2018 NHPCA ANNUAL CONFERENCE

Transcription

1 35 th Anniversary Living a Good Life... at the End of Life 2018 NHPCA ANNUAL CONFERENCE March 20-21, 2018 Embassy Suites Lincoln, Nebraska

2 Nebraska s hospitals H 24/7 improve the health of individuals and the quality of life to entire communities and regions, and make the state a better place to live, work and grow 24 hours a day 7 days a week days a year

3 A special thanks to the following agencies for supporting the 2018 annual conference. Additional support provided by: Anonymous Donors Heath and Karma Boddy This program is supported in part by a grant from the Hospice Care Connection. This continuing education is supported by an unrestricted educational grant and/or exhibits. This does not imply Nebraska Hospice and Palliative Care Association approval or endorsement of any product/medication. Contact marketing@nehca.org to learn how your organization can serve as part of the conference providership. 1

4 Trade Show Exhibitors As of January 31, 2018 CHI Health at Home Community Pharmacy Lions Eye Bank of Nebraska Med-Mizer, Inc. National HME, Inc Conference Workgroup Chair Diane Randolph, BSN, RN Methodist Hospice, Omaha Lori Molzer, RN, CHPN AseraCare Hospice, Lincoln Mary Oliver, BSN, RN St. Joseph Villa Hospice, Omaha Angela McCary, MSN, RN AseraCare Hospice, Lincoln Rhonda Lange, DNP, APRN-NP, GNP-BC CHI Health Nursing Home Network Lisa Pham, RN Hospice Community Care Stacy Boden, RN CHI Health at Home Nicole Donnellon, Client Relations Executive CHI Health at Home Nicole Beck CHI Health at Home Pamela Truscott, MSN, Nurse Educator, RN Vice President of Professional Development NHPCA, Lincoln Kathryn Bergen Director of Membership and Marketing NHPCA, Lincoln Christine Laughlin Professional Development Coordinator NHPCA, Lincoln McKenzie Ferguson Marketing and Vendor Relations Coordinator NHPCA, Lincoln Kelsey Saythany Membership and Marketing Manager NHPCA, Lincoln 2

5 Embassy Suites 1040 P Street, Lincoln, NE Phone embassysuiteslincoln.com X Hotel Reservations Attendees are responsible for their own hotel reservations. Call the Embassy Suites at to make your reservation. Request the Nebraska Hospice & Palliative Care Association. The group code is NHP. For online reservations, go to: personalized/l/lnkeses-nhp / index.jhtml?wt.mc_id=pog Make reservations before Feb. 25, 2018, to guarantee room rate. Single/Double Room Rate: $149* Triple Room Rate: $164* Quad Room Rate: $179* *Includes cook-to-order breakfast and evening reception Directions to Embassy Suites Hotel from I-80: Take downtown exit onto I-180 south. Proceed to P Street, turn left, and go one block. Hotel is located on the corner of 10th and P streets. Parking: City parking garages are located on the east and west side of Embassy Suites for a daily parking charge of $ Hotel valet parking is available for $19 per day. 3

6 conference information Nebraska Hospice and Palliative Care Association (NHPCA) Mission: A statewide partnership to improve the quality of life for all Nebraskans who have chronic conditions or are near the end of life and to support the various communities who care for them. Vision: No Nebraskan lives in pain or dies badly. Nebraskans with chronic or end-of-life conditions, regardless of age, live their last months to their fullest, with their wishes expressed and respected, their pain and suffering alleviated, their fears and questions heard and addressed, their relational, spiritual, cultural, and financial needs met, with their loved ones around them and supported up to and following their death. The Nebraska Hospice and Palliative Care Association is managed by the Nebraska Health Care Association. Conference Purpose The goal of this conference is to improve end-of-life care and conditions across the state of Nebraska by providing education on end-of-life issues for physicians, nurses, social workers, advocates, administrators, and others working in the end-of-life field. Who Should Attend? This is a premier regional conference for everyone caring for patients and families with chronic illness or at the end of life. Attendees include physicians, nurses, therapists, social workers, administrators, and counselors. ADA Requests If you need auxiliary aids or services identified in the Americans with Disabilities Act, please attach a description of requested accommodations to your registration form or call NHPCA at Photos NHPCA takes photographs during its events for use in Association media releases, newsletters, and other promotional materials, whether in print, electronic or other media, including the NHPCA website and online social networking sites. By participating in this conference and other NHPCA events, you grant NHPCA the right to use your name and photograph for such purposes. Daily Certificate of Attendance AT THE BEGINNING OF EACH DAY, REGISTRANTS MUST PICK UP A DAILY CERTIFICATE OF ATTENDANCE. The certificate of attendance will be located near the conference registration area. It is the responsibility of each registrant to retain his or her own certificate as verification of continuing education hours. Daily Evaluations SurveyMonkey will be utilized for completing NHPCA Conference evaluations. A link to the evaluations will be ed to registrants. Continuing Education Credit Registrants can choose from hours of conference education sessions to acquire a maximum of 12.5 continuing education credit hours. The specific number of continuing education credit hours that have been requested from the appropriate licensing agencies are listed after each day s session descriptions. Nurses, Social Workers, Licensed Mental Health Practitioners, and Nursing Home Administrators: Contact hours are listed after each day s session descriptions. Nebraska Health Care Association is an approved provider of continuing nursing education by the Midwest Multistate Division, an accredited approver by the American Nurses Credentialing Center s Commission on Accreditation. Participants must stay in the program the entire time to receive full credit. Nurses: Please bring your nursing license number with you to the training. No perceived or identified speaker or planning committee member conflict of interest. HANDOUTS ONLINE ONLY! Registered attendees can download conference education session handouts online! Session handouts will be ed to registrants 10 days prior to the conference. Be sure to provide your address on the registration form. Printed handouts will not be distributed onsite. Prior to the conference, attendees can print handouts for the sessions they plan to attend. 4

