Palliative Care Across the Continuum
FRIDAY JUNE 10, 2016
8 a.m. - 5 p.m. |Reception to Follow
REGISTER BY JUNE 6
www.csusm.edu/palliativeconference
Registration $175 (includes meals, reception and parking)
Registration + 7 CEU/CME Certificate $200
Our Vision for Patients
Educated, engaged and empowered patients actively managing their health and becoming advocates for healthy living within their family and the community, inspiring
others to value that good health is true wealth.
Seniors Quality Leap Initiative: Using Data to Drive Improvements in Resident...BCCPA
The Seniors Quality Leap Initiative (SQLI) is collaborative of 12 nursing homes across Canada and US whose vision is to become North Americas leading provider consortium for benchmarking clinical quality standards. The presentation will share the methods used (both the key success factors and challenges) to administer the survey to residents in long term care and how the results are being used within each SQLI organization to drive improvements.
Presented by: Jo-Ann Tait, Program Director, Elder Care and Palliative Services, Providence Health Care
Person Centered Care through Integrating a Palliative Approach: Lessons from ...BCCPA
Aging adults are entering residential care facilities with more advanced disease than in the past and their length of stay is shorter. Most health care providers in these facilities do not receive targeted education and training in palliative care, nor are they confident to have crucial conversations about goals of care and end of life challenges with residents and their families. Due to limited capacity to manage predictable symptoms related to end of life and insufficient planning, many residents are transferred to hospital in crisis and die in the Emergency Department or acute care wards.
This presentation will showcase some of the initiatives by identifying common themes, unique features of each and strategies for success. Opportunity will be given for delegates to ask questions and brainstorm how lessons learned from these initiatives could inform the care provided at their own facility.
Presented by:
- Jane Webley, RN LLB Regional lead, End of Life, Vancouver Coastal Health (EPAIRS and the Daisy project)
- Dr Christine Jones, Island Health (SSC project: Improving end of life outcomes in residential care facilities: A palliative approach to care)
- Kathleen Yue, RN, BSN, MN, CHPCN (c) Education Coordinator, BC Center for Palliative Care
Health Care Consent, Aging and Dementia: Mapping Law and Practice in BCBCCPA
In October 2016, the Canadian Centre for Elder Law working with ASBC started a 16 month project on the law and practice around health care consent in BC with a focus on older adults and adults with dementia. This project will address issues around health care consent with a focus on older adults and adults with dementia. Along with addressing the legal framework surrounding health care consent it will highlighted related issues such as polypharmacy, etc.
Presented by:
- Krista James, National Director, Canadian Centre for Elder Law
- Alison Leaney, Provincial Coordinator, Vulnerable Adults Community Response, Public Guardian and Trustee
- Barbara Lindsay, Director, Advocacy and Education
The Volunteer Role In Patient Care Delivery ProgramsRoseanna Galindo
Patient-centered care is a way of looking at the entire hospital experience through the patient’s eyes. Volunteers can play a vital role in the patient experience by providing Human Interaction at the bedside. The Patient Ambassador program developed at Enloe Medical Center’s Patient Ambassador is a volunteer role that has created meaningful ways for the community to help
Leadership at the Bedside – Making the Change that Needs to HappenBCCPA
This panel presentation looks at the role of LPNs and HCAs within the context of the continuing care system. Along with changes to the regulation of LPNs, HCA education has changed including skills to work in both acute, residential and community setting with higher complexity of residents / client. Despite this there is little support for the transition for care needs. The HCA is the unrecognized leaders that support RN/LPN teams and have taken on many roles and responsibilities. The problem that has plagued the LPN and HCA working relationship has been the absence of role clarity for both professions and enhancing value for both working together collaboratively. The presentation will look at a LPN/HCA model that could better serve the health system.
Presented by:
- Anita Dickson, President, Licensed Practical Nurses Association of BC (LPNABC)
- Brenda Childs, Treasurer, LPNABC
Our Vision for Patients
Educated, engaged and empowered patients actively managing their health and becoming advocates for healthy living within their family and the community, inspiring
others to value that good health is true wealth.
Seniors Quality Leap Initiative: Using Data to Drive Improvements in Resident...BCCPA
The Seniors Quality Leap Initiative (SQLI) is collaborative of 12 nursing homes across Canada and US whose vision is to become North Americas leading provider consortium for benchmarking clinical quality standards. The presentation will share the methods used (both the key success factors and challenges) to administer the survey to residents in long term care and how the results are being used within each SQLI organization to drive improvements.
