Breakout Sessions and Agenda for Palliative Care Symposium

Symposium Program

The 2019 National Symposium’s theme is “Advancing Palliative Care: Leading Into the Future.” We would like to extend a special thanks to the Symposium Planning Committee for their hard work in designing this year’s stellar program!

Jennifer Moore Ballentine, MA, Executive Director, CSU Shiley Institute for Palliative Care

Debra Hain, PhD, Professor of Nursing, Florida Atlantic University

Nidhi Mahendra, PhD, Associate Professor; Associate Director of the Center for Healthy Aging in Multicultural Populations (CHAMP), San Jose State University

Tara Schapmire, PhD, MSSW, OSW-C, FNAP, FAOSW, Associate Professor of Medicine & Affiliated Associate Professor of Social Work, Interdisciplinary Program for Palliative Care & Chronic Illness, University of Louisville School of Medicine

Adam Shapiro, PhD, Professor of Sociology, California State University San Marcos

“If you want to be able to lead well in the world, the first place we need to know how to lead is (to) lead well inside ourselves. Fundamentally, how do we navigate stress, uncertainty, and self-doubt to be able to focus on what really matters?”

Daniel Friedland, MD, founder and CEO of SuperSmart Health

Friday, October 11, 2019

8:30 am	Introductory Remarks Jennifer Moore Ballentine, MA, Executive Director, CSU Shiley Institute for Palliative Care Description Ms. Ballentine, the executive director of the CSU Shiley Institute for Palliative Care, will call this fourth national conference to order by recapping the essence of palliative care and noting the crucial role the members of the audience play in assuring palliative care is offered and available for all who seek its embrace. Welcome Ellen J. Neufeldt, Ed.D., President, California State University San Marcos Description Dr. Neufeldt became the fourth president of CSUSM on July 1 this year succeeding Karen Haynes, PhD, who served for 16 years. Dr. Neufeldt will deliver the welcome address to kick off the Symposium.
9:00 am	Opening Keynote Leading Well from Within to Impact the Future Daniel Friedland, MD, Chief Executive Officer, SuperSmart Health (Dr. Friedland will conduct a book signing for “Leading Well from Within” following this session) Description A multinational coach of CEOs and professionals, Dr. “Danny” Friedland will launch the conference, describing his leadership journey and research he has conducted on transforming stress and burnout into compassionate, engaged, values-based work. He will share ways to navigate stress, clarify vision and purpose, and thrive to impact the world positively.
10:15 am	Break
10:45 am	Concurrent Sessions
	Workshop Equipping Yourself with Strategies for Leading Well from Within Daniel Friedland, MD, Chief Executive Officer, SuperSmart Health Description Following his keynote address, Dr. Friedland will conduct a workshop that provides strategies for empowering the leader within each participant, including his four-step system to elevate one’s own leadership capacity. Click here to reserve your seat for this workshop.
	Paper Session—Palliative Care in the Outpatient Setting and For Consumers Increasing Routine Advance Care Planning Discussions with Medicare Patients in Primary Care Cheryl Wicker, DNP, Family Nurse Practitioner, Cone Health Description Although there is a recognition of moving advance care planning discussions to primary care for future palliative care success, there are few studies showing such discussions are feasible in a busy primary care office. This paper’s author will describe a quality improvement intervention that was conducted at a targeted primary care office to assess whether incorporating routine advance care planning discussions could be accomplished without additional personnel. Charting the Unknown: Identifying Evaluation and Treatment Trends in Protocol-Driven Outpatient Palliative Care Consultations Richard Taylor, DNP, CRNP, ANP-BC, Assistant Professor, The University of Alabama at Birmingham School of Nursing Description This paper presentation on protocol-driven outpatient palliative care consultation for advanced heart failure patients ‘leads into the future’ by exploring outpatient consultation assessment practices in advanced heart failure – a population with some of the greatest unmet palliative care needs. Describing palliative care services for advanced heart failure patients sheds light on future directions for palliative care and cardiology integration. Additionally, this presentation delves into the topic of palliative care timing with an upstreamed outpatient consult. YouTube Videos as a Source of Palliative Care Education: A Review Mandong Liu, MSSW, PhD Student, University of Southern California Valeria Cardenas, MASM, University of Southern California Yujun Zhu, MSG, University of Southern California Susan Enguidanos, PhD, MPH, Associate Professor, University of Southern California Description In this presentation, the authors will explore the availability and characteristics of palliative care education videos on YouTube and determine how palliative care is portrayed in these videos. Although YouTube has been widely used for health information dissemination, the authors found that online videos may not provide accurate and appropriate information on palliative care. This study is significant in providing insights into utilizing online video platforms for effective palliative care education and information dissemination.
