2011 CLINICAL PRACTICE FORUM: Integrating Cancer and Palliative Care across the Lifespan
Friday, September 16 and Saturday, September 17, 2011 Sheraton Station Square Hotel Pittsburgh, PA
Target Audience: Palliative Care Nurses Oncology Nurses Pediatric Nurses Hospice Nurses Other Nursing Professionals interested in oncology and palliative care across the lifespan
WELCOME! CLINICAL FORUM PLANNING TEAM Joan ‘Jody’ Chrastek, DNP, CHPN® Children's Hospitals and Clinics of Minnesota Minneapolis, MN Patrick J. Coyne, MSN, APRN, ACHPN, FAAN, FPCN Virginia Commonwealth University Medical Center Richmond, VA Carol P. Curtiss, MSN, RN-BC Curtiss Consulting Greenfield, MA Carma Erickson-Hurt, APRN, ACHPN, LCDR, USN RET Grand Canyon University Phoenix, AZ Todd Hultman, PhD, ACNP, ACHPN Massachusetts General Hospital Boston, MA Maureen Lynch, MS, APRN, ACHPN, AOCN, FPCN Dana Farber Cancer Institute Boston, MA
The Hospice and Palliative Nurses Association (HPNA) is excited to offer the 5th Annual Clinical Practice Forum, “Integrating Cancer and Palliative Care across the Lifespan.” This Forum focuses on the needs of patients who are living with one of the leading causes of death in the United States. We are pleased you could join us and our exceptional faculty in an environment that promotes learning and networking with colleagues from around the country.
Todd Hultman, PhD, ACNP, ACHPN President, HPNA
Joanne Reifsnyder, PhD, RN, ACHPN Rehoboth Beach, DE Maria Rugg, RN, MN, ANCP, CHPC(C) Hospital for Sick Children Toronto, Ontario, Canada Judy Lentz, RN, MSN, NHA CEO Hospice and Palliative Nurses Association Pittsburgh, PA Deena Butcher, BS Director of Membership Hospice and Palliative Nurses Association Pittsburgh, PA Nancy L. Grandovic, RN, BSN, MEd., CHPN® Director of Education Services Hospice and Palliative Nurses Association Pittsburgh, PA Dena Jean Sutermaster, RN, MSN, CHPN® Director of Education Products Hospice and Palliative Nurses Association Pittsburgh, PA Amy Killmeyer Office Manager Hospice and Palliative Nurses Association Pittsburgh, PA Leslie Lowe, BS Education Coordinator Hospice and Palliative Nurses Association Pittsburgh, PA
COURSE DESCRIPTION This Clinical Practice Forum is designed for practicing palliative care, oncology, hospice, pediatric, and other professional nurses who care for patients with cancer related life limiting illnesses. The purpose is to demonstrate the integration of palliative care and oncology nursing practices for the patient and family across the lifespan, from pediatrics through geriatrics. Caring for the pediatric patient may have a unique set of challenges that require a special set of skills for those professionals involved in management of care, however, there are common key approaches of palliative care nursing that encompass the adult and the pediatric patient. This conference will present those common approaches of care management across the lifespan and also will provide the opportunity to attend specific sessions that focus on the pediatric patient or the adult patient. The goal of this Clinical Practice Forum is to identify and reflect the best coordinated interventions and to improve the quality of life for cancer patients and their families across the lifespan. Though palliative care needs will heighten as the patient approaches end of life, palliative care for cancer patients begins at diagnosis. Management approaches that offer palliative care alongside oncology care for patients with advanced disease include: thorough ongoing assessments; individualization of care based on symptoms, clinical presentation, and disease trajectory; collaborative efforts among healthcare professionals and other members of the interdisciplinary team; psychosocial considerations; education; and collaboration with the patient and their families related to the desired goals through advance care planning. This conference will focus on the integration of palliative care and oncology nursing practices across the lifespan supporting the domains of palliative care, focusing on promoting both the philosophy of palliative care and raising awareness of the necessity of quality palliative care with recommended practices in the cancer patient. It is our pleasure to present this forum, with esteemed faculty, highlighting the integration of oncology and palliative care nursing practices across the lifespan with focused sessions for the pediatric practitioner and the adult practitioner.
