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1 Provincial Palliative and End Provincial Palliative and End Provincial Palliative and End-of of of-Life Care Life Care Life Care Innovations Steering Committee Innovations Steering Committee Innovations Steering Committee Provincial Palliative and End of Life Care April 2017 It’s April and spring has arrived! As you are thinking of planting your garden, preparing for the big spring clean or planning your next vacation, the Provincial Palliative and End-of-Life Care Innovations Steering Committee (PPAL / EOL ISC) will also be hard at work thinking, preparing and planning for the new fiscal year. In 2016/2017 we focused on the following initiatives and activities that were prioritized by the PPAL / EOL ISC: Chartered Initiatives: Bereavement Care Improvements in Alberta (page #5) Community Resource Guide (page #5) EMS PEOLC Assess, Treat and Refer (page #2) Provincial PEOLC Website (page #3) Additional Activities: Accreditation 2017 (page #7) Advance Care Planning and Goals of Care Designation (page #3) Capacity Planning (page #6) Clinical Knowledge Topics (page #7) Guideline for Home Care Patient Death (page #5) Health Technology Assessment (page #8) Provincial PEOLC Dashboard (page #6) Over the next few months the PPAL / EOL ISC will be prioritizing palliative and end-of-life care (PEOLC) initiatives for the 2017/2018 fiscal year. They will help inform which of the above 2016/2017 initiatives will be closing, which of them will continue, and based on capacity and resources, what new framework initiatives will be added. With the close of the 2016/2017 fiscal year, the provincial PEOLC team would like to express our thanks for the many hours of time, effort and commitment to those individuals who have participated on the PPAL / EOL ISC. It has been an incredible year! Also a huge thank you goes out to the members of the provincial working groups. Without your participation, support and insight we would not have been able to achieve all the goals and deliverables that have been set out.

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Page 1: Provincial Palliative and End of Life Care · respectful and provide a calm and quiet environment. The poster comes with instructions for use. There are also sympathy cards The poster

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Provincial Palliative and EndProvincial Palliative and EndProvincial Palliative and End---ofofof---Life Care Life Care Life Care Innovations Steering CommitteeInnovations Steering CommitteeInnovations Steering Committee

Provincial Palliative

and End of Life Care April 2017

It’s April and spring has arrived! As you are thinking of planting your garden, preparing for the big spring clean or planning your next vacation, the Provincial Palliative and End-of-Life Care Innovations Steering Committee (PPAL / EOL ISC) will also be hard at work thinking, preparing and planning for the new fiscal year.

In 2016/2017 we focused on the following initiatives and activities that were prioritized by the PPAL / EOL ISC:

Chartered Initiatives:

Bereavement Care Improvements in Alberta (page #5)

Community Resource Guide (page #5)

EMS PEOLC Assess, Treat and Refer (page #2)

Provincial PEOLC Website (page #3)

Additional Activities:

Accreditation 2017 (page #7)

Advance Care Planning and Goals of Care Designation (page #3)

Capacity Planning (page #6)

Clinical Knowledge Topics (page #7)

Guideline for Home Care Patient Death (page #5)

Health Technology Assessment (page #8)

Provincial PEOLC Dashboard (page #6)

Over the next few months the PPAL / EOL ISC will be prioritizing palliative and end-of-life care (PEOLC) initiatives for the 2017/2018 fiscal year. They will help inform which of the above 2016/2017 initiatives will be closing, which of them will continue, and based on capacity and resources, what new framework initiatives will be added.

With the close of the 2016/2017 fiscal year, the provincial PEOLC team would like to express our thanks for the many hours of time, effort and commitment to those individuals who have participated on the PPAL / EOL ISC. It has been an incredible year! Also a huge thank you goes out to the members of the provincial working groups. Without your participation, support and insight we would not have been able to achieve all the goals and deliverables that have been set out.

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EMS PEOLC Assess, Treat, and ReferEMS PEOLC Assess, Treat, and Refer

Within the Palliative and End of Life Care Alberta Provincial Framework 2014, standardizing and spreading palliative emergency symptom management support provided by clinicians and EMS within every zone was identified as a top priority. During the 2014/15 fiscal year, all the zones worked collaboratively to develop a provincial Emergency Medical Services Palliative and End of Life Care Assess, Treat and Refer (EMS PEOLC ATR) Program to support patients experiencing palliative emergencies within the community setting. Over the last two fiscal years, the program has been rolled out across the province and broadened to allow greater access to patients and families. Priorities for this fiscal year include providing additional palliative care education for paramedics and enhancing the evaluation to include a return on investment analysis.