Presented by: Jo-Ann Tait, Program Director, Elder Care and Palliative Services, Providence Health Care
Person Centered Care through Integrating a Palliative Approach: Lessons from ...BCCPA
Aging adults are entering residential care facilities with more advanced disease than in the past and their length of stay is shorter. Most health care providers in these facilities do not receive targeted education and training in palliative care, nor are they confident to have crucial conversations about goals of care and end of life challenges with residents and their families. Due to limited capacity to manage predictable symptoms related to end of life and insufficient planning, many residents are transferred to hospital in crisis and die in the Emergency Department or acute care wards.
This presentation will showcase some of the initiatives by identifying common themes, unique features of each and strategies for success. Opportunity will be given for delegates to ask questions and brainstorm how lessons learned from these initiatives could inform the care provided at their own facility.
Presented by:
- Jane Webley, RN LLB Regional lead, End of Life, Vancouver Coastal Health (EPAIRS and the Daisy project)
- Dr Christine Jones, Island Health (SSC project: Improving end of life outcomes in residential care facilities: A palliative approach to care)
- Kathleen Yue, RN, BSN, MN, CHPCN (c) Education Coordinator, BC Center for Palliative Care
Health Care Consent, Aging and Dementia: Mapping Law and Practice in BCBCCPA
In October 2016, the Canadian Centre for Elder Law working with ASBC started a 16 month project on the law and practice around health care consent in BC with a focus on older adults and adults with dementia. This project will address issues around health care consent with a focus on older adults and adults with dementia. Along with addressing the legal framework surrounding health care consent it will highlighted related issues such as polypharmacy, etc.
Presented by:
- Krista James, National Director, Canadian Centre for Elder Law
- Alison Leaney, Provincial Coordinator, Vulnerable Adults Community Response, Public Guardian and Trustee
- Barbara Lindsay, Director, Advocacy and Education
The Volunteer Role In Patient Care Delivery ProgramsRoseanna Galindo
Patient-centered care is a way of looking at the entire hospital experience through the patient’s eyes. Volunteers can play a vital role in the patient experience by providing Human Interaction at the bedside. The Patient Ambassador program developed at Enloe Medical Center’s Patient Ambassador is a volunteer role that has created meaningful ways for the community to help
Leadership at the Bedside – Making the Change that Needs to HappenBCCPA
This panel presentation looks at the role of LPNs and HCAs within the context of the continuing care system. Along with changes to the regulation of LPNs, HCA education has changed including skills to work in both acute, residential and community setting with higher complexity of residents / client. Despite this there is little support for the transition for care needs. The HCA is the unrecognized leaders that support RN/LPN teams and have taken on many roles and responsibilities. The problem that has plagued the LPN and HCA working relationship has been the absence of role clarity for both professions and enhancing value for both working together collaboratively. The presentation will look at a LPN/HCA model that could better serve the health system.
Presented by:
- Anita Dickson, President, Licensed Practical Nurses Association of BC (LPNABC)
- Brenda Childs, Treasurer, LPNABC
Improving Sustainability of BC's Home and Community Care SystemBCCPA
In the face of unprecedented growth in the seniors population, health systems across Canada are challenged to ensure sustainability while addressing consumer expectations and respecting the wishes of individuals to remain independent as long as possible. Waitlists for access to continuing care services, and the high numbers of seniors that remain in hospital while no longer requiring acute care, demonstrate potential mismatches between supply and demand. As the population of seniors continues to grow, this disparity will continue to increase, unless practices within health systems change. Island Health will share its experiences supporting seniors to live independently.
Promoting Exchange, Enhancing Resources: How Connecting Organizations Improve...BCCPA
Improving workplace safety in continuing care often means undertaking significant culture change. Organizations often find themselves re-creating the same programs as neighbouring organizations, with similar outcomes. The PEER Resource Network was initiated by SafeCare BC to address two key issues raised by the continuing care sector:
1. Managers lack the resources to support the development of a safety culture within their organizations;
2. Continuing care organizations largely face the same root workplace safety issues.
In this workshop, participants will:
1. Learn about PEER’s innovative model and the preliminary results of the initiative (both quantitative and qualitative data).
2. Understand how PEER’s structure contributes to collaborative learning – and how this supports organizational excellence in workplace safety.
3. Engage with fellow participants in PEER-like exercises to glean insight into solutions for their organization’s own safety challenges.
4.Develop new connections to support the implementation of those solutions.
Presented by:
- Jennifer Lyle, Executive Director, SafeCare BC
- Saleema Dhalla, Workplace Health and Safety Programs Director, SafeCare BC
Evidence-Informed Guidelines for Recreation Therapy programs to Enhance the M...BCCPA
This presentation will provide an overview of the BCCPA Mitacs-SFU project to develop a best practices guide for recreational therapy (RT). OLTCA and ACCA are also partners in this project. Along with reviewing the results of a survey on recreational therapy in LTC that was undertaken in BC, Alberta and Ontario it will present the final RT best practices guide.
