Here are some tips related to preparation, execution, and evaluation of role plays:

Size: px
Start display at page:

Download "Here are some tips related to preparation, execution, and evaluation of role plays:"

Transcription

1 Module 4 Figure 13: Tips for Using Role Play Exercises Role playing can provide a beneficial educational exercise by allowing persons the opportunity to practice communication skills and techniques in a safe environment. It can also be used to demonstrate and practice the skills needed for performing assessments, conducting care planning sessions, orchestrating family meetings, or giving bad news. Communication is key to good palliative care and the necessary skills can be enhanced via training and practice opportunities. Reasons to use role play include: - connecting content to application - putting a human face on concepts - building confidence and skills - encouraging critical thinking - gaining empathy into the feelings of clients and practitioners - practicing important skills prior to actual encounters - energizing the teaching environment - increasing student confidence and assertiveness. Role plays enable participants to define problems, develop solutions, try out new behaviors, and get feedback from their peers. Yet, participants initial reactions to the idea of a role play may be fear, intimidation, ambivalence or total negativity. Such responses are often due to past experiences in which role playing was not well orchestrated. When you chose to use role play as a teaching technique, it is essential that you as facilitator are prepared and organized. Here are some tips related to preparation, execution, and evaluation of role plays: 1. Preparation/Setting the Stage - Always know your purpose for using a role play. What skills are you trying to teach or reinforce? What do you hope will be the outcomes of the exercise? - Provide any necessary instruction prior to the role play. Role plays are for practicing, not learning, new behaviors or techniques. - Communicate your teaching purpose to your participants. - Create a safe, relaxed environment. Let participants know that perfection is not expected but rather this is an opportunity to rehearse important skills prior to actual interactions. Don t force anyone to participate, and offer the option to opt out at any time during the process. Performing a role play yourself may help put the group at ease. - Make the role play realistic to the situations the participants will face. Use actual clinical examples whenever possible. - Set the stage. Give clear instructions to the participants and adequate description of the scenario and players. - Don t ask participants to role play an attitude without giving them background information. For instance, instead of just describing the role as an angry family member include information about the reason for the person s anger (i.e., he wasn t informed when his mother was moved into another room at the nursing home). ELNEC-Geriatric Curriculum Module 4: Goals of Care and Ethical Issues at End of Life Page M4-1

2 - If you have used the role play before, think about how it went and make improvements if indicated. - Prepare participants by emphasizing the importance of social interactions for learning. Acknowledge that role playing may be difficult at times but the potential benefits are worthy. 2. Execution - Be enthusiastic about the experience! - Ask for volunteers. - Be constantly mindful of the responses and behaviors of the participants and intervene if someone is having difficulty. Immediately address problems or feelings in a supportive manner. Never embarrass or criticize a participant. - Using name tags or props to identify the persons in the scenario may help persons to assume the identity of the role they are playing and help the audience to keep the players straight. - Feel free to use time out when the role play is becoming too emotional, is floundering or is not going in the direction you had hoped. Just taking a break may help, but it might also be a good time to move to evaluation. - Set a time limit. Using a timer may help keep participants on task. Role plays that are allowed to go on and on are generally not useful. Five to ten minutes is usually long enough; it is preferable to break longer scenarios into smaller scenes so that the group maintains focus. - Allow the participants to ask for help from the audience if they get stuck. Or assign the participant a partner who they can ask for help during the role play. - Give everyone an equal opportunity to participate but don t force participation. - Emphasize the role and contribution of each participant including the observer. Explain all roles before the start of the role play. - Fun is allowed but making fun or ridiculing someone is not. - Respect the privacy of the participants and remind participants not to share information outside of the group. 3. Evaluation - Evaluation and discussion is essential. Discussion should be tied to the original objectives for the role play. Allow sufficient time for this part of the experience. - Feedback should be immediate, specific, relevant, and achievable. - Encourage constructive rather than destructive criticism. - Ask the actors to comment first on the role play first. Start with the person in the hot seat. It is much less threatening to evaluate oneself than to accept the criticisms of other, and often the main players are very aware of what went well and what could have been done better. - Focus on positives first (what went well) during the evaluative stage. Reframe criticisms as opportunities for improvement. - If appropriate, re-enact the role play. - Close the role playing session by summarizing the experience. ELNEC-Geriatric Curriculum Module 4: Goals of Care and Ethical Issues at End of Life Page M4-2

3 UReferences Harbour, E., & Connick, J. (2004-5). Role playing games and activities, rules and tips. Retrieved March 17, 2009, from Joyner, B., & Young, L. (2006). Teaching medical students using role play: Twelve tips for successful role plays. Medical Teacher, 28(3), Maier, H. (2002). Role playing: Structures and educational objectives, The International Child and Youth Care Network. Retrieved March 17, 2009 from Nestel, D., & Tierney, T. (2007). Role-play for medical students learning about communication: Guidelines for maximizing benefits. BMC Medical Education, 7(3), Northcott, N. (2002). Role-play: Proceed with caution. Nurse Education in Practice, 2, Shearer, R., & Davidhizar, R. (2003). Using role play to develop cultural competence. Journal of Nursing Education, 42(6), Wearne, S. (2004). Role play and medical education. Australian Family Physician, 33(10), 858. ELNEC-Geriatric Curriculum Module 4: Goals of Care and Ethical Issues at End of Life Page M4-3