What’s Up in Phase IIWhat’s Up in Phase IIWhat’s Up in Phase II

Activations continue to occur in every zone, with activations in rural areas increasing!

Since Phase II launched in October, half the activations have been initiated by a clinician (in the home or remotely),

the other half initiated by EMS identifying patients appropriate for treatment in place.

The project team is working on the evaluation of Phase II and a return on investment analysis.

Staff, patient and family satisfaction with the program continues to be high.

Work is about to begin on Phase III.

Got a Question?

Contact us at:

[email protected]

Zone Zone Zone ATR ATR ATR RepsRepsReps

North: [email protected] Edmonton: [email protected]

Central: [email protected] South: [email protected]

Calgary: [email protected]

Inquiries from EMS related to the Assess, Treat and Refer program may be directed to: [email protected]

This blended online and face to face course provides an introduction to the essential knowledge, attitudes and skills to provide a palliative care approach.

Targeted to Paramedics and EMS professionals but all healthcare providers are welcome!

Learn about how to manage the most common symptoms in palliative care (pain, dyspnea, nausea/vomiting, etc.)

Gain strategies for participating in difficult conversations, managing psychosocial distress and making collaborative care decisions in palliative care

Identify and care for patients presenting with palliative emergencies

Course dates are now available across the province!

Find a course near you!

For more information, or to register, visit www.pallium.ca.

www.myhealth.alberta.ca/palliative-care/health-care-professionals/ems-resources

The Canadian Hospice Palliative Care Association is pleased to present the 2017 Canadian Hospice Palliative Care Conference, being held in Ottawa from September 20

th to 23

rd. This conference provides doctors, nurses, pharmacists, hospice palliative care

and other allied healthcare professionals; and caregivers, volunteers, spiritual advisers, and social workers with the opportunity to share their experience and expertise on a national platform. This event expects to attract 500-800 hospice palliative care professionals. Get more info at our website http://www.chpca.net/

2017 Canadian Hospice Palliative Care Conference

Expanding Our Horizons: A Palliative Approach to Care September 20 to September 23, 2017 - Ottawa Conference and Event Centre

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Palliative and End of Life Care WebsitePalliative and End of Life Care Website

https://myhealth.alberta.ca/palliative-care

Advance Care Planning

Goals of Care Designation

www.conversationsmatter.ca

The migration of Health Care Provider and Programs and Services content to external AHS websites is now complete. It is important to remember we did not remove content, we simply relocated and re-formatted it to AHS web standards. The MyHealth Alberta site https://myhealth.alberta.ca/palliative-care continues to be our Home page, helping both public and health care providers connect with Alberta based palliative and end-of-life information. Thanks to AHS Webcommunications, MyHealth Alberta, AHS Communications, Inform Alberta and our Content Review Committee for helping us reach this milestone!

Content will progressively be updated; please check the website regularly for new information.

The AHS e-Learning team is working with us on creating a storyboard for the dyspnea e-module.

We have achieved our 2016/2017 deliverables including:

The overall PEOLC program Communications plan (including the website) has been updated.

A website evaluation plan has been completed, and includes web analytics data and online feedback surveys.

The Provincial Advance Care Planning / Goals of Care Designation (ACP/GCD) Implementation Steering Committee has been revamped into a Provincial ACP GCD Community of Practice. The inaugural meeting of the Community of Practice was held in February. The group is co-chaired by Sharon Iversen and Tracy Lynn Wityk Martin and reports to the Provincial Palliative and End-of-Life Care Innovations Steering Committee (PPAL / EOL ISC).

The Provincial ACP GCD Community of Practice is a group of ACP/GCD local stakeholders and champions committed to improving the integration of the Level 1 ACP/GCD policy acknowledging the contextual uniqueness of how and where care is delivered.