7 keynote speakers Tami Briggs, MBA, CHP Tami Briggs is a therapeutic harpist, and in 1999, she founded Musical Reflections located in Minneapolis. She has a certification from the International Harp Therapy Program and has played the harp at the bedside of hundreds of hospital and hospice patients. As a composer and recording artist, she has released 15 CDs for relaxation, comfort, healing and sleep. She has also written two books. Jennifer Kennedy, MA, BSN, RN, CHC Jennifer Kennedy is the Senior Director, Regulatory and Quality, for the National Hospice and Palliative Care Organization and has been with the organization since She has more than 30 years of experience as a leader and nurse in diverse health care settings and has worked in hospice and palliative care for more than 18 years. Jennifer speaks at national and state conferences, writes articles for trade journals, contributes to health care publisher materials, develops education and resources for hospice and palliative care providers, and serves on the American Nurses Association national palliative nursing task group. Laura Pritchett, PhD Laura Pritchett is the author of five literary novels and the recipient of the PEN USA Award, the Milkweed National Fiction Prize, the High Plains Book Award, the Willa Award, and others. Her work has appeared in The New York Times, O Magazine, Salon, High Country News, Bloom, The Millions, Publisher s Weekly, The Sun, and others. She holds a PhD from Purdue University and teaches and speaks around the country. Tom Attig, PhD Tom Attig is the 2015 recipient of the Death Educator of the Year Award from the Association for Death Education and Counseling and the 2008 Lifetime Achievement Award of the International Network of Personal Meaning. He is the author of How We Grieve: Relearning the World, The Heart of Grief Death and the Search for Lasting Love, and numerous articles and reviews on grief and loss; care of the dying; suicide intervention; death education; the ethics of interactions with the dying and bereaved; and seeking wisdom about mortality, dying and bereavement. Steve Sewell Steve Sewell graduated from Biola University and has completed several hundred credit hours in educational settings in theology, leadership development, pastoral care studies, and thanatology. With more than 25 years of leadership, counseling/coaching, and teaching experience in churches, community development, and hospice/ corporate chaplaincy and as a bereavement specialist and business owner, Steve has a wide range of experience working with many people. Steve travels nationally as a conference speaker, seminar leader, team facilitator, and chaplain endorser. His books, At a Loss Learning How to Comfort Others and Finding Hope, are encouraging professionals in the health care field as well as in general. 5

8 6 schedule at a glance Tuesday, March 20 7:15 a.m. - 5:00 p.m....registration Open 7:15 a.m. - 3:45 p.m....trade Show Open 8:00 a.m. - 8:15 a.m....welcome 8:15 a.m. - 8:45 a.m....nhpca Annual Meeting 8:45 a.m. - 10:00 a.m....general Session I Music s Gift in Hospice Care Tami Briggs, MBA, Certified Harp Practitioner, Therapeutic Harpist, Musical Reflections, Eden Prairie, Minnesota 10:00 a.m. - 3:45 p.m....nhpca Raffle Open 10:00 a.m. - 10:15 a.m....break 10:15 a.m. - 11:30 a.m....general Session II A View from Washington Jennifer Kennedy, MA, BSN, RN, CHC, Senior Director, Regulatory and Quality, National Hospice and Palliative Care Organization, Alexandria, Virginia 11:30 a.m. - 12:30 p.m....lunch 12:30 p.m. - 1:45 p.m....concurrent Sessions [A1-A4] A1: Opioid Analgesic Failure: Genetics, Drugs, Disease (Repeated as Session C1) A2: Advance Directive Completion in 2017: Are Nebraskans Avoiding the Inevitable? A Preliminary Review of the NHPCA End-of-Life Survey (Repeated as Session C2) A3: Hospice Regulatory and Quality Update A4: Good Company = A Good Company (Your Hospice as a Bridge of Hope 1:45 p.m. - 2:00 p.m....break 2:00 p.m. - 3:15 p.m....concurrent Sessions [B1-B4] B1: Those Pesky isms: Skills for Agents and Targets (Repeated as Session E4) B2: But It s Just a Quick Peek: Ethics and Online Searches for Patient Information (This session meets the requirements for 1.25 hours of ethics continuing education for certified social workers.) B3: Death Prep Extravaganza B4: Finding Hope: Helping Kids Find Their Smile During Grief and Loss 3:15 p.m. - 3:30 p.m....break 3:30 p.m. - 3:45 p.m....announcements/door Prizes 3:45 p.m. - 5:00 p.m....general Session III Making Friends with Death? Yes, Indeed Laura Pritchett, Author, Fort Collins, Colorado 5:00 p.m....adjourn/certificates 5:30 p.m. - 6:30 p.m....reception 6:30 p.m - 8:30 p.m....banquet Special Guest, Edo Banach, JD, President and CEO, National Hospice and Palliative Care Organization Thanks to support by Hospice House, anonymous donors, and Heath and Karma Boddy