Presented by:
- Dr. Kim van Schooten, Centre for Hip Health and Mobility, University of British Columbia
- Dr. Yijian Yang, Centre for Hip Health and Mobility, University of British Columbia
- Brenda Kinch, President, BC Therapeutic Recreation Association
HXR 2016; Behavior Change Design - David Hoke, WalmartHxRefactored
A space where theory, evidence, policy and practice can come together to enlighten multi-disciplinary stakeholders interested in facilitating meaningful change at individual, group and population levels.
Effective care coordination ranks high on the priority list of families of children with special health care needs, yet it remains an elusive goal for most. This webinar featured a parent's perspective, along with real-life examples from a provider and a payer on how to develop effective local care coordination systems. The webinar, which drew close to 400 registrants from across the US, was designed as a first step in building a national movement to promote care coordination policies and payment options that better serve children, families, and care providers.
An Introduction to the National Institute for Medical Assistant AdvancementCHC Connecticut
View the slides from NIMAA's Webinar about a groundbreaking new way to train key primary care team members featuring national leaders, including:
Thomas Bodenheimer, MD, MPH, UCSF School of Medicine, California
Edward Wagner, MD, MPH, MacColl Center, Washington
Mark Masselli, CEO, Community Health Center, Inc; Chairman, NIMAA
Better to Best Patient Centered Medical HomePaul Grundy
Better to best -- consensus meeting between large employers, HHS, CMS, DOD OPM, hospitals, Primary care association, AMA, healthcare plans around the elements that add value in the Patient Centered medical home. coordination of care, access to care Health information technology and payment reform.
Improving Sustainability of BC's Home and Community Care SystemBCCPA
In the face of unprecedented growth in the seniors population, health systems across Canada are challenged to ensure sustainability while addressing consumer expectations and respecting the wishes of individuals to remain independent as long as possible. Waitlists for access to continuing care services, and the high numbers of seniors that remain in hospital while no longer requiring acute care, demonstrate potential mismatches between supply and demand. As the population of seniors continues to grow, this disparity will continue to increase, unless practices within health systems change. Island Health will share its experiences supporting seniors to live independently.
Promoting Exchange, Enhancing Resources: How Connecting Organizations Improve...BCCPA
Improving workplace safety in continuing care often means undertaking significant culture change. Organizations often find themselves re-creating the same programs as neighbouring organizations, with similar outcomes. The PEER Resource Network was initiated by SafeCare BC to address two key issues raised by the continuing care sector:
1. Managers lack the resources to support the development of a safety culture within their organizations;
2. Continuing care organizations largely face the same root workplace safety issues.
In this workshop, participants will:
1. Learn about PEER’s innovative model and the preliminary results of the initiative (both quantitative and qualitative data).
2. Understand how PEER’s structure contributes to collaborative learning – and how this supports organizational excellence in workplace safety.
3. Engage with fellow participants in PEER-like exercises to glean insight into solutions for their organization’s own safety challenges.
4.Develop new connections to support the implementation of those solutions.
Presented by:
- Jennifer Lyle, Executive Director, SafeCare BC
- Saleema Dhalla, Workplace Health and Safety Programs Director, SafeCare BC
Evidence-Informed Guidelines for Recreation Therapy programs to Enhance the M...BCCPA
This presentation will provide an overview of the BCCPA Mitacs-SFU project to develop a best practices guide for recreational therapy (RT). OLTCA and ACCA are also partners in this project. Along with reviewing the results of a survey on recreational therapy in LTC that was undertaken in BC, Alberta and Ontario it will present the final RT best practices guide.
Presented by:
- Dr. Kim van Schooten, Centre for Hip Health and Mobility, University of British Columbia
- Dr. Yijian Yang, Centre for Hip Health and Mobility, University of British Columbia
- Brenda Kinch, President, BC Therapeutic Recreation Association
HXR 2016; Behavior Change Design - David Hoke, WalmartHxRefactored
A space where theory, evidence, policy and practice can come together to enlighten multi-disciplinary stakeholders interested in facilitating meaningful change at individual, group and population levels.
Effective care coordination ranks high on the priority list of families of children with special health care needs, yet it remains an elusive goal for most. This webinar featured a parent's perspective, along with real-life examples from a provider and a payer on how to develop effective local care coordination systems. The webinar, which drew close to 400 registrants from across the US, was designed as a first step in building a national movement to promote care coordination policies and payment options that better serve children, families, and care providers.
An Introduction to the National Institute for Medical Assistant AdvancementCHC Connecticut
View the slides from NIMAA's Webinar about a groundbreaking new way to train key primary care team members featuring national leaders, including:
Thomas Bodenheimer, MD, MPH, UCSF School of Medicine, California
Edward Wagner, MD, MPH, MacColl Center, Washington
Mark Masselli, CEO, Community Health Center, Inc; Chairman, NIMAA
Better to Best Patient Centered Medical HomePaul Grundy
Better to best -- consensus meeting between large employers, HHS, CMS, DOD OPM, hospitals, Primary care association, AMA, healthcare plans around the elements that add value in the Patient Centered medical home. coordination of care, access to care Health information technology and payment reform.