The goal of this group is to engage in regular discussions for the purpose of helping each other further embed ACP/GCD into clinical practice via communication, education and evaluation. Activities include:

Discuss provincial and zone based strategies/resources promoting ACP Day on April 16

th

Connect Evaluation Services to appropriate care settings and point persons as they conduct chart audits or other data collection methods as required

Receive updates on provincial ACP/GCD communications

Share successful learnings (resources, tools) to improve integration of the policy

Communities of practice are groups of people who share a concern or a passion for something they do and learn how to

do it better as they interact regularly. ~ Etienne Wenger

Our team is working with AHS Communications and our Community of Practice to prepare for National Advance

Care Planning Day on April 16th

, 2017.

We will be participating in a day at the Alberta Legislature on April 18

th with a formal introduction in the

House and an ACP/GCD exhibit booth.

As National ACP Day is on Easter Sunday, we encourage people to have ACP conversations while they may already be gathered with their families.

This year’s theme is “My Community”. You can access campaign kit tools at http://www.advancecareplanning. ca/resource/acp-day-campaign-kit-2017/, which will remind individuals to think about the people in their community and suggest ways to have conversations and decide on a Substitute Decision Maker.

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Fast Facts from ACP CRIO – Alberta’s Research Program on Advance Care Planning (ACP) and Goals of Care

Designations (GCD) Here is a sample of “fast facts” contributing to our understanding of how ACP is occurring in Alberta, along with potential implications for your palliative care practice:

95% of clinicians surveyed believe ACP benefits patients, but 58% are unclear as to who is responsible for different aspects of ACP and GCD.

Implications: Talk with the clinicians of the patients you serve to address any role confusion.

Between 2009-2014 in Calgary Zone, 96% of GCDs in acute care were ordered within the first 24 hours of admission. 90% of non-R1 GCDs were determined in Medicine and Emergency units and only 7% of orders changed during the admission.

Implications: Critical GCD decisions are made early in admission, when conversations may be most limited. Routinely reviewing GCDs, particularly with those who are or have been medical in-patients, may be an important quality and safety enhancer.

75% of lawyers surveyed assist patients in making personal directives with wishes regarding future healthcare treatments but 49% of lawyers don’t know or are unsure what a GCD is. 84% of Albertans have not heard of GCD.

Implications: You can enhance health literacy by describing the term “Goals of Care Designation” in your conversations with patients.

Visit www.acpcrio.org/publications for more information. Check out our 6 infographics – we’d love to hear if you find them helpful! Send comments to [email protected].

Advance Care Planning Day 2017 kit is now available:

CLICK HERE to view and download resources.

Help us spread the word about National Advance Care Planning Day in Canada by pledging a post to our Thunderclap campaign. On April 16, a unified message from all of our supporters will broadcast simultaneously on social media and make a big impact. It helps us get heard across the

country by saying something together.

It’s quick, easy, and free. Follow the link, choose your method(s) of support (Facebook, Twitter, or Tumblr) and encourage your friends and

followers to speak up and start the conversation today!

Conversations Matter

The Covenant Palliative Institute invites you to the 6

th International Conference on Advance

Care Planning and End of Life Care (ACPEL) bringing together leading scientists and

practitioners from around the world to share the latest research and education.

Productive conversations between patients and their families, their caregivers and their health professionals are the foundation of effective advance care planning and high

quality end of life care. The 6th International Society of Advance Care Planning and End of

Life Care Conference (ACPEL 2017)

will focus on identifying barriers and facilitators to effective, ongoing conversations;

evaluating the quality of programs and their constituent elements; and examining the

ethical, economic and social implications of advance care planning legislation, policies

and procedures.

Join participants from around the world in the pristine setting of Banff, Canada to delve into

current research and topics.

We look forward to seeing you

September 6-9, 2107!

Reduced registration rates until June 5.

For more information visit our webpage at www.acpel2017.org.

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PEOLC Bereavement InitiativePEOLC Bereavement Initiative

We have successfully hosted three online Bereavement Provincial education sessions from January through March surpassing 250 attendees from across the province.

Provincial Bereavement Packages are now ready to order from DATA Group to provide to families after the death of a loved one. The package has both AHS and Covenant Health logos and includes inserts on Layers of Grief and What To Do Now.

A reminder that White Rose Program materials are available to order through DATA Group. These materials include a poster to post when death is imminent/ has occurred to remind staff to be respectful and provide a calm and quiet environment. The poster comes with instructions for use. There are also sympathy cards with the White Rose image that can be sent to family members after a loved one’s death. Note these materials are print-to-order and may take 7-10 business days for printing.

Packages available free of charge—while prepaid supplies last!