EDUCATIONAL OBJECTIVES
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ACCREDITATION Hospice and Palliative Nurses Association (HPNA) is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation. Preconference events: 3.5 contact hours Conference: up to 9.25 contact hours
Registration
Fees and Information Register online at www.hpna.org. How to Register: Register securely online at www.hpna.org – save $5 To register and pay by check: Download the Registration Form from www.HPNA.org or request by calling our National Office. Complete the Registration Form, make your check (U.S. Dollars only) payable to HPNA, and mail both to the address below. Payment due at time registration form submitted.
Register online for $5 discount on each registration item.
PRECONFERENCE REGISTRATION: $80 HPNA member $90 Non-Member PRECONFERENCE REGISTRATION IS A SEPARATE FEE AND NOT INCLUDED IN THE CONFERENCE REGISTRATION.
CONFERENCE REGISTRATION: On or before August 12, 2011 Conference
Friday afternoon Only
Saturday Only
HPNA Member:
$250
$85
$165
Non-member:
$350
$135
$215
Friday afternoon Only
Saturday Only
To register and pay by credit card: Complete the conference Registration Form and mail or fax to:
August 13 - September 2, 2011
HPNA One Penn Center West, Suite 229 Pittsburgh, PA 15276-0100 Phone: 412-787-9301 Fax: 412-787-9305 E-mail: HPNA@hpna.org
HPNA Member:
$300
$110
$190
Non-member:
$400
$160
$240
An e-mail confirmation letter will be sent to you upon receipt of the conference Registration Form and payment. For further information: Please call HPNA at 412-787-9301 or by e-mail at HPNA@hpna.org
Conference
Onsite Only After September 2, 2011 Conference
Friday afternoon Only
Saturday Only
HPNA Member:
$350
$135
$215
Non-member:
$450
$185
$265
The complete registration fee covers the course tuition, course materials, continental breakfast on Friday, reception on Friday, continental breakfast on Saturday, lunch on Saturday, and afternoon break on Saturday. Conference registration does NOT include the cost of the preconference.
REFUND AND CANCELLATION POLICY: Registration Fees are refundable, minus a $100 processing fee, if cancellation request is received in writing by August 16, 2011. After this date, no refunds will be given. HPNA reserves the right to cancel the Clinical Practice Forum in which the full course tuition will be refunded.
Friday
September 16, 2011 PRECONFERENCE 7:00 a.m. - 8:00 a.m. Registration Continental Breakfast
Preconference Workshop: 8:00 a.m. – 11:35 a.m. Preconference offered at an additional fee of $80 HPNA Member / $90 Non-Member Integrating Palliative Care and Oncology: What every nurse needs to know Carol P. Curtiss, MSN, RN-BC Clinical Nurse Specialist Consultant Curtiss Consulting Greenfield, MA Maureen Lynch, MS, APRN, ACHPN, AOCN, FPCN Nurse Practitioner Adult Palliative Care Program Dana Farber Cancer Institute Boston, MA Integrating palliative and oncology care can improve quality of life and, according to a recent study published in the New England Journal of Medicine (Temel et al., August 2010), increase length of life for some people as well. Join us for this preconference session to discuss how to integrate palliative care concepts and strategies with cancer therapy throughout the trajectory of illness and across the lifespan. We will review the basics of cancer biology and the essentials of various cancer treatments and their impact on people with cancer and use case studies to illustrate ways to integrate palliative care and oncology care. The preconference continues to include both of the following sessions focusing on oncologic crisis for the adult and pediatric patient. The nurses’ role in Adult oncologic crises. This interactive session will focus on selected crises faced by adults with cancer throughout the cancer trajectory. A case study will be used to promote discussion of a variety of physical, psychosocial, and spiritual/existential issues faced by adults with cancer and their families. Content will build on the previous session of this preconference workshop. “Hit by a hurricane” - the nurses role in Pediatric palliative care crises.” As nurses, we are present at the time of diagnosis, late in the night after the awful news has been given, and at the time of death. We must be prepared professionally to provide expert pain and symptom management, support and guidance, and keep our own balance through it all. It is truly a matter of using both the science and art of nursing to its fullest. This session discusses some of the most common crises, what interventions can be helpful, and provides ideas on how to keep your balance through the storm when caring for the pediatric patient.