4 Module 4 Figure 14: Progressive Role Play Progressive Role Play Time Needed: 1 hour Moderator: ELNEC-Geriatric Faculty. Acts as timekeeper, assigns the roles, and facilitate the discussion. All other roles: Played by participants in the group. Co-Moderator: Acts as back-up timekeeper; assists in facilitation of discussion; keeps track of key discussion points for each scene. Rules: Each actor can use one lifeline per scene. To use a lifeline the actor calls time and can ask participants for a line (meaning a suggestion as to what to say or do in the situation). Scene 1 Place: Happy Valley Nursing Home Time: 20 minutes for role-play and discussion of this scene. Randall Jones (son): Angry, questions staff (nurses) regarding the care provided to his mother in the nursing home and wants acute care provided. Betsy Smith (RN): Head nurse at Happy Valley Nursing Home who is familiar with Mrs. Jones care and her wishes. Tries to explain to the son Randall Jones his mother s wishes. Situation (read by moderator): Mrs. Myrtle Jones, age 92 and widowed, has been a resident of the nursing home for two years. Her past medical history includes a MI, stroke, fractured hip and diabetes. Her primary caregiver has been her daughter Jane who lives nearby. Jane was diagnosed with breast cancer one month ago and is beginning chemotherapy and last week Mrs. Jones suffered another stroke leaving her unable to walk and with minimal ability to swallow. Jane has called her brother Randall to come from Ohio as she is too overwhelmed with her own illness to continue caring for her mother. Randall arrives at the nursing home, having not seen his mother in two years since his father s funeral. He is shocked at his mother s status and angrily approaches the nurse on duty saying What are you people thinking? My mom is starving to death! Why don t you send her to the hospital? Mrs. Jones has an advanced directive on file requesting no life prolonging ELNEC-Geriatric Curriculum Module 4: Goals of Care and Ethical Issues at End of Life Page M4-4

5 treatment and a Durable Power of Attorney for Health Care naming her daughter Jane as her proxy decision maker. Post-Scene Discussion Questions: 1. What did the nurse say and do to respond to Randall? 2. What factors may be influencing Randall s response? 3. What should be done next? Place: Nursing home conference room Time: 25 minutes for role play and discussion Scene 2 Randall Jones (son): Uncomfortable about not instituting tube feedings for his mother. Betsy Smith (RN): Gathers family together to discuss Mrs. Jones goals for care. Joe Garcia (nursing assistant): Familiar with Mrs. Jones care as he has been taking care of her for the last couple of years. Tries to voice his concerns regarding Mrs. Jones wishes of not prolonging life. Jane Jones (daughter): Angry at her brother; yet she feels bad as she asked him to intervene as she herself has concerns with her breast cancer. Dr. Wartman (medical director): Explains goals of Mrs. Jones care. Scene: The next day. Betsy Smith, RN has arranged a family meeting to discuss Mrs. Jones care. In attendance are Randall (son), Joe Garcia (nursing assistant), Jane (daughter) and Dr. Wartman, the medical director. Randall remains very skeptical and uncomfortable with the plan to not initiate tube feedings. He also suggests they at least start some physical therapy like when she had her hip fracture. Joe, the NA, shares his thoughts about Mrs. Jones and their many conversations where Mrs. Jones voiced her wish to not have her life prolonged like the poor souls in here just hanging on but not living. Jane seems angry at her brother and otherwise overwhelmed with her own circumstances. Dr. Wartman attempts to explain the goals of care. Post-Scene Discussion Questions: 1. What was the purpose of attending a family conference? 2. What role did the NA play? 3. How can nursing home staff best respond to family members with conflicting goals? ELNEC-Geriatric Curriculum Module 4: Goals of Care and Ethical Issues at End of Life Page M4-5

6 Scene 3 Place: Nursing home conference room Time: 15 minutes for role-play and discussion Randall Jones (son): Agrees to consent to hospice care for his mother but wondering if this is the right decision. Betsy Smith(RN): Gathers the family/staff together to explain hospice and end-of-life care for Mrs. Jones. Joe Garcia (nursing assistant): Fears that someone else will intervene and take over Mrs. Jones care, since he feels he has been the primary caregiver at the nursing home for the last two years. Jane Jones (daughter): Emotional, scared of losing her mother and possibly being unable to face her own future. Pamela (hospice nurse): To explain hospice care to family and staff. Scene: At the family conference, Dr. Wartman suggested that hospice be asked to consult with the nursing home on Mrs. Jones care. Dr. Wartman s best estimate is that Mrs. Jones will die in 2-3 weeks as she is slowly declining but still consuming small amounts of liquids. Randall (son) and Jane (daughter) have now come to the nursing home to meet with Pamela (the hospice nurse). Randall is more accepting but questions if he is doing the right thing in his role as the son and as a good Catholic. Jane becomes emotional, finally facing the reality of her mother s impending death and fearing for her own future. Joe, the nursing assistant, questions what his role will be if Mrs. Jones is seen by hospice and admits his own grief as he has become close to Mrs. Jones. Post-Scene Discussion Questions: 1. What did the hospice nurse say or do that was helpful? 2. What significance does initiating hospice have for Mrs. Jones children? 3. Why has Joe reacted to Mrs. Jones decline and hospice admission? ELNEC-Geriatric Curriculum Module 4: Goals of Care and Ethical Issues at End of Life Page M4-6

Advance Care Planning Communication Guide: Overview

Advance Care Planning Communication Guide: Overview Advance Care Planning Communication Guide: Overview The INTERACT Advance Care Planning Communication Guide is designed to assist health professionals who work in Nursing Facilities to initiate and carry

More information

HOW TO GET HELP ON COMMUNITY SUPPORT SERVICES

HOW TO GET HELP ON COMMUNITY SUPPORT SERVICES HOW TO GET HELP ON COMMUNITY SUPPORT SERVICES When an older relative needs care that the family cannot easily provide, community-based services are available to provide help. For older people with complex

More information

E-Learning Module B: Assessment

E-Learning Module B: Assessment E-Learning Module B: Assessment This module requires the learner to have read chapter 3 of the CAPCE Program Guide and the other required readings associated with the topic. See the CAPCE Program Guide

More information

CHPCA appreciates and thanks our funding partner GlaxoSmithKline for their unrestricted funding support for Advance Care Planning in Canada.

