Living a Good Life...at the End of Life

NHPCAAnnual Conference

March 22-23, 2016Embassy Suites

Lincoln, Nebraska

Nebraska’s hospitals

www.nebraskahospitals.org

H24/7

improve the health of individuals and the quality of life to entire communities and regions, and make the state a better

place to live, work and grow24 hours a day

7 days a week - 365 days a year

A special thanks to the following agencies for supporting the 2016 annual conference.

This continuing education is supported by an unrestricted educational grant and/or exhibits. This does not imply Nebraska Hospice and Palliative Care Association approval or endorsement of any product/medication.

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Contact marketing@nehca.org to learn how your organization can serve as part of the conference providership.

Trade Show Exhibitors As of Feb. 9, 2016

Auxiliary of Gideons International

Barbara Karnes Books, Inc., – Patient Family End-of-Life Education Materials

Methodist Home Health & Hospice

National HME/Hospice Cloud

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ChairDiane Randolph, BSN, RNMethodist Hospice, Omaha

Marcia Cederdahl, RN, CHPNAseraCare Hospice, Regional Office, Lincoln

Carrie Healy, CMSWAseraCare Hospice, Omaha

Joan Husted, HRMUniversity of Nebraska Medical Center, Omaha

Lori Molzer, RN, CHPNAseraCare Hospice, Lincoln

Mary Oliver, BSN, RNSt. Joseph Villa Hospice, Omaha

Tim Snyder, MAHillcrest Hospice, Bellevue

Ashley TenopirCHI at Home, Lincoln

Jennifer Eurek, CSWVice President of Hospice and Palliative Care, NHPCA, Lincoln

Pam Truscott, MSN, Nurse Educator, RNDirector of Professional Development, NHPCA, Lincoln

Kathryn NohlDirector of Membership and Marketing, NHPCA, Lincoln

2016 Conference Workgroup

Embassy Suites 1040 P Street, Lincoln, NE 68508

Phone 402-474-1111 embassysuiteslincoln.com

Hotel ReservationsAttendees are responsible for their own hotel reservations.

Call the Embassy Suites at 1-800-EMBASSY to make your reservation.

For online reservations, go to: http://embassysuites.hilton.com/en/es/groups/personalized/L/

LNKESES-NHP-20160320/index.jhtml

Make reservations before March 5, 2016, to guarantee room rate.

Room Rate: $144**Includes cook-to-order breakfast and evening reception

XDirections to Embassy Suites Hotel from I-80:Take downtown exit onto I-180 south. Proceed to P Street, turn left, and go one block. Hotel is located on the corner of 10th and P streets.

Parking:City parking garages are located on the east and west side of Embassy Suites for a daily parking charge of $9. Hotel valet parking is available for $17 per day.

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conference information.

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Nebraska Hospice and Palliative Care Association (NHPCA)Mission: A statewide partnership to improve the quality of life for all Nebraskans who have chronic conditions or are near the end of life and to support the various communities who care for them.Vision: No Nebraskan lives in pain or dies badly. Nebraskans with chronic or end-of-life conditions regardless of age, live their last months to their fullest, with their wishes expressed and respected, their pain and suffering alleviated, their fears and questions heard and addressed, their relational, spiritual, cultural, and financial needs met, with their loved ones around them and supported up to and following their death.

The Nebraska Hospice and Palliative Care Association is managed by the Nebraska Health Care Association.

Conference PurposeThe goal of this conference is to improve end-of-life care and conditions across the state of Nebraska by providing education on end-of-life issues for physicians, nurses, social workers, advocates, administrators, and others working in the end-of-life field.

Who Should Attend?This is a premier regional conference for everyone caring for patients and families with chronic illness or at the end of life. Attendees include physicians, nurses, therapists, social workers, administrators, and counselors.

Cyber Station/HandoutsThe 2016 annual conference is paperless! The cyber station offers attendees a place to check email and print handouts. Session handouts will be emailed to registered attendees two weeks prior to the conference. Be sure to include your email address on the registration form.

ADA RequestsIf you need auxiliary aids or services identified in the Americans with Disabilities Act, please attach a description of requested accommodations to your registration form or call NHPCA at 402-477-0204.

PhotosNHPCA takes photographs during its events for use in Association media releases, newsletters, and other promotional materials, whether in print, electronic or other media including the NHPCA website and online social networking sites. By participating in this conference and other NHPCA events, you grant NHPCA the right to use your name and photograph for such purposes.

Daily Certificate of AttendanceAT THE BEGINNING OF EACH DAY, REGISTRANTS MUST PICK UP A DAILY CERTIFICATE OF ATTENDANCE. The certificate of attendance will be located near the conference registration area. It is the responsibility of each registrant to retain his or her own certificate as verification of continuing education hours.

Daily EvaluationsAT THE BEGINNING OF EACH DAY, REGISTRANTS MUST PICK UP AN EVALUATION PACKET. The evaluation packet will be located near the conference registration area. To successfully complete this training, attendees must complete and submit the evaluation at the completion of the training.

Continuing Education CreditThis program is co-provided by the University of Nebraska Medical Center and the Nebraska Hospice and Palliative Care Association.Registrants can choose from 27.25 hours of conference education sessions to acquire a maximum of 12.25 continuing education credit hours. The specific number of continuing education credit hours that have been requested from the appropriate licensing agencies are listed after each day’s session descriptions.