Friday
September 16, 2011
CLINICAL PRACTICE FORUM PROGRAM 7:00 a.m. - 5:00 p.m. Registration 1:00 p.m. Welcome – Todd Hultman, PhD, ACNP, ACHPN President, HPNA
Keynote Address Moral Distress – Nurses Exposure to Unnecessary Suffering in the Dying Patient Nessa Coyle, PhD, APRN, FAAN 0AIN AND 0ALLIATIVE #ARE 3ERVICE s $EPARTMENT OF -EDICINE s -EMORIAL 3LOAN +ETTERING #ANCER #ENTER s .EW 9ORK . 9 4HIS SESSION WILL EXPLORE THE MORAL DISTRESS NURSES EXPERIENCE WHEN EXPOSED TO hUNNECESSARYv SUFFERING IN THE DYING PATIENT AND THEIR FAMILY #ONTRIBUTING FACTORS SUCH AS INCONSISTENT COMMUNICATION A CLASH OF VALUES CONFLICTS IN GOALS OF CARE UNREALISTIC EXPECTATIONS GUILT AS WELL AS POORLY MANAGED SYMPTOMS WILL BE AMONG THE ISSUES REVIEWED %THICAL PRINCIPLES UNDERPINNING CARE OF THE DYING WILL BE THE FOUNDATION FOR THE DISCUSSION
2:30 p.m. "2%!+ 2:45 p.m. Cancer Survivorship across the Lifespan: Emerging Issues and Trends #AROL 0 #URTISS -3. 2. "# #LINICAL .URSE 3PECIALIST #ONSULTANT s #URTISS #ONSULTING s 'REENFIELD -! 4HE NUMBER OF CHILDREN AND ADULTS SURVIVING CANCER IS ON THE RISE AND THEIR HEALTHCARE NEEDS DURING SURVIVORSHIP ARE OFTEN UNMET $URING THIS SESSION THE DISCUSSION WILL FOCUS ON THE TRENDS IN THE CARE AND NEEDS OF ADULT AND CHILDHOOD CANCER SURVIVORS AND WILL IDENTIFY LATE AND LONG TERM EFFECTS OF CANCER AND CANCER TREATMENT #ASE STUDIES WILL BE USED TO ILLUSTRATE STRATEGIES TO INTEGRATE PALLIATIVE CARE INTO CARE OF CANCER SURVIVORS AND PROMOTE WELLNESS THROUGHOUT THE LIFESPAN 3URVIVOR CARE PLANS WILL BE DESCRIBED AND DISCUSSED
3:45 p.m. "2%!+ 4:00 p.m. Transforming Cancer Care: Early Integration of Palliative Care +ATHLEEN 3 2UCCIONE -0( 2. #0/. &!!.
