Topic: Anticipatory Care Planning

Realistic Conversations: Future Care Planning Conversations

A free online webinar for Scottish Ambulance Service staff who are involved in future planning 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.

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 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

Future Care Planning (December)

An interactive workshop that supports Clinicians to talk about Future Care Planning informed by an understanding of “what matters” to individuals and their families.  Participants will work in a small peer group and address communication challenges drawn from their own clinical practice and educational roles.  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.

Open to all NHS Borders Clinical staff, if relevant to their practice.  Please complete the online application form to register your interest.

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

 

Discussing Deteriorating Health and Future Care Planning (November)

An advanced clinical communication workshop for doctors at all grades, including consultants and trainees, senior nurses and allied health professionals.  This highly interactive workshop supports Clinicians to talk about Future Care Planning informed by an understanding of “what matters” to individuals and their families.

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  NHS Fife staff only

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

 

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: Deteriorating Health – 5th November (12.30 pm to 2 pm)
Session 2: DNACPR – 12th November (12.30 pm to 2 pm)
Session 3: Breaking Bad News – 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

 

Discussing Deteriorating Health and Future Care Planning

An advanced clinical communication workshop for doctors at all grades, including consultants and trainees, senior nurses and allied health professionals.  This highly interactive workshop supports Clinicians to talk about Future Care Planning informed by an understanding of “what matters” to individuals and their families.

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  NHS Fife staff only

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

 

Future Care Planning

An interactive workshop that supports Clinicians to talk about Future Care Planning informed by an understanding of “what matters” to individuals and their families.  Participants will work in a small peer group and address communication challenges drawn from their own clinical practice and educational roles.  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.

Open to all NHS Borders Clinical staff, if relevant to their practice.  Please complete the online application form to register your interest.

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

 

Discussing Future Care and Treatment

A bite size interactive clinical communication training session for doctors, nurses and other health professionals working in NHS Western Isles. Participants will watch a real time interactive demonstration led by the EC4H tutor team and will have the opportunity throughout to contribute feedback and suggestions.

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 NHS Western Isles only

Overview

Mrs Harris, a 81 year old with late stage Alzheimer’s dementia and severe frailty was admitted from home 10 days ago by emergency ambulance.

She had been struggling at home for several days with worsening chest symptoms on a background of increased swallowing difficulties, and was admitted following a 999 call overnight. On admission, Mrs Harris had evidence of a moderately severe aspiration pneumonia and possible delirium, requiring IV antibiotics, oxygen, and IV fluids. The consultant decided the patient should be for ward level care. A junior doctor tried to have a discussion about DNACPR but Mrs Harris’s family did not want to discuss this.

The Clinician is visiting the person and their family/carers at home soon after their discharge from hospital.

Learning outcomes

At the end of this session participants will be able to:

• Explore the person’s and their family/carer’s understanding of deteriorating health with reference to fundamentals such as capacity, nutrition and hydration, and the dying process
• Share information about an uncertain outcome in people living with severe frailty and/or dementia
• Find out about the person’s/family/carer main concerns and what matters to them
• Open a conversation about what happens if the person deteriorates further
• Agree a shared plan of care including a KIS and CPR status

 

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