Palliative Care Interdisciplinary Certificate Course Many patients, families, and even professionals do not understand palliative care services. Although hospice and palliative medicine is a recognized formal medical subspecialty, most healthcare professionals have had little or no formal training in the palliative approach. The principles and techniques of palliative care are essential in providing quality end-of-life care, but they can also be integrated into primary care, chronic illness management, and long-term care, well before patients reach the end stage of illness. This interdisciplinary certificate course explores the fundamental components of palliative care through evidenced-based theoretical content, multi-mediamedia materials, and skills-based interactive group work. The content is designed to provide an organized approach to prepare practitioners in medicine, nursing, social work, chaplaincy, physical-occupational-speechspeech therapies, pharmacy, and related disciplines to incorporate and improve practice in any setting. Participants will earn 20 continuing education contact hours (or 2 hours per individual session) in nursing or in social work*; improve patient care and patient-providerprovider communication in their practice; and enhance their professional portfolios. In addition the LQI Palliative Care Certificate Program program will assist in preparing for discipline-specific certifications exams, contribute to board certification in chaplaincy, and to palliative care certification in social work. *This activity has been submitted to California Board of Registered Nursing for approval to award contact hours. This program is approved by the National Association of Social Workers, Colorado Chapter for twenty (20) continuing education contact hours,, or 2 contact hours per individual session. MEET YOUR INSTRUCTORS: Rev. Scott Awbrey Jennifer Ballentine, MA Jeanne Burnkrant, MS, RN Daniel C. Johnson, MD, FAAHPM Jeffrey D. Manuel, MD David Nowels, MD, MPH Biographies are available on our website: www.lifequalityinstitute.org 2012 Life Quality Institute Page 1
SESSION TITLES: Note: each class is 2 hours in length. Dates and times found on the Program Schedule. Week 1: Palliative Care: A Philosophy of Compassionate Care Week 2: Discerning Goals and Uncovering Values: Communication in Palliative Care Week 3: Cultural Competence and Cultural Humility in Palliative Care Week 4: Healthcare Decision-Making and Healthcare Ethics Week 5: Advance Care Planning and MOST (Medical Orders for Scope of Treatment) Week 6: The Family Challenges of Illness Week 7: Suicide Prevention in Palliative Care: Training with QPR Week 8: Assessing and Responding to Spiritual Needs of the Patient and Provider Week 9: Total Pain and Symptom Management Week 10: Grief, Bereavement and Unique Considerations YOU WILL LEARN HOW TO: 1. Identify and describe the core principles and domains of palliative care. 2. Communicate more effectively with patients, providers, and family members. 3. Assess and respond to pain and suffering physical, emotional, and spiritual in accordance with your scope of practice and professional role. 4. Collaborate and support other members of the care team through better understanding of their roles and tasks. 5. Explore palliative and hospice resources available to you and learn how to apply them in your practice. 6. Prepare for discipline-specific professional certifications. Interested participants may attend any of the sessions and receive a proof of attendance and contact hours by completing a program evaluation. TO EARN THE PALLIATIVE CARE INTERDISCIPLINARY CERTIFICATE, YOU MUST: Attend at least 8 of the 10 sessions in person, and make up contents of any missed sessions Complete a 10-item quiz at the end of each session covering the content for that day. A passing grade of 80% is required. Quizzes may be retaken if necessary. Agree to complete a 3-month followup questionnaire about how the course has changed your practice or approaches. Submit a reflection paper, not to exceed two single-spaced pages, one week prior to the close of the program (for those taking the entire curriculum ONLY) with the following focus: How has the LQI Palliative Care Interdisciplinary Certificate Program prepared you to enhance your role both personally and professionally? 2012 Life Quality Institute Page 2
RECOMMENDED COURSE MATERIALS: Note: There are no required texts for this course, however, the text listed below is highly recommended for those taking the entire series. Session materials will be provided to students by their instructors. Conner, S. R. (2009). Hospice and palliative care: The essential guide (2 nd ed.). New York: Routledge. RECOMMENDED RESOURCES: General: Life Quality Institute at http://www.lifequalityinstitute.org Center to Advance Palliative Care at http://www.capc.org/ Get Palliative Care at http://www.getpalliativecare.org/resources National Hospice and Palliative Care Organization at http://www.nhpco.org/templates/1/homepage.cfm National Palliative Care Research Center at http://www.npcrc.org/ Growth House at http://www.growthhouse.org/ Caring Connections at http://www.caringinfo.org/ Meier, D. E., Isaacs, S. L., Hughes, R. G. (2010). Palliative care: Transforming the care of serious illness. San Francisco: Jossey-Bass. Chaplaincy and Spiritual Care: HealthCare Chaplaincy