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Connie Dahlin, ANP, ACHPN, FPCN, FAAN #LINICAL $IRECTOR s 0ALLIATIVE #ARE 3ERVICE s -ASSACHUSETTS 'ENERAL (OSPITAL s "OSTON -! 4OO OFTEN PALLIATIVE CARE IS INITIATED LATE IN THE CANCER CARE TRAJECTORY IN BOTH ADULT AND PEDIATRIC ONCOLOGY SETTINGS $URING THIS SESSION WE WILL DISCUSS THE PROCESS OF ESTABLISHING TRUST TO PROMOTE PALLIATIVE CARE AT DIAGNOSIS COLLABORATION WITH THE ONCOLOGY TEAM ONGOING COMMUNICATION AND MUTUAL SUPPORT FOR PATIENTS CAREGIVERS AND FAMILY #ASE STUDIES WILL BE USED TO ILLUSTRATE STRATEGIES FOR INTEGRATING PALLIATIVE CARE EARLY AS A KEY ASPECT OF FAMILY CENTERED CARE /UTCOMES WILL BE DISCUSSED IN TERMS OF PATIENT QUALITY OF LIFE AND SURVIVAL
5:30 p.m. - 7:00 p.m. Reception with Exhibitors
Saturday
September 17, 2011
7:00 a.m. - 1:30 p.m. Registration 7:00 a.m. Continental Breakfast 8:00 a.m. Spiritual and Existential Care Nessa Coyle, PhD, APRN, FAAN 0AIN AND 0ALLIATIVE #ARE 3ERVICE s $EPARTMENT OF -EDICINE s -EMORIAL 3LOAN +ETTERING #ANCER #ENTER s .EW 9ORK . 9 4HE DYING PROCESS CAN BE A TIME OF GROWTH RECONCILIATION AND SPIRITUAL ENRICHMENT )T CAN ALSO BE A TIME OF CONSIDERABLE SUFFERING AND DESPAIR 3PIRITUAL AND EXISTENTIAL DISTRESS AT END OF LIFE CAN RESULT IN A DEATH THAT APPEARS ANGUISHED AND WITHOUT CLOSURE 4HIS SESSION WILL EXPLORE EXISTENTIAL TRANSITIONS IN PALLIATIVE CARE AND END OF LIFE CARE 4HE VALUE OF A SPIRITUAL ASSESSMENT AS WELL AS TAKING A RELIGIOUS SPIRITUAL HISTORY WILL BE DISCUSSED 3PIRITUAL INTERVENTIONS WILL BE EXPLORED
9:30 a.m. #/&&%% "2%!+ n %XHIBITS OPEN 10:00 a.m. Symptom Management from Strollers to Walkers and Everything in Between Jody Chrastek, DNP, CHPN®
0AIN AND 0ALLIATIVE #ARE #OORDINATOR s #HILDRENgS (OSPITALS AND #LINICS OF -INNESOTA s -INNEAPOLIS -.
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#LINICAL $IRECTOR s 4HOMAS 0ALLIATIVE #ARE 0ROGRAM s 6IRGINIA #OMMONWEALTH 5NIVERSITY (EALTH #ARE 3YSTEMS s 2ICHMOND 6IRGINIA 4HE SESSION WILL BE CLINICALLY FOCUSED AND PROVIDE EVIDENCED BASED PRACTICES FOR THE NURSE MANAGING THE PATIENT IN DIFFERENT SETTINGS 4HIS INTERACTIVE SESSION WILL FOCUS WAYS TO MANAGE SYMPTOMS FOR CHILDREN AND ADULTS "UILDING ON THE NURSES CURRENT STRENGTHS LEARN AND APPLY NEW AND EFFECTIVE AND ALSO FUN INTERVENTIONS !T THE END OF THE SESSION THE NURSE WILL BE ABLE TO IDENTIFY THE MOST COMMON SYMPTOMS IN PALLIATIVE AND END OF LIFE SITUATIONS AND HAVE TOOLS AND METHODS TO ADDRESS THEM 2ESOURCES FOR FURTHER EDUCATION WILL ALSO BE PROVIDED
11:30 a.m. ,5.#( provided 1:00 p.m. Pain Management for All Ages: 0-100 in 90 minutes -AUREEN ,YNCH -3 !02. !#(0. !/#. &0#.
