PPT-Goals of Care Conversations – Part 4

Discussing LifeSustaining Treatments Title Slide Serious Illness Communication Skills Training Delivering Serious News Conducting Goals of Care Conversations Part 1 Reframing Were in a Different . 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 . Mapping the Future: Clarifying Priorities. h. Mapping the Future. Clarifying Priorities . 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. Customizing Training Sessions. to Meet Learners’ Needs. Not All Learners Are Alike. Level of communication skill. Experience with goals of care conversations. Clinical responsibilities. Adjust your curriculum based on learners’ needs. 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. 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 4 Discussing Life-Sustaining Treatments Training for Physicians, Advance Practice Nurses, and Physician Assistants Serious Illness Communication Skills Training 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 . 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 .