9 schedule at a glance Wednesday, March 21 7:15 a.m. - 5:00 p.m....registration Open 7:15 a.m. - 3:30 p.m....trade Show Open 7:15 a.m. - 3:15 p.m....nhpca Raffle Open 8:15 a.m. - 8:45 a.m....welcome Special Guest, Edo Banach, JD, President and CEO, National Hospice and Palliative Care Organization Thanks to support by Hospice House, anonymous donors, and Heath and Karma Boddy 8:45 a.m. - 10:00 a.m....general Session IV Catching Your Breath in Grief Tom Attig, PhD, Professor of Philosophy Emeritus, Bowling Green State University, Victoria, British Columbia, Canada 10:00 a.m. - 10:15 a.m....break 10:15 a.m. - 11:30 a.m....concurrent Sessions [C1-C4] C1: Opioid Analgesic Failure: Genetics, Drugs, Disease (Repeat of Session A1) C2: Advance Directive Completion in 2017: Are Nebraskans Avoiding the Inevitable? A Preliminary Review of the NHPCA End-of-Life Survey (Repeat of Session A2) C3: Sound Care for Yourself and Those You Serve C4: How Dying is Under Siege and What Can Be Done (This session meets the requirements for 1.25 hours of ethics continuing education for certified social workers.) 11:30 a.m. - 12:30 p.m....lunch 12:30 p.m. - 1:45 p.m....concurrent Sessions [D1-D4] D1: Lessons Learned: What We Can Learn From 20-Plus Years in Chaplaincy D2: The Need for Wisdom in Thanatology D3: Integrative Care in Pediatric Palliative Care D4: Post-Traumatic Stress Disorder and Veterans 1:45 p.m. - 2:00 p.m....break 2:00 p.m. - 3:15 p.m....concurrent Sessions [E1-E4] E1: The Myths and Reality of Pediatric Hospice Concurrent Care E2: Therapeutic Music E3: Pause for PEG: Best Practices in Care of Patients with Advanced Dementia E4: Those Pesky isms: Skills for Agents and Targets (Repeat of Session B1) 3:15 p.m. - 3:30 p.m....break 3:30 p.m. - 3:45 p.m....announcements/door Prizes/Raffle Prizes 3:45 p.m. - 5:00 p.m....general Session V Conquering Conflicts Steve Sewell, Chaplain, CEO, Speaker, Trainer, Author, Encouraging Hope and Steven Enterprises, St. Joseph, Missouri 5:00 p.m....adjourn/certificates For personal comfort, we suggest dressing in layers to accommodate variable room temperatures. 7

10 tuesday march 20 schedule details 7:15 a.m. - 5:00 p.m....registration Open 7:15 a.m. - 3:45 p.m....trade Show Open 8:00 a.m. - 8:15 a.m....welcome 8:15 a.m. - 8:45 a.m....nhpca Annual Meeting 8:45 a.m. - 10:00 a.m....general Session I Music s Gift in Hospice Care Tami Briggs, MBA, Certified Harp Practitioner, Therapeutic Harpist, Musical Reflections, Eden Prairie, Minnesota Music contributes to creating an environment an intimate space for the transitioning person, the family, and the attending medical staff. This presentation will demonstrate through story and harp performance how music brings richness, depth and tenderness to the sacred experience of dying. Participants will learn how to incorporate music into palliative, hospice and endof-life care to improve patient and family satisfaction and improve overall quality of care. This training will allow participants to explore data on combining two integrative therapies: harp therapy and healing touch; discuss the rationale for incorporating music in palliative, hospice and end-of-life care; discuss three strains of music for hospice patients and their families; and distinguish ways to incorporate music in palliative, hospice and end-of-life care to improve patient and family satisfaction and improve overall quality of care. 10:00 a.m. - 3:45 p.m....nhpca Raffle Open 10:00 a.m. - 10:15 a.m....break 10:15 a.m. - 11:30 a.m....general Session ll A View from Washington Jennifer Kennedy, MA, BSN, RN, CHC, Senior Director, Regulatory and Quality, National Hospice and Palliative Care Organization, Alexandria, Virginia The purpose of this session is to enable the learner to understand the national environment as it relates to hospice and palliative care. This session will look at the congressional and regulatory activity and issues related to federally funded hospice care and look at the future of hospice and palliative care. This training will allow participants to explain the national environment, diagram current hospice legislative and regulatory issues, and discuss the future of end-of-life care. 11:30 a.m. - 12:30 p.m...lunch 12:30 p.m. - 1:45 p.m.... Concurrent Sessions [A1-A4] A1: Opioid Analgesic Failure: Genetics, Drugs, Disease (Repeated as Session C1) Michelle Huber, RPh, PharmD, BCGP, Clinical Pharmacist, Hospice of Siouxland, Sioux City, Iowa Patients are frequently being tested for genetic abnormalities that may interfere with pain management after a surgery. Information that was once only available in study subjects is now becoming readily available. Drug interactions and end organ failure may also affect pharmacokinetics of individual opioids in a similar manner. Genetic testing reports can be used by the hospice staff to improve end-of-life pain and symptom management. This training will allow participants to self-report increased knowledge of opioid effects in the body, metabolism and excretion; self-report an increased understanding of pharmacogenetics and polymorphisms that may impact pain management; become aware of drug interactions and genetic predispositions involved with specific pain medications; and choose improved medication therapy choices for individual patients. A2: Advance Directive Completion in 2017: Are Nebraskans Avoiding the Inevitable? A Preliminary Review of the NHPCA End-of-Life Survey (Repeated as Session C2) Julie Masters, PhD, Professor and Chair, University of Nebraska at Omaha, Omaha, Nebraska Lindsey Wylie, JD, PhD, Research Associate, University of Nebraska at Omaha, Omaha, Nebraska Sarah Hubner, BA, BS, Graduate Assistant, University of Nebraska at Omaha, Omaha, Nebraska The purpose of this session is to provide insight into the decision-making behaviors of Nebraskans regarding their end-of-life wishes and whether these decisions continue to be an integrated process since first examining the data in the last NHPCA Nebraska Endof-Life Survey Report. Data from the most recent survey will be discussed along with results from previous years. 8