Physicians, Nurse Practitioners, and Physician Assistants: This activity has been planned and implemented in accordance with the Accreditation Requirements and Policies of the Accreditation Council for Continuing Medical Education through the joint providership of the University of Nebraska Medical Center, Center for Continuing Education, and the Nebraska Hospice and Palliative Care Association. The University of Nebraska Medical Center, Center for Continuing Education, is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.The University of Nebraska Medical Center, Center for Continuing Education, designates this live activity for a maximum of 12.25 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Nurses, Social Workers, Licensed Mental Health Practitioners, and Nursing Home Administrators: Contact hours are listed after each day’s session descriptions.

This activity has been submitted to the Midwest Multistate Division for approval to award nursing contact hours. The Midwest Multistate Division is accredited as an approver of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.For more information regarding contact hours, please call Pam Truscott, Nebraska Health Care Association, 402-435-3551.

No perceived or identified speaker or planning committee member conflict of interest.

Judi Lund Person, BA, MPHJudi Lund Person is Vice President of Regulatory and Compliance for the National Hospice and Palliative Care Organization (NHPCO), Alexandria, Virginia, where she serves as a key contact with the Centers for Medicare and Medicaid Services. Judi helps ensure that NHPCO’s voice is heard with policymakers. She frequently interfaces with federal administrators of hospice payment policy, Part D, survey and certification, contractor management, and program integrity functions. She represents hospice and palliative care with other federal agencies and many national organizations. Judi works daily with hospice providers and state hospice organizations on the ever-increasing array of regulatory and compliance issues and translates complex regulatory language into actionable “plain English” for hospice providers.

Barbara Karnes, RNBarbara Karnes, author, speaker, and end-of-life educator with Barbara Karnes Books Inc., Vancouver, Washington, is an award-winning hospice nurse and nationally prominent speaker on the dynamics of dying. She has authored four booklets on which many providers of end-of-life care rely. Barbara’s career of more than 30 years as an end-of-life educator is predicated on her experience at the bedside of hundreds of people in the months, weeks and minutes before death, as well as being involved in the care of thousands. Her career path began as a hospice volunteer and progressed to include staff nurse, clinical director, patient care manger, and executive director of hospice and home health care agencies. Today, she continues to be a guiding source in end-of-life care through workshop presentations and writings.

Steve Sewell, BACESteve Sewell is a speaker, trainer and author with Sewell Enterprises, St. Joseph, Missouri. From the small beginnings of being appointed as a youth pastor to being a leader in the community, Steve has made it his mission to come alongside others as they encounter adversity. For more than 20 years, his motivating, positive, and encouraging mentor approach has helped others grow to appreciate seasons of change and loss and learn to move forward to reach their goals. Steve is enthusiastic about life purpose, caring about people, and passionate about faith. He speaks with a wealth of experience from years of work as a hospice chaplain, bereavement counselor, community/marketplace chaplain, pastor, youth worker, author, speaker at conferences, and consultant.

Kay Frances, MBAKay Frances is a motivational humorist, author, and stress management specialist with Kay’s Keynotes, Wilmington, Ohio. For more than 30 years, in 40 states and Canada, she has shared her message to help people lighten up, stress less, and take care of themselves. She holds a master’s degree in business administration, a degree in health and physical education and a 4th degree black belt in karate. She was a family caregiver for seven years. Kay has performed as a professional stand-up comedian, appearing on a number of national television and radio programs and at the nation’s top comedy clubs. Kay combines her years of stand-up comedy, education, and passion for her message to offer a unique skill set not often found in one speaker – entertainer and educator – clean, relatable humor-with-a-message.

keynote speakers.

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Aaron Davis, BAAaron Davis, owner of Aaron Davis Presentations, Inc., Lincoln, Nebraska, speaks about the attitude of a champion from personal experience. As a member of the 1994 national championship Nebraska football team and working with numerous corporations and organizations, he understands firsthand what it takes to perform like a champion and experience incredible results both personally and professionally. He’s written two books and coauthored two others. He holds a degree in psychology. Aaron Davis Presentations, Inc., received the Chamber of Commerce “Outstanding Minority Owned Business” award. Toastmasters International awarded Aaron the “Communication and Leadership Award”. The Lincoln Business Journal awarded him one of Lincoln’s 40 under 40 Business Achievement Awards, and he received the key to the city of Lincoln by former Lincoln Mayor Colleen Seng. Aaron is also the Chief Outreach Officer for AMPT-Health, a local software company that specializes in employee recognition.

Tuesday, March 227:15 a.m. ..............................Registration

7:15 a.m. - 3:45 p.m. ...........Trade Show Open

8:00 a.m. - 8:15 a.m. ...........Welcome

8:15 a.m. - 8:45 a.m. ...........NHPCA Annual Meeting

8:45 a.m. - 10:00 a.m. .........General Session I NHPCO National PerspectiveJudi Lund Person, BA, MPH, Vice President, Regulatory and

Compliance, National Hospice and Palliative Care Organization, Alexandria, Virginia

10:00 a.m. - 3:45 p.m. .........NHPCA Raffle Open

10:00 a.m. - 10:30 a.m. .......Break

10:30 a.m. - 12:00 p.m. .......General Session IIDying Is Not a Medical Event (Part 1)Barbara Karnes, RN, Author, Speaker, End of Life Educator, Barbara