Community Support Plan UpdateCommunity Support Plan UpdateCommunity Support Plan Update

A Resource Guide for Community Development of Palliative and End-of-Life Care within Alberta

A Resource Guide for Community Development of Palliative and End-of-Life Care within Alberta is available online at http://www.albertahealthservices.ca/assets/info/hp/peolc/if-hp-peolc-resource-guide-community-development.pdf. The Resource Guide will assist communities in the creation of their own local palliative and end-of-life community services and supports, and was developed in response to numerous requests AHS received from communities across Alberta for palliative and end-of-life care information.

All links listed in the Resource Guide are current as of January 15, 2017 and will be updated on a quarterly basis starting in April 2017. If you come across any broken or missing links, or have suggestions for additional resources, email [email protected].

Provincial Guideline for Home Care Patient Death

Ethics and legal review of the draft guideline, algorithm and Expected Death in the Home Form is now complete. We have incorporated their feedback and will meet with the Working Group to review the revised documents.

After we reconnect with the Working Group, we will bring the guideline and supporting documents to PPAL / EOL ISC and Integrated Continuing Care Steering Committee (ICCSC) for endorsement. Our target for formal approval is Spring/Summer 2017.

Our Education Sub Working Group has been very productive and drafts of educational materials (including a PowerPoint presentation for frontline Home Care health care providers and Frequently Asked Questions) are well underway.

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PEOLC Capacity Planning

Small discussion groups focused on the following factors:

Utilization – What should the utilization of PEOLC be across the 3 streams, i.e. PEOLC Acute Care, Home Care and Hospice/supported PEOLC community beds? (How big should the PEOLC “pie” be?)

Service mix – What proportion of PEOLC services should be made up of each of the 3 streams, i.e. percentage of PEOLC in acute care, percentage in home care and percentage in hospice/ supported PEOLC community beds? (How should the PEOLC “pie” be divided?)

A draft forecasting model updated with proposals from the above discussion groups was presented to PPAL / EOL ISC on March 30, 2017.

Next steps:

Zone specific capacity planning (determining how to begin implementing the forecasting model)

The PEOLC forecasting and capacity planning work will be updated on an annual basis

PEOLC Capacity Planning & PEOLC Dashboard

Provincial PEOLC Dashboard

Current dashboard includes data from Vital Statistics

Includes three key indicators – number of deaths, location of death, and age of those that died.

Note: this dashboard is currently only available to AHS staff. AHS staff can access the dashboard via Tableau on Insite (which is available through the AHS intranet). Tableau will direct staff to login or sign up for access.

We are drafting a Tableau dashboard using 2015/16 data from provincial ACP/GCD evaluation that is in line with nine key indicators identified by a provincial ACP Collaborative Research & Innovation Opportunities (CRIO) research team.

An example is the percentage of patients with a GCD order anywhere in the health record.

Analytics (DIMR) recently obtained some Vital Statistics data with patient identifiers. We can now link high level data regarding number, cause and location of deaths to health care utilization and PEOLC program data.

We will be working with Vital Statistics and health care utilization data to publish additional prioritized indicators to a Tableau dashboard.

An example is the number of Emergency Department visits made by patients shortly before their death (e.g. within 30 or 90 days).

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Clinical Knowledge and Content Management (CKCM)

Work is currently underway with the Clinical Knowledge Topics prioritized by the PPAL / EOL ISC for the first year of knowledge topic development:

Provincial Palliative Sedation

Advance Care Planning & Goals of Care Designation (ACP/GCD)

End of Life/Imminently Dying Care Guideline and

Dr Mike Slawnych (Palliative Sedation), Dr Eric Wasylenko (ACP/GCD), and Lorelei Sawchuk (End of Life/Imminently Dying Care) are leading the work for the respective Knowledge Topic in their positions as Topic Lead. In addition, Working Group /Adjudication Group formation is complete for all three Knowledge Topics, with at least one physician and/or nurse from all of AHS’s five zones represented for each topic. Development has started, with anticipated completion in Winter 2017.

A huge thank you to all of those who have agreed to participate in knowledge topic development this year!

For more information about Clinical Knowledge and Content Management (CKCM), AHS staff can visit our website on Insite. We encourage you to visit this page to learn more about CKCM’s three streams of work: Clinical Knowledge Topics, Foundational Knowledge and Clinical Documentation.