11 tuesday march 20 schedule details This training will allow participants to gain knowledge of how comfort with death can influence completion of advance directives; become familiar with the types of advance directives completed by people responding to the 2017 Nebraska End-of-Life Survey Report; and gain an understanding of how age, gender, income, education, marital status and religiosity influence decision-making. A3: Hospice Regulatory and Quality Update Jennifer Kennedy, MA, BSN, RN, CHC, Senior Director, Regulatory and Quality, National Hospice and Palliative Care Organization, Alexandria, Virginia The purpose of this session is to enable the learner to understand quality and regulatory issues that remain at the forefront for hospice providers in It is important that hospice providers understand the federal hospice landscape in an effort to self-assess their compliance status. This session will look at Medicare hospice hot spots, current and future quality measures, and how a hospice provider can reduce risk in their program. This training will allow participants to identify the hot regulatory issues in the hospice industry and how they affect hospice providers and the hospice industry as a whole, review the current quality reporting requirements and issues in the hospice industry, and discuss how to reduce compliance risk. A4: Good Company = A Good Company (Your Hospice as a Bridge of Hope) Steve Sewell, Chaplain, CEO, Speaker, Trainer, Author, Encouraging Hope and Steven Enterprises, St. Joseph, Missouri Health care organizations are known not only for their programs and care but for their people associated with caring programs. In this session, you will learn a failproof model of connecting with your community and ways to launch new relationships. This training will allow participants to differentiate how a bridge makes an impact and how hospice staff members can provide encouraging hope to their community, describe practical ways for hospice workers to launch new relationships that have the potential to influence their community, and create a personal mission statement for their work using the points discussed in the workshop. 1:45 p.m. - 2:00 p.m....break 2:00 p.m. - 3:15 p.m.... Concurrent Sessions [B1-B4] B1: Those Pesky isms: Skills for Agents and Targets (Repeated as Session E4) Kelly Keller, BSW, MA, Volunteer Coordinator, AseraCare Hospice, Omaha, Nebraska This session will provide an overview of a unique model for overcoming the isms we find ourselves grappling with in our personal and professional lives. Participants will locate themselves as agent or target in various groupings and apply Dr. Leticia Nieto s Developmental Strategy to reflect on the different skill sets needed based on context, status and rank. Participants will discover and challenge themselves to use those skill sets that uncover their own personal power and hold promise to help us move beyond tolerance or even inclusion to action that liberates all. This training will allow participants to locate themselves simultaneously as target and agent in various social structures, apply the Developmental Strategy of Dr. Leticia Nieto in exploring the skills required to move from survival toward recentering and/or from indifference to allyship, and identify and commit to one action that moves them personally or professionally Beyond Inclusion, Beyond Empowerment. B2: But It s Just a Quick Peek: Ethics and Online Searches for Patient Information Leslie Kuhnel, MPA, MSHCE, DBe(c), Regional Ethicist, CHI Health, Omaha, Nebraska This session will explore the evolution of the practice of patient-targeted Googling and will discuss the related ethical considerations. Included will be an examination of the potential benefits and possible pitfalls associated with this activity, online search trends among health care professionals, and a model critical-thinking tool (the TTaPP tool) that can be adopted within the health care setting. This training will allow participants to define the term patient-targeted Googling as it relates to the health care arena, identify potential benefits and possible pitfalls of engaging in patient-targeted Googling activities, and introduce a critical thinking tool developed in response to questions related to patienttargeted Googling, the TTaPP tool. (This session meets the requirements for 1.25 hours of ethics continuing education for certified social workers.) (continued on next page) 9