Strategic Opportunities in Advanced Illness Management, Palliative Care and H...Kathy Brandt
Individuals living with a life-limiting condition often receive fragmented care and support. This workshop will explore opportunities for care and service providers as well as businesses to partner with advanced illness management, palliative care and hospice providers to provide added value to clients and patients while enhancing the sustainability of the organizations.
How can front-line professionals incorporate the emerging brain health ...SharpBrains
(Session held at the 2014 SharpBrains Virtual Summit; October 28-30th, 2014)
12:30-2pm. How can front-line professionals incorporate the emerging brain health toolkit to their practices?
- Elizabeth Frates, Director of Medical Student Education at the Institute of Lifestyle Medicine
- Dr. Catherine Madison, Director of the Ray Dolby Brain Health Center at California Pacific Medical Center
- Barbara Van Amburg, Chief Nursing Officer at Kaiser Permanente Redwood City
- Dr. Wendy Law, Clinical Neuropsychologist at Walter Reed National Military Medical Center
- Chair: Dr. Michael O’Donnell, Editor-In-Chief of the American Journal of Health Promotion
Learn more here:
http://sharpbrains.com/summit-2014/agenda/
Beyond Checklists: Care Planning for Children with Special Health Care Needs ...LucilePackardFoundation
What does it take to create and implement an effective, family-centered plan of care for a child with special health care needs? In this webinar, two expert speakers discussed their approaches to the process of care planning in two very different settings—Children's Hospital of Philadelphia and a small private practice in Vermont.
Design Thinking as innovation tool for Smart Nation: Cancer healthcareShah Widjaja
Presentation done as part of Singapore Design Week Festival 2017
Summary:
How does design thinking change mindsets and culture so that a nation like Singapore can continue to innovate and lead the transformation for a better future? Harnessing the power of design thinking to build a ‘Smart Nation’ for Singapore, this workshop aims to give audiences the opportunity to realize the potential this methodology has.
A user-centered way of solving problems, design thinking involves collaboration across user segments, through strategies like customer journey mapping, design research and rapid prototyping. While design is often used to describe an end-product, in reality if applied properly, can be used to address problems or issues across a variety of field including social issues.
Healthier Living with Chronic Conditions - Sign up for this FREE workshop today!Vaneza Casimiro
6 Sessions (Thursday)
Date: June 23 - July 28,2016
6/23, 6/30, 7/7, 7/21, 7/28
Time: 1:00pm - 3:30pm
Location: Little House Family Resource Services
131 Avocado Avenue, El Cajon 92020
FREE EVENT FOR ADULT CHILDREN AND OLDER ADULTS - SPRING EDUCATION SERIESVaneza Casimiro
Register Now
Thursday June 9th,2016
3:30-5:30pm
Where:
St. Paul’s Plaza
1420 East Palomar Street,
Eastlake, Chula Vista.
Next to Sharp Rees-Stealy, across from Heritage Park.
(619) 591-0600
Monthly Announcements for the Behavioral Health Work Team & the Suicide Preve...Vaneza Casimiro
Behavioral Health Work Team (BHWT) Meeting
San Diego County Suicide Prevention Council (SPC) Meetings
Contact Lora Cayanan at lcayanan@sdchip.org/ 858-609-7971 if interested in attending any of the meetings
Caregiver Coalition of San Diego
East County Action Network for Older Adults & Adults with Disabilities (ECAN)
East County Senior Service Providers
AIS Fall Prevention Task Force
AIS Fall Prevention Task Force –North County Chapter
AIS Health Promotion Committee
Long Term Care Integrated Project (LTCIP)
North County Action Network (NorCAN)
San Diego Community Action Network (SanDi-CAN)
San Diego County Coalition for Improvement
of End of Life Care
San Diego County Council on Aging
San Diego Dementia Consortium
Senior Specialists Networking Group
Serving Seniors Networking Breakfast
South Bay Senior Providers
South County Action Network (SoCAN)
THE CAREGIVER COALITION OF SAN DIEGO PRESENTS: "Protect Yourself and Your Lov...Vaneza Casimiro
Join Us Friday, June 3, 2016 at 9:00am to 1:00pm
St Paul's Plaza
1420 East Palomar Street, Chula Vista, CA 91913
Register by June 1, 2016
1 (800) 827-4277 or www.sharp.com/classes
AFN and Caregiver Disaster Preparedness Plan - Office of Emergency ServicesVaneza Casimiro
FOR PEOPLE WHO MAY NEED ASSISTANCE AND THEIR CAREGIVERS
5580 Overland Ave., Suite 100 | San Diego, CA 92123-1294
Phone: (858) 565-3490 | Fax: (858) 565-3499
ReadySanDiego.org
You are cordially invited to a Special event!!