	Panel How Can our Understanding of the Caregiver Experience Help Us Reduce Risk Prolonged Grief? Julia Kasl-Godley, PhD, Instructor, The Wright Institute Ranak Trivedi, PhD, Assistant Professor Dept. of Psychiatry and Behavioral Sciences, Core Investigator, Center for Innovation to Implementation Stanford University, VA Palo Alto Health Care System Description Family caregivers of individuals living with advanced illness are at risk for complications in bereavement. Palliative care providers are in a privileged position to respond to the needs of both patients and caregivers. This paper highlights experiences that affect bereavement using results from mixed methods studies of patients and caregivers managing advanced disease. It then reviews the literature on risk/protective factors for complications in bereavement, considerations in risk assessment, strategies for reducing risk, and interventions for prolonged grief.
	Workshop Practicing Self-Care: A Workshop in Mindful Drawing, Reading, and Writing Martha Stoddard Holmes, MA, PhD, Professor-Literature and Writing Studies, California State University San Marcos Juliet McMullin, PhD, Professor, Department of Anthropology, University of California, Riverside Description This participatory workshop introduces four tools for generating self-awareness and self-care in relation to experiences about death and dying. This workshop begins with a guided mindful focusing and relaxation activity, followed by an introduction to graphic narrative and a drawing activity to communicate experiences in palliative care. After reading and discussing poems engaging death and dying, the workshop will close with a reflective writing activity and discussion.
	Workshop Heart to Heart Café Carma Erickson-Hurt, DNP, ACHPN, Grand Canyon University Sandy Chen Stokes, MSN, Founder, Chinese American Coalition for Compassionate Care Description The Heart to Heart Café provides an innovative and interactive way for healthcare providers and lay persons to begin advance care planning discussions. Leading-into-the-future palliative care clinicians will need to utilize new ways of communicating with families, and this interactive game presents a unique approach to beginning difficult discussions.
12:00 Noon	Table Topic Luncheon
1:30 pm	Concurrent Sessions
	Paper Session—Teaching Palliative Care in Programs and to Professionals Assessing Training Outcomes of a Multi-modal Self-Care Curriculum of Palliative Medicine Fellowship Program Chao-Hui Sylvia Huang, PhD, MA, MEd, Assistant Professor, The University of Alabama at Birmingham Heather Herrington, MD, Associate Professor, The University of Alabama at Birmingham Kathryn Knowlton, PhD, Counselor, The University of Alabama at Birmingham Rodney Tucker, MD, MMM, FAAHPM, Professor, The University of Alabama at Birmingham Michael Barnett, MD, MS, FACP, FAAP, FAAHPM, Associate Professor of Medicine & Pediatrics, The University of Alabama at Birmingham Description In this paper presentation, the authors will discuss their study which aimed to advance the interdisciplinary pedagogy of a self-care curriculum developed to improve palliative medicine fellows’ self-care awareness, self-compassion, self-care practices, and burnout symptoms. Findings will be discussed which revealed that a multi-modal, interdisciplinary self-care curriculum received high satisfaction amongst two cohorts of palliative medicine fellows. This presentation will show that reduction on burnout symptoms was consistently observed in domains including emotional exhaustion, depersonalization, and personal achievements. Teaching Palliative Care in a Conceptual-Based Nursing Program Therese Doan, PhD, CNS, RN, Associate Professor of Nursing, San Francisco State University Grace Yoo, PhD, Professor; San Francisco State University Description The first time nursing students are exposed to end-of-life care occurs in clinical situations where students are often unprepared to help patients and families. This study explored the impact of completing the life review interview, an Advance Directive, or the Five Wishes form on nursing students as individuals and as future nurses. Palliative Care is the Responsibility of Every Nurse: Generating Training Materials for Latin American Nurses Katherine Murray, RN, BSN, MA, CHPCN(C), FT, Life and Death Matters Description In Mexico in 2009, palliative care was identified as a human right. In 2018, palliative care competencies were identified for Mexican healthcare professionals. To help nurses meet these competencies, the text, Essentials in Hospice and Palliative Care: A Practical Resource for Every Nurse and associated curriculum resources were adapted and translated into Spanish by a team of palliative care experts in Mexico. The rationale, process, and next steps for the curriculum will be discussed in this paper presentation. Ways to lead palliative care into the future and use resources with Latino communities will be covered.