12 tuesday march 20 schedule details B3: Death Prep Extravaganza Laura Pritchett, Author, Fort Collins, Colorado Based on Laura Pritchett s book, Making Friends with Death: A Field Guide for Your Impending Last Breath (To Be Read, Ideally, Before It s Imminent!), this session is a practical workbook-type session designed to get you and your patients thinking about how best to live life, contemplate death, and help others know and respect our wishes. This session is anything but morbid rather, it offers spunky and fresh ideas about clarifying one s life, using death as your advisor so as not to dilute or distract your time away, creating a good holding environment for yourself or others, and making friends with the inevitable. This training will allow participants to identify how to best live life, contemplate death, and help others know and respect their wishes; review fresh ideas about clarifying one s life, using death as your advisor; and create a good environment and make friends while facing the inevitable. B4: Finding Hope: Helping Kids Find Their Smile During Grief and Loss Steve Sewell, Chaplain, CEO, Speaker, Trainer, Author, Encouraging Hope and Steven Enterprises, St. Joseph, Missouri Fears, misconceptions, doubts and other barriers to healthy communication play a large part in what we do as end-of-life professionals. Working with children and teenagers who are grieving through the loss of their loved one or as a patient can be even more challenging. In this seminar, Steve will provide encouraging hope to you, in whatever discipline you serve in, to support, provide empathy, and create a high, open relationship with these precious young people. This training will allow participants to reflect on what we know about kids and experiencing grief and loss, differentiate age-level-appropriate grief support for a variety of end-of-life clinicians, and observe general tips of working with kids and teens as it relates to grief and loss. 3:15 p.m. - 3:30 p.m....break 3:30 p.m. - 3:45 p.m.... Announcements/Door Prizes 3:45 p.m. - 5:00 p.m....general Session III Making Friends with Death? Yes, Indeed Laura Pritchett, Author, Fort Collins, Colorado Based on Laura Pritchett s new book, Making Friends with Death: A Field Guide for Your Impending Last Breath (To Be Read, Ideally, Before It s Imminent!), this session is designed to get participants thinking about making peace with the inevitable. Pritchett will broach the sacred and the scary with warmth, humor, and a few wisdoms gleaned from years of research into what a good death looks like. The goal? Participants will leave thinking of death as more of a friend than a spooky stranger which helps not only each of us, but our loved ones as well. And since we can use death as our advisor, it might offer a few nuggets on living our best and brightest life too. There will be a few laughs along the way because it s not all grim when it comes to the grim reaper. Objective: This training will allow participants to self-report that they left the session thinking of death as more of a friend than a spooky stranger which helps not only each of us, but our loved ones as well (not to mention our culture and planet). 5:00 p.m....adjourn/certificates 5:30 p.m. - 6:30 p.m....reception 6:30 p.m. - 8:30 p.m....banquet Special Guest, Edo Banach, JD, President and CEO, National Hospice and Palliative Care Organization Thanks to support by Hospice House, anonymous donors, and Heath and Karma Boddy Nebraska Health Care Association is an approved provider of continuing nursing education by the Midwest Multistate Division, an accredited approver by the American Nurses Credentialing Center s Commission on Accreditation. This program meets the criteria for 6.25 hours of an approved continuing education program for certified social workers, certified master social workers, and licensed mental health practitioners. This program meets the criteria for 6.25 hours of an approved continuing education program for Nebraska nursing home administrators. 10

13 wednesday march 21 schedule details 7:15 a.m. 5:00 p.m....registration Open 7:15 a.m. - 3:30 p.m....trade Show Open 7:15 a.m. - 3:15 p.m....nhpca Raffle Open 8:15 a.m. - 8:45 a.m....welcome Special Guest, Edo Banach, JD, President and CEO, National Hospice and Palliative Care Organization Thanks to support by Hospice House, anonymous donors, and Heath and Karma Boddy 8:45 a.m. - 10:00 a.m....general Session IV Catching Your Breath in Grief Tom Attig, PhD, Professor of Philosophy Emeritus, Bowling Green State University, Victoria, British Columbia, Canada Tom Attig s distinctive contribution to the study of loss and grief has been sustained existentialphenomenological reflection on grieving as a process of relearning how to live in the world (How We Grieve) and making the transition from loving in presence to loving in separation (The Heart of Grief). This session, based on Tom s latest book, captures the substance of that earlier work and extends and embeds it in descriptions and interpretations of experiences of learning how to live from birth to death, learning to carry sorrow, engaging with life s mysteries, and soulful and spiritual dimensions of loss and grief. This training will allow participants to self-report an understanding of how we learn to live in the world from birth until death, self-report an understanding of grief reactions, and self-report an understanding of the grieving response. 10:00 a.m. - 10:15 a.m....break 10:15 a.m. - 11:30 a.m.... Concurrent Sessions [C1-C4] C1: Opioid Analgesic Failure: Genetics, Drugs, Disease (Repeat of Session A1) Michelle Huber, RPh, PharmD, BCGP, Clinical Pharmacist, Hospice of Siouxland, Sioux City, Iowa Patients are frequently being tested for genetic abnormalities that may interfere with pain management after a surgery. Information that was once only available in study subjects is now becoming readily available. Drug interactions and end organ failure may also affect pharmacokinetics of individual opioids in a similar manner. Genetic testing reports can be used by the hospice staff to improve end-of-life pain and symptom management. This training will allow participants to increase knowledge of opioid effects in the body, metabolism and excretion; self-report an understanding of pharmacogenetics and polymorphisms that may impact pain management; become aware of drug interactions and genetic predispositions involved with specific pain medications; and choose improved medication therapy choices for individual patients. C2: Advance Directive Completion in 2017: Are Nebraskans Avoiding the Inevitable? A Preliminary Review of the NHPCA End-of-Life Survey (Repeat of Session A2) Julie Masters, PhD, Professor and Chair, University of Nebraska Omaha, Omaha, Nebraska Lindsey Wylie, JD, PhD, Research Associate, University of Nebraska Omaha, Omaha, Nebraska Sarah Hubner, BA, BS, Graduate Assistant, University of Nebraska Omaha, Omaha, Nebraska The purpose of this session is to provide insight into the decision-making behaviors of Nebraskans regarding their end-of-life wishes and whether these decisions continue to be an integrated process since first examining the data in the last NHPCA Nebraska Endof-Life Survey Report. Data from the most recent survey will be discussed along with results from previous years. This training will allow participants to gain knowledge of how comfort with death can influence completion of advance directives; become familiar with the types of advance directives completed by people responding to the 2017 Nebraska End-of-Life Survey Report; and gain an understanding of how age, gender, income, education, marital status and religiosity influence decision-making. C3: Sound Care for Yourself and Those You Serve Tami Briggs, MBA, Certified Harp Practitioner, Therapeutic Harpist, Musical Reflections, Eden Prairie, Minnesota Your sound care is vital to your overall well-being. In this session, you will feel music s powerful healing role, with live harp music, and explore a unique perspective on self-care in relation to the four areas of well-being: physical, emotional, mental and spiritual. As you move from busyness to calm and deep relaxation, your spirit will be nurtured with time for reflection and rejuvenation. (continued on next page) 11

