MEETING MINUTES. VA Nebraska-Western Iowa Health Care System

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1 MEETING MINUTES VA Nebraska-Western Iowa Health Care System COMMITTEE: Nebraska Hospice-Veteran Partnership Steering Committee DATE: April 5, 2011 TIME: 10:00-11:30 LOCATION: O-Site 1; LN-Site CCTV; GI-Site 3, Norfolk CBOC Dial In: Agenda Item MINUTES 1. Welcome, Previous Minutes Discussion, and Roll Call OLD 1. Increasing Committee Participation NEW 1. Educational Presentation: Grief and Grieving Situation/ The NVP currently has three standing committees that are experiencing poor participation. The NVP endeavors to schedule a 45 minute educational presentation on topics pertaining to end of life care for veterans. Discussion/Alternatives (Summary) Rick Missell began the meeting by welcoming all in attendance to the meeting. Previous minutes were approved and roll call was completed. After much discussion on the topic, Rick suggested disbanding the current committees for a six month trial. This action would necessitate the need to create a work group to plan the October 2011 annual meeting. Rick Missell introduced Tom Smith, Aseracare Hospice-Omaha Bereavement Counselor. Tom stated that he has been in hospice bereavement counseling for one year and has over 10 years experience in counseling with mental health patients. Tom presented information on the bereavement process, including phases of grief, common grief responses, four tasks of grieving, anticipatory grief, complicated grief, and bereavement interventions. Tom informed the group of many key points on bereavement including: 1. Grief is a normal and natural process 2. The more the significant the loss, the more None-Informational The group agreed to disband all three current subcommittees. The topic will be discussed in six months, during the June 2011 meeting. A work group to plan the annual conference must be created during our February 2011 meeting. None-Informational HVPhandoutFeb2011.pdf Jennifer Eurek and Rick Missell Review the workgroup process 1

2 Agenda Item Situation/ 2. Location Reports During each meeting, time is allocated for members to give updates and information on activities in their organization. Discussion/Alternatives (Summary) intense the grief 3. Over time, grief should decrease in intensity 4. Bereavement counseling helps when dealing with emotional distress and should include some suggestions on types of coping mechanisms 5. Every grieving individual must complete the four tasks of grieving, if not, complicated grief may result 6. Grief is very similar to clinical depression; differences include duration and intensity 7. Counselors should remember that grief is normal in bereavement but that it is not normal to the person who is experiencing that grief 8. Recommendations when providing bereavement include suggesting the bereaved tell stories of the deceased, informing them that the grief process takes time, and reminding them to take care of themselves. Tom suggested utilizing the services of Teddy Bear Hollow when helping children work through the grief process 9. The one year anniversary of the death, birthdays, and other holidays can be very difficult for those who are grieving 10. Finally, the caregivers and other hospital staff may need grief support as well Tom thanked everyone for the opportunity to speak to the group. Rick thanked Tom for his time and excellent presentation. Rick Missell asked members if they would like to update the group on activities and important issues for their organization. Responses included: 1. In Omaha, Andrea Erickson-Berger stated that the team is focusing on educating hospital staff on HPC services and that she and Shane Van Dorin will None-informational 2

3 Agenda Item 3. Work Group Discussion Situation/ HVP has replaced the work formerly completed by subcommittees with work groups. 4. Future Meetings NVP meetings occur every other month on the second Tuesday of Discussion/Alternatives (Summary) attend a VISN HPC conference. Also, Omaha will host a leadership conference on HPC 2. Pathways to Compassion Hospice has a program entitled Cardiac Connections that is aggressing treating cardiac patients in their home 3. Aseracare Hospice in Omaha has two very active grief groups, one in Montclair and one in Plattsmouth; Also, education of hospice services has been a focus 4. Methodist Hospice now has a new supervisor Nancy Speaks 5. St Francis in Grand Island has been very busy with numerous End-of-Life coalition subcommittees. Working on issues such as reaching out to youth, respect my wishes, Latino outreach, and Operation Reintegration. 6. Dee in Westpoint reported that she is providing education utilizing the Wounded Warrior Rick thanked everyone for the wonderful services that they provide to our veterans. Rick reminded everyone that at our previous meeting it was agreed upon to abolish the subcommittees and use work groups instead to complete necessary NVP tasks. He asked for volunteers to work on upcoming events. Andrea Erickson-Berger and Amy Rosauer both volunteered to work on the annual meeting held in the fall. Rick asked for more volunteers. He did not receive any more at that time. He asked everyone to think about what they could commit to can contact Jennifer Eurek or himself to volunteer. The meetings for 2011 are scheduled for the following dates: 1. June 7, 2011 Please inform Rick Missell or Jennifer Eurek if you wish to volunteer for work groups. Begin to plan the annual meeting in the fall. None-Informational All attendees Andrea Erickson- Berger and Amy Rosauer Not assigned Not assigned WIP WIP 3

