Joyner Consulting, P.C. She receives a speaking honorarium from PESI, Inc.
Non-financial: Nancy E. Joyner has no relevant non-financial relationships to disclose.
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