From the CKCM website, you can also access the Clinical Knowledge Viewer, where the provincially adjudicated clinical content for Alberta’s clinical information system (CIS) will be published. As content for our CIS continues to migrate from local to provincial development in 2017, look for more clinical knowledge topics and other knowledge to be posted on the Viewer as it is created.

Don’t forget to visit our “Get Involved” tab on the website if you are interested in contributing to provincial content development.

Please contact us at [email protected] or via the website to provide CKCM with any feedback or comments, or to express your interest. We value your input and opinion.

Accreditation 2017

The accreditation advisors are working with each site to prepare for the upcoming on-site survey visit between May 1 and 5, 2017. The Accreditation Canada surveyors will be on site to speak with managers, physicians, front-line staff, patients and their families in order to see how we work to provide safe, quality care and how we work with patients and their families to include them in their care.

For AHS PEOLC providers, be sure you are prepared by familiarizing yourself with the Hospice Palliative and End-of-Life Service Standards posted on Insite.

The following schedule for site visits are posted and current as of March 17, 2017:

Monday, May 1

Calgary Foothills Medical Centre

Calgary Sheldon M. Chumir Health Centre

South Medicine Hat Regional Hospital

Tuesday, May 2

Central Red Deer Regional Hospital Centre

Calgary Rotary Flames House (Alberta Children's Hospital)

Wednesday, May 3

Edmonton CapitalCare Norwood

Edmonton St. Marguerite Health Services Centre (Grey Nuns)

Thursday, May 4

Edmonton Westview Health Centre

*These dates are subject to change, check with your accreditation advisor, supervisor, and/or Insite for the most updated date.

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North ZoneNorth ZoneNorth Zone

In the fall of 2016 we started palliative care education sessions across the North Zone by Lync and Telehealth. To date we have had amazing attendance. In the first four sessions, we had 149 home support workers and 164 professional staff attend! We are delighted to see such an interest in the pursuit of excellence in palliative care. The evaluations have been very helpful in adjusting our content and delivery method as we strive to include information that is pertinent and useful for practice settings.

Future Home Support Worker sessions will be available April 19, June 21 and August 16 via Telehealth. Professional Health Staff sessions are booked for April 12, July 19 and October 18 via Lync. Visit MyLearningLink to register.

Planning is also underway for several upcoming LEAP sessions. This will include LEAP Paramedic sessions in Grande Prairie and Peace River. A LEAP mini will be held in Whitecourt in April and LEAP Core sessions are being planned for Slave Lake and Hinton. A LEAP Core session was held in Grande Prairie in January with 26 participants. Thank you to the Grande Prairie Hospice Palliative Care Society for supporting this session.

Keyano College in Fort McMurray requested a palliative care session for their LPN students. We presented to them in a Telehealth session in March. A shortened version of our current course, Palliative 101 for Health Care Professionals, hopefully provided the basics and groundwork required as they get started in their nursing practice.

Nursing Skills Day in Lac La Biche was held in March and we were happy to present on the topic of Delirium in Palliative Care.

The Slave Lake Health Center is pleased to have received funding for renovations to their palliative care room. Thanks to the Slave Lake Hospital Auxiliary for their support!

Health Technologies Assessment (HTA)

The objective of the Health Technologies Assessment is to understand what PEOLC services should be available in all communities in Alberta to provide effective, cost effective, acceptable PEOLC across the province.

The following research question was proposed:

What are the most effective and cost-effective models of PEOLC for adult Albertans age 18 and over in rural settings?

Through the Alberta Health Technologies Decision Process, Alberta Health conducted a systematic review with the support of the University of Calgary, University of Alberta, and the Expert Advisory Group made up of PEOLC experts across Alberta.

The systematic review found that there were diverse and heterogeneous literature on effective components of rural PEOLC. In order to provide a more robust search and allow for a more sophisticated analysis, the Health Technology Assessment will look at expanding their review to include urban data.

Pallium is now offering a *new* online module titled Taking Ownership in Palliative Care that encourages healthcare professionals to make primary-level palliative care a part of

their daily work.

The learning objectives are:

Define “palliative care” and the “palliative care approach”

Identify patients who could benefit from a palliative care approach earlier in the illness

Activate a palliative care approach earlier in the illness trajectory

Expand your role in providing a palliative care approach in your setting(s)

This module is free of charge for an unlimited amount of

time. There is no need for registration.

