Challenging Conversations: DNA-CPR and Treatment Escalation Plans

A half day interactive workshop for senior doctors, advanced nurse practitioners, clinical nurse specialists, charge nurses and other senior health professionals working within NHS Lanarkshire. Participants will work in a small peer group and address communication challenges drawn from their own clinical practice and educational roles.  Particular focus will be on initiating conversations about deteriorating health, people’s priorities and plans for future care such as hospital treatments options, DNA-CPR and Treatment Escalation Plans.

Overview

We look at effective ways to help people think and plan ahead. Clinicians need to be able to talk about emergency treatment and care planning (e.g. Treatment Escalation Plans and ReSPECT), goals of care, and planning for care around dying, including DNACPR discussions.

The RED-MAP framework supports these conversations.

Learning outcomes

In this advanced clinical communication workshop participants will:

• Communicate sensitively and effectively with people and those close to them about serious illness, stopping treatment, deteriorating health and DNACPR
• Respond to anger, distress, collusion and other complex emotions
• 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

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

Difficult Conversations at the End of Life (June)

A one-day, interactive workshop for Registered Nurses Clinical Nurse Specialists and other Allied Health Professionals.

Participants will work in a small peer group and address communication challenges drawn from their clinical practice and their educational roles. Particular focus will be on initiating conversations about deteriorating health, people’s priorities and plans for future care such as hospital treatments options, further admissions, clinically assisted nutrition or hydration and CPR.

Learning Outcomes

In this advanced clinical communication workshop participants will:

• Review their current practice in communicating with patients, families and other professionals about deteriorating health and care planning

• 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

• Identify ways of increasing communication effectiveness in their own practice

This workshop is for Marie Curie staff only

Challenging Conversations at the End of Life (June)

A one-day, interactive workshop for medical trainees, senior doctors, nurses and other allied health professionals. Participants will work in a small peer group and address communication challenges drawn from their clinical practice and their educational roles. Particular focus will be on initiating conversations about deteriorating health, people’s priorities and plans for future care such as hospital treatments options, further admissions, clinically assisted nutrition or hydration and CPR.

To book a place email: meded.seniors@lanarkshire.scot.nhs.uk

This workshop is open to NHS Lanarkshire staff only

Learning Outcomes

In this advanced clinical communication workshop participants will:

• Review their current practice in communicating with patients, families and other professionals about deteriorating health and care planning

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

• Identify ways of increasing communication effectiveness in their own practice

 

Challenging Conversations at the End of Life (May)

A one-day, interactive workshop for medical trainees. Participants will work in a small peer group and address communication challenges drawn from their clinical practice and their educational roles. Particular focus will be on initiating conversations about deteriorating health, people’s priorities and plans for future care such as hospital treatments options, further admissions, clinically assisted nutrition or hydration and CPR.

To book a place email: meded.seniors@lanarkshire.scot.nhs.uk

This workshop is open to NHS Lanarkshire staff only

Learning Outcomes

In this advanced clinical communication workshop participants will:

• Review their current practice in communicating with patients, families and other professionals about deteriorating health and care planning

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

• Identify ways of increasing communication effectiveness in their own practice

 

Discussing Deteriorating Health and Future Care Planning

An interactive workshop for senior doctors and other health professionals (Band 6+). Participants will work in a small peer group and address communication challenges drawn from their own clinical practice and educational roles.  Particular focus will be on initiating conversations about deteriorating health, people’s priorities and plans for future care such as hospital treatments options, further admissions, clinically assisted nutrition or hydration and CPR

This workshop is open to staff from all NHS health boards

Overview

We look at effective ways to help people think and plan ahead. Clinicians need to be able to talk about emergency treatment and care planning (e.g. Treatment Escalation Plans and ReSPECT), goals of care, and planning for care around dying, including DNACPR discussions.

The RED-MAP framework supports these conversations.

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 about Future Care Planning 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 and Realistic Medicine.
  • 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

 

Difficult Conversations at the End of Life

A one-day, interactive workshop for Registered Nurses and other AHP’s.

Participants will work in a small peer group and address communication challenges drawn from their clinical practice and their educational roles. Particular focus will be on initiating conversations about deteriorating health, people’s priorities and plans for future care such as hospital treatments options, further admissions, clinically assisted nutrition or hydration and CPR.

Learning Outcomes

In this advanced clinical communication workshop participants will:

• Review their current practice in communicating with patients, families and other professionals about deteriorating health and care planning

• 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

• Identify ways of increasing communication effectiveness in their own practice

This workshop is for Marie Curie staff only

Discussing Future Care Planning and DNACPR

**We are aware some website users are having issues submitting the application form for this workshop.  If you experience any difficulties submitting your form, please email us on ec4hadmin@nhslothian.scot.nhs.uk for support**

An intensive two-part online workshop aimed at NHS Western Isles staff who frequently have conversations about deteriorating health including Advanced Nurse Practitioners, other senior nurses, doctors, health care assistants and other AHPs.

This workshop is for NHS Western staff only

Workshop Overview

This interactive course consists of a series of two linked webinars run over 2 weeks, which will cover different 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: Discussing Future Care Planning – 30th January (2 pm to 3.30 pm)
Session 2: Discussing Deteriorating Health & DNACPR – 6th February (2 pm to 3.30 pm)

Participants must attend both 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.
• 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: Future Care Planning and Motor Neuron Disease

**We are aware some website users are having issues submitting the application form for this webinar.  If you experience any difficulties submitting your form, please email us on ec4hadmin@nhslothian.scot.nhs.uk for support**

A free online webinar for Health Care Professionals who may be involved in future care planning conversations, with patients who have Motor Neuron Disease.

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

This webinar is open to all health boards

Scenario

Lisa Scott is a 39 year old lady who has been diagnosed with ALS MND. There has been a rapid progression in her symptoms including difficulty swallowing, choking, upper and lower limb weakness and increased shortness of breath. Lisa lives alone, she has given up her retail role and is now struggling at home with frequent falls. Lisa has declined any support at home and has been reluctant to engage in conversations about the future. Our MND CNS is meeting with Lisa to explore future care planning

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 about Future Care Planning 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 and Realistic Medicine.

· 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