	Workshop When Patients and Families are in Denial Teri Collet, ACSW, LCSW, ACHP-SW, Instructor, California State University, Fresno Description For healthcare professionals, patient and family member denial of the seriousness of an illness is concerning, and often, the focus is on finding a way to help the patient and family work through denial to find acceptance. This workshop will explore the reasons for denial, in addition to other, often unasked questions including if denial serves an important purpose, when denial is considered a problem, and how professionals can help those in denial. Case studies will be used to guide interactive dialogue.
	Workshop Interdisciplinary Clinical Mentorship of Spiritual Care Trainees Allison Kestenbaum, MA, MPA, BCC, ACPE, Chaplain and Supervisor of Clinical Pastoral Education Program, Howell Palliative Care Service, University of California San Diego Health Gary Buckholz, MD, FAAHPM, University of California San Diego Health Arlene Cramer, FNP, AHPCN, University of California San Diego Health Kira Skavinski, DO, University of California San Diego Health Karolina Soriano, LCSW, University of California San Diego Health Description Interdisciplinary clinical mentorship is an important aspect of training for any palliative care discipline; however, many clinicians are not taught how to effectively coach palliative care trainees, especially spiritual care provider trainees. This workshop will provide case material and a roadmap for palliative care teams to establish interdisciplinary collaboration in training spiritual caregivers including curriculum development, recruitment, and clinical mentor training.
	Panel Lessons Learned in Developing Payer-Provider Partnerships in Home-Based Palliative Care Ben Scribner, MS, RN, Blue Shield of California Susan Enguidanos, PhD, MPH, Associate Professor, University of Southern California Alexis Coulourides Kogan, PhD, Department of Family Medicine and Geriatrics, Keck School of Medicine, University of Southern California Description This session will present the process of identifying and implementing a home-based palliative care (HBPC) model, engaging key stakeholders, and lessons learned from this process. The authors will discuss how to assess readiness for palliative care programs among accountable care organization (ACO) leadership and among community-based hospice organizations.
2:45 pm	Break
3:00 pm	Plenary Panel—Innovations in Pedagogy: Highlighting Innovations, Overcoming Barriers Description Symposium participants will gather in this plenary panel to hear about the panelists’ unique approaches to pedagogical and contextual challenges. The panel will provide an interactive opportunity, answering audience questions; thus, the audience will engage in stimulating discussion about barriers present within institutions and how they can be navigated and successfully mitigated. Developing a Palliative Care Instructional Toolkit Alyssa Erickson, PhD, RN, Associate Professor, Department of Nursing, California State University, Monterey Bay Description This panel session will describe the process and framework for developing a multi-disciplinary palliative care toolkit with a focus on health disparities at the end of life funded by a state-based foundation. The toolkit’s target audience is faculty teaching across a variety of disciplines at undergraduate and graduate levels. The presentation will share preliminary evaluation data from the current pilot program. Using Clinical Mentorships for Spiritual Care Trainees Allison Kestenbaum, MA, MPA, BCC, ACPE, Chaplain and Supervisor of Clinical Pastoral Education Program, University of California San Diego Health—Howell Palliative Care Service Description This presentation will focus on interdisciplinary clinical mentorship as an effective process for the training spiritual care provider trainees, along with steps in curriculum development, recruitment, and clinical mentor training. Cultivating Collaborative Clinicians: Preparing for Interprofessional Education in Palliative Care Tara Schapmire, PhD, MSSW, OSW-C, FNAP, FAOSW, Associate Professor of Medicine & Affiliated Associate Professor of Social Work, Interdisciplinary Program for Palliative Care & Chronic Illness, University of Louisville School of Medicine Description In this presentation, the author will discuss efforts to develop a critical mass of competent equipped palliative educators skilled in the development and implementation of interprofessional education for palliative care. Opportunities to develop the skills, knowledge and resources to overcome barriers to IPE, and teach palliative care and teamwork to students of multiple disciplines will be shared. Moderator: Dr. Pamela Kohlbry, RN, PhD, CNL, Director University Relations and Research at the CSU Shiley Institute for Palliative Care, Professor, School of Nursing and Vice Chair Academic Senate, College of Education, Health & Human Services at California State University San Marcos