CHPCA appreciates and thanks our funding partner GlaxoSmithKline for their unrestricted funding support for Advance Care Planning in Canada. CHPCA appreciates and thanks our funding partner GlaxoSmithKline for their unrestricted funding support for Advance Care Planning in Canada. For more information about advance care planning, please visit

More information

Section Q. Participation in Assessment and Goal Setting. Objectives 1. Objectives 2

Section Q. Participation in Assessment and Goal Setting. Objectives 1. Objectives 2 Section Q Participation in Assessment and Goal Setting Objectives 1 State the intent of Section Q Participation in Assessment and Goal Setting. Define family or significant other, guardian, and legally

More information

Discussion. When God Might Intervene

Discussion. When God Might Intervene In times past, people died from minor illnesses because science had not yet developed medical cures. Today, an impressive range of medical therapies and life-support technologies offer not only help to

More information

Cynthia Ann LaSala, MS, RN Nursing Practice Specialist Phillips 20 Medicine Advisor, Patient Care Services Ethics in Clinical Practice Committee

Cynthia Ann LaSala, MS, RN Nursing Practice Specialist Phillips 20 Medicine Advisor, Patient Care Services Ethics in Clinical Practice Committee Cynthia Ann LaSala, MS, RN Nursing Practice Specialist Phillips 20 Medicine Advisor, Patient Care Services Ethics in Clinical Practice Committee What is Advance Care Planning (ACP)? Understanding/clarifying

More information

When and How to Introduce Palliative Care

When and How to Introduce Palliative Care When and How to Introduce Palliative Care Phil Rodgers, MD FAAHPM Associate Professor, Departments of Family Medicine and Internal Medicine Associate Director for Clinical Services, Adult Palliative Medicine

More information

Bill Brown Scenario. Bea Console

Bill Brown Scenario. Bea Console Bea Console Your life: You are the bereavement counseling coordinator for hospice. You provide supportive services to help meet the emotional needs of patients and families who are struggling with the

More information

Advance Care Planning Workbook Ontario Edition

Advance Care Planning Workbook Ontario Edition Advance Care Planning Workbook Ontario Edition Speak Up Ontario c/o Hospice Palliative Care Ontario, 2 Carlton Street, Suite 808, Toronto, Ontario M5B 1J3 Who will speak for you? Start the conversation.

More information

Making Your Wishes Known With the Help of the Five Wishes Document

Making Your Wishes Known With the Help of the Five Wishes Document Making Your Wishes Known With the Help of the Five Wishes Document Lora Rhodes, MSW, LSW Oncology Social Worker Department of Medical Oncology LBBC: Annual Conference for Women living with Metastatic Breast

More information

Station Name: Mrs. Smith. Issue: Transitioning to comfort measures only (CMO)

Station Name: Mrs. Smith. Issue: Transitioning to comfort measures only (CMO) Station Name: Mrs. Smith Issue: Transitioning to comfort measures only (CMO) Presenting Situation: The physician will meet with Mrs. Smith s children to update them on her condition and determine the future

More information

Audience members Sim 4 Scenario 2

Audience members Sim 4 Scenario 2 Audience members Sim 4 Scenario 2 You are required to observe the simulation and take notes as required. During the intermission and debrief you will be expected to provide feedback on specific aspects

More information

An individual may have one type of advance directive or may have both. They may also be combined in a single document.

An individual may have one type of advance directive or may have both. They may also be combined in a single document. Advance Directives History In 1991, the Patient Self-Determination Act became a federal law. The act was signed into law to help ensure that patients preferences about medical treatment would be followed

More information

Chapter 13. Death, Dying, Bereavement, And Widowhood. Sociology 431

Chapter 13. Death, Dying, Bereavement, And Widowhood. Sociology 431 Chapter 13 Death, Dying, Bereavement, And Widowhood Sociology 431 The Changing Context of Dying Many Americans are uncomfortable talking about death, especially the prospect of their own. People use euphemisms

More information

ADVANCE CARE PLANNING DOCUMENTS

ADVANCE CARE PLANNING DOCUMENTS ADVANCE CARE PLANNING DOCUMENTS Legal Documents to Assure Your Future Health Care Choices Distributed as a Public Service by THE NEVADA CENTER FOR ETHICS & HEALTH POLICY University of Nevada, Reno Revised

More information

Dementia and End-of-Life Care

Dementia and End-of-Life Care Dementia and End-of-Life Care Part IV: What practical information should I know? About this resource The needs of people with dementia at the end of life* are unique and require special considerations.