14 wednesday march 21 schedule details This training will allow participants to describe sound care and discuss how to mindfully create a sound cloud for themselves and those they serve; discuss the four areas of well-being: physical, emotional, mental and spiritual, and how each impacts participants overall self-care; and learn creative ideas on how the harp and therapeutic music can support your self-care journey. C4: How Dying is Under Siege and What Can Be Done Helen Chapple, PhD, RN, MA, MSN, CT, Associate Professor, Creighton University, Omaha, Nebraska Biomedical advances now rescue many from sudden death, enabling survivors to maintain chronic conditions over time. As decline from illness and general frailty gradually assert themselves in these people, death can often be foreseen. Dying has therefore become something separable from death, garnering attention on its own. The development of dying as a thing and its impact on the culture makes its threatened disappearance notable. Expected remedies from hospice and advance care planning are not reliable. This session traces the development of dying and what now puts it in jeopardy. Possible interventions will be explored. Objective: This training will allow participants to name one factor in the development of dying as a particular focus, describe how medical advances have made dying more difficult to identify, and explain why hospice cannot protect dying generally. (This session meets the requirements for 1.25 hours of ethics continuing education for certified social workers.) 11:30 a.m. - 12:30 p.m...lunch 12:30 p.m. - 1:45 p.m.... Concurrent Sessions [D1-D4] D1: Lessons Learned: What We Can Learn From 20-Plus Years in Chaplaincy Steve Sewell, Chaplain, CEO, Speaker, Trainer, Author, Encouraging Hope and Steven Enterprises, St. Joseph, Missouri The role of the spiritual counselor and/or chaplain has evolved from a lot of different meanings in the past to several different definitions for current-day practice. Yet in some cases, the chaplain role is being diminished, underserved and underappreciated. This session will explore the evolution of chaplaincy, the fundamental points of interests and best practiced skills, and how to keep the call to serve patients and their families at the foremost interest of ourselves and our agencies. This training will allow participants to identify the evolution of chaplaincy, explore lessons learned from veteran chaplains, and share their best valued lessons and points of interests in chaplaincy. D2: The Need for Wisdom in Thanatology Tom Attig, PhD, Professor of Philosophy Emeritus, Bowling Green State University, Victoria, British Columbia, Canada Wisdom is a worthy and necessary companion to science in the body of knowledge that is thanatology. Science seeks objective truths about reality. Wisdom seeks subjective truths about values and meanings one can live by. Wisdom enables us to recognize the limits of our knowing and to reflect carefully about challenges in living meaningfully, especially in shadows of uncertainty, e.g., when facing mortality, dying or grieving, or when caring for others who are doing so. The body of wisdom in thanatology is already rich and diverse and among our most valuable treasures. This training will allow participants to define the purposes of wisdom and science in thanatology, identify and discuss several places where wisdom is vitally important personally and professionally in living mortal lives and caregiving, and identify a variety of sources of invaluable wisdom for contending with mortality, dying and bereavement and for respectful caregiving. D3: Integrative Care in Pediatric Palliative Care Sheila Mee, DMin, CHTP/I, Healing Touch Practitioner, Hand in Hand/Palliative Care, Children s Hospital and Medical Center, Omaha, Nebraska This session will provide an overview of integrative modalities that may be used in pediatric palliative care. It will demonstrate how integrative care has evolved in the Hand in Hand/Palliative Care program at Children s Hospital and Medical Center and describe ways in which patients are benefiting. Attendees will leave with a better understanding of how integrative care can be incorporated into their setting. This training will allow participants to explain the basic goals in integrative care as well as basic types of integrative care, self-report understanding of how integrative care was introduced at Children s Hospital and Medical Center and how they might apply those principles in their own setting, and enumerate the modalities of integrative care that are currently being used at Children s Hospital and Medical Center as well as the results that are being experienced. 12