4:00 pm	Poster Session and Reception Training Preferences of Veterans Affairs Interdisciplinary Palliative Care Consult Teams Beverly Williams, PhD, Associate Professor of Medicine, The University of Alabama at Birmingham and Department of Veterans Affairs Amos Bailey, MD, Director, Master Science in Palliative Care, University of Colorado Anschutz Medical Campus Patricia Goode, MD, Professor of Medicine, The University of Alabama at Birmingham and Department of Veterans Affairs Elizabeth Kvale, MD, MSPH, Associate Professor of Medicine, Dell Medical School, University of Texas at Austin Marie Bakitas, DNSc, NP-C, FAAN, Marie O’Koren Endowed Chair, School of Nursing/Department of Medicine, The University of Alabama at Birmingham Kathryn Burgio, PhD, Professor of Medicine, The University of Alabama at Birmingham and Department of Veterans Affairs Online Social Support Groups for Informal Caregivers of Hospice Patients with Cancer Jacquelyn Benson, PhD, Assistant Professor, University of Missouri Debra Parker Oliver, PhD, Professor, University of Missouri Karla Washington, PhD, Assistant Professor, University of Missouri Abigail Rolbiecki, PhD, Assistant Professor, University of Missouri George Demiris, PhD, Professor, University of Pennsylvania Cynthia Lombardo, BA, University of Missouri Julia Garza, BS, University of Missouri Frailty, Cognitive Decline and Delirium. Is there a Connection? Lee Anne Powell, DNP, AGNP C, CCM, Palliative Care Nurse Practitioner, Christiana Healthcare Innovations in Interdisciplinary Education on Grief: An Interview Project Anissa Rogers, PhD, MA, MSW, LCSW, California State University,San Bernadino Barbara Braband, EdD, MSN, MA, BAN, RN, CNECNE, University of Portland Rebecca Gaudino, PhD, MA, MDiv, University of Portland Early Palliative Care Collaboration Barriers in Pediatric Oncology: An Integrative Review Samia Alharrasi, BSN, RN, MSN, PhD Student, Wayne State University Can We Do Better Than Our Parents’ Generation? Planning to Reduce Our Children’s Caregiving Burden Noriko Toyokawa, PhD, Assistant Professor, Human Development, California State University San Marcos Noami Morelia, BA, California State University San Marcos Adriana Aragon, BA, California State University San Marcos Jerri Burns, BA, California State University San Marcos Millennials, Post-Millennials, and Medical Aid-in-Dying: Exploring the Nexus of Generations, Cultures, and the Future of Healthcare Nathan Gerard, PhD, Assistant Professor, California State University, Long Beach Vy Dang, Undergraduate Student, California State University, Long Beach Addressing the Imperative for Person-Centered Primary Palliative Care: Applying Design Thinking To Palliative Care Curriculum Development Chris Onderdonk, MSW, LCSW, Palliative Care Social Worker, University of San Diego, Doris A. Howell Palliative Care Service Distress at End of Life: A Concept Analysis Kathryn Robinson, MSN, RN, CHPN, University of San Diego Efficacy of Osteopathic Manipulative Treatment in Hospice Care Steven Reichert, MD, St. Barnabas Hospital In The Round: Conversations on Palliative Care in Community Settings Lisa Rauch, DNP, PHNA-C, RN, Assistant Professor, San Jose State University Daryl Canham, EdD, RN,BC-PHN/CHN, San Jose State University Toby Adelman, RN, PhD, Associate Professor, San Jose State University, Valley Foundation School of Nursing Julie Omsberg, BSN, RN, MSN, APRN, Cal State University San Marcos Advancing Emergency Preparedness Planning for Palliative Care: Preparing for the Future Georgia Halkia, MPH, PhD Candidate, Lecturer and Researcher, University of California, Irvine Difficulties in Providing Palliative Care in Rural India (West Bengal) – Experience Of an NGO Adkitya Manna, BS, Narikeldaha Prayas Interprofessional Palliative Care: Protecting Rights of Patients with Communication Difficulties Darla Hagge, PhD, CCC-SLP, Associate Professor, California State University Sacramento Brittany Hagge-Langevin, BSN, RN, CHPN, SCRN, Palliative Care Nurse Navigator, St. Jude Medical Center Singing Goodbye: The Use of Music Therapy Interventions at End of Life for Pediatric Hospice Patients and Their Families Lindsay Zehren, Mt-BC, Music Therapist, Resounding Joy, and The Elizabeth Hospice Michelle Goldbach, DNP, MHA, RN, CHPN, Clinical Manager, Palliative Care, The Elizabeth Hospice Automation of Palliative Care Screening: Info to Know Caroline Etland, PhD, MSN, Associate Faculty, University of San Diego Sharon Boothe-Kepple, PhD, MSN, FNP, Clinical Associate Professor, University of San Diego From Empathy to Resilience: Hope Made Visible™ Alessandra Colfi, PhD, Expressive Arts Therapist, Certified Yoga for Cancer Recovery Teacher, UC San Diego Health System, San Diego Cancer Research Institute Palliative Care in Our Community – Can We Collaborate? Krista Altaker, PhD, MSN, RN, Assistant Professor of Nursing, Sonoma State University Transition to Hospice Care: Experience of Caregivers of Home Hospice Patients in the Rural Community in the U.S. Eunjeong Ko, PhD, Associate Professor, San Diego State University Improving Access to Care for Adults with Serious Illness and/or Disability to Remain at Home Nancy Dudley, Associate Professor, San Jose State University Joanne Spetz, Professor, Professor, Institute for Health Policy Studies, University of California San Francisco iRISE: Initiative for Resiliency, Introspection, Self-Care, and Empathy Kevin Hsu, MD, Kaiser Permanente Los Angeles Medical Center Vanessa Chan, DO, Kaiser Permanente Los Angeles Medical Center Improving Healthcare Student Knowledge of Palliative Care Through Interprofessional Education Workshops Kristina Fortes, DNP, FNP-BC, RN, Assistant Professor of Nursing, California State University Fullerton Diana Tisnado, PhD, Associate Professor, California State University Fullerton The use of a High-Fidelity Human Patient Simulator in Palliative Care Jose R. Guitian, Ph.D., Ed.D.c, RN, Nurse Scientist Baptist Health South Florida
6:00 pm	Adjourn