More information

Audience members Sim 4 Scenario 1 Brief

Audience members Sim 4 Scenario 1 Brief Audience members Sim 4 Scenario 1 You are required to observe the simulation and take notes as required. During the intermission and debrief you will be expected to provide feedback on specific aspects

More information

Medical Assistance in Dying (MAID) at UHN

Medical Assistance in Dying (MAID) at UHN Medical Assistance in Dying (MAID) at UHN For patients and caregivers who want to know more about MAID at UHN. Please visit the UHN Patient Education website for more health information: www.uhnpatienteducation.ca

More information

The POLST Conversation POLST Script

The POLST Conversation POLST Script The POLST Conversation POLST Script The POLST Script provides detailed information in order to develop comfort and competence when facilitating a POLST conversation. The POLST conversation utilizes realistic

More information

Family Caregivers in dementia. Dr Roland Ikuta MD, FRCP Geriatric Medicine

Family Caregivers in dementia. Dr Roland Ikuta MD, FRCP Geriatric Medicine Family Caregivers in dementia Dr Roland Ikuta MD, FRCP Geriatric Medicine Caregivers The strongest determinant of the outcome of patients with dementia is the quality of their caregivers. What will we

More information

What Are Advance Medical Directives?

What Are Advance Medical Directives? What Are Advance Medical Directives? UAMS would like you to know there are ways to let others know what decisions you would want to make about your medical treatments, even when you are unable to speak

More information

E-Learning Module B: Introduction to Hospice Palliative Care

E-Learning Module B: Introduction to Hospice Palliative Care E-Learning Module B: Introduction to Hospice Palliative Care This Module requires the learner to have read Chapter 2 of the Fundamentals Program Guide and the other required readings associated with the

More information

Deciding About. Health Care A GUIDE FOR PATIENTS AND FAMILIES. New York State Department of Health

Deciding About. Health Care A GUIDE FOR PATIENTS AND FAMILIES. New York State Department of Health Deciding About Health Care A GUIDE FOR PATIENTS AND FAMILIES New York State Department of Health 2 Introduction Who should read this guide? This guide is for New York State patients and for those who will

More information

Understanding the Palliative Care Needs of Older Adults & Their Family Caregivers

Understanding the Palliative Care Needs of Older Adults & Their Family Caregivers Understanding the Palliative Care Needs of Older Adults & Their Family Caregivers Dr. Genevieve Thompson, RN PhD Assistant Professor, Faculty of Nursing, University of Manitoba genevieve_thompson@umanitoba.ca

More information

Part Two - The Pastoral and Spiritual Responsibility of Catholic Health Care

Part Two - The Pastoral and Spiritual Responsibility of Catholic Health Care Understanding and Applying the Ethical and Religious Directives for Catholic Health Care Services: A N E D U C AT I O N A L R E S O U R C E F O R P H Y S I C I A N S Part Two - The Pastoral and Spiritual

More information

Reference Understanding and Addressing Moral Distress, Epstein & Delgado, Nursing World, Sept. 30, 2010

Reference Understanding and Addressing Moral Distress, Epstein & Delgado, Nursing World, Sept. 30, 2010 Moral Distress and Moral Resilience Nurses encounter many situations in their work place that can cause moral distress. Moral distress is defined by an inability to act in alignment with one s moral values

More information

Caregiver Stress. F r e q u e n t l y A s k e d Q u e s t i o n s. Q: Who are our nation's caregivers?

Caregiver Stress. F r e q u e n t l y A s k e d Q u e s t i o n s. Q: Who are our nation's caregivers? Caregiver Stress Q: What is a caregiver? A: A caregiver is anyone who provides help to another person in need. Usually, the person receiving care has a condition such as dementia, cancer, or brain injury

More information

Advance Care Planning and Goals of Care

Advance Care Planning and Goals of Care Advance Care Planning and Goals of Care A Guide For Patients with A Serious Illness and Their Families Nova Scotia Edition www.nshpca.ca Receiving a diagnosis of a serious illness can be life altering.

More information

Advance Directive for Health Care

Advance Directive for Health Care Advance Directive for Health Care respecting your right to: Choose Your Healthcare Agent Choose the Authority Given to Your Healthcare Agent Choose Your Preferences Related to Treatment & Care Printed

More information

HealthStream Regulatory Script

HealthStream Regulatory Script HealthStream Regulatory Script Advance Directives Version: [May 2006] Lesson 1: Introduction Lesson 2: Advance Directives Lesson 3: Living Wills Lesson 4: Medical Power of Attorney Lesson 5: Other Advance

More information

Providing Hospice Care in a SNF/NF or ICF/IID facility

Providing Hospice Care in a SNF/NF or ICF/IID facility Providing Hospice Care in a SNF/NF or ICF/IID facility Education program Insert name of your hospice program Insert your logo Objectives Review the philosophy of hospice care and discuss what hospice care

More information

Talking to Your Family About End-of-Life Care

Talking to Your Family About End-of-Life Care Talking to Your Family About End-of-Life Care Sharing in significant life events during both happy and sad occasions often strengthens our bond with family and close friends. We plan for weddings, the

More information

Advance Directive. What Are Advance Medical Directives? Deciding What You Want. Recording Your Wishes

Advance Directive. What Are Advance Medical Directives? Deciding What You Want. Recording Your Wishes Advance Directive What Are Advance Medical Directives? These documents could be a living will or a durable power of attorney for healthcare (also called a healthcare proxy). They allow you to give directions

More information

Common Questions Asked by Patients Seeking Hospice Care

Common Questions Asked by Patients Seeking Hospice Care Common Questions Asked by Patients Seeking Hospice Care C o m i n g t o t e r m s w i t h the fact that a loved one may need hospice care to manage his or her pain and get additional social and psychological

More information

Hospice Care in Merrillville, IN

Hospice Care in Merrillville, IN Hospice Care in Merrillville, IN Harbor Light Hospice s central mission in and the neighboring areas is to increase ease of access to reliable end-of-life care and other quality services for patients who

More information

Life Care Program. Advance care planning and communication with participants and families throughout transitions in life

Life Care Program. Advance care planning and communication with participants and families throughout transitions in life Life Care Program Life Care Program Advance care planning and communication with participants and families throughout transitions in life Tanya Kailath, MSN,GNP-BC, ACHPN What is a life care program?