Karnes Books Inc., Vancouver, Washington

12:00 p.m. - 1:00 p.m. .........Lunch

1:00 p.m. - 2:00 p.m. ...........Concurrent Sessions [A1-A4]A1: Discontinuing Medications at End of LifeA2: Bereavement Support for Adults with Intellectual DisabilitiesA3: Dying is Not a Medical Event (Part 2)A4: Cultural Competency: A Must for Optimizing Patient Care (Part 1)

2:00 p.m. - 2:15 p.m. ...........Break

2:15 p.m. - 3:15 p.m. ...........Concurrent Sessions [B1-B4]B1: Hey Sugar! Diabetes Mellitus Type 2 Treatment with Focus on

Hospice CareB2: Exploring GriefB3: Building Hope of Hospice in the CommunityB4: Cultural Competency and End-of-Life Care:

The Muslim Patient (Part 2)

3:15 p.m. - 3:30 p.m. ...........Break

3:30 p.m. - 3:45 p.m. ...........Announcements/Door Prizes

3:45 p.m. - 5:00 p.m. ...........General Session IIISelf Care in Health Care: I Love My Job, but It’s Killing MeSteve Sewell, BACE, Speaker, Trainer, Author, Sewell Enterprises,

St. Joseph, Missouri

5:00 p.m. ..............................Adjourn/Evaluations/Certificates

5:30 p.m. - 6:30 p.m. ...........Reception

6:30 p.m. ...............................Banquet

schedule at a glance.

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Wednesday, March 237:15 a.m. ..............................Registration

7:15 a.m. - 3:30 p.m. ...........Trade Show Open

7:15 a.m. - 3:15 p.m. ...........NHPCA Raffle Open

8:00 a.m. - 8:15 a.m. ...........Welcome

8:15 a.m. - 10:15 a.m. .........General Session IVTaking the Road LESS StressedKay Frances, MBA, Motivational Humorist, Stress Management

Specialist, Kay’s Keynotes, Wilmington, Ohio

10:15 a.m. - 10:45 a.m. .......Break

10:45 a.m. - 11:45 a.m. .......Concurrent Sessions [C1-C4]C1: Guardianship and Power of AttorneyC2: Medication and Management of DeliriumC3: Taking AIM – Developing a Palliative Care Program in a Rural

CommunityC4: Stop Wasting a Crisis – Crises, While Unwanted, Are Transitions for

the Cure of Brokenness

11:45 a.m. - 12:45 p.m. .......Lunch

12:45 p.m. - 1:45 p.m. .........Concurrent Sessions [D1-D4]D1: Pharmacologic Management of Advanced Dementia in Hospice

PatientsD2: Who Controls the DNR Order in Long-Term Care

(This session meets the requirements for one hour of ethics continuing education for certified social workers.)

D3: Community-Based Palliative CareD4: Communicating with Pediatric Families at End of Life

1:45 p.m. - 2:00 p.m. ...........Break

2:00 p.m. - 3:00 p.m. ...........Concurrent Sessions [E1-E4]E1: Pain Management in Hospice: A Pharmacist’s PerspectiveE2: Residual Problems, Lingering Questions: The Nuance of Ethics in

Hospice (This session meets the requirements for one hour of ethics continuing education for certified social workers.)

E3: Lessons Learned: A 30-Year Vantage Point of HospiceE4: End-of-Life Issues in Pediatrics: Finding Comfort

3:00 p.m. - 3:15 p.m. ...........Break

3:15 p.m. - 3:30 p.m. ...........Announcements/Door Prizes/Raffle Prizes

3:30 p.m. - 4:45 p.m. ...........General Session VAttitude of a ChampionAaron Davis, BA, Owner, Aaron Davis Presentations, Lincoln, Nebraska

4:45 p.m. ..............................Adjourn/Evaluations/Certificates

For personal comfort, we suggest dressing in layers to accommodate variable room temperatures.

schedule at a glance.

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7:15 a.m. ......................... Registration Opens

7:15 a.m. - 3:45 p.m. ...... Trade Show Open

8:00 a.m. - 8:15 a.m. ...... Welcome

8:15 a.m. - 8:45 a.m. ...... NHPCA Annual Meeting

8:45 a.m. - 10:00 a.m. .... General Session I

NHPCO National PerspectiveJudi Lund Person, BA, MPH, Vice President, Regulatory and Compliance, National Hospice and Palliative Care Organization, Alexandria, Virginia

The purpose of this session is to enable the learner to understand the national environment as it relates to health care and hospice specifically. This session will look at the congressional and regulatory activity and issues related to federally funded hospice care and look at the future of hospice and palliative care.

Objectives: This training will allow participants to explain the national environment and what is driving the scrutiny on hospice, diagram current hospice legislative and regulatory issues, and discuss the future of end-of-life care.

10:00 a.m. - 3:45 p.m. .... NHPCA Raffle Open

10:00 a.m. - 10:30 a.m. ... Break

10:30 a.m. - 12:00 p.m. ... General Session ll

Dying Is Not a Medical Event (Part 1)Barbara Karnes, RN, author, speaker, and end-of-life educator, Barbara Karnes Books Inc., Vancouver, Washington

The actual moment of death can be frightening for those observing, leaving them feeling helpless. Barbara Karnes offers a different perspective on death and dying, teaching attendants how to neutralize the fear of death for patients and their families. This session will also explore the signs of approaching death and its time frame.

Objectives:This training will allow participants to analyze the fear of death as it relates to our society, identify signs of approaching death from disease, and describe how the process relates to dying from disease versus dying by happenstance.