Saturday, October 12, 2019

6:30 am	Workshop Meditation in Motion: Yoga Alessandra Colfi, PhD, UC San Diego Health System Description Meditation in Motion will offer a direct experience of Yoga, which comprises a set of tools/modalities with research- and evidence-based applications and benefits in Palliative Care. This workshop will provide a restorative, soothing, focused Yoga session as a guided meditation in motion set to music that will relax the body and sharpen the mind. This will be an easy, relaxing process with guided self-awareness, blending asanas with several options for level of difficulty and deeper stretches, ending with a guided meditation.
8:55 am	Introductory Remarks
9:00 am	Morning Keynote A Journey of Leadership and Innovation Christine Ritchie, MD, MSPH, FACP, FAAHPM, Minaker Chair in Geriatrics and Director of Research for the Division of Palliative Care and Geriatric Medicine at Massachusetts General Hospital (MGH), and formerly the Harris Fishbon Distinguished Professor in Clinical Translational Research and Aging in the Division of Geriatrics, Department of Medicine at the University of California San Francisco Description Dr. Ritchie’s groundbreaking work has touched nearly every aspect of serious illness and end-of-life care in diverse settings and clinical applications across the country. In her keynote address, she will share the challenges and obstacles she has faced in her work and how she has overcome them to advance the field and achieve personal balance, meaning, and success.
10:00 am	Break
10:30 am	Concurrent Sessions
	Workshop Cultivating Collaborative Clinicians: Preparing for Interprofessional Education in Palliative Care Tara Schapmire, PhD, MSSW, OSW-C, FNAP, FAOSW, Associate Professor of Medicine & Affiliated Associate Professor of Social Work, Interdisciplinary Program for Palliative Care & Chronic Illness, University of Louisville School of Medicine Description IPE in palliative care is essential to prepare students to practice in today’s healthcare environment where they will work on teams and collaborate with other disciplines in order to provide holistic, patient-centered care. Faculty preparation and planning is key to the success of IPE curricula and activities. Inadequate preparation can contribute to failed initiatives and stymy further efforts. This workshop will provide methods and tools for building interprofessional faculty teams and planning interprofessional education (IPE) offerings in palliative care.
	Panel Young Caregivers of Family Members: Diverse Needs and Community Supports Sharon Hamill, PhD, Faculty Director, CSU Shiley Institute for Palliative Care at CSUSM Melinda Kavanaugh, PhD, LCSW, Associate Professor of Social Work, Helen Bader School of Social Welfare, University of Wisconsin, Milwaukee Helen Bader School of Social Welfare, University of Wisconsin, Milwaukee Vivian Stamatopoulos, MA, PhD, Assistant Teaching Professor, Faculty of Social Science and Humanities, University of Ontario, Institute of Technology (UOIT) Elizabeth Olson, PhD, Professor of Geography and Global Studies, University of North Carolina – Chapel Hill Amy Dexter, PhD, Lecturer, California State University San Marcos Description Millions of youth under age 18 provide care to siblings, parents, or grandparents because of mental/physical health or substance abuse issues. However, most of these young people are hidden from view, silently working to provide the care their loved ones need with little or no education, training, or support. This panel will discuss young caregivers and their experiences, the individuals for whom they care, cultural differences in caregiving, and how communities can respond with support.
	Workshop Interfaith Conversations with the Dying and the Bereaved: An Experiential Workshop Rev. Dr. Terri Daniel, CT, CCTP, Clinical Chaplain, End-of-Life Educator, San Francisco Theological Seminary Description Compassionate palliative care professionals may at times be invited into conversations with patients or family members that addresses religious views on death and the afterlife. This workshop will look at how professionals can use compassionate listening and support when beliefs may be different from their own. Additionally, this workshop aims to show how to honor another person’s reality fully and lovingly, without imposing views and biases. Meeting people “where they are” in terms of belief systems is a delicate art that requires patience, wisdom, and skill. Techniques for these discussions will be practiced in this workshop.