More information

A guide for people considering their future health care

A guide for people considering their future health care A guide for people considering their future health care foreword Recently, Catholic Health Australia has been approached for guidance over the issue of advance care planning for patients and residents

More information

Death and Dying. Shelley Westwood, RN, BSN Bullitt Central High School

Death and Dying. Shelley Westwood, RN, BSN Bullitt Central High School Death and Dying Shelley Westwood, RN, BSN Bullitt Central High School Objectives The student will: Explain the stages of death and dying including the philosophy of hospice care Contents Stages of Death

More information

Ethical Issues: advance directives, nutrition and life support

Ethical Issues: advance directives, nutrition and life support Ethical Issues: advance directives, nutrition and life support December 12, 2013 2013 LegalHealth Objectives Discuss parameters of consent for medical treatment and legal issues that arise Provide overview

More information

YOUR CARE, YOUR CHOICES. Advance Care Planning Conversation Guide

YOUR CARE, YOUR CHOICES. Advance Care Planning Conversation Guide YOUR CARE, YOUR CHOICES Advance Care Planning Conversation Guide Table of Contents What is Advance Care Planning?... 1 Our Stories... 2-4 What is an Advance Health Care Directive?....5 What is a Health

More information

Patient Reference Guide. Palliative Care. Care for Adults

Patient Reference Guide. Palliative Care. Care for Adults Patient Reference Guide Palliative Care Care for Adults Quality standards outline what high-quality care looks like. They focus on topics where there are large variations in how care is delivered, or where

More information

munsonhealthcare.org/acp

munsonhealthcare.org/acp Advance Care Planning Workbook Making Your Medical Wishes Known Advance Care Planning Workbook 1 munsonhealthcare.org/acp Making Your Medical Wishes Known At any age, a medical crisis could leave someone

More information

Exploring Your Options for Palliative Care

Exploring Your Options for Palliative Care Exploring Your Options for Palliative Care A guide for patients and families Inside this booklet Question Page What is palliative care? 1 When should I receive palliative care? 2 Where can I receive palliative

More information

Hospital Admission: How to Plan and What to Expect During the Stay

Hospital Admission: How to Plan and What to Expect During the Stay Family Caregiver Guide Hospital Admission: How to Plan and What to Expect During the Stay Admission to the hospital can happen in various ways. You family member may be treated in the Emergency Room (ER)

More information

ILLINOIS Advance Directive Planning for Important Health Care Decisions

ILLINOIS Advance Directive Planning for Important Health Care Decisions ILLINOIS Advance Directive Planning for Important Health Care Decisions CaringInfo 1731 King St., Suite 100, Alexandria, VA 22314 www.caringinfo.org 800/658-8898 CaringInfo, a program of the National Hospice

More information

INDIANA Advance Directive Planning for Important Health Care Decisions

INDIANA Advance Directive Planning for Important Health Care Decisions INDIANA Advance Directive Planning for Important Health Care Decisions Caring Connections 1731 King St., Suite 100, Alexandria, VA 22314 www.caringinfo.org 800/658-8898 Caring Connections, a program of

More information

Objectives. By the end of this educational encounter, the clinician will be able to:

Objectives. By the end of this educational encounter, the clinician will be able to: Resident s Rights WWW.RN.ORG Reviewed May, 2016, Expires May, 2018 Provider Information and Specifics available on our Website Unauthorized Distribution Prohibited 2016 RN.ORG, S.A., RN.ORG, LLC By Melissa

More information

OUTPATIENT SERVICES CONTRACT 2018

OUTPATIENT SERVICES CONTRACT 2018 1308 23 rd Street S Fargo, ND 58103 Phone: 701-297-7540 Fax: 701-297-6439 OUTPATIENT SERVICES CONTRACT 2018 Welcome to Benson Psychological Services, PC. This document contains important information about

More information

What is palliative care?

What is palliative care? What is palliative care? Hamilton Health Sciences and surrounding communities Palliative care is a way of providing health care that focuses on improving the quality of life for you and your family when

More information

Autonomy, Paternalism and the Limits of Staff Responsibility

Autonomy, Paternalism and the Limits of Staff Responsibility Autonomy, Paternalism and the Limits of Staff Responsibility Wisconsin FOCUS November 16, 2017 Michael A. Gillette, Ph.D. (434) 384-5322 mgillette@bsvinc.com http://www.bsvinc.com Family Control I Want

More information

Is It Time for In-Home Care?

