Overview of Palliative and Hospice Care

• Core concepts and philosophy 

• Taking the work to the next level of Healing 

Setting the Stage

• How do you start a Palliative conversation?   

The Paradigm of An Integrative Model of Healing  

• Introducing the Elemental Model Assessment:  a new method of assessment to address Whole Person Care.  

Symptom Management breakout sessions by discipline  

Nurses and Doctors, Social Workers and Chaplains, Home Health Aides 

• Pain, Respiratory, Gastrointestinal issues, Agitation and Anxiety 

Mini IDT 

• Discuss Case Studies using the Integrative Model of Healing.  

Moral Distress and Spiritual Dynamics  

• What is your nightmare case?

Self Reflection 

• Journaling on how death/ethical issue has affected your practice

Advanced Communication Training 

• Serious Illness Conversation Guide, developed by Ira Byock and the Institute of Human Caring. 

• Practice other techniques to enhance your ability to develop trusting relationships with patients and families 

Level 3 course curriculum will include:

• Advanced Symptom management including palliative sedation, physician hastened death laws and practices 

• Complex Cases 

• Psychiatric issues, personality disorders  

• Grief and loss, including grief ritual 

• Tools to combat compassion fatigue 

• Last hours – in depth coverage of various EOL states and how to handle them 

• Additional intuition practice – utilizing Elemental Model 

• Essential Oils 

• Music therapy 

• Dignity Therapy 

• Reiki 

• Guided Imagery  

A 2-hour interactive event which provides an introduction to Wisdom Tree courses suitable for caregivers and interdisciplinary team members 

Designed as an introduction into the field. Appropriate for caregivers or interdisciplinary team members 

For caregivers and interdisciplinary team members.  

Whole Person Care assessment and Interventions – for interdisciplinary team members. 

For interdisciplinary team members. Prerequisite: Whole Person Care Assessment 

For Nurses and MD’s (CME currently not available)  

For clinicians

For interdisciplinary team members

For inter-disciplinary team members. Including Serious Illness Communication Tool.  

Hospice overview for Care Partners, Home Health Aides

For Med Techs, Care Partners, Home Health Aides 

For Med Techs, Care Partners, Home Health Aides

ELNEC: End of Life Nursing Education Consortium

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The End-of-Life Nursing Education Consortium (ELNEC) Project is a national and international end-of-life/palliative care educational program administered by City of Hope (COH) designed to enhance palliative care in nursing. Materials are copyrighted by City of Hope and the American Association of Colleges of Nursing (AACN) and are used with permission.

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8 modules - stand alone or grouped

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1-2 hour modules

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The ELNEC curriculum was developed by nurses for nurses to provide an overview of the field.

This is a traditional CE course which is mostly lecture with slides.

The material is set up in 8 modules that can be taught as stand-alone or grouped in any order.

There are several different versions of the course; each with a specific population focus.

Margot Vos RN CHPN is an ELNEC Train the Trainer and will be working from the 2020 Curriculum.

• ELNEC CORE – a general introduction to Palliative care and Hospice care appropriate for any type of nurse.
   

• ELNEC PEDIATRIC – focus on special medications and interventions for kids dealing with serious illness.
   

• ELNEC GERIATRIC – Focus on elderly patients.
   

• ELNEC FOR VETERANS
   

• ELNEC FOR ADVANCED PRACTICE NURSES
   

• ELNEC FOR CRITICAL CARE – designed for ICU and emergency room nurses.

• This module creates the foundation for the ELNEC curriculum.

• It is an overview of the need to improve palliative care and the role of the nurse as a member of an interdisciplinary team in providing quality care.

• Basic definitions and principles of hospice and palliative care are presented within a quality of life (QOL) framework.

• This module reviews basic principles of pain assessment and management with a focus on pain at the end of life.

• This module builds on Module 2: Pain Management, by addressing other symptoms common in advanced disease and the role of the nurse in managing these symptoms.

• This module discusses some of the key ethical issues and legal concerns in end-of-life/palliative care and resources to address these in practice.

• This module reviews dimensions of culture, which influence care in advanced disease. Assessment of culture is emphasized as essential to adequate communication and in providing culturally sensitive care.

• This module emphasizes the importance of good communication in end-of-life care. The complexities of communicating with patients and families at this critical time are described along with suggestions for care.

• This module addresses the challenging aspects of grief, loss, and bereavement of patients and families as well as the loss experiences of healthcare professionals.

• This module focuses on care at the actual time of death, emphasizing the preparation necessary to insure the best care at this critical event in the trajectory of illness.