12:00 p.m. - 1:00 p.m. .... Lunch

1:00 p.m. - 2:00 p.m. ...... Concurrent Sessions [A1-A4]

A1: Discontinuing Medications at End of LifeMichelle Huber, RPh, PharmD, CGP, Clinical Pharmacist, Hospice of Siouxland and Siouxland PACE, Sioux City, Iowa

The purpose of this session is to discuss medication groups and individual medications that may be discontinued at the end of life by utilizing the medical literature and common characteristics that allow the discontinuation of medications. The benefit and risk of these medications will be discussed as individual agents and also in specific disease states. Attendants will also learn strategies for discontinuing medications at the end of life.

Objectives:This training will allow participants to identify characteristics that would enable medications to be discontinued in patients at end of life utilizing the medical literature, identify common medications in specific disease states and their characteristics that allow them to be discontinued, and describe strategies for discontinuing the identified medications.

A2: Bereavement Support for Adults with Intellectual DisabilitiesGeri Hepp, MA, CSW, Bereavement Coordinator, AseraCare, Beatrice, Nebraska.Sharon Shuster, PMA Associate Degree in Ministry, Chaplain and Spiritual Care Coordinator, AseraCare, Beatrice, Nebraska.Lori Policky, CSW, Social Worker, AseraCare, Beatrice, Nebraska.

The purpose of this session is to enable the learner to discover how hospice care, spiritual support, and bereavement services can enhance the quality of life and provide dignity at the end of life for adults with intellectual disabilities, as well as provide valuable support to their families and friends. The discussion will include the principles and myths of hospice care, the signs of anticipatory grief, the purpose of providing spiritual support prior to death, normal grief at the time of death, coping strategies for adults with intellectual disabilities and for their families and friends, and the types of bereavement support provided at the time of death.

Objectives:This training will allow participants to explain the principles of hospice care for adults with intellectual

tuesday. march 22. schedule details.

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disabilities and provide support for families and caregivers; identify how adults with intellectual disabilities, their families, and caregivers experience anticipatory grief and receive spiritual support; and define the benefits of bereavement support to adults with intellectual disabilities, their families, and caregivers.

A3: Dying is Not a Medical Event (Part 2)Barbara Karnes, RN, author, speaker, and end-of-life educator, Barbara Karnes Books Inc., Vancouver, Washington

The actual moment of death can be frightening for those observing, leaving them feeling helpless. Barbara Karnes offers a different perspective on death and dying, teaching attendants how to neutralize the fear of death for patients and their families. This session will also explore the signs of approaching death and its time frame.

Objectives:This training will allow participants to identify tools for working with dying patients and their families and discuss the protocol for the dying process including how the body is affected by death.

A4: Cultural Competency: A Must for Optimizing Patient Care (Part 1)Naser Alsharif, PhD, MS, PharmD, Professor of Pharmacy Sciences, Creighton University, Omaha, Nebraska

In part one of this two-part presentation, participants will be introduced to cultural competency, the rationale for cultural competency, and applying established models to facilitate a culturally competent practice. Participants will also be challenged to reflect on the importance of cultural competency in their own practice.

Objectives:This training will allow participants to discuss the rationale for cultural competency, apply established models to facilitate a culturally competent practice, and reflect on the importance of cultural competency in their own practice.

2:00 p.m. - 2:15 p.m. ...... Break

2:15 p.m. - 3:15 p.m. ...... Concurrent Sessions [B1-B4]

B1: Hey Sugar! Diabetes Mellitus Type 2 Treatment with Focus on Hospice CareMichelle Huber, RPh, PharmD, CGP, Clinical Pharmacist, Hospice of Siouxland and Siouxland PACE, Sioux City, Iowa

The purpose of this session is to review treatment for hyperglycemia and discuss how hyperglycemic medications work, including hypoglycemia risk and special considerations. Treatment objectives in different groups of patients based on American Diabetes Association and American Geriatrics Society recommendations will also be discussed. This knowledge will be applied to hospice care by review of patient cases.

Objectives:This training will allow participants to review treatment for hyperglycemia, discuss how hyperglycemic medications work including hypoglycemia risks and special considerations, and discuss treatment objectives in different groups of patients based on the ADA and AGS recommendations.

B2: Exploring Grief Barbara Karnes, RN, author, speaker, and end-of-life educator, Barbara Karnes Books Inc., Vancouver, Washington

The purpose of this session is to enable the learner to identify the stages of grief, what it looks like, and how to engage in conversation with family members, patients and others who are going through the grieving process.

Objectives:This training will allow participants to recognize grief is a normal, not pathological, reaction to loss and explain normal grieving patterns.

B3: Building Hope of Hospice in the CommunitySteve Sewell, BACE, speaker, trainer and author, Sewell Enterprises, St. Joseph, Missouri

The purpose of this session is to enable learners to use top-level marketing techniques to bring their brand of hospice to the community in terms of hope, not just in programs. This session will include ideas, collaboration efforts, and discussion about what works best in metro and rural areas of hospice.

tuesday. march 22. schedule details.

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Objectives:This training will allow participants to identify the role of hospice in the community, explain reasons why hospice has more to offer than just end-of-life care, examine seven Bridges of Hospice that your organization can take into the community, and describe what kind of bridge you will be.