	Workshop Preparing the Adult Community Based Palliative Care Provider to Care for the Pediatric Patient: The PANDA Prep Curriculum Deborah Fisher, PhD, RN, PPCNP-BC, CHPPN, Pediatric Nurse Practitioner, Children’s National Medical Center, Washington, DC Description This workshop will examine the feasibility and effectiveness of the innovative, blended model, PANDA Prep Curriculum, in increasing knowledge, confidence, and competence of the adult hospice provider in caring for the pediatric patient. This curriculum takes the well-established and validated ELNEC-PPC curriculum a step further by creating a self-paced, online version that is a blend of primary and specialty pediatric palliative care, emphasizing the differences and strengthening the similarities between adult and pediatric patients and palliative care.
11:45 am	Break
12:00 Noon	Luncheon 2018 Seed Grant Awardees’ Projects Following the luncheon, the recipients the 2018 Symposium’s five seed grants will present their research findings: Palliative Care Knowledge and Needs among Caregivers of Cognitively Impaired Older Adults Hyunjin Noh, PhD, MSW, The University of Alabama School of Social Work Cho-Rong Won, MSW, The University of Alabama School of Social Work Description This pilot project aimed to assess the current knowledge of and needs for palliative care among family caregivers of seriously or chronically ill older adults with cognitive impairment and to examine the effectiveness of an educational intervention in improving palliative care knowledge among the caregivers. Developing a Humanities-Based Death and Dying Course to Address Death Anxiety in Medical Students Kristyn Pellecchia, RN, MSN, PMHNP-BC, Assistant Clinical Professor, School of Medicine, University of California Riverside Juliet McMullin, PhD, Professor, Department of Anthropology, University of California Riverside Description Physician death anxiety is a major barrier to building compassionate, empathic relationships with patients and families, often leading to mental health issues, burnout, and poor patient care. Researchers developed a humanities-focused curriculum on death and dying for medical students. Narrative Medicine and Advance Care Planning Cara L. Wallace, PhD, LMSW, APHSW-C, Assistant Professor, Saint Louis University, School of Social Work Description This study discusses the preparation of a narrative medicine workshop for clinicians to assist in conducting advance care planning discussions with patients. Investigating Communicative Access in Advance Care Planning for Persons with Aphasia Nidhi Mahendra, PhD, CCC-SLP, Interim Chair and Associate Professor, Communicative Disorders and Sciences, School of Education, San Jose State University Description The purpose of this study was to investigate advance care planning (ACP) in persons with aphasia (PwA), an acquired language disorder most commonly caused by stroke. Materials and processes were designed to facilitate ACP and offer clinicians some guidance on ACP for patients with aphasia. Palliative Care Referral in the ICU: A Mixed Method Study Kim Martz, PhD, RN, Associate Professor Emeritus, Boise State University School of Nursing Description The purpose of this study was to describe patients’ treating physician’s perceptions of the Serious Illness Conversation Guide and to compare outcomes associated with PC referral among patients who screen ‘positive’ via a nurse driven PC ICU protocol.
2:00 pm	Break
2:15 pm	Concurrent Sessions
	Workshop When One Has to Go Through It…and Faith Seems to be a Source of Distress Judy Knudson, PA, Assistant Professor, Medicine-Internal Medicine, University of Colorado School of Medicine Julie Swaney, M.Div., Director of Spiritual Care Services, University of Colorado Hospital Description Palliative care team members often meet individuals whose existential suffering includes spiritual distress. This session will address themes of spiritual distress that arise among patients and families who are facing serious illness. Case discussions will be used to identify approaches by palliative care team members to address spiritual distress and to enhance spiritual well-being. Included will be discussion on technique, rationale, and approaches for the palliative care team member that may be beneficial to addressing spiritual distress with the goal of moving the patient or family member closer to healing, peace, and well-being.