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!DVANCE 0RACTICE .URSE s 0EDIATRIC 0ALLIATIVE AND "EREAVEMENT #ARE 3ERVICE s (OSPITAL FOR 3ICK #HILDREN s 4ORONTO /NTARIO #ANADA 0AIN CONTINUES TO BE A MAJOR PROBLEM FOR PATIENTS WITH CANCER OF ALL AGES DESPITE THE ARRAY OF ANALGESIC THERAPIES 4HIS MINUTE SESSION USES CASE STUDIES TO REVIEW THE BASICS OF CANCER PAIN MANAGEMENT FROM PATHOPHYSIOLOGY TO ASSESSMENT TO DEVELOPING A TREATMENT PLAN 4HE UNIQUE ASPECTS OF CANCER PAIN MANAGEMENT IN DIFFERENT AGE GROUPS WILL BE HIGHLIGHTED THROUGH USE OF CASE STUDIES
2:30 p.m. "2%!+ 2:45 p.m. We're in this Together: Creating the Circle of Care Connie Dahlin, ANP, ACHPN, FPCN, FAAN #LINICAL $IRECTOR .URSE 0RACTITIONER s 0ALLIATIVE #ARE 3ERVICE s -ASSACHUSETTS 'ENERAL (OSPITAL "OSTON -! #OMMUNICATION IS ESSENTIAL FOR THE CARE OF ALL PATIENTS REGARDLESS OF AGE OR SETTING 0ATIENTS AND THEIR FAMILIES HAVE DIFFERENT NEEDS )N ORDER TO PROVIDE OPTIMAL CARE THIS SESSION WILL FOCUS CRITICAL ELEMENTS OF COMMUNICATION NECESSARY AS A PALLIATIVE CARE NURSE 4HROUGH THE USE OF INTERACTIVE DISCUSSION ROLE MODELING FOR DIFFICULT CONVERSATIONS FROM ADVANCED CARE PLANNING TO BAD NEWS WILL BE PRESENTED
4:00 p.m. Closing Remarks
Conference Location
Pittsburgh, PA The heart of Pittsburgh is not a place – it is the over 1 million people who live in and around Pittsburgh in its many neighborhoods. “While many refer to Pittsburgh as a city of bridges, to me it is a city of many unique, distinct, and valuable neighborhoods. Our neighborhoods are the cornerstone of our city.� Pittsburgh Mayor Luke Ravenstahl. America’s Most Livable City, Pittsburgh boasts the beauty of the Golden Triangle located where the confluence of the !LLEGHENY AND -ONONGAHELA 2IVERS FORM THE /HIO 2IVER (AVING CELEBRATED ITS TH ANNIVERSARY IN THE 0ITTSBURGH area is comprised by many diverse neighborhoods connected by bridges that cross rivers and valleys. Because it is a mecca of healthcare, computer technology, and higher institutes of learning, Pittsburgh continues to attract new neighbors from all over the world. Pittsburgh is proud to rank among the top places to live, work, and visit in the United States. Our city is consistently recognized with accolades from major travel and financial organizations as one of the most livable cities with one of the most viable economies. We have been honored as a first rate city for livability, culture, and economy for several years. Home of the NFL Steelers, NHL Penguins, and MLB Pirates, Pittsburgh is also rich with history, culture, and championships.
Hotel Information Sheraton Station Square Hotel, 300 W Station Square Dr., Pittsburgh, PA 15219, (Phone) 412-261-2000 Kick back and relax at Pittsburgh’s only riverfront hotel, the Sheraton Station Square Hotel. Just steps away from downtown corporate and retail centers and adjacent to over 30 shops, restaurants, and nightclubs, it’s never been easier to connect with family, friends, and colleagues at the renowned Station Square. For the comfort of our guests, we are a 100% non-smoking hotel. The Station Square Dock of the Gateway Clipper Fleet is also only a short walk from our hotel. This collection of America's premier riverboats offers sightseeing, dining, and dancing cruises along Pittsburgh's three rivers. Try your luck at Pittsburgh's newest attraction: our hotel also overlooks the Rivers Casino on the North Shore, just a five minute drive away. Relaxation comes easy in our indoor pool and bubbling whirlpool. Recharge at our fitness center, soak in the sun on our sundeck, or enjoy a little you-time in our soothing sauna after a full day or travel or business. Enjoy a warm welcome and friendly service at the Sheraton Station Square Hotel.
s %XPRESS SHUTTLE TO FROM THE AIRPORT IS AVAILABLE FOR 4AXI FOR s 3ELF PARKING IS OFFERED TO THE GUESTS AT PER DAY s 7IRELESS (IGH 3PEED )NTERNET !CCESS IN !LL 'UEST 2OOMS #OMPLIMENTARY
We are fortunate to have obtained special low rates at the hotel. This is a rare opportunity to stay at this beautiful hotel for $134 per night, single or $144 per night, double (plus tax). Make your reservations early! A block of rooms at this special rate will be held for the HPNA Clinical Practice Forum until 5 pm (ET) August 16, 2011. After this time, reservations will be made on a space available basis only at the regular hotel rates. Early departure fee of 50% of the room and tax will apply if quest checks out prior to the confirmed checkout date.