Is It Time for In-Home Care? STEP-BY-STEP GUIDE Is It Time for In-Home Care? Helping Your Loved Ones Maintain Their Independence and Quality of Life 2015 CK Franchising, Inc. Welcome to the Comfort Keepers Guide to In-Home Care Introduction

More information

My Voice - My Choice

My Voice - My Choice My Voice - My Choice My Advance Directive Table of Contents Introduction... 2 Words You Need to Know... 3 Legal Document... 4 Helpful Information about your Advance Directive... 10 What makes your life

More information

POLST Discussions Doing it Better. Clinical Update in Geriatric Medicine. Judith S. Black, MD, MHA. POLST Overview. Faculty Disclosure PART I

POLST Discussions Doing it Better. Clinical Update in Geriatric Medicine. Judith S. Black, MD, MHA. POLST Overview. Faculty Disclosure PART I Faculty Disclosure POLST Discussions Doing it Better Clinical Update in Geriatric Medicine Dr. Black discloses that she is employed by Allegheny Health Network and is an executive committee member of the

More information

Presented by. Elaine Poker-Yount Visiting Angels East Valley

Presented by. Elaine Poker-Yount Visiting Angels East Valley Presented by Elaine Poker-Yount Visiting Angels East Valley WHY I AM HERE TODAY. Top 10 List La la la. I m not listening I don t want to.. Role adjustment? Role reversal? Recognition Anticipation Homework

More information

Video Process Recording and Analysis Guidelines: 50 points

Video Process Recording and Analysis Guidelines: 50 points Video Process Recording and Analysis Guidelines: 50 points Video Process Recording is a recording and written account of an interaction between a pair of students who enact a nurse/patient interview and

More information

Preparing for the SJT. Katie Dallison Medical Careers Consultant

Preparing for the SJT. Katie Dallison Medical Careers Consultant Preparing for the SJT Katie Dallison Medical Careers Consultant What is SJT? In a Situational Judgement Test (SJT) applicants are presented with a set of hypothetical work relevant scenarios and asked

More information

Let s talk about Hope. Regional Hospice and Home Care of Western Connecticut

Let s talk about Hope. Regional Hospice and Home Care of Western Connecticut Let s talk about Hope Regional Hospice and Home Care of Western Connecticut Hospice is about hope. There are many aspects of hope in the care Regional Hospice and Home Care of Western CT provides. Hope

More information

2 North Meridian Street Indianapolis, Indiana March 1999 Revised May 2004 ADVANCE DIRECTIVES YOUR RIGHT TO DECIDE

2 North Meridian Street Indianapolis, Indiana March 1999 Revised May 2004 ADVANCE DIRECTIVES YOUR RIGHT TO DECIDE 2 North Meridian Street Indianapolis, Indiana 46204 March 1999 Revised May 2004 ADVANCE DIRECTIVES YOUR RIGHT TO DECIDE The purpose of this brochure is to inform you of ways that you can direct your medical

More information

DEMENTIA People with disorders of orientation and memory function in the hospital

DEMENTIA People with disorders of orientation and memory function in the hospital DEMENTIA People with disorders of orientation and memory function in the hospital Information for family members and sufferers Preface A hospital specialises in treating acute health problems. This can

More information

Alternative Solutions

Alternative Solutions Alternative Solutions Finding LTSS: New Options or New Confusions for Consumers Tuesday March 28, 2017 9:00 10:15 am Session Producer and Speakers Eileen J. Tell, ET Consulting LLC Anne Tumlinson, Tumlinson

More information

Advance Medical Directives

Advance Medical Directives Advance Medical Directives What Are Advance Medical Directives? These documents could be a living will or a durable power of attorney for health care (also called a health-care proxy). They allow you to

More information

MAKING YOUR WISHES KNOWN: Advance Care Planning Guide

MAKING YOUR WISHES KNOWN: Advance Care Planning Guide MAKING YOUR WISHES KNOWN: Advance Care Planning Guide ADVANCE CARE PLANNING The process of learning about the type of medical decisions that may need to be made, considering those decisions ahead of time

More information

A Guide to Compassionate Decisions

A Guide to Compassionate Decisions A Guide to Compassionate Decisions At Companion Hospice We Are Dedicated to Enhancing the Quality of Life Enhancing the Quality of Life A Guide to Compassionate Decisions Throughout most of our lives,

More information

Hospice Care for anyone considering hospice

Hospice Care for anyone considering hospice A decision aid for Care for anyone considering hospice You or a loved one have been diagnosed with a serious illness that might not be curable. Many people find this scary or confusing. Some people feel

More information

HIGHLAND USERS GROUP (HUG) WARD ROUNDS

HIGHLAND USERS GROUP (HUG) WARD ROUNDS HIGHLAND USERS GROUP (HUG) WARD ROUNDS A Report on the views of Highland Users Group on what Ward Rounds are like and how they can be made more user friendly June 1997 Highland Users Group can be contacted

More information

Title & Subtitle can. accc-cancer.org March April 2017 OI

Title & Subtitle can. accc-cancer.org March April 2017 OI Spiritual Care Title & Subtitle can of Cancer Patients knockout of image 30 accc-cancer.org March April 2017 OI BY REV. LORI A. MCKINLEY, MDIV, BCC A pilot study of integrated multidisciplinary care planning

More information

End of Life Terminology The definitions below applies within the province of Ontario, terms may be used or defined differently in other provinces.

