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Who should attend Nutrition and Hydration: Options, Informed Decision-Making and End-of Life Considerations
Speech-Language Pathologists, Dietitians, Case Managers, Social Workers, Nurses, Nursing Home Administrators, Clinical Managers, Directors of Nursing, Administrators
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Nutrition and Hydration: Options, Informed Decision-Making and End-of Life Considerations  

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Speech-Language Pathologists, Dietitians, Case Managers, Social Workers, Nurses, Nursing Home Administrators, Clinical Managers, Directors of Nursing, Administrators

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Seminar Summary:

Discuss the pros and cons of specific nutrition and hydration options; ethical and legal boundaries for their use, disuse or withdrawal; and historical cases. Develop strategies for working effectively with families in emotional crisis. (see full course description)

 
 

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Training Course Syllabus:


Nutrition and Hydration: Options, Informed Decision-Making and End-of Life Considerations Healthcare Seminar

PROGRAM DETAILS

A generation ago, death came suddenly. Medical advances have lengthened the dying process, and it is now possible in many cases to anticipate our mortality. The purpose of advance directives is to make our wishes known in the event we are unable to communicate or lose our decision-making capacity. We expect these wishes to be honored by our health care team and family. However, these directives may be at odds with the wishes of our spouses, children or other family members. Clinicians and patients often have directly conflicting purposes at the end of life. Families find themselves grappling with ethical quandaries. How much care is enough? When a cure is impossible, does using advanced technology make sense? Who decides when to cease the use of life support? As clinicians, our challenge is guiding families in their decision-making process without alienating them.

This seminar will examine end-of-life decisions and provide practical, ethical resolutions to help caregivers work effectively with patients and families. Participants will examine the role of legal documents and ethical guidelines, including advance directives, living wills, benefit vs. burden and autonomy. You will develop communication and counseling skills to help ease the emotional stress of families in the midst of this difficult decision-making process. You will also identify the pros and cons of feeding and hydration options, and their appropriate uses as well as mouth care guidelines. Attendees will discover strategies for developing institutional policies that can facilitate smooth interaction with patients and families in end-of-life situations.

WHAT YOU WILL LEARN

  • Evaluate the pros, cons and appropriate uses of nutrition and hydration options

  • Examine ethical decision-making guidelines including benefit vs. burden, quality of life and autonomy

  • Recognize the role of advance directives, living wills, power of attorney and other legal documents

  • Learn how to communicate more effectively with the patient and family to alleviate emotional stress

  • Develop institutional policies for staff education and communication that support ethical and effective treatment of the dying patient


  • Discuss controversial issues and lessons learned from historical cases

  • Develop strategies for addressing the emotional and psychological needs of the patient and family

  • Examine ethical decision-making guidelines including benefit vs. burden, quality of life and autonomy

  • Recognize the importance of advance directives and other legal documents in planning patient care

  • Identify nutrition and hydration options as well as the pros, cons and appropriate uses of each

  • Discuss decision-making algorithms and prognostic guidelines

  • Identify mouth care guidelines for patients undergoing nutrition and hydration therapy


ABOUT THE SPEAKER

Denise Dougherty, MA, CCC-SLP, MFT, is a Speech-Language Pathologist with over 30 years experience. Ms. Dougherty owns and operates a private practice in Indiana, Pennsylvania, where she conducts therapy with both children and adults. Additionally, she consults and provides therapy for clients throughout the United States and overseas. Ms. Dougherty has spent the majority of her career in long-term care facilities, hospitals and home health. She has worked for United Cerebral Palsy, Easter Seals and previously served as secretary of the Corporate Speech Pathology Network (CORSPAN). Ms. Dougherty has also served as an adjunct faculty member at York College of Pennsylvania and Wesley College in Dover, Delaware. She is currently a board member and Vice President of the American Academy of Private Practice in Speech Pathology and Audiology (AAPPSPA), serves as the AAPPSPA liaison for ASHA Health Care Economics Committee and received the Academy´s 2007 Honor Award for her achievements. Ms. Dougherty is also a member of the Expert Work Group for Quality of Insights of Pennsylvania, working on initiating quality measure for improving effectiveness, efficiency, economy and quality of services delivered to Medicare beneficiaries. She received her Bachelor's degree in communication disorders at Marywood University in Scranton, Pennsylvania, a Master´s degree in communication disorders from St. Louis University and has completed postgraduate courses at Johns Hopkins University and the University of Phoenix. Ms. Dougherty is certified in VitalStim® therapy and serves as a VitalStim® instructor, has completed additional training in myofunctional therapy, is a member of the Pennsylvania Speech and Hearing Association, the American Speech and Hearing Association and has received numerous ASHA ACE Awards.


WHAT PEOPLE ARE SAYING

"Denise is a very effective, enjoyable speaker with in-depth knowledge." - Teri Mazur, RD, Fishers, IN

"Great speaker - very fluent and well-informed!" - Mary Ann Butkosky, SLP, Three Bridges, NJ


WHO SHOULD ATTEND

  • Speech-Language Pathologists

  • Dietitians

  • Case Managers

  • Social Workers

  • Nurses

  • Nursing Home Administrators

  • Clinical Managers

  • Directors of Nursing

  • Administrators


CREDITS

This seminar qualifies for 6 continuing education hours as required by many national, state and local licensing boards and professional organizations. Save your course outline and certificate of completion, and contact your own board or organization for specific filing requirements.

Cross Country Education is a Preferred Provider of professional continuing education with the National Association of Boards of Examiners of Long Term Care Administrators (NAB) and has approved this program for the number of clock hours listed under their sponsor agreement with NAB/NCERS. State licensure boards, however, have final authority on the acceptance of individual courses.

This program has been submitted to the Commission for Case Manager Certification for 6 clock hours of continuing education.

Cross Country Education provider #1005, is approved as a provider for social work continuing education by the Association of Social Work Licensure Boards (ASWB), through the Approved Continuing Education (ACE) program (approved through 1-27-09). Cross Country Education maintains responsibility for the program. Social workers will receive 6 continuing education clock hours for participating in this course. Licensed social workers should contact their individual state jurisdiction to review the current continuing education requirements for licensure renewal. Visit ASWB´s website at www.aswb.org for more information.

Cross Country Education is an approved provider of continuing nursing education by the Tennessee Nurses Association, an accredited approver by the American Nurses Credentialing Center's Commission on Accreditation. Provider #044013109, this course is offered for 6.0 contact hours.

Cross Country Education is approved by the California Board of Registered Nursing, Provider #CEP 13345, for 7.2 contact hours.

Cross Country Education is an approved provider with the Iowa Board Of Nursing, approved provider #328. This course is offered for 7.2 contact hours.

Cross Country Education is an approved provider by the Florida Board of Nursing, provider #50-466. This course is offered for 7.2 contact hours.

This program has been submitted for approval of 6 CPEUs hours to the Commission on Dietetic Registration.

Cross Country Education is approved by the Continuing Education Board of the American Speech-Language-Hearing Association (ASHA) to provide continuing education activities in speech-language pathology and audiology. This program is offered for .6 CEUs (Intermediate level; Professional area). ASHA CE Provider approval does not imply endorsement of course content, specific products, or clinical procedures.

 

SEMINAR CLASS TIME:

Seminar Check-in: 7:30 AM Seminar Class 8:00 AM - 3:30 PM

Seminar Summary:

Discuss the pros and cons of specific nutrition and hydration options; ethical and legal boundaries for their use, disuse or withdrawal; and historical cases. Develop strategies for working effectively with families in emotional crisis. (see full course description)

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