Thursday, May 19th, 2016
Join us for an inspiring evening dedicated to the theme of
Mental Wellness, from an LGBTQ+ culturally relevant
standpoint.
Admission is complimentary, yet we request your formal RSVP. Please RSVP via eventbrite invite.
For any questions contact: ksemel@mhasd.org
UCLA CENTER FOR HEALTH POLICY RESEARCH - RECRUITMENT INFORMATION SHEETVaneza Casimiro
California Mental Health Older Adult System of Care Project
Recruitment and Data Collection Timeline
Apr 1- Jun 30, 2016: Recruit, screen, and complete interviews will all key informants who agree to participate.
The accountant will work from FACT’s office in downtown Oceanside, CA. The job includes occasional travel within San Diego County.
Position will remain open until filled. Please send resume to banderson@factsd.org
San Diego Regional Home Care Council & San Diego County Council on Aging - 20...Vaneza Casimiro
Four Points by Sheraton San Diego
8110 Aero Drive, San Diego, CA 92123
June 17th, 2016 11am-2pm
RSVP by May 27th to Kira Anthofer email: info@sdrhcc.org
Please bring a $20 or more Target or Walmart gift card to be
donated to San Diego Military Outreach
Shining a Light on the Issue of Mental Illness and Opening the Conversation to End Stigma
People experiencing a mental health crisis can speak to a trained counselor by calling the County’s Access and Crisis Line at (888) 724-7240. Mental health resources are also available at NAMI San Diego (namisandiego.org), or the It's Up to Us website (up2sd.org)
CHAPTER 1 SEMESTER V - ROLE OF PEADIATRIC NURSE.pdfSachin Sharma
Pediatric nurses play a vital role in the health and well-being of children. Their responsibilities are wide-ranging, and their objectives can be categorized into several key areas:
1. Direct Patient Care:
Objective: Provide comprehensive and compassionate care to infants, children, and adolescents in various healthcare settings (hospitals, clinics, etc.).
This includes tasks like:
Monitoring vital signs and physical condition.
Administering medications and treatments.
Performing procedures as directed by doctors.
Assisting with daily living activities (bathing, feeding).
Providing emotional support and pain management.
2. Health Promotion and Education:
Objective: Promote healthy behaviors and educate children, families, and communities about preventive healthcare.
This includes tasks like:
Administering vaccinations.
Providing education on nutrition, hygiene, and development.
Offering breastfeeding and childbirth support.
Counseling families on safety and injury prevention.
3. Collaboration and Advocacy:
Objective: Collaborate effectively with doctors, social workers, therapists, and other healthcare professionals to ensure coordinated care for children.
Objective: Advocate for the rights and best interests of their patients, especially when children cannot speak for themselves.
This includes tasks like:
Communicating effectively with healthcare teams.
Identifying and addressing potential risks to child welfare.
Educating families about their child's condition and treatment options.
4. Professional Development and Research:
Objective: Stay up-to-date on the latest advancements in pediatric healthcare through continuing education and research.
Objective: Contribute to improving the quality of care for children by participating in research initiatives.
This includes tasks like:
Attending workshops and conferences on pediatric nursing.
Participating in clinical trials related to child health.
Implementing evidence-based practices into their daily routines.
By fulfilling these objectives, pediatric nurses play a crucial role in ensuring the optimal health and well-being of children throughout all stages of their development.
Telehealth Psychology Building Trust with Clients.pptxThe Harvest Clinic
Telehealth psychology is a digital approach that offers psychological services and mental health care to clients remotely, using technologies like video conferencing, phone calls, text messaging, and mobile apps for communication.
Deep Leg Vein Thrombosis (DVT): Meaning, Causes, Symptoms, Treatment, and Mor...The Lifesciences Magazine
Deep Leg Vein Thrombosis occurs when a blood clot forms in one or more of the deep veins in the legs. These clots can impede blood flow, leading to severe complications.
Health Education on prevention of hypertensionRadhika kulvi
Hypertension is a chronic condition of concern due to its role in the causation of coronary heart diseases. Hypertension is a worldwide epidemic and important risk factor for coronary artery disease, stroke and renal diseases. Blood pressure is the force exerted by the blood against the walls of the blood vessels and is sufficient to maintain tissue perfusion during activity and rest. Hypertension is sustained elevation of BP. In adults, HTN exists when systolic blood pressure is equal to or greater than 140mmHg or diastolic BP is equal to or greater than 90mmHg. The
Antibiotic Stewardship by Anushri Srivastava.pptxAnushriSrivastav
Stewardship is the act of taking good care of something.