	Workshop The Rapid Improvement Event: An Interdisciplinary Framework to Improve Hospice Utilization in an Academic Veterans Affairs Institution Rebecca Yamarik, MD, MPH, FAAHPM, HMDC, Staff Physician, Tibor Rubin Veterans Affairs Health System Samuel Baz, MD, FACP, Tibor Rubin Veterans Affairs Health System Jennifer Ballard-Hernandez, DNP, AACC, FAHA, FAANP, Nurse practitioner, Tibor Rubin Veterans Affairs Health System Vi Tran, MHA, System Redesign Specialist, Tibor Rubin Veterans Affairs Health System Michelle Kelsey-Plummer, MSW, LMSW, Tibor Rubin Veterans Affairs Health System Description This academic Veterans Affairs institution has a low hospice length of stay and a high inpatient mortality rate. The authors undertook a Rapid Improvement Event (RIE) to improve hospice utilization, goals of care communication, and primary palliative care skills of staff on an inpatient medicine service. Participants in this panel discussion will learn how to utilize A3 thinking and Lean Tools to improve palliative care at their institutions using an interdisciplinary team.
	Workshop PhotoPainting: Enhancing Resilience through Discovering, Transforming and Integrating Patients’ Narratives Alessandra Colfi, PhD, UC San Diego Health System, San Diego Cancer Research Institute, North County Cancer Fitness, The HeartWay Description PhotoPainting is an Expressive Arts Therapy workshop designed to assess, support, and strengthen resilience and improve quality of life in oncology patients and caregivers. It facilitates their ability to express their stories as well as cope with present and future challenges of diagnosis, treatments, surgery, and comorbidity, which affect their physical and psychosocial health. This PhotoPainting workshop invites participants to shape their future leadership as they experience their narratives by selecting magazine images to tell their stories as non-linear and trans-chronological, and transform those personal stories as new, symbolic, insightful, more connected reflections by adding paint, texture, collage.
	Workshop Leading Change, aka Wrangling the Whirlwind Jennifer Moore Ballentine, MA, Executive Director, CSU Shiley Institute for Palliative Care Description Implementing any new initiative requires the ability to inspire and manage change. However carefully the project is planned, if the change is not planned and well managed, the project will likely fail. Managing change requires an understanding of what change is, where and how it occurs, and who and what is affected. It requires knowing where you are now, where you want to get to, how to get there, and how you will know when you’ve arrived. It requires vision, communication, leadership, and measurement. This highly interactive workshop will equip attendees to lead change effectively in any setting.
3:30 pm	Break
3:45 pm	Closing Plenary Session Setting Your Personal Mission and Agenda Nidhi Mahendra, PhD, Associate Professor; Associate Director of the Center for Healthy Aging in Multicultural Populations (CHAMP), San Jose State University Tara Schapmire, PhD, MSSW, OSW-C, FNAP, FAOSW, Associate Professor of Medicine & Affiliated Associate Professor of Social Work, Interdisciplinary Program for Palliative Care & Chronic Illness, University of Louisville School of Medicine Adam Shapiro, PhD, Professor of Sociology, California State University San Marcos Description Two days, 23 sessions, in a one-of-a-kind interprofessional palliative care symposium… now what?” Come dream big with the members of the symposium program committee as they facilitate this final plenary session to inspire you to craft your personal mission, vision and goals for leading palliative care change in your setting. Remember to bring your journey notes sheet to reflect on what you’ve learned and want to implement.
4:45 pm	Closing Remarks Jennifer Moore Ballentine, MA, Executive Director, CSU Shiley Institute for Palliative Care Description Calling the conference to a close, Ms. Ballentine will reflect on its highlights and invite the participants to next year’s conference.
5:00 pm	Adjourn