End of Life Terminology The definitions below applies within the province of Ontario, terms may be used or defined differently in other provinces. End of Life Terminology The definitions below applies within the province of Ontario, terms may be used or defined differently in other provinces. Terms Definitions End of Life Care To assist persons who

More information

One Chance to Get it Right Simulation Scenario 2 End of Life Care at Home

One Chance to Get it Right Simulation Scenario 2 End of Life Care at Home One Chance to Get it Right Simulation Scenario 2 End of Life Care at Home Course lead Course / Curriculum One Chance to Get it Right: Equipping senior health professionals for the challenges of caring

More information

Cancer and Advance Care Planning. Tips for Oncology Professionals

Cancer and Advance Care Planning. Tips for Oncology Professionals Cancer and Advance Care Planning Tips for Oncology Professionals Each year, more than 74,000 Canadians die with cancer. When To Have the Discussion...5 Questions to Ask...6 Steps in Initiating and Having

More information

Your Right to Make Health Care Decisions

Your Right to Make Health Care Decisions 42 P O Box 10600 Grand Junction, CO 81502-5600 Your Right to Make Health Care Decisions Advance Directives What is an Advance Directive? It is a type of written instruction about your health care to be

More information

PENNSYLVANIA Advance Directive Planning for Important Health Care Decisions

PENNSYLVANIA Advance Directive Planning for Important Health Care Decisions PENNSYLVANIA Advance Directive Planning for Important Health Care Decisions Caring Connections 1731 King St., Suite 100, Alexandria, VA 22314 www.caringinfo.org 800/658-8898 Caring Connections, a program

More information

MARYLAND ADVANCE DIRECTIVE: PLANNING FOR FUTURE HEALTH CARE DECISIONS

MARYLAND ADVANCE DIRECTIVE: PLANNING FOR FUTURE HEALTH CARE DECISIONS MARYLAND ADVANCE DIRECTIVE: PLANNING FOR FUTURE HEALTH CARE DECISIONS A Guide to Maryland Law on Health Care Decisions (Forms Included) STATE OF MARYLAND OFFICE OF THE ATTORNEY GENERAL Douglas F. Gansler

More information

Care in Your Home. North West CCAC

Care in Your Home. North West CCAC Care in Your Home Care in Your Home Home and community support services can help you manage your health care while living in your own home. At the Community Care Access Centre (CCAC), we provide information

More information

ALLINA HOME & COMMUNITY SERVICES ALLINA HEALTH. Advance Care Planning. Discussion guide. Discussion Guide. Advance care planning

ALLINA HOME & COMMUNITY SERVICES ALLINA HEALTH. Advance Care Planning. Discussion guide. Discussion Guide. Advance care planning ALLINA HOME & COMMUNITY SERVICES ALLINA HEALTH Advance Care Planning Discussion guide Discussion Guide Advance care planning Advance care planning Any of us could think of a time when we might be too sick

More information

NEW JERSEY Advance Directive Planning for Important Health Care Decisions

NEW JERSEY Advance Directive Planning for Important Health Care Decisions NEW JERSEY Advance Directive Planning for Important Health Care Decisions CaringInfo 1731 King St., Suite 100, Alexandria, VA 22314 www.caringinfo.org 800/658-8898 CARINGINFO CaringInfo, a program of the

More information

MY VOICE (STANDARD FORM)

MY VOICE (STANDARD FORM) MY VOICE (STANDARD FORM) a workbook and personal directive for advance care planning WHAT IS ADVANCE CARE PLANNING? Advance care planning is a process for you to: think about what is important to you when

More information

Patient and Family Advisor Orientation Manual

Patient and Family Advisor Orientation Manual Patient and Family Advisor Orientation Manual Guide to Patient and Family Engagement Table of Contents About This Orientation Manual... 1 Section 1. Responsibilities and Expectations... 2 Section 2. Tips

More information

Residents Rights. Objectives. Introduction

Residents Rights. Objectives. Introduction Residents Rights Objectives By the end of this educational encounter, the clinician will be able to: 1. Identify basic resident rights 2. Relate how resident rights impact daily nursing practice 3. Apply

More information

What would you like to accomplish in the process of advance care planning and/or in completing a health care directive?

What would you like to accomplish in the process of advance care planning and/or in completing a health care directive? Completing a health care directive is an important step in making sure your loved ones and health care providers understand your values and choices for health care treatment if you are not able to speak

More information

Health Care Proxy Appointing Your Health Care Agent in New York State

Health Care Proxy Appointing Your Health Care Agent in New York State Health Care Proxy Appointing Your Health Care Agent in New York State The New York Health Care Proxy Law allows you to appoint someone you trust for example, a family member or close friend to make health

More information

North Dakota: Advance Directive

North Dakota: Advance Directive North Dakota: Advance Directive NOTE: This form is being provided to you as a public service. The attached forms are provided as is and are not the substitute for the advice of an attorney. By providing

More information

Advanced Care Planning and Advanced Directives: Our Roles March 27, 2017

Advanced Care Planning and Advanced Directives: Our Roles March 27, 2017 Advanced Care Planning and Advanced Directives: Our Roles March 27, 2017 2017 NPSS Asheville, NC Overview History of Advanced Directives Importance of Advanced Care Planning for Quality care Our Role in

More information

Palliative Care Competencies for Occupational Therapists

Palliative Care Competencies for Occupational Therapists Principles of Palliative Care Demonstrates an understanding of the philosophy of palliative care Demonstrates an understanding that a palliative approach to care starts early in the trajectory of a progressive

More information

Dear Family Caregiver, Yes, you.

