PPT-Goals of Care Conversations – Part 4 Discussing Life-Sustaining Treatments

Goals of Care Conversations Part 4 Discussing LifeSustaining Treatments Training for Physicians Advance Practice Nurses and Physician Assistants Serious Illness Communication Skills Training. Reframing: We’re in a Different Place. ii. Reframing:. We’re in a Different Place. Goals of Care Conversations:. A Five Part Series. Delivering Serious News. Reframing: We’re in a Different Place . If I were unable to communicate with anyone, . and there were things that I really . wanted. . or didn’t want,. How would I feel. ?. ”. Advance Care Planning in Canada:. You Can Do It!. Faculty: . Reframing: We’re in a Different Place. ii. Reframing:. We’re in a Different Place. Goals of Care Conversations:. A Five Part Series. Delivering Serious News. Reframing: We’re in a Different Place . Discussing Prognosis &. Goals of Care. Sonye K. . Danoff. , MD, . PhD. PULMONARY FIBROSIS. : WHAT AND . WHY. November 13, 2015. No conflict of interest relevant to this presentation. Objective of this talk. For Nurses, Social Workers, Psychologists & Chaplains. Part 1: Key Communication Skills . Welcome. Introductions. Agenda. Brief review of class materials. Ground Rules. Respect for privacy. Respect for individual values. For Nurses, Social Workers, Psychologists & Chaplains. Part 3: Implementation . What We Learned in Part 2. Steps of a Goals of Care Conversation. Introduce the conversation. Identify the surrogate. DIRECTIVES,. GOALS OF CARE CONVERSATIONS AND LIFE-SUSTAINING TREATMENT . DECISIONS,. STATE-AUTHORIZED PORTABLE . ORDERS. HOW DO . THESE . PIECES FIT . TOGETHER. . TO ELICIT AND DOCUMENT PATIENT TREATMENT PREFERENCES? . Initiative. VA Life-Sustaining Treatment . Decisions Initiative. National quality improvement initiative . to promote personalized, proactive, patient-driven care for Veterans with serious illness. Desired outcomes:. New CPRS Documentation Process. Life-Sustaining Treatment Progress Note. Goals of care and life-sustaining treatment decisions. Can automatically launch LST Orders . Life-Sustaining Treatment Orders. Goals of Care Conversations – Part 1 Reframing: We’re in a Different Place Training for Physicians, Advance Practice Nurses, and Physician Assistants Serious Illness Communication Skills Training Strategies and Tools to Help Proactively Identify High-Risk Patients . To successfully honor patients’ goals and decisions, we must:. Why?. Conducting a goals of care conversation BEFORE the patient experiences a medical crisis . recognize that the best health care is based upona partnership of trust and communication with my physician My physician and I will make health care or treatment decisions together as long as I am of EOLE is funded by the Australian Government Department of Health and Aged Care. From the: Dying A Normal part of Life Module. (See the accompanying Seminar Notes and References / Resources Documents). Putting It All Together . Practice Exercise. Segment 1: . Begin / Discuss the Patient’s Surrogate. Segment 2:. REMAP – Reframe, Emotion, Map, Align, Plan. Segment 3:. Discuss Life-Sustaining Treatment, Summarize, Close .