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
WHO launched the Global Antimicrobial Resistance and Use Surveillance System (GLASS) in 2015 to fill knowledge gaps and inform strategies at all levels.
ACCORDING TO apic.org,
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
ACCORDING TO pewtrusts.org,
Antibiotic stewardship refers to efforts in doctors’ offices, hospitals, long term care facilities, and other health care settings to ensure that antibiotics are used only when necessary and appropriate
According to WHO,
Antimicrobial stewardship is a systematic approach to educate and support health care professionals to follow evidence-based guidelines for prescribing and administering antimicrobials
In 1996, John McGowan and Dale Gerding first applied the term antimicrobial stewardship, where they suggested a causal association between antimicrobial agent use and resistance. They also focused on the urgency of large-scale controlled trials of antimicrobial-use regulation employing sophisticated epidemiologic methods, molecular typing, and precise resistance mechanism analysis.
Antimicrobial Stewardship(AMS) refers to the optimal selection, dosing, and duration of antimicrobial treatment resulting in the best clinical outcome with minimal side effects to the patients and minimal impact on subsequent resistance.
According to the 2019 report, in the US, more than 2.8 million antibiotic-resistant infections occur each year, and more than 35000 people die. In addition to this, it also mentioned that 223,900 cases of Clostridoides difficile occurred in 2017, of which 12800 people died. The report did not include viruses or parasites
VISION
Being proactive
Supporting optimal animal and human health
Exploring ways to reduce overall use of antimicrobials
Using the drugs that prevent and treat disease by killing microscopic organisms in a responsible way
GOAL
to prevent the generation and spread of antimicrobial resistance (AMR). Doing so will preserve the effectiveness of these drugs in animals and humans for years to come.
being to preserve human and animal health and the effectiveness of antimicrobial medications.
to implement a multidisciplinary approach in assembling a stewardship team to include an infectious disease physician, a clinical pharmacist with infectious diseases training, infection preventionist, and a close collaboration with the staff in the clinical microbiology laboratory
to prevent antimicrobial overuse, misuse and abuse.
to minimize the developme
Defecation
Normal defecation begins with movement in the left colon, moving stool toward the anus. When stool reaches the rectum, the distention causes relaxation of the internal sphincter and an awareness of the need to defecate. At the time of defecation, the external sphincter relaxes, and abdominal muscles contract, increasing intrarectal pressure and forcing the stool out
The Valsalva maneuver exerts pressure to expel faeces through a voluntary contraction of the abdominal muscles while maintaining forced expiration against a closed airway. Patients with cardiovascular disease, glaucoma, increased intracranial pressure, or a new surgical wound are at greater risk for cardiac dysrhythmias and elevated blood pressure with the Valsalva maneuver and need to avoid straining to pass the stool.
Normal defecation is painless, resulting in passage of soft, formed stool
CONSTIPATION
Constipation is a symptom, not a disease. Improper diet, reduced fluid intake, lack of exercise, and certain medications can cause constipation. For example, patients receiving opiates for pain after surgery often require a stool softener or laxative to prevent constipation. The signs of constipation include infrequent bowel movements (less than every 3 days), difficulty passing stools, excessive straining, inability to defecate at will, and hard feaces
IMPACTION
Fecal impaction results from unrelieved constipation. It is a collection of hardened feces wedged in the rectum that a person cannot expel. In cases of severe impaction the mass extends up into the sigmoid colon.
DIARRHEA
Diarrhea is an increase in the number of stools and the passage of liquid, unformed feces. It is associated with disorders affecting digestion, absorption, and secretion in the GI tract. Intestinal contents pass through the small and large intestine too quickly to allow for the usual absorption of fluid and nutrients. Irritation within the colon results in increased mucus secretion. As a result, feces become watery, and the patient is unable to control the urge to defecate. Normally an anal bag is safe and effective in long-term treatment of patients with fecal incontinence at home, in hospice, or in the hospital. Fecal incontinence is expensive and a potentially dangerous condition in terms of contamination and risk of skin ulceration
HEMORRHOIDS
Hemorrhoids are dilated, engorged veins in the lining of the rectum. They are either external or internal.
FLATULENCE
As gas accumulates in the lumen of the intestines, the bowel wall stretches and distends (flatulence). It is a common cause of abdominal fullness, pain, and cramping. Normally intestinal gas escapes through the mouth (belching) or the anus (passing of flatus)
FECAL INCONTINENCE
Fecal incontinence is the inability to control passage of feces and gas from the anus. Incontinence harms a patient’s body image
PREPARATION AND GIVING OF LAXATIVESACCORDING TO POTTER AND PERRY,
An enema is the instillation of a solution into the rectum and sig
India Clinical Trials Market: Industry Size and Growth Trends [2030] Analyzed...Kumar Satyam
According to TechSci Research report, "India Clinical Trials Market- By Region, Competition, Forecast & Opportunities, 2030F," the India Clinical Trials Market was valued at USD 2.05 billion in 2024 and is projected to grow at a compound annual growth rate (CAGR) of 8.64% through 2030. The market is driven by a variety of factors, making India an attractive destination for pharmaceutical companies and researchers. India's vast and diverse patient population, cost-effective operational environment, and a large pool of skilled medical professionals contribute significantly to the market's growth. Additionally, increasing government support in streamlining regulations and the growing prevalence of lifestyle diseases further propel the clinical trials market.
