Realistic Conversations: Difficult but Necessary Conversations

A free online webinar for Scottish Ambulance Service staff who are involved in difficult but necessary conversations.

This online session allows participants to watch a real time interactive demonstr led by EC4H tutors. Participants will have the opportunity throughout the demonstration to contribute suggestions and feedback to the tutor team via the chat box.

Scenario

Helen Watson is a 79 year old lady with non-small cell lung cancer.  She has undergone palliative chemotherapy, however she now has progressive liver, pleural and bone metastases. At her last oncology appointment, a referral was made to the local palliative care team and there is a planned first visit tomorrow. Helen lives alone, her daughter Susan lives in Wales but she has recently been staying with her mum.

Helen’s daughter has dialed 999 and is demanding admission for her mum. On arrival, crew identify that Helen is in last few days of life with shortness of breath and some pain. Helen expresses a wish to stay in her home.

Learning outcomes

In this advanced clinical communication workshop participants will:

· Communicate sensitively and effectively with people and those close to them about serious illness, deteriorating health, goals of care and CPR.

· Talk plan of Care informed by an understanding of ‘what matters’ to people and their families.

· .Discuss treatment and care options and outcomes within a person-centred model of shared decision-making

· Respond to anger, distress, collusion and other complex emotions.

· Discuss the benefits and limitations of treatment in a balanced way.

· Address communication challenges that arise when the person has impaired decision-making capacity

Discussing Deteriorating Health and DNACPR (online)

An intensive four-part online workshop aimed at those frequently having conversations about deteriorating health including Advanced Nurse Practitioners, other senior nurses, doctors and other AHPs working in NHS Fife.

This workshop is for NHS Fife staff only

Workshop Overview

This interactive course consists of a series of four linked webinars run over 4 weeks, which will cover a range of topics. At each session, participants will watch a real time interactive demonstration led by EC4H tutors and will have the opportunity throughout the demonstration to contribute suggestions and feedback to the tutor team via the chat box.

Session 1: Breaking Bad News – 5th November (12.30 pm to 2 pm)
Session 2: Future Care Planning – 12th November (12.30 pm to 2 pm)
Session 3: DNACPR – 19th November (12.30 pm to 2 pm)
Session 4: Anger and Apology – 26th November (12.30 pm to 2 pm)

Participants must attend all four sessions.

Learning Outcomes

This advanced communication workshop offers participants the opportunity to:
• Review their current practice in relation to communication in clinical practice, and with colleagues and other health and care staff.
• Identify personal learning objectives and develop strategies for addressing these within a peer learning group.
• Critique and apply relevant literature/ theory on effective communication.
• Consider and take account of patient/carer/colleague perspectives.
• Identify and practise ways of increasing communication effectiveness.
• Exchange ideas and experiences with colleagues from other specialties

 

Realistic Conversations: Shared Decision Making for Primary Care Staff

A free online webinar for GPs/Pharmacists (Primary Care) and ANPs working within NHS Greater Glasgow and Clyde, who are involved in shared decision making conversations. This online session allows participants to watch a real time interactive demonstration led by EC4H tutors. Participants will have the opportunity throughout the demonstration to contribute suggestions and feedback to the tutor team via the chat box

Workshop overview

Scenario: Louise Mathieson has a telephone consultation with the practice pharmacist to discuss her 84 year old mother’s medication. Her mother has recently started having carers attend to support with meals and medication as Louise cannot visit her mum daily.

Shared Decision Making, as defined by NICE in their 2021 guideline, is a collaborative process that involves a person and their healthcare professional working together to reach a joint decision about care. It could be care the person needs straightaway or care in the future, for example, through advance care planning. It involves choosing tests and treatments based both on evidence and on the person’s individual preferences, beliefs and values. It means making sure the person understands the risks, benefits and possible consequences of different options through discussion and information sharing. This joint process empowers people to make decisions about the care that is right for them at that time (with the options of choosing to have no treatment or not changing what they are currently doing always included).

In this scenario we demonstrate the use of the ‘DECIDE’ approach to structure the conversation, demonstrating the value of the clinician and the patient exploring options together.