CME Information

Accreditation Statements

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education(ACCME) through the joint providership of The Doctors Company and CSU Shiley Institute for Palliative Care. The Doctors Company is accredited by the ACCME to providecontinuing medical education for physicians.

The Doctors Company designates this live activity for a maximum of 12.25 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensuratewith the extent of their participation in the activity.

Disclosure

The Doctors Company would like to disclose that no one in a position to control or influence the content of this activity has reported relevant financial relationships with commercial interests.

Event Details

DATES: October 11-12, 2019
ATTENDEES: Faculty From Universities Nationwide
LOCATION: Sheraton San Diego Hotel & Marina, San Diego, California
TRAVEL AND LODGING DETAILS: Click HERE for Details
COST: Click HERE for Details
CONTINUING EDUCATION HOURS & CME: 14.25 CEs, Click HERE for CME Information

QUESTIONS:
(760) 750-7289

Program

Sheraton San Diego Hotel & MarinaSan DiegoOctober 11 - 12

NATIONAL SYMPOSIUM2019

for Academic Palliative Care Education and Research

2019 National Symposium for Academic Palliative Care Education & Research

San Diego - October 11-12

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Symposium Program

“If you want to be able to lead well in the world, the first place we need to know how to lead is (to) lead well inside ourselves. Fundamentally, how do we navigate stress, uncertainty, and self-doubt to be able to focus on what really matters?”

Daniel Friedland, MD, founder and CEO of SuperSmart Health

Friday, October 11, 2019

8:30 am

Introductory Remarks

Welcome

9:00 am

Opening Keynote

10:15 am

Break

10:45 am

Concurrent Sessions

Workshop

Paper Session—Palliative Care in the Outpatient Setting and For Consumers

Panel

Workshop

Workshop

12:00 Noon

Table Topic Luncheon

1:30 pm

Concurrent Sessions

Paper Session—Teaching Palliative Care in Programs and to Professionals

Workshop

Workshop

Panel

2:45 pm

Break

3:00 pm

Plenary Panel—Innovations in Pedagogy: Highlighting Innovations, Overcoming Barriers

4:00 pm

Poster Session and Reception

6:00 pm

Adjourn

Saturday, October 12, 2019

6:30 am

Workshop

8:55 am

Introductory Remarks

9:00 am

Morning Keynote

10:00 am

Break

10:30 am

Concurrent Sessions

Workshop

Panel

Workshop

Workshop

11:45 am

Break

12:00 Noon

Luncheon

2:00 pm

Break

2:15 pm

Concurrent Sessions

Workshop

Workshop

Workshop

Workshop

3:30 pm

Break

3:45 pm

Closing Plenary Session

4:45 pm

Closing Remarks

5:00 pm

Adjourn

CME Information

Accreditation Statements

Disclosure

Sheraton San Diego Hotel & Marina
San Diego
October 11 - 12

NATIONAL SYMPOSIUM
2019