15 wednesday march 21 schedule details D4: Post-Traumatic Stress Disorder and Veterans Lori Wardlow, LMSW, Post 9/11 Transition and Care Management Program Manager, VA Nebraska- Western Iowa Health Care System, Lincoln, Nebraska In this session, participants will learn to recognize the symptoms of Post-Traumatic Stress Disorder in the veteran population. Participants will learn how PTSD symptoms are experienced from a veteran patient perspective and how this can strain relationships. Participants will also gain knowledge about resources available to health care providers so they may better understand and connect veterans to care. This training will allow participants to define PTSD, recognize the symptoms of PTSD and define military sexual trauma, and recognize common behavioral and emotional reactions experienced as a military member. 1:45 p.m. - 2:00 p.m....break and Anniversary Celebration Join us for cake to celebrate NHPCA s 35th anniversary! 2:00 p.m. - 3:15 p.m.... Concurrent Sessions [E1-E4] E1: The Myths and Reality of Pediatric Hospice Concurrent Care Denice Schroeder, BSN, RN, CHPPN, Case Manager, Hand in Hand/Palliative Care, Children s Hospital and Medical Center, Omaha, Nebraska Kelly Weiler, Director of Managed Care, Children s Hospital and Medical Center, Omaha, Nebraska When a call comes in requesting your agency to provide care for a pediatric hospice patient, many questions may go through your mind. Then you get the referral information. What do you mean they want to continue with MRIs, blood draws, IV fluids, and other life-sustaining treatments? If they want to do all of this, they are not ready for end-of-life care! Besides, who is going to fund all of this? This session will provide tools that define pediatric hospice and discuss how to meet the goals of the patient and families and the Affordable Care Act that allows concurrent pediatric hospice care. This training will allow participants to apply regulations in concurrent care with hospice in the pediatric patient, state the definition parameters of pediatric hospice, and implement concurrent pediatric hospice with use of case studies. E2: Therapeutic Music Arlis Dowding, BSHR, CCM, VAHTP, Harpist, Certified Clinical Musician, Independent Contractor, Omaha, Nebraska The practice of the trained therapeutic musician is to use the intrinsic healing elements of live music and sound to provide an environment conducive to the human healing process. The music is not entertainment, rather it supports the patient in what they are experiencing. Research studies support live therapeutic music as beneficial in support of medical professionals treatment of patients. This training will allow participants to self-report increased understanding of therapeutic music and its role in support of medical professionals in patient treatments; self-report increased understanding of the evolution of therapeutic music, differentiate a therapeutic musician and music therapist, and share additional music modalities; and self-report increased understanding of therapeutic musician training. E3: Pause for PEG: Best Practices in Care of Patients with Advanced Dementia Deborah Conley, MSN, APRN-CNS, GCNS-BC, FGNA, Director of Geriatrics, Methodist Hospital, Omaha, Nebraska This presentation will address the PICO question, In patients with advanced dementia, how does comprehensive family education on the risks/benefits associated with percutaneous endoscopic gastrostomy (PEG) tube insertion as part of the informed consent process influence incidence of PEG tube insertion rates? The process necessary to implement the Pause for PEG initiative used at Methodist Hospital will be discussed. This training will allow participants to examine focused literature on the use of PEG tubes in patients with advanced dementia, describe the purpose of the Pause for PEG initiative at Methodist Hospital, and analyze case studies to apply the Pause for PEG framework. E4: Those Pesky isms: Skills for Agents and Targets (Repeat of Session B1) Kelly Keller, BSW, MA, Volunteer Coordinator, AseraCare Hospice, Omaha, Nebraska This session will provide an overview of a unique model for overcoming the isms we find ourselves grappling with in our personal and professional lives. Participants will locate themselves as agent or target in various (continued on next page) 13

16 wednesday march 21 schedule details groupings and apply Dr. Leticia Nieto s Developmental Strategy to reflect on the different skill sets needed based on context, status and rank. Participants will discover and challenge themselves to use those skill sets that uncover their own personal power and hold promise to help us move beyond tolerance or even inclusion to action that liberates all. This training will allow participants to locate themselves simultaneously as target and agent in various social structures, apply the Developmental Strategy of Dr. Leticia Nieto in exploring the skills required to move from survival toward recentering and/or from indifference to allyship, and identify and commit to one action that moves them personally or professionally Beyond Inclusion, Beyond Empowerment. 3:15 p.m. - 3:30 p.m....break 3:30 p.m. - 3:45 p.m....announcements/ Door Prizes/Raffle Prizes 3:45 p.m. - 5:00 p.m....general Session V Conquering Conflicts Steve Sewell, Chaplain, CEO, Speaker, Trainer, Author, Encouraging Hope and Steven Enterprises, St. Joseph, Missouri Conflicts are inevitable in end of life. Whether it is peer to peer, patient-related, or challenges with families, our field reports will detail conflicts of many kinds. But what if we were to base our clinical work (and our personal relationships) around integral models of caring for others through listening and utilizing certain methods of conquering these conflicts? What if our agenda at each patient and family visit was to help reframe these challenges and encourage a strong, reconciling hope? This session will cheer on and champion the advocate in their approach to end-of-life caregiving. This training will allow participants to explore the variety of conflicts and their associated values that arise for hospice and palliative care clinicians during end of life; explore five different, but important, approaches to handle conflicts as it relates to end-of-life care; self-report an increase in understanding of the role of a mediator during end-of-life conflicts; and identify manager tips and what if it s me to keep conflicts from going crazy. 5:00 p.m....adjourn/certificates Nebraska Health Care Association is an approved provider of continuing nursing education by the Midwest Multistate Division, an accredited approver by the American Nurses Credentialing Center s Commission on Accreditation. This program meets the criteria for 6.25 hours of an approved continuing education program for certified social workers, certified master social workers, and licensed mental health practitioners. This program meets the criteria for 6.25 hours of an approved continuing education program for Nebraska nursing home administrators Awards Shining Star Award The Shining Star Award recognizes an individual, group or organization that has illustrated outstanding leadership in the promotion of endof-life services, raised awareness of or educated others on end-of-life issues, developed a new program, or developed or completed outstanding work in an end-of-life coalition. Spirit of Hospice Award The Spirit of Hospice Award recognizes true commitment and outstanding dedication to the hospice philosophy of care. Nominees should have promoted quality hospice care over the last year. They should display openness to the needs of all they have cared for, reverencing the dignity of diversity. Outstanding Hospice Volunteer Recognition Honors exemplary volunteers from Nebraska s hospice programs. Award recipients will be recognized at the awards banquet on Tuesday, March 20, at 6:30 p.m. Submit nominations at nehospice.org by Friday, Feb