provides resources for basic and advanced education, including a formal palliative care department. Direct link: http://www.healthcarechaplaincy.org/palliative-care-key-facts.html for more information. Center to Advance Palliative Care sponsored this audio conference: The Role of the Chaplain on a Palliative Care Team. 60 minutes. Available for purchase at https://shop.capc.org/?product=0034 The Association for Clinical Pastoral Education at http://www.acpe.edu/ Puchalski, C. (2006). Spiritual assessment in clinical practice. Psychology Annals, 36(3), 150. Borneman, T., Ferrell, B., & Puchalski, C. M. (2010). Evaluation of the FICA tool for spiritual assessment. Journal of Pain and Symptom Management, 40(2), 163-173. Puchalski, C., & Ferrell, B. (2010). Making health care whole: Integrating spirituality into patient care. West Conshohocken, PA: Templeton Press. Duke Divinity School. Institute on Care at the End of Life. http://divinity.duke.edu/initiatives-centers/iceol 2012 Life Quality Institute Page 3
Nursing: Ferrell, B. R. & Coyle, N. (2010). Oxford textbook of palliative nursing (3 rd ed.). New York: Oxford University Press. Hospice and Palliative Nurses Association at http://www.hpna.org/ National Board for Certification of Hospice and Palliative Nurses (NBCHPN). The NBCHPN offers board certification for hospice and palliative care nursing team and administrators. Information available at http://www.nbchpn.org/default.aspx National Consensus Project for Quality Palliative Care. (2004). American Academy of Hospice and Palliative Medicine & Hospice and Palliative Nursing Association Task Force. Clinical Practice Guideline for Quality palliative Care can be found at http://www.nationalconsensusproject.org/ National Institute of Nursing Research at http://www.ninr.nih.gov/newsandinformation/ninrpublications/palliative+care+bro chure Physical Therapy and Rehab: American Physical Therapy Association. The Role of Physical Therapy in Hospice and Palliative Care available at http://www.apta.org/uploadedfiles/aptaorg/about_us/policies/hod/health/roleof PTinHospiceandPalliativeCare_HOD_P06-11-14-11.pdf#search=%22palliative care%22 Pharmacy: American Society of Health System Pharmacists (ASHP). ASHP Statement on the Pharmacist s Role in Hospice and Palliative Care. Available at http://www.ashp.org/doclibrary/bestpractices/specificsthospice.aspx Dalal, S., Del Fabbro, E., & Bruera, E. (2006). Symptom control in palliative care Part I: Oncology as a paradigmatic example. Journal of Palliative Medicine, 9(2): 391-408. Del Fabbro, E., Dalal, S., & Bruera, E. (2006). Symptom control in palliative care Part II: Cachexia/anorexia and fatigue. Journal of Palliative Medicine, 9(2): 409-421. Del Fabbro, E., Dalal, S., & Bruera, E. (2006). Symptom control in palliative care Part III: Dyspnea and delirium. Journal of Palliative Medicine, 9(2): 422-436. Indelicato, R. A. & Portenoy, R. K. (2003). Opioid rotation in the management of refractory cancer pain. Journal of Clinical Oncology 21(9): 87-91. DOI: 10.1200/JCO.2003.01.183. Walker, K. A., Scarpaci, L., McPherson, M. L. (2010). Fifty reasons to love your palliative care pharmacist. American Journal of Hospice and Palliative Medicine 27(8), 511-513. DOI: 10.1177/1049909110371096. Retrieved from http://ajh.sagepub.com/content/27/8/511.full.pdf+html 2012 Life Quality Institute Page 4
Social Work: National Association of Social Workers (NASW). The NASW offers board certification for the hospice and palliative care social worker (CHP-SW). Available at http://www.socialworkers.org/credentials/credentials/chpsw.asp Altilio, T. & Otis-Green, S. (2011). Oxford textbook of palliative social work. New York: Oxford University Press. Hooyman, N. R. & Kramer, B. J. (2006). Living through loss: Interventions across the lifespan (Foundations of Social Work Knowledge). New York: Columbia University Press. Social Work Hospice and Palliative Care Network at http://www.swhpn.org/resourcelibrary/ Healthcare Managers Primary Care, Long-term Care & Assisted Living: Best Practice for Palliative Care in the Long-Term Care Setting. Available for download from the Center to Improve Value in Health Care www.civhc.org/pcbp or from www.lifequalityinstitute.org/pcbp, or in hardcopy upon request from the Center for Improving Value in Health Care, www.civhc.org Primary Palliative Care Guideline. Available at HealthTeamWorks, www.healthteamworks.org. Primary Palliative Care Guideline online module. Available at Life Quality Institute at http://www.lifequalityinstitute.org Center to Advance Palliative Care at http://www.capc.org/ The Joint Commission: Advanced Certification for Palliative Care Programs. This site offers information on the development of inpatient hospital palliative care programs at http://www.jointcommission.org/certification/palliative_care.aspx National Board for Certification of Hospice and Palliative Nurses (NBCHPN). The NBCHPN offers board certification for hospice and palliative care nursing team and administrators. Information at http://www.nbchpn.org/default.aspx National Quality Forum (2006). A National Framework and Preferred Practices for Palliative and Hospice Care Quality available at http://www.qualityforum.org/publications/2006/12/a_national_framework_and_pref erred_practices_for_palliative_and_hospice_care_quality.aspx 2012 Life Quality Institute Page 5