B4: Cultural Competency and End-of-Life Care: The Muslim Patient (Part 2)Naser Alsharif, PhD, MS, PharmD, Professor of Pharmacy Sciences, Creighton University, Omaha, Nebraska

Part two of this two-part presentation will build on part one, “Cultural Competency: A Must for Optimizing Patient Care.” The knowledge gained from part one, as well as from an introduction to the health and healing practices and biomedical ethical issues to end-of-life care with an emphasis on Islamic culture and Islamic jurisprudence, will be applied to demonstrate how to optimize the end-of-life care for patients in general. Attendance at part one is recommended but is not essential.

Objectives:This training will allow participants to identify key cultural aspects for end-of-life care for patients in different settings and reflect on the role of cultural competency in end-of-life care in general and for the Muslim patient in particular.

3:15 p.m. - 3:30 p.m. ...... Break

3:30 p.m. - 3:45 p.m. ...... Announcements/Door Prizes

3:45 p.m. - 5:00 p.m. ...... General Session III

Self Care in Health Care: I Love My Job, but It’s Killing MeSteve Sewell, BACE, speaker, trainer and author, Sewell Enterprises, St. Joseph, Missouri

We are well aware that hospice work is hard work on a lot of levels, but do we take the necessary steps to take care of ourselves? This session will cover grief points in health care and the importance of self-care.

Objectives:This training will allow participants to identify the many kinds of grief points present in health care settings, discuss the scope of grief as it relates to the “second victim” or “silent mourner,” examine how a good practice of self-care and boundaries help prevent exhaustion, and evaluate personal levels of grief and what action steps to take for growth.

5:00 p.m. ......................... Adjourn/Evaluations/Certificates

5:30 p.m. - 6:30 p.m. ...... Reception

6:30 p.m. ......................... Banquet

This activity has been submitted to the Midwest Multistate Division for approval to award nursing contact hours. The Midwest Multistate Division is accredited as an approver of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.For more information regarding contact hours, please call Pam Truscott, Nebraska Health Care Association, 402‑435‑3551.

This program meets the criteria for 6.0 hours of an approved continuing education program for certified social workers, certified master social workers, and licensed mental health practitioners.

This program meets the criteria for 6.0 hours of an approved continuing education program for Nebraska nursing home administrators.

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tuesday. march 22. schedule details.

7:15 a.m. ......................... Registration Opens

7:15 a.m. - 3:30 p.m. ...... Trade Show Open

7:15 a.m. - 3:15 p.m. ...... NHPCA Raffle Open

8:00 a.m. - 8:15 a.m. ...... Welcome

8:15 a.m. - 10:15 a.m. .... General Session IV

Taking the Road LESS StressedKay Frances, MBA, Motivational Humorist and Stress Management Specialist, Kay’s Keynotes, Wilmington, Ohio.

In this session, Kay Frances offers an energetic and upbeat presentation encouraging participants to maintain a sense of humor and a spirit of optimism. This presentation addresses dealing with difficult people, the importance of life balance, embracing change, being more resilient in the face of adversity, and learning to “let it go.” Participants laugh while they learn without straining their brains.

Objectives:This training will allow participants to describe the meaning and causes of stress and how it impacts our lives, illustrate how to manage our stress, and discuss the effects of stress on our health, well-being and productivity.

10:15 a.m. - 10:45 a.m. ... Break

10:45 a.m. - 11:45 a.m. ... Concurrent Sessions [C1-C4]

C1: Guardianship and Power of AttorneyMary Wilson, BA, JD, Attorney, Buford Law Office, Omaha, Nebraska.

In this session, financial powers of attorney, living wills, and health care powers of attorney will be explained. The rights and responsibilities of a guardian and conservator will be compared and contrasted. An update on the procedure for the Office of Public Guardian will be provided.

Objectives:This training will allow participants to distinguish between a power of attorney and a guardian, describe duties of a guardian and power of attorney, and discuss the Office of Public Guardian.

C2: Medication and Management of DeliriumJim Joyner, PharmD, CGP, Director of Clinical Operations, Outcome Resources, Rocklin, California.

This presentation will explore delirium in the hospice patient and the relationship to drugs from both a treatment perspective and as a cause for the condition. A description of the clinical presentation of delirium with core features and symptoms will be followed by information about causes of delirium, including predisposing conditions and precipitating factors that may place patients at increased risk for delirium. A discussion of medications will address drugs commonly used in hospice that have been implicated as potential causes for delirium.

Objectives:This training will allow participants to identify core features and symptoms of delirium and describe precipitating factors that may place patients at higher risk for delirium, list five medications that are commonly used in hospice which may cause or contribute to delirium, discuss key differences between traditional and atypical antipsychotic drugs, and identify appropriate “first-line” and “second-line” therapy for management of delirium.

C3: Taking AIM – Developing a Palliative Care Program in a Rural CommunityMike Havekost, MD, FAAFP, Advanced Illness Management Medical Director; Hospitalist Medical Director and Hospitalist, Beatrice Community Hospital, Beatrice, Nebraska

Dr. Havekost will describe the elements of a Palliative Care Program Needs Assessment and the questions to ask as the program is being developed. He will share the strategies his team has employed to address the unique challenges encountered in developing the Advanced Illness Management (AIM) palliative care program at Beatrice Community Hospital.

Objectives:This training will allow participants to describe the elements of a Palliative Care Program Needs Assessment and examine strategies to address unique challenges encountered in a rural palliative care program.

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wednesday. march 23. schedule details.