4 Agenda Item Next Meeting Situation/ Discussion/Alternatives (Summary) the month at 10am. 2. August 2, October TBA- Annual Meeting 4. December 6, 2011 Next meeting is June 6, Signed: Rick Missell, Director of Community Programs Date: April 12, 2011 Taken by: Cindy Rosa, Program Support Assistant Forwarded to: 4

5 Nebraska Hospice-Veterans Partnership Steering Committee Attendance for 2011 Name Credentials Location Title Brown, Bonnie RN Omaha Hospice of SW Iowa, Alegent Hospice A Bruggeman, Sid Grand Island Grand Island Chaplain P Cooney, Steve M. Div Lincoln Madonna Rehab P Carlson, Marty Public Relation Grand Island AseraCare Hospice-Grand Island P Eberle, Catherine MD Omaha Omaha VA Medical Director for Palliative Care A Donovan, Colleen RN Grand Island Health Systems Specialist A Arehart, Stephanie Phone Provider Relations AseraCare Hospice of O Neill P Erickson-Berger, Andrea LISW Omaha Omaha VA Coordinator and Social Worker for Palliative Care P Eurek, Jennifer BSW Lincoln Education and Outreach Coordinator for NHPCA Association A Freese, Bridget Omaha Clinical Supervisor for Methodist Hospice A Gast, Kathy RN Omaha Methodist Hospice P Geisert, Jennifer Lincoln CIMRO of Nebraska A Gengenbach, Gayle Lincoln Hospice of Tabitha A Gierhan, Jim Omaha AseraCare Hospice-Council Bluffs P Hansen, Cindy RN Grand Island Grand Island VA Community Health Nurse A Handline, Katherine Phone Pathways for Compassion Hospice, Omaha A Hastings, Kelly NP Omaha Omaha VA Nurse Practitioner for Palliative Care P Henry, Diane Omaha AseraCare Hospice-Omaha P Howard, Sandy Omaha Professional Community Liaison for Compassionate Care A Heatherly, Joe LCSW Lincoln Social Worker for Lincoln Palliative Care A Johnson, Lavonne APRN Grand Island Nurse Practitioner for Grand Island Community Living Center A Logan, Lonnie M. Div Grand Island Chaplain for Grand Island Palliative Care A Longstreet, Cynthia RN Omaha Omaha VA Community Health Nurse P Madlock, Sarah Omaha Business Developer for Mediguard USA P Madsen, Carol RN Omaha Omaha- Select Hospice A Miles, Bill Executive Director Grand Island AseraCare Hospice-Kearney P Miller, Christine Grand Island Tabitha Hospice-Grand Island P RN, MS, NE-BC, Omaha Omaha VA Director of Community Programs Missell, Rick FACHE, P Nielsen, Colleen RN Lincoln Lincoln Community Health A Neilson, Deanna Phone St Francis-West Point P 5

6 Okewkpa, Esther Omaha AseraCare Hospice-Omaha P O Neill, Timothy Norfolk Aseracare Hospice P Phaiah, Bob SW Omaha NWI Social Work Coordinator A Pickerel, Renee RN Lincoln AseraCare Hospice P Ramirez, Jorge MD Phone VISN 23 Hospice and Palliative Care Medical Director A Rathe, Tracy Lincoln NHPCA Association A Rosa, Cindy Omaha PSA for Omaha Palliative Care P Rosauer, Amy LCSW Omaha Medical Foster Home Coordinator P Schauer, Caroline RN, BSN, CHPN Phone VISN 23 Hospice and Palliative Care Coordinator A Slater, Callie SW Lincoln Tabitha Hospice-Lincoln P Schmid, Aloha RN, CHPN Lincoln Tabitha Health Services A Schneider, Kelly RN Grand Island VISN 23 Administrative Officer for Extended Care and Rehab Smith, Tom Counselor Omaha AseraCare Hospice P Soucy, Polly RN Omaha Omaha HBPC Nurse Case Manger A Sundt, Alisha Omaha Pathways to Compassion Hospice P Thompson, Amy Pharm D. Grand Island Grand Island CLC Pharmacist Resident A Turner, Valerie Grand Island Hospice of Tabitha-Grand Island P Vallier, Joni SW Omaha Methodist Hospice A Van Dorin, Shane M. Div Omaha Chaplain for Omaha Palliative Care P VanEgen, Ladonna CHPN, RN Lincoln St. Elizabeth Hospice-Lincoln P Wing, Diana APRN Grand Island Nurse Coordinator for Saint Francis Medical Center P Wood, Teresa RN Grand Island Saint Francis Medical Center A Yanda, Vicki RN Grand Island Spiritual Care Coordinator-AseraCare Hospice-Grand Island P Guests: A 6