CME/Lectures


4 Visual Conversation Tools to Help Patients and Families “See” the Options and Consequences
Demonstrate the visual communication tool, “The Two-Hand Test,” to make sure the patient’s wishes are being respected and that the treatment choice is medically beneficial.
Discuss how to use the “Weighing the Options Diagram” conversation tool to help patients and families evaluate the medical options.
Explain how to use the “Evaluating the Options Algorithm” to move the medical choice into the context of the person’s life to create a meaningful end-of-life decisions.
Recognize how using these 4 tools enhance patient-centered decision making which respects culture and religion.

Will Your Patient Actually Follow Your Treatment Plan at Home?
Discuss what is motivating the non-adherent patient to ignore our advice.
Explain how to help the patient/family to get past their denial and accept our help.
Demonstrate communication techniques to improve patient understanding and compliance.
Consider how these tools will respect patients from diverse populations.

Managing Emotionally Charged Interactions
Discuss how to manage the anger found in highly emotional interactions.
Practice mediation techniques to reduce conflicts and to increase compassion and respect.
Identify approaches to change the interaction into a more positive, empathetic conversation.
Consider how these tools will respect patients from diverse populations.

Improving Communication between Patients and Physicians
Define what patients consider to be a good bedside manner.
Explain how to be an effective communicator while managing your time.
Demonstrate listening techniques through role playing to increase patient satisfaction.
Consider how these tools will respect patients from diverse populations.

Navigating Difficult End-of-Life Conversations
Employ strategies for dealing with requests for non-beneficial treatments at the bedside.
Discuss other hospital’s policies for dealing with requests for non-beneficial treatments.
Demonstrate communication skills to improve end-of-life decision making.
Discuss how to deal with difficult surrogate decision makers.

Advance Directives – New Tools and Approaches to Improve Their Use
Examine our legal obligations regarding implementing advance directives.
Identify communication strategies to use when the family is refusing to honor the patient’s advance directive.
Demonstrate new tools to help patients write more meaningful and medically appropriate advance directives.
Discuss how to help diverse cultures feel more comfortable using advance directives.

Implementing the Advance Directive, POLST and DNR
Outline the differences between the Advance Directive and POLST forms.
Identify a caregiver’s legal obligations regarding advance directive implementation.
Discuss how to effectively communicate with families who refuse to honor a patient’s advance directive.
Consider how to encourage people from different cultures to use an advance directive and/or POLST form.

Improving the CPR/DNR Conversation
Demonstrate communication skills to improve CPR/DNR decision making.
Discuss how to deal with difficult surrogate decision makers.
Review the laws that apply to CPR/DNR obligations.
Identify cultural resources for end-of-life care.

An Insider’s View of Hospice Care
Identify what happens when we refer our patient to hospice and the benefits the patient/family will receive.
Demonstrate how to discuss hospice with patients and their families.
Describe how to support the patient/family through the dying journey.
Recognize and address why certain cultures are resistant to accepting hospice care.

Improving Decision Making for Those Who Lack Capacity
Examine what constitutes an advocacy team and what the California Hospital Association recommends.
Identify the questions to use when using the Best Interest Standard.
Discuss how to evaluate the quality-of-life issues found in end-of-life situations.
Demonstrate how to support families from different cultures/religions in making these decisions.

Understanding and Implementing the POLST Law
(POLST = “Physician Orders for Life Sustaining Treatment”)
Describe the POLST law and what it requires of physicians.
Examine how POLST will benefit patients, especially those in nursing homes.
Discuss the differences between the Advance Directive and POLST form.
Learn how to present the POLST form in a culturally respectful way.