C4: Stop Wasting a Crisis – Crises, While Unwanted, Are Transitions for the Cure of BrokennessSteve Sewell, BACE, speaker, trainer and author, Sewell Enterprises, St. Joseph, Missouri

In this session, participants will learn the careful intersection of personal life and crisis so that transitions form strong ties of resiliency and character. Participants will learn methods of handling crisis scenarios and how to take a positive approach.

Objectives:This training will allow participants to examine transitions, loss, hopelessness and grief experiences that occur in hospice that equate to hopelessness and compassion fatigue; identify the methods of handling crises that are evident in American individuals and organizations; outline a pathway for a more positive approach to crisis scenarios; and discover practical counsel for our own life and organization regarding crises, losses and transitions.

11:45 a.m. - 12:45 p.m. .. Lunch

12:45 p.m. - 1:45 p.m. .... Concurrent Sessions [D1-D4]

D1: Pharmacologic Management of Advanced Dementia in Hospice PatientsJim Joyner, PharmD, CGP, Director of Clinical Operations, Outcome Resources, Rocklin, California.

This presentation will cover the variety of medications that are used for management of symptoms of dementia. A detailed discussion of symptom-targeted drug therapy will be made distinguishing between the drugs targeted at cognitive symptoms versus those targeted at behavioral and mood symptoms. The role of cognitive enhancing drug therapy will be presented in the context of the Functional Assessment Staging Tool (FAST).

Objectives: This training will allow participants to compare and contrast two primary symptom-types that are targeted with drug therapy, including goals and expectations of therapy; explain the role of cognitive-enhancing drugs in the context of the Functional Assessment Staging Tool (FAST) and risk versus benefit analysis for hospice patients with advanced dementia; and discuss which behavioral and mood disorder symptoms are likely to respond to drug therapy versus those more amenable to non-drug interventions, providing guidance on initial dosage strategies.

D2: Who Controls the DNR Order in Long-Term CareHelen Chapple, PhD, MSN, MA, RN, CT, Associate Professor, Creighton University, Omaha, Nebraska

In this session, Dr. Helen Chapple presents her findings on advance care planning and why do-not-resuscitate (DNR) orders can be more influential than advance directives. Attendees will also learn the differences between advance directives and DNR orders and what they signify.

Objectives:This training will allow participants to differentiate between DNR orders and advance directives, explain the importance of uniformity in an out-of-hospital DNR form, identify one fact about out-of-hospital DNR forms in Nebraska, and describe one problem regarding advance care planning in long-term care.

(This session meets the requirements for one hour of ethics continuing education for certified social workers.)

D3: Community-Based Palliative CareLinda Rock, Chair, NHPCO Board of Directors, Prairie Haven Hospice and Hospice of Central Michigan Inc., Scottsbluff, NebraskaSandy Kuhlman, BSN, RN, Executive Director, Hospice Services and Palliative Care of Northwest Kansas, Philipsburg, KansasJoe Barnes, MD, FAAFP, Medical Director, Hospice Services and Palliative Care of Northwest Kansas, Philipsburg, Kansas

This presentation will include information on assessing community needs for palliative care, assessing programs’ capacity to develop and sustain a community-based palliative care program, and how one program provides palliative care to their service area. Resources regarding assessing need and capacity will be provided.

Objectives:This training will allow participants to explain palliative care and available resources; evaluate possibilities of developing palliative care, especially in a rural area; and list clinical applications for palliative care.

wednesday. march 23. schedule details.

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D4: Communicating with Pediatric Families at End of LifeDenice Schroeder, BSN, RN, CHPN, CHPPN, Hand in Hand Palliative Care Case Manager, Children’s Hospital and Medical Center, Omaha, NebraskaKatie Vail, APRN-NP, CPNP, Hand in Hand Palliative Care Nurse Practitioner, Children’s Hospital and Medical Center, Omaha, Nebraska

End-of-life conversations are difficult; when a child is involved, it can be overwhelming. In this session, the Spikes Protocol will be introduced as a tool to assist health care professionals on how to initiate difficult conversations. Participants will learn parental perspective of seven aspects of care and hear a parent present their personal end-of-life communication experience.

Objectives:This training will allow participants to discuss communication tools when initiating conversations with families of children nearing end of life; identify factors important to parents in their child’s end of life; and discuss care of the child that promotes pain and symptom management, and support to the family.

1:45 p.m. - 2:00 p.m. ...... Break

2:00 p.m. - 3:00 p.m. ...... Concurrent Sessions [E1-E4]

E1: Pain Management in Hospice: A Pharmacist’s PerspectiveJim Joyner, PharmD, CGP, Director of Clinical Operations, Outcome Resources, Rocklin, California

This presentation will provide in-depth information on appropriate and effective strategies for the use of opioids and non-opioid adjuvant medications in the management of chronic pain. Detailed information will be provided to compare and contrast the individual opioids with regard to potency, therapeutic role, potential for adverse effects, and relative cost of therapy. Preferred medications for different pain types will be discussed.

Objectives:This training will allow participants to list the three broad categories of analgesics and the roles of each with regard to management of specific pain types; discuss opioid selection, initial dosage, and dose titration principles; explain the advantages to the use of long-acting opioids in managing chronic severe pain; and identify pros and cons of two of the most commonly used long-acting opioids (Fentanyl patch and Methadone).

