Explanation and Use of the Hospice Benefit and Issues of the Dying

What is the Hospice Program?

• Can Hospice Make a Difference?
• Who Provides Care?
• How is Hospice Care Started?
• Who is Eligible for Hospice Care?

Hospice in a Skilled Nursing Facility (SNF)

• Why pursue Hospice Care in a Long Term Care Facility?
• Who is a potential hospice patient?
• Guidelines for Admission of non-cancer patients
• How the Facility refers a patient
• Hospice Overview
• Hospice levels of care

Hospice in an Residential Care Facility for the Elderly (RCFE)

• Pain and Discomfort Services
• DNR
• Spiritual
• Safety Issues

Imminent Death

• Stages of approaching death:
• Days prior to death: These can begin in the last week or two.
• Twelve to twenty-four hours prior to death
• Less than twelve hours

Death and Dying

• Ways of Thinking About Death
• Stages of Death and Dying
• Phases of the Dying Process
• Fears Surrounding Death

Advance Directives and Do Not Resuscitate (DNR) Declarations

• Advance Directives
  • Living Will (Declaration)
  • Durable Power of Attorney (DPOA)
• Do Not Resuscitate (DNR)

Staff Development

Confidentiality

• Why confidentiality is important
• Review of HIPAA
• Patient protection
• Exercising confidentiality when providing care

Universal Precautions and Blood Borne Pathogens: How to care for others and avoid infections

• What is an infection?
• Proper hand washing
• Protective barriers
• Universal Precautions

Infection Control

• Signs & symptoms of infection in the patient
• Infection prevention
• The importance of early detection of infection
• Why patients are vulnerable to infections

Safety When Providing Care to Patients

• Patient Repositioning
• Wheel Chair Transfers
• Bathing Patient

Disaster Planning

• The Planning Process
• Hazard Threat Assessment
• Identifying Resources
• Writing the Plan
• Training
• Testing
• Mitigation

Elder Abuse Reporting

• Mandated Reporters
• What You Report
• How to Report
• Penalties and Protection

Effective Communication

• Basic Communications Skills for improving interpersonal relationships
• Active Listening
• Giving and Receiving Feedback

Managing Medications for the Hospice Patient

• How to give Routine Medications
• How to give PRN Medications
• Reordering Medications
• Disposing of DC'd Medications

Tracheostomy Care

• What is a Tracheostomy and when is it indicated?
• Complications and needed Emergency Equipment
• Tracheostomy Suctioning
• Cleaning Cannula and Changing Dressing
• Nursing Care Plan for a Tracheostomy

Workplace Training: Back Injury Prevention

Workplace Training: Ergonomics

Workplace Training: Managing Stress

Workplace Training: Slips, Trips, & Falls

Workplace Training: Your Heart Matters:

Workplace Training: Workplace Violence Awareness

Disease Specific In-Services

An Overview of Alzheimer's Disease

• Causes, Prevention, & Research of Alzheimer's
• Diagnosing Alzheimer's Disease
• Treatment and Management of Alzheimer's

HIV and AIDS: A workshop on the basics of prevention, symptom/detection, and treatment

• Frequently Asked Questions on HIV/AIDS
• AIDS/HIV Prevention, Symptoms, Detection & Treatment
• Antiretroviral Agents for Treatment of AIDS/HIV

Parkinson's Disease Overview

• What is Parkinson's Disease?
• Symptoms and Diagnosis
• Medical and Surgical Treatment
• Diagnostic Tools

Insomnia Overview

• Insomnia causes and treatments

Shingles and PHN

• Causes and symptoms of shingles
• PHN: The long term effects of shingles
• Treatment of PHN

Tuberculosis Overview

• Causes of tuberculosis
• Signs, Symptoms, and Prevention
• Treatment

Your Heart Matters

• Causes of heart disease
• Signs and symptoms of a heart attack
• How to reduce the risk of a heart attack

Gastroesophageal Reflux Disease (G.E.R.D)

• What causes G.E.R.D.?
• Treatment and prevention

Depression Overview

• Diagnosing depression
• Effective treatments
• How to get through depression

Osteoporosis Overview

• What causes osteoporosis?
• How can it be treated?
• How can it be prevented?

Seizure Disorders Overview

• What causes seizures
• Treating seizure disorders
• How to respond to someone having a seizure

Overview of Strokes

• What causes strokes?
• Stroke symptoms
• Stroke prevention
• Treatment of strokes

The Aging Process

• How does the body age?
• Why are we living longer?
• Can we stop the aging process?

Patient Care

Pain Management

• Philosophy of pain management
• Pain in the cancer setting
• Assessment
• Frequency of pain occurring in patients
• Systemic Analgesic Pharmacotherapy
• Non-Invasive Analgesic techniques
• Invasive Techniques
• Chronic vs. Breakthrough Pain
• Overview of current drugs being used today to control pain
• Using the 10-point Pain Rating Scale on an ongoing basis.

Patient's Rights

• Your rights in receiving care
• Remedies available when rights are violated
• Who do you file grievences with?
• Tools and resources to pursue grievances

Oxygen Treatment

• When is Oxygen used
• Use of Oxygen Concentrator
• Use of portable reserve tank
• Cannula Maintenance
• Safety considerations

Colostomy Care

• What is a Colostomy and why people have them
• Types of Colostomies
• Irrigating the Colostomy
• Dietary Considerations
• Pouching Systems and Accessories

Bedsore Wound Prevention

• What causes a bedsore?
• Mechanical Prevention
• ADL Prevention
• Hygiene Prevention
• Nutritional Prevention

Incontinence Care

• Causes of Incontinence
• How to prevent incontinence and restore regimen
• Caring for the incontinent patient

Catheter Care

• Why people have catheters
• Types of catheters
• Maintaining catheters

Dignity and Privacy

• Personal Privacy - What does that Mean?
• Right to Privacy
• Right of Choice
• Your Right to be Free From Restraints
• What is Dignity?

Foot Care for the Diabetic

• How diabetes affects the body
• When do I have to worry more about my feet?
• How can I avoid problems with my feet?
• What should I look for when choosing shoes and socks?

Managing Nutrition in Seniors

• Importance of Proper Nutrition
• The effects of Dehydration
• Effects of Poor Nutrition
• Tools to promote and manage good nutrition
• Managing Oral Care in Seniors

G-Tube Feeding

• Purpose and use of G-Tubes
• Administering nutrition and medications
• Maintaining G-Tubes

Fluid Balance for Dialysis Patients

• What is cronic kidney desease?
• Why fluid management intake is important
• How to manage fluids

Causes of dental problems in seniors

• Signs and symptoms of dental problems
• Prevention of dental problems
• Managing a dental care regimen

The Pediatric Series

Signs and Symptoms of Depression in Children

Family Centered Care

Pediatric Pain Management

Psychiatric Care of the Terminally Ill Child

Non-Pharmacological Pain Control

Depression and Suicide in Children

Spirituality in Children Confronting Death

Anxiety in Children

Coping With Death and Dying in Pediatric Patients

Anorexia in Pediatric Patients