17 Registration Form Living a Good Life...at the End of Life NHPCA Annual Conference March 20-21, 2018 Name Title Credentials Organization Address City, State, Zip Phone Fax All Nurses: Nursing License # By participating in this activity, you grant NHPCA the right to release your contact information to the sponsors/commercial interest organizations. If you do not wish to have your name, mailing address, and address released, please check the box below. I do not wish to have my name, mailing address, and/or address released. If you require special accommodations, please attach a written description of your needs. If you have special dietary restrictions or requests, notify us at least five days prior to the event. 1._ Select your choice of concurrent sessions: Tuesday, March 20 Wednesday, March 21 12:30 p.m. A1 A2 A3 A4 10:15 a.m. C1 C2 C3 C4 2:00 p.m. B1 B2 B3 B4 12:30 p.m. D1 D2 D3 D4 2:00 p.m. E1 E2 E3 E4 2._ Select which continuing education you require: Nursing Nursing Home Administrator Social Work/LMHP 3._ Circle the appropriate registration fee: Member on/before March 5 Member after March 5 *Non-Member on/before March 5 *Non-Member after March 5 Full Conference Registration Both Days: March $290 $340 $580 $630 Daily Registration: Tuesday, March 20 $175 $200 $350 $375 Daily Registration: Wednesday, March 21 $175 $200 $350 $375 Awards Banquet/Dinner: Tuesday, March 20 $ 50 $ 50 $ 50 $ 50 NHPCA PAYMENT INFORMATION: Membership Status: Member (NNFA, NALA, or NHPCA) Non-Member Billing Information: Credit Card Check Enclosed Cash Cardholder s Name (PRINT) Credit Card # Exp. Date CVC# Cardholder s Billing Address, City, State, Zip Cardholder s Signature Your signature on the line above will authorize this transaction. TOTAL REGISTRATION FEES: Registration Fee... $ Awards Banquet Tickets: # x $50 =... $ Total Payment... $ Send completed form and payment to: NHPCA,1200 Libra Dr Ste 100 Lincoln NE or register online at nehospice.org * For information on becoming a member, call Additional registration information and the cancellation policy are provided on the back side of this form. 15

18 Registration Information Full Conference Registration: Includes both days of education (March 20 and 21), breaks, lunches, admission to the trade show, raffle, and annual meeting. Daily Registration: Registration on a per-day basis for Tuesday, March 20, or Wednesday, March 21. Daily registration includes all education sessions, lunch, breaks, admission to the trade show, and raffle for the day. Tuesday registration includes the annual meeting. Awards Banquet/Dinner Tickets: Tickets must be purchased separately to attend the Tuesday evening awards banquet NOT included in full conference registration or daily registration. Cancellation Policy All cancellation requests must be submitted in writing. A $50 processing fee will apply to all cancellations. Cancellations on or before March 5, 2018, will receive a full refund less the processing fee. No refunds will be given on cancellations postmarked after March 5, Substitutions are welcome; please submit your request in writing. NHPCA reserves the right to substitute faculty or to cancel or reschedule sessions due to unforeseen circumstances. If the conference must be canceled, registrants will receive full credits or refunds of the paid registration fees. NHPCA is not responsible for lodging, airfare, or any other expense related to attending the conference. NHPCA Scholarship Applications Due Feb. 16 The Nebraska Hospice and Palliative Care Association is accepting applications for scholarships to attend the 2018 NHPCA Living a Good Life... at the End of Life Annual Conference, March 20-21, NHPCA will award seven, one-day scholarships for qualified individuals in the following disciplines: Nursing (two scholarships) Chaplain (one scholarship) Social Work (one scholarship) Volunteer Coordinator (one scholarship) Bereavement Coordinator (one scholarship) Hospice Aide (one scholarship) Scholarship recipients will be recognized at the awards banquet on Tuesday, March 20, at 6:30 p.m. Submit applications at nehospice.org/2018scholarshipapp by Friday, Feb

19 banquet. Tuesday, March 20 5:30 p.m. Reception 6:30 p.m. Awards Banquet Special Guest, Edo Banach, JD, President and CEO National Hospice and Palliative Care Organization Thanks to support by Hospice House, anonymous donors, and Heath and Karma Boddy Scholarship Recognition Outstanding Volunteer Recognition Award Recognition Shining Star Award Spirit of Hospice Award Join us for a 35th anniversary celebration! th 35 Anniversary trade show. Tuesday, March 20, 7:15 a.m. to 3:45 p.m. Wednesday, March 21, 7:15 a.m. to 3:30 p.m. Registered conference attendees are invited to the trade show. The trade show offers a great opportunity to visit with exhibitors and become better acquainted with their variety of products, services and equipment. Win trade show door prizes! Door prizes will be given away during the NHPCA Conference Trade Show. Sign up at participating booths to win a variety of exciting prizes donated by exhibitors! nhpca annual raffle. During the conference, plan to visit the NHPCA Annual Raffle. Winners can take home a variety of fun items and packages! Funds raised through the raffle support scholarships for hospice professionals in Nebraska. To Participate in the Raffle: Raffle items will be displayed at the raffle booth in the trade show from 10 a.m. to 3:45 p.m. on Tuesday, March 20, and 7:15 a.m. to 3:15 p.m. on Wednesday, March 21. Stop by to see the prizes you can win! Raffle tickets can be purchased from any conference workgroup member, board member, or at the registration desk. To Donate a Raffle Prize: Donations of single items and packages are needed to make this event a success. To donate, complete the NHPCA raffle contribution form at nehca.org/2018nhpcaraffle. Donations should be delivered to NHPCA by March 14 or brought to the conference registration desk by 10 a.m. on Tuesday, March 20. Additional details are available at nehospice.org. 17

20 1200 LIBRA DR STE 100 LINCOLN NE Living a Good Life... at the End of Life 2018 Annual Conference, March Embassy Suites, Lincoln, Nebraska Nebraska Hospice and Palliative Care Association 1200 Libra Drive, Suite 100, Lincoln, NE Phone Fax nehospice.org