E2: Residual Problems, Lingering Questions: The Nuance of Ethics in HospiceAmy Haddad, PhD, Director for the Center of Health Policy & Ethics; Dr. C.C. & Mabel L. Criss Endowed Chair in the Health Sciences, Creighton University, Omaha, Nebraska

Ethical issues unique to hospice deserve as much attention as those encountered in acute-care settings because the aims of care are different and analysis of ethical issues reveal more subtle, pedestrian types of ethical concerns in hospice. This session will engage participants in a discussion of overlooked ethical issues in hospice and palliative care.

Objectives:This training will allow participants to discuss reasons it is important to examine ethical issues in hospice, examine ethical issues that occur prior to admission to hospice and while receiving hospice care, and explore key questions for the hospice team when confronting ethical issues.

(This session meets the requirements for one hour of ethics continuing education for certified social workers.)

E3: Lessons Learned: A 30-Year Vantage Point of HospiceLinda Rock, Chair, NHPCO Board of Directors, Prairie Haven Hospice and Hospice of Central Michigan Inc., Scottsbluff, Nebraska.

This presentation will include discussion of the core principles and mission of hospice care; changes that have taken place that may have moved us away from focusing on these core principles and mission; and how, even in the face of these changes, it is critical to remain mission-focused and driven.

Objectives:This training will allow participants to identify core principles of hospice care, describe ranges over time that could threaten the core principles of hospice, and develop at least two strategies for navigating the future of hospice care.

E4: End-of-Life Issues in Pediatrics: Finding ComfortAndrew MacFadyen, MD, Medical Director, Hand in Hand Pediatric Palliative Care Program, Children’s Hospital and Medical Center, Omaha, Nebraska.

The death of a child is very traumatic to both the child and those around the child. When the child has physical discomfort, the trauma becomes more severe. This session will address some of the more common

wednesday. march 23. schedule details.

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2016 Awards Shining Star Award The Shining Star Award recognizes an individual, group or organization that has illustrated outstanding leadership in the promotion of end-of-life services, raised awareness of or educated others on end-of-life issues, developed a new program, or developed or completed outstanding work in an end-of-life coalition.

Spirit of Hospice AwardThe Spirit of Hospice Award recognizes true commitment and outstanding dedication to the hospice philosophy of care. Nominees should have promoted quality hospice care over the last year. They should display openness to the needs of all they have cared for, reverencing the dignity of all areas of diversity.

Outstanding Hospice Volunteer Recognition Honors exemplary volunteers from Nebraska’s hospice programs.

Award recipients will be recognized at the awards banquet on Tuesday, March 22, at 6:30 p.m.

wednesday. march 23. schedule details.

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physical symptoms encountered by a child at the end of life, specifically dyspnea, pain and agitation, and discuss strategies for effectively managing them.

Objectives:This training will allow participants to describe the physical signs, causes, and effective therapies of dyspnea and name the causes, level of pain, and the appropriate narcotic, non-narcotic, and non-pharmacological therapies.

3:00 p.m. - 3:15 p.m. ...... Break

3:15 p.m. - 3:30 p.m. ...... Announcements/ Door Prizes/Raffle Prizes

3:30 p.m. - 4:45 p.m. ...... General Session V

Attitude of a ChampionAaron Davis, BS, author and speaker, Aaron Davis Presentations, Lincoln, Nebraska.

Attitude, mental toughness, and the ability to change and adapt quickly are just a few characteristics that all champions possess. Today’s health care environment is more competitive than ever before, and it’s those who are able to focus when others fold who consistently stay at the top!

ObjectivesThis training will allow participants to identify strategies to remain mentally tough in a competitive health care

environment, describe the power of a championship attitude, explain the importance of impeccable integrity and the power of passion, and discuss how to adapt to change and a changing environment of health care.

4:45 p.m. ......................... Adjourn/Evaluations/Certificates

This activity has been submitted to the Midwest Multistate Division for approval to award nursing contact hours. The Midwest Multistate Division is accredited as an approver of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.For more information regarding contact hours, please call Pam Truscott, Nebraska Health Care Association, 402‑435‑3551.

This program meets the criteria for 6.25 hours of an approved continuing education program for certified social workers, certified master social workers, and licensed mental health practitioners.

This program meets the criteria for 6.25 hours of an approved continuing education program for Nebraska nursing home administrators.

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Registration FormLiving a Good Life...at the End of Life

NHPCA Annual Conference • March 22-23, 2016

Name ___________________________________________________________________________________________Title _____________________________________ Credentials ___________________________________________Organization ____________________________________________________________________________________Address _________________________________________________________________________________________City, State, Zip ___________________________________________________________________________________Phone ___________________________________________ Fax ___________________________________________Email ________________________________________________ All Nurses: Nursing License # _________________

By participating in this activity, you grant NHPCA the right to release your contact information to the sponsors/commercial interest organizations. If you do not wish to have your name, mailing address, and email address released, please check the box below.

I do not wish to have my name, mailing address, and/or email address released.

If you have a disability that warrants special requirements, please attach a written description of your needs.Please note any dietary restrictions or requests.

Please complete all three sections below:

Select your choice of concurrent sessions: Tuesday, March 22 Wednesday, March 23 1:00 p.m. A1 A2 A3 A4 10:45 a.m. C1 C2 C3 C4 2:15 p.m. B1 B2 B3 B4 12:45 p.m. D1 D2 D3 D4 2:00 p.m. E1 E2 E3 E4

Select which continuing education you require: Physician/NP/PA Nursing Nursing Home Administrator Social Work/LMHP

Circle the appropriate registration fee:

Additional registration information and the cancellation policy are provided on the back side of this form.