Learning outcomes

Workshop participants will:

Review their current practice in communication about treatment related decision-making and consent

Working together, they will practice more effective ways to:

  • Communicate information about risk clearly and effectively with a wide range of patients and families.
  • Communicate the benefits and limitations of treatment in a balanced way.
  • Manage patients and families who have unrealistic expectations of treatment and outcomes.
  • Use decision aids to support effective communication and complex shared decision-making
  • Respond to complaints about clinical decision-making and consent

 

 

Being Open for Key Contacts webinar

An immersive and interactive webinar for Community Midwives and other health professionals who have taken up the key contact role. This session aims to address communication challenges when supporting families and staff when an adverse events happens and through the subsequent review process

Participants will watch a real time interactive demonstration led by EC4H tutors. Participants will have the opportunity throughout the demonstration to contribute suggestions and feedback to the tutor team via the chat box.

This webinar is open to all health boards.

Topics at the webinar often include:

• Difficult conversations

• Significant Adverse event process

• Importance of language and suggestions about helpful approaches

• Being open about adverse events • Effective escalation and professional communication

• Handling anger and emotional distress

• Giving information and support to people who have been involved in an adverse event

Learning Outcomes

In this advanced clinical communication webinar participants will:

• review their current practice in communicating with patients and their relatives,

• identify personal learning objectives and develop strategies for addressing these within a supported peer learning group

• critique and apply relevant literature/ theory on effective communication

• evaluate and respond to patient/relative perspectives

• identify ways of increasing communication effectiveness

• exchange ideas and experiences with colleagues

Being Open: Feeding Back the Outcome of an Adverse Event Review (Maternity)

An online interactive webinar for maternity staff who are involved in Adverse Event Reviews.  Participants will watch a real time interactive demonstration led by EC4H tutors focusing on having difficult and sensitive conversations when feeding back the outcome of a review to patients and families involved in an adverse event

Open to all health boards

Topics at the workshops for will include:

• Difficult conversations
• Importance of language/suggestions about helpful approaches
• Significant adverse event process
• Being Open about adverse events
• Feedback meeting to share the review outcome with the patients/families involved in an adverse event
• Handling anger and emotional distress

 

 

Being Open: Explaining the Review Process to Patients & Families

An online interactive webinar for maternity staff. Participants will watch a real time interactive demonstration focusing on having difficult conversations when explaining the review process to patients and families who have been involved in an adverse event.

Open to all health boards

Topics at the workshops for will include:

• Difficult conversations
• Importance of language/suggestions about helpful approaches
• Significant adverse event process
• Being Open about adverse events
• Handling anger and emotional distress

 

 

Being Open: Communicating Effectively with Patients and Families as an Adverse Event is Unfolding

**Our Admin Office is closed for annual leave. You can still apply for workshops via our website – we will confirm your booking when the office re-opens on 26th August**

An interactive webinar for Maternity staff. Participants will watch a real time interactive demonstration led by EC4H tutors.  This session will focus on equipping participants with the skills and confidence to have difficult and sensitive conversations with patients and families when an adverse event is happening.

Open to all health boards

Topics at the workshops for will include:

• Difficult conversations
• Importance of language/suggestions about helpful approaches
• Significant adverse event process
• Being Open about adverse events
• Handling anger and emotional distress

 

 

Discussing Deteriorating Health and Future Care Planning (online)

An intensive online workshop aimed at those frequently having conversations about deteriorating health including Doctors, Advanced Nurse Practitioners and other senior nurses and Allied Health Professionals working within NHS Western Isles.

Workshop Overview

During this interactive online session participants will watch a real time interactive demonstration led by EC4H tutors and will have the opportunity throughout the demonstration to contribute suggestions and feedback to the tutor team via the chat box.

Learning Outcomes

This advanced communication workshop offers participants the opportunity to:
• Review their current practice in relation to communication in clinical practice, and with colleagues and other health and care staff.
• Identify personal learning objectives and develop strategies for addressing these within a peer learning group.
• Critique and apply relevant literature/ theory on effective communication.
• Consider and take account of patient/carer/colleague perspectives.
• Identify and practise ways of increasing communication effectiveness.
• Exchange ideas and experiences with colleagues from other specialties

Being Open: Communicating Effectively with Patients and Families at the time of an Adverse Event

An interactive webinar for Maternity staff. Participants will watch a real time interactive demonstration led by EC4H tutors.  This session will focus on equipping participants with the skills and confidence to have difficult and sensitive conversations with patients and families when an adverse event is happening.

Open to all health boards

Topics at the workshops for will include:

• Difficult conversations
• Importance of language/suggestions about helpful approaches
• Significant adverse event process
• Being Open about adverse events
• Handling anger and emotional distress