Here is the link: http://pallium.ca/e-learning-resources/

taking-ownership-online-learning-module/

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Edmonton Zone / Palliative InstituteEdmonton Zone / Palliative InstituteEdmonton Zone / Palliative Institute

We are just beginning to pilot our End of Life Pathway in Continuing Care in the Edmonton Zone. Three organizations have rolled out the education developed by our working group in partnership with the Palliative Institute. Two sites have Facility Living residents only and the third is piloting the pathway with both Facility and Supportive Living residents. Covenant Health sites have been identified by the Palliative Institute and the pilot will start a bit behind our first three.

The physicians at the sites have been provided with the Pathway, educated and are on board. We also recently presented the Pathway at the Long Term Care – Supportive Living Physician Rounds in March.

The sites are using issue logs to track concerns, issues, challenges and ideas for adaptation which will be reviewed monthly. The working group agreed that the length of the pilot will be based on number of deaths rather than a specific timeframe. Each site is gathering information regarding number of deaths that occur at their site, number where the Pathway is used and number where the Pathway is not utilized and why.

The Palliative Institute is working on an evaluation plan for the End of Life Pathway and the working group is considering next steps for adding sites and what that will require.

End of Life Pathway for Continuing Care

ca

ll for a

bstra

cts

We invite clinicians, students, and faculty to submit abstracts for oral presentations/workshops and posters related to

Palliative and End of Life Care.

THE PALLIATIVE CARE JOURNEY: Walking Together.

Click here to submit an abstract.

Deadline is April 15, 2017

Learn about palliative care needs and enhance your knowledge of the practical aspects of care and of end-of-life

issues. Explore current trends, issues and research with our invited guest experts and your colleagues.

We hope you will take the opportunity to get involved

Conference will take place at the West Edmonton Mall Fantasyland Hotel, Edmonton, AB. Registration will open June 2017. Please contact Viki Muller at 780-735-7493 or

[email protected] for more information or with questions.

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A young woman in our community makes jewelry - pendants, rings, bracelets etc. - from antique keys. Her life was touched by palliative care services in the past, and Christmas 2016 she wanted to pay it forward.

She asked the staff on Unit 2 at St. Mary’s Hospital in Camrose if there were any individuals with a palliative status that would appreciate a gift this Christmas. We thought of our only patient, a young man who was dying and leaving a wife and three children. He was very low to non-responsive, but we thought a gift for his wife would be appropriate.

The jewelry maker delivered the gift, but she didn’t want to be the one to give it to the patient’s wife, so she left it with his nurse. The young nurse went into the room and said to the wife,” Your husband ordered this for you a couple of weeks ago. It was just delivered and we know he would want you to have it.”

The wife was overcome with emotion; surrounded by a group of compassionate nurses who all shed tears with her.

Her husband died that morning.

True story - I wonder if the jewelry maker has any idea of the wonderful gift she gave this woman and her children?

We, as caregivers are so lucky to share in experiences like this. ~Pam Cummer RN CHPCN©, Palliative Care Nurse Consultant

Central ZoneCentral ZoneCentral Zone

Calgary ZoneCalgary ZoneCalgary Zone

As contemporary models of bereavement have become more nuanced and empirically informed, so too have the practices available to grief counselors and therapists. This two-day workshop offers in-depth training in several of these techniques, nesting them both within the therapeutic relationship and in the context of current theories and research that provide flexible frameworks for intervention. Making extensive use of actual clinical videos as well as how-to instruction in the use a numerous therapeutic tools, we will discuss and practice several methods for helping clients integrate the reality of the loss into the ongoing story of their lives, while also reconstructing their continuing bond to their loved one.

Presenter, Robert A. Neimeyer, Ph.D., is Professor in the Department of Psychology, University of Memphis, where he also maintains an active clinical practice. Since completing his doctoral training at the University of Nebraska in 1982, he has published 30 books, including Techniques of Grief Therapy: Creative Practices for Counseling the Bereaved and Grief and the Expressive Arts: Practices for Creating Meaning (both with Routledge), and serves as Editor of the journal Death Studies. The author of nearly 500 articles and book chapters, he is currently working to advance a more adequate theory of grieving as a meaning-making process, both in his published work and through his frequent professional workshops for national and international audiences. The recipient of the MISS Foundation’s Phoenix Award: Rising to the Service of Humanity, Neimeyer served as Chair of the International Work Group for Death, Dying, & Bereavement and President of the Association for Death Education and Counseling. In recognition of his scholarly contributions, he has been granted the Eminent Faculty Award by the University of Memphis, made a Fellow of the Clinical Psychology Division of the American Psychological Association, and given Lifetime Achievement Awards by both the Association for Death Education and Counseling and the International Network on Personal Meaning.