Sheraton Station Square Hotel 300 W Station Square Drive Pittsburgh, Pennsylvania 15219 (Phone) 412-261-2000
For reservations: CALL AND MENTION YOU ARE ATTENDING THE HPNA Clinical Practice Forum, in order to receive the special conference room rate.
Additional Nearby Attractions: s Andy Warhol Museum – The most comprehensive single-artist museum in the world s Heinz Hall – Home of the Pittsburgh Symphony s The Benedum Center – Home of the Pittsburgh Opera and Ballet s Carnegie Science Center – Over 250 hands-on exhibits s Downtown Shopping – Macy’s, Saks Fifth Avenue, Fifth Avenue Place, and PPG Place s Station Square – Specialty Shops and Restaurants s Pittsburgh Inclines – Cable cars that run up and down Mt. Washington offering splendid view of Pittsburgh s Gateway Clipper – Sail Pittsburgh’s three rivers s PNC Park – Home of the MLB Pittsburgh Pirates s Heinz Field – Home of the NFL Pittsburgh Steelers s Consol Energy Center – Home of the NHL Pittsburgh Penguins s The Strip District – Revitalized Riverfront Warehouse district with a host of unique shops and great restaurants and bars s Senator John Heinz Pittsburgh Regional History Center – Presents the most compelling stories from American history with a Western Pennsylvania connection s Rivers Casino – Home of Pittsburgh’s first casino
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HPNA Celebrates 25 years of ‘Leading the Way’ For 25 years, (1986-2011) the hospice and palliative nursing association has been growing steadily… expanding to nearly 10,000 members throughout the United States and some foreign countries…Leading the Way to promote excellence in the provision of palliative nursing through leadership development, education and the support of research in the field. HPNA’s 16 esteemed Past Presidents were lauded at the opening ceremony of the 2011 AAHPM/HPNA Annual Assembly in Vancouver, BC, Canada. These leaders, having dedicated their service to advancing our organization with at least 3 years – and many with 6 years of tenure – are well deserving of our thanks and appreciation for their collective vision in ‘Leading the Way’ in the hospice and palliative nursing specialty. Dorothy Caruso - Herman (1987-1989) Brenda Yeadon Clarkson (1990 -1991) Virginia Shubert (1992) Michele Tubbs (1993 -1995) Ken Zeri (1996) Susan Mann (1997-1998) Elizabeth Ford Pitorak (1999) Molly Poleto (2000 - 2001) Jane Kirschling (2002 - 2003) Connie Dahlin (2004) Linda Gorman (2005) Bridget Montana (2006) Janet Snapp (2007) Jane Sidwell (2008) Meg Campbell (2009) Susan Cox (2010)
Visit hpna.org/anniversary for more information about our history of nursing leadership, education and research in the field.
Testimonials from APNs, RNs, LP/VNs, and other medical personnel representing 27 states in the United States and Canada who attended the 2010 HPNA Clinical Practice Forum: t i&WFSZ BTQFDU JT EJSFDUMZ BQQMJDBCMF 5IJT XBT TP CBEMZ OFFEFE GPS UIPTF PG VT QSBDUJDJOH QBMMJBUJWF DBSF JO BMM TFUUJOHT w t i&YDFMMFOU JOGPSNBUJPO UIBU XJMM JNQSPWF UIF DBSF XF QSPWJEF UP PVS IPTQJDF BOE QBMMJBUJWF DBSF QBUJFOUT w t i"MM BTQFDUT PG QBUJFOU DBSF BOE QFFS JOUFSBDUJPO IBWF BOE XJMM DPOUJOVF UP CF JNQSPWFE CZ NZ BUUFOEJOH UIJT DPOGFSFODF w t
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HPNA One Penn Center West, Suite 229 Pittsburgh, PA 15276-0100