Growing Prevalence of Lifestyle Diseases
The rising incidence of lifestyle diseases such as diabetes, cardiovascular diseases, and cancer is a major trend driving the clinical trials market in India. These conditions necessitate the development and testing of new treatment methods, creating a robust demand for clinical trials. The increasing burden of these diseases highlights the need for innovative therapies and underscores the importance of India as a key player in global clinical research.
Jaipur ❤cALL gIRLS 89O1183002 ❤ℂall Girls IN JaiPuR ESCORT SERVICE
San Diego Professional Palliative Care Conference - From Conversations to Action
1. CONFERENCE LOCATION:
California State University, San Marcos | USU Ballroom
333 S. Twin Oaks Valley Road | San Marcos, CA 92096-0001
San Diego Professional Palliative Care Conference
FRIDAY JUNE 10, 2016
8 a.m. - 5 p.m. |Reception to Follow
REGISTER BY JUNE 6
www.csusm.edu/palliativeconference
Registration $175 (includes meals, reception and parking)
Registration + 7 CEU/CME Certificate $200
Open to all Healthcare,
Advocacy and Policy
Professionals
Recommended for:
Chaplains
Clinical Social Workers
Medical Care Managers
Nurse Practitioners
Physicians
Physician Assistants
Registered Nurses
Explore Palliative Care
Topics in a Hands-on,
Interdisciplinary Format
Create Practical Action
Plans: Start a plan to
Integrate Palliative
Care in Your Specific
Healthcare Setting
Conference Agenda and
Key Speaker Biographies
on Reverse
For more information:
Lisa Lipsey
Phone: 760-750-3550
E-mail: llipsey@csusm.edu
FEATURED SPEAKERS INCLUDE:
Dr. Michael
Fratkin of
ResolutionCare,
TEDx Talk
speaker and
palliative care
visionary
Helen McNeal,
Executive
Director of the
CSU Institute for
Palliative Care
Jennifer
Ballentine,
President
of The Iris
Project
SILVER SPONSORS:
CSU Ins tute for Pallia ve Care | Health Services Advisory Group | Hospital Quality Ins tute
Hospice By The Sea | LightBridge Hospice & LightBridge Hospice Founda on | Pa ent Safety First
www.csusm.edu/pallia veconference
GOLD SPONSOR:
2. CONFERENCE AGENDA FEATURED SPEAKERS
Dr. Fratkin is honored to have been chosen as the first
Thomas J. Chippendale Memorial Lecturer and will open his
presenta on by recognizing and honoring Dr. Chippendale
and the contribu ons he made to pa ent‐centered care.
Michael is the founder of Resolu onCare, a community‐
based pallia ve care organiza on located in Eureka, CA.
Resolu onCare is rooted in interdisciplinary teamwork and showcases the
best prac ces of pallia ve care. Michael is passionate about moving the
healthcare system in a direc on that be er empowers people—people called
providers and people called pa ents—to give and receive soul‐based care that
supports all of us. He hopes to inspire others to feel the power they have to
create pallia ve care programs and be er meet the needs of themselves and
their pa ents. He is a true visionary and a featured TEDx Talk presenter.
Dr. Michael Fratkin, ResolutionCare
Jennifer Ballentine, President of The Iris Project
Jennifer is a consultant, educator, advocate, and change
designer with more than 15 years' experience in pallia ve
care and hospice; previously a corporate execu ve, growing
innova ve businesses from startup to maturity. She has held
leadership posi ons at Hospice Analy cs, a na onal research
and data analy cs company advancing quality in hospice care;
Life Quality Ins tute, an innova ve pallia ve care educa on and training
ins tute; and the Colorado Center for Hospice and Pallia ve Care, a
statewide advocacy and educa onal organiza on. She has led and materially
contributed to statewide and na onal ini a ves aimed at advancing advance
care planning and pallia ve care training, quality, and public policy. She is a
current member of the Na onal Hospice and Pallia ve Care Organiza on
Ethics Advisory Council; Chair‐elect of the San Diego Coali on for Compas‐
sionate Care; and co‐Chair of the Colorado Advance Direc ves Consor um.
She is widely published in peer‐reviewed journals, trade magazines, and
professional books on end‐of‐life care, gerontology, and ethics.