There are four easy ways to register — online, mail, phone and fax.

Please visit the program website: http://www.ucalgary.ca/pd

As contemporary models of bereavement have become more nuanced and empirically informed, so too have the practices available to grief counselors and therapists. This two-day workshop offers in-depth training in several of these techniques, nesting them both within the therapeutic relationship and in the context of current theories and research that provide flexible frameworks for intervention. Making extensive use of actual clinical videos as well as how-to instruction in the use of numerous therapeutic tools, we will discuss and practice several methods for helping clients integrate the reality of the loss into the ongoing story of their lives, while also reconstructing their continuing bond to their loved one.

Presenter, Robert A. Neimeyer, Ph.D., is Professor in the Department of Psychology, University of Memphis, where he also maintains an active clinical practice. Since completing his doctoral training at the University of Nebraska in 1982, he has published 30 books, including Techniques of Grief Therapy: Creative Practices for Counseling the Bereaved and Grief and the Expressive Arts: Practices for Creating Meaning (both with Routledge), and serves as Editor of the journal Death Studies. The author of nearly 500 articles and book chapters, he is currently working to advance a more adequate theory of grieving as a meaning-making process, both in his published work and through his frequent professional workshops for national and international audiences. The recipient of the MISS Foundation’s Phoenix Award: Rising to the Service of Humanity, Neimeyer served as Chair of the International Work Group for Death, Dying, & Bereavement and President of the Association for Death Education and Counseling. In recognition of his scholarly contributions, he has been granted the Eminent Faculty Award by the University of Memphis, made a Fellow of the Clinical Psychology Division of the American Psychological Association, and given Lifetime Achievement Awards by both the Association for Death Education and Counseling and the International Network on Personal Meaning.

There are four easy ways to register — online, mail, phone and fax.

Please visit the program website: http://www.ucalgary.ca/pd

Techniques of Grief Therapy: Creative Practices for Counselling the Bereaved

With Robert A. Neimeyer, PhD

9:00am—4:00pm; June 15-16, 2017 MacEwan Student Centre, University of Calgary

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Calgary Zone (continued)Calgary Zone (continued)Calgary Zone (continued)

Like many, Beverley McGhie once thought there wasn’t anything in life that she couldn’t handle on her own. Counselling and support groups were for others, but not her.

That is, until her husband was diagnosed with an incurable brain cancer and her world suddenly became very small. “Wayne’s cancer took over every area of our lives. It brought me to my knees,” says Beverley.

Thankfully, Beverley and Wayne did find the support they needed at the Living with Cancer program. “For four hours a week, we didn’t feel so alone because at Sage Centre we were treated as people first and dealing with cancer second.”

Living with any life-threatening illness can be isolating and the McGhies found that was their experience as well. “The group became our family of friends who understood what we were going through because they were going through it themselves. These were people we could laugh, cry and be real with,” she says.

At the same time that the McGhies were receiving group support, Beverley was seeing a Sage Centre counsellor to help her navigate her own wellbeing. “A caregiver is no longer first

and foremost a spouse. You have lost a great deal of the relationship that was critical to your happiness. You do it gladly but it comes with a cost. I needed to talk to someone who understood what I was experiencing,” says Beverley.

When asked what advice she would give to someone in similar circumstances, Beverley said that it would be to seek professional support for oneself. “Find someone who understands and specializes in what you are going through; someone who can help you make sense of your experience.”

Kathy Bach Paterson is a Sage Centre counsellor specializing in supporting individuals who have a family member living with a life-threatening illness. “Caregiving can take its toll on the healthiest individual. Caregivers need just as much support as their family members,” says Kathy.

After Wayne’s death, when she was ready, Beverley asked if she could return to Hospice Calgary as a volunteer. “I came back because I know how much it means to be understood and to be listened to. I can do that for someone else now,” says Beverley.

Hospice Calgary’s Community Hospice Services team provides family caregivers with counselling and monthly drop-in group support. Visit hospicecalgary.com for more information about our programs and services.