Send completed form and payment to: NHPCA,1200 Libra Dr Ste 100, Lincoln NE 68512-9332.

or register online at nehospice.org

2

3Member

on/before March 7

$270.00

$165.00

$165.00

$ 50.00

Non-Member on/before March 7

$360.00

$250.00

$250.00

$ 50.00

Total

Member after

March 7

$295.00

$185.00

$185.00

$ 50.00

Non-Member after

March 7

$385.00

$270.00

$270.00

$ 50.00

Total

Full Conference Registration Both Days: March 22-23

Daily RegistrationTuesday, March 22

Awards Banquet/DinnerTuesday, March 22

Daily RegistrationWednesday, March 23

1

Registration InformationFull Conference Registration: Includes both days of education (March 22 and 23), breaks, lunches, admission to the trade show, raffle, and annual meeting.Daily Registration: Registration on a per-day basis for Tuesday or Wednesday. Daily registration includes all education sessions, lunch, breaks, admission to the trade show, and raffle for the day. Tuesday registration includes the annual meeting. Awards Banquet/Dinner Tickets: Tickets must be purchased separately to attend the Tuesday evening awards banquet – NOT included in full conference registration or daily registration.

Cancellation Policy All cancellation requests must be submitted in writing. A $50 processing fee will apply to all cancellations. Cancellations on or before March 7, 2016, will receive a full refund less the processing fee. No refunds will be given on cancellations postmarked after March 7, 2016. Substitutions are welcome; please submit your request in writing. NHPCA reserves the right to substitute faculty or to cancel or reschedule sessions due to unforeseen circumstances. If the conference must be canceled, registrants will receive full credits or refunds of the paid registration fees. No refunds can be made for lodging, airfare, or any other expense related to attending the conference.

NHPCA Raffle Contribution Form YES, I would like to donate an item or package for the raffle.

Please submit a form for each item or package donation.

Provide name of contributing person or agency/organization as it should appear on recognition:

Contact Name __________________________________________________________________________________Organization Name ______________________________________________________________________________________Address __________________________________________________________________________________________________City, State, Zip ____________________________________________________________________________________________Phone _____________________________________________ Email ___________________________________________ Fair Market Value of Item or Package: $ ______________

Provide a detailed description of the item or package. Attach a description if more space is needed. ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________

Donations should be delivered to NHPCA by March 15 or brought to the conference registration desk by 10 a.m. on Tuesday, March 22. The Nebraska Hospice and Palliative Care Association is an IRS-recognized 501(c)3 non-profit organization. Your contribution to NHPCA may be tax deductible.

To Donate a Raffle Prize: Complete the contribution form and mail or fax to NHPCA by March 11. To Participate in the Raffle: See the directions on the following page.

For questions, contact Katie Bruns at the Nebraska Hospice and Palliative Care Association1200 Libra Dr Ste 100, Lincoln NE 68512-9332

phone 402-477-0204 • fax 402-475-6289 • email KatieB@nehca.org16

Tuesday, March 225:30 p.m. Reception6:30 p.m. Awards Banquet and EntertainmentAward Winner RecognitionShining Star AwardSpirit of Hospice Award

Outstanding Volunteer RecognitionEntertainment – Kay FrancesKay Frances has presented in more than 40 states and Canada. As a professional stand-up comedian, she lived in New York City for four years, appearing in the nation’s top showcase comedy clubs. She is the author of “The Funny Thing about Stress.” So, sit back, relax, and prepare to laugh your stress away!

Tuesday, March 227:15 a.m. to 3:45 p.m.

Wednesday, March 187:15 a.m. to 3:30 p.m.Registered conference attendees are invited to the Trade Show. The Trade Show offers a great opportunity to visit with exhibitors and become better acquainted with their variety of products, services and equipment.

Trade Show Door PrizesSign up at participating booths to win a variety of exciting prizes donated by exhibitors.

During the conference, plan to visit the NHPCA Annual Raffle. Winners can take home a variety of fun items and packages! Funds raised through the raffle support scholarships for hospice professionals in Nebraska.

To Participate in the Raffle:Raffle items will be displayed at the raffle booth in the Trade Show from 10 a.m. to 3:45 p.m. on Tuesday, March 22, and 7:15 a.m. to 3:15 p.m. on Wednesday, March 23. Stop by to see the prizes that you can win! Raffle tickets can be purchased from any conference workgroup member, board member, or at the registration desk.

To Donate a Raffle Prize:Donations of single items and packages are needed to make this event a success. To donate, complete the NHPCA raffle contribution form. Donations should be delivered to NHPCA by March 15 or brought to the conference registration desk by 10 a.m. on Tuesday, March 22.

Additional details are available at nehospice.org.

Win Door Prizes!Door prizes will be given away during the NHPCA Conference Trade Show.

Sign up at participating booths!

banquet and entertainment.

trade show.

nhpca annual raffle.

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1200 LIBRA DR STE 100LINCOLN NE 68512-9332

Living a Good Life...at the End of Life

2016 Annual Conference, March 22-23Embassy Suites, Lincoln, Nebraska

Nebraska Hospice and Palliative Care Association1200 Libra Drive, Suite 100, Lincoln, NE 68512-9332

Phone 402-477-0204Fax 402-475-6289

nehospice.org