Dear Family Caregiver, Yes, you. Dear Family Caregiver, Yes, you. If you re wondering whether the term caregiver applies to you, it probably does. A caregiver is anyone who helps an aging, ill, or disabled family member or friend manage

More information

VIRGINIA Advance Directive Planning for Important Health Care Decisions

VIRGINIA Advance Directive Planning for Important Health Care Decisions VIRGINIA Advance Directive Planning for Important Health Care Decisions Caring Connections 1731 King St., Suite 100, Alexandria, VA 22314 www.caringinfo.org 800/658-8898 CARING CONNECTIONS Caring Connections,

More information

483.10(b)(4) and (8) Rights Regarding Advance Directives, Treatment, and Experimental Research

483.10(b)(4) and (8) Rights Regarding Advance Directives, Treatment, and Experimental Research 483.10(b)(4) and (8) Rights Regarding Advance Directives, Treatment, and Experimental Research (F155) Surveyor Training of Trainers: Interpretive Guidance Investigative Protocol Federal Regulatory Language

More information

Preparing for Death: A Guide for Caregivers

Preparing for Death: A Guide for Caregivers Preparing for Death: A Guide for Caregivers Preparing for Death As a person is dying, their body will go through a number of physical changes as it slows down and moves toward the final stages of life.

More information

Making decisions for others Your role as a Substitute Decision Maker

Making decisions for others Your role as a Substitute Decision Maker Making decisions for others Your role as a Substitute Decision Maker Your loved one may not be able to make decisions about his or her health care. This may be a very difficult time for you and your family.

More information

Vignette Overviews To Be Used in Conjunction with Various ELNEC Modules

Vignette Overviews To Be Used in Conjunction with Various ELNEC Modules Vignette Overviews To Be Used in Conjunction with Various ELNEC Modules These vignettes have been developed to assist you in teaching various communication skills for participants attending an ELNEC course.

More information

Objectives. 1. Understand the different Advance Directives options available in WI. 2. Understand the benefits of completing an Advance Directive

Objectives. 1. Understand the different Advance Directives options available in WI. 2. Understand the benefits of completing an Advance Directive Advance Directives Objectives 1. Understand the different Advance Directives options available in WI 2. Understand the benefits of completing an Advance Directive 3. Define the role that IDT staff in educating

More information

Advance Care Planning Workbook

Advance Care Planning Workbook Advance Care Planning Workbook Prince Edward Island Edition It s about conversations. It s about decisions. It s how we care for each other. It s about having a say in your health care. www.healthpei.ca/advancecareplanning

More information

PERSON CENTERED CARE PLANNING HONORING CHOICE WHILE MITIGATING RISK

PERSON CENTERED CARE PLANNING HONORING CHOICE WHILE MITIGATING RISK PERSON CENTERED CARE PLANNING HONORING CHOICE WHILE MITIGATING RISK The purpose of the Rothschild Person-Centered Care Planning process is to support long term care communities in their efforts to honor

More information

ADVANCE CARE PLANNING: WHY, HOW, AND IMPACT ON THE TRIPLE AIM

ADVANCE CARE PLANNING: WHY, HOW, AND IMPACT ON THE TRIPLE AIM ADVANCE CARE PLANNING: WHY, HOW, AND IMPACT ON THE TRIPLE AIM John Fox MD, MHA AVP Medical Affairs, Priority Health MCM Board Member Carol Robinson DNP, MS, BSN, RN, CHPN Community Coordinator, MCM OBJECTIVES

More information

Psychological issues in nutrition and hydration towards End of Life

Psychological issues in nutrition and hydration towards End of Life Psychological issues in nutrition and hydration towards End of Life Dr Sylvia Puchalska, Clinical Psychologist Raisin exercise Why do people eat and drink? What does it MEAN to them? What are some of the

More information

Advance Directive. A step-by-step guide to help you make shared health care decisions for the future. California edition

Advance Directive. A step-by-step guide to help you make shared health care decisions for the future. California edition Advance Directive A step-by-step guide to help you make shared health care decisions for the future California edition Advance Directive Instructions for Patients TALK TO YOUR LOVED ONES This is important.

More information

Wow ADVANCE CARE PLANNING The continued Frontier. Kathryn Borgenicht, M.D. Linda Bierbach, CNP

Wow ADVANCE CARE PLANNING The continued Frontier. Kathryn Borgenicht, M.D. Linda Bierbach, CNP Wow ADVANCE CARE PLANNING The continued Frontier Kathryn Borgenicht, M.D. Linda Bierbach, CNP Objectives what we want to accomplish Describe the history of advance care planning Discuss what patients/families

More information

Better Ending. A Guide. for a A SSURE Y OUR F INAL W ISHES. Conversations Before the Crisis

Better Ending. A Guide. for a A SSURE Y OUR F INAL W ISHES. Conversations Before the Crisis A Guide for a Better Ending A SSURE Y OUR F INAL W ISHES Conversations Before the Crisis Information on Advance Care Planning and Documentation from Better Ending, a Program of the Central Massachusetts

More information

Palliative Care. Care for Adults With a Progressive, Life-Limiting Illness

Palliative Care. Care for Adults With a Progressive, Life-Limiting Illness Palliative Care Care for Adults With a Progressive, Life-Limiting Illness Summary This quality standard addresses palliative care for people who are living with a serious, life-limiting illness, and for

More information

Human resources. OR Manager Vol. 29 No. 5 May 2013

Human resources. OR Manager Vol. 29 No. 5 May 2013 Human resources Second victim rapid-response team helps fellow clinicians recover from trauma One Friday evening at University of Missouri Health System (MUHS) in Columbia, Missouri, Tony*, an RN with

More information