When My World Was Very Small: A Caregiver’s Story submitted by Hospice Calgary Sage Centre

17th Annual Mary O’Connor Palliative and Hospice Care Conference

Palliative Care: Deepening the Human Experience

When: Monday, April 24, 0800 – 1600 Where: Grey Eagle Resort & Casino, Calgary, AB

Keynote Speaker: Dr. Harvey Chochinov— Dignity, Personhood and New Opportunities in Palliative Care

Dr. Harvey Chochinov will introduce conference participants to research that implicates dignity towards the end of life. The connections between Healthcare Provider Empathy, Patient Experience, and Quality End of Life Care will be examined, and the notion of Healthcare Provider as witness will be introduced.

Concurrent sessions: 1.Medical Assistance in Dying - Lise Lalonde & Dr. Helgi Eyford2.The Serious Illness Conversation Guide – Dr. Jessica Simon3.Cardiac Palliative Care: Thinking Outside the Box – Dr. Michael Slawnych4.Walking with Grief: Love, Loss and the Human Experience – Tracy Sutton5.The Model of Optimal Therapeutic Effectiveness – Dr. Harvey Chochinov

COST: $100.00

For additional information, please contact: Conference Planning Services at (780) 644-8638 or [email protected].

Page 12: Provincial Palliative and End of Life Care · respectful and provide a calm and quiet environment. The poster comes with instructions for use. There are also sympathy cards The poster

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Barbara O’Neill, barbara.o’[email protected] Senior Provincial Director, Cancer SCN & Critical Care SCN

Michelle Peterson Fraser, [email protected] Senior Consultant, Palliative & End of Life Care, Community, Seniors, Addiction & Mental Health

Sharon Iversen, [email protected] Educator, Palliative & End of Life Care, Community, Seniors, Addiction & Mental Health

Cheryl Cameron, [email protected] EMS Lead Palliative & End of Life Care, Community, Seniors, Addiction & Mental Health

Aurora Leang, [email protected] Project Coordinator, Palliative & End of Life Care, Community, Seniors, Addiction & Mental Health

ContactsContactsContacts General questions or comments email: [email protected]

De Leeming, [email protected] Admin Support, Palliative & End of Life Care, Community, Seniors, Addiction & Mental Health

Tracy Lynn Wityk Martin, [email protected] Lead, Palliative & End of Life Care, Community, Seniors, Addiction & Mental Health

Palliative Care

A vital service with clear economic, health and social benefits

A 2017 report by the Canadian Society of Palliative Care Physicians summarizes

evidence on the economic, health and social benefits of PEOLC.

http://www.cspcp.ca/wp-content/uploads/2017/02/Economics-of-Palliative-Care-Final-EN.pdf

Reduces cost of delivering care

Frees up scarce resources in acute care for patients who truly need them

Improves quality of life and quality of care of patients with serious illnesses and their families

Reduces anxiety and depression, improves quality of life and in some cases, extends life

Increases # and % of deaths in community

Compared to usual acute care, hospital PEOLC could save ~$7000-$8000 per patient

Decreases utilization of acute care, reduces length of stay (LOS), reduces Intensive care unit (ICU) admits, reduces unnecessary tests, reduces inappropriate disease targeting interventions, and moves patients from hospital to home/ hospice, at lower cost per day than acute care

When patients received palliative care consultation within 48 hours of acute care admission, admission costs were reduced by 40%, readmissions were reduced by 61.5% at 30 days, and cost avoidance was 1.5 times the cost of the palliative care services provided

A number of good quality randomized controlled trials have shown outpatient palliative care services to:

improve patient satisfaction with care,

improve symptom control and quality of life,

reduce health care utilization, and

lengthen survival (in those populations in which this was assessed)

The savings in direct health care system costs are consistently reported to be around ~30 per cent.

Calgary Zone ACP GCD

Education

The Calgary Zone ACP GCD education team are

now sending out a tip every month. If you

would like to be included in the distribution list,

have questions or would like to discuss education session(s) for your team,

please email calgaryconversations

[email protected].

One of the educational offerings is the Serious

Illness Care Conversations workshop, offered in person in the Calgary Zone. Please

visit MyLearningLink for more information.

Dr. James Silvius, [email protected] Provincial Medical Director, Seniors Health; Senior Medical Director, Seniors Health SCN