Helen McNeal, Executive Director of the CSU
Institute for Palliative Care
Prior to founding the CSU Ins tute for Pallia ve Care, Helen
served as Vice President of San Diego Hospice and The
Ins tute for Pallia ve Medicine (SDHIPM). Helen is the
Founder of Naria LLC, as well as the former Vice President of
Strategic Partners, Inc. There she consulted with clients on
organiza onal development, leadership, and strategic rela onships. Helen
was Na onal Director of Training for the American Diabetes Associa on in
Washington, D.C. She founded Evergreen Hospice in Markham, Ontario. She
has consulted with both U.S. and Canadian government agencies on pallia ve
care strategies. She is the co‐author of Module IV: Pallia ve Care: A Compre-
hensive Guide to the Care of Persons Living with HIV/AIDS. Helen has consult‐
ed with Na onal Hospice and Pallia ve Care Organiza ons and she led
a na onal project to look at end‐of‐life care in the American prison system.
7:30 ‐ 8:30 Registra on | Con nental Breakfast
8:30 ‐ 9:00 General Session: Welcome and Opening Remarks
Laying the Groundwork for Today’s Conference
Dr. Karl Steinberg, Hospice by the Sea, Board Chair,
Coali on for Compassionate Care of California
9:00 ‐ 10:00 General Session: Featured Speaker
Our Covenant to Care: Conversa ons on
Goals of Care, Op ons, and Plans
Jennifer Ballen ne, The Iris Project
10:00 ‐ 10:10 Break
10:10 ‐ 11:10 Morning Breakouts: Key Tools for Establishing
Goals of Care and Advance Care Planning
Breakout A Partners for Planning Ahead: AHCD & POLST
Chris ne Knutson, RN, MSN, POLST Trainer
Breakout B Advance Care Planning: Components, Tips, and
Resources
John Tastad, SCC, Program Coordinator, Advance
Care Planning Sharp HealthCare
Breakout C Advance Care Planning for Alzheimer’s/Demen a
Clients and Families
Diane Darby Beach, MPH, ED.D, Gerontologist
Breakout D When Advance Care Planning Goes Horribly Wrong:
The Best of the Worst Ethics Commi ee Cases
Paula Goodman‐Crews, MSW, LCSW, Medical
Bioethics Director, Kaiser Permanente and Dr.
Michael McDuffie, Philosophy Department, CSUSM
11:10 ‐ 11:30 Personal Ac on Plan Part 1: Goals of Care
Discussion and Group Work in Breakout Rooms
11:30 ‐ 12:20 Lunch Buffet
12:20 ‐ 1:20 General Session: Panel Presenta on
Models of Pallia ve Care: Best Prac ces Across
San Diego County
Moderator: Dr. Glenn Panzer, The Elizabeth Hospice
Panelists: Dr. Lisa Heikoff, Kaiser Permanente;
Dr. Tim Corbin, Scripps Hospital; Dr. Bill Mitchell,
UCSD Medical Center; Dr. Daniel Hoefer, Sharp
HealthCare; Dr. Kim Bower, Rady Children’s Hospital
1:20 ‐ 2:20 General Session: Featured Speaker
Building a Sustainable Pallia ve Care Program
Helen McNeal, Execu ve Director, CSU Ins tute for
Pallia ve Care
2:20 ‐ 2:30 Break
2:30 ‐ 3:30 A ernoon Breakouts: Discussions by Se ng
Personal Ac on Plan Part 2: Implemen ng
Pallia ve Care in Your Se ng
Breakout A Hospitals
Scripps Health Pallia ve Care Team
Breakout B Post Acute & Long Term Care Facili es
Dr. Emmet Lee, LightBridge Hospice and
Dr. Karl Steinberg, Hospice by the Sea
Breakout C Finding Common Ground: Community Partners in
Pallia ve Care
Jan Jones, RN, BSN, CEO, The Elizabeth Hospice and
Jill Mendlen, CEO, LightBridge Hospice
Breakout D Outpa ent Services/Office Se ngs
Dr. Lisa Heikoff, Kaiser Permanente and
Arlene Cramer, FNP, AHPCN, UC San Diego
3:30 ‐ 3:40 Break
3:40 ‐ 3:55 General Session: Panel Presenta on
Personal Ac on Plan Part 3: Outcomes from Across the
Con nuum: Key Points from Breakouts by Care Se ng
3:55 ‐ 4:55 General Session: Featured Speaker
Thomas J. Chippendale Memorial Lecture
Dr. Michael Fratkin, Resolu onCare
4:55 ‐ 5:00 General Session: Closing Remarks
5:00 ‐ 6:00 Wine & Hors d’oeuvres Recep on
CE/CME Cer ficate Table Open
www.csusm.edu/palliativeconference
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