Palliative Care Nursing Assistant Training Project

Palliative Care Nursing Assistant Training Project PowerPoint PPT Presentation


  • 195 Views
  • Uploaded on
  • Presentation posted in: General

Download Presentation

Palliative Care Nursing Assistant Training Project

An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -

Presentation Transcript


1. Palliative Care Nursing Assistant Training Project National Association of State Veterans Homes Summer Conference August 18, 2009 Kelly Schneider, RN, BSN (308) 389-5106 [email protected]

5. HPC Mission Honor Veterans’ preferences at end-of-life Enrolled Veterans in VA facilities Enrolled Veterans in the community Veterans eligible for enrollment but not yet enrolled

6. The Imperative State Veterans Homes 24,000 nursing home beds ~ 6,000 deaths annually 25% average annual mortality rate VA 23,000 inpatient deaths 3,400 deaths in nursing home beds (15% of all deaths) 6,250 deaths in hospice beds (27% of all deaths) Here are some of the numbers that provide the demographic imperative for having a hospice and palliative care program. As you can see the average mortality rate in State Veterans Homes is about 25%. You can also see that State Homes and VA nursing homes have a lot in common; both provide care for an aging, chronically ill population and experience a significant number of deaths each year. Here are some of the numbers that provide the demographic imperative for having a hospice and palliative care program. As you can see the average mortality rate in State Veterans Homes is about 25%. You can also see that State Homes and VA nursing homes have a lot in common; both provide care for an aging, chronically ill population and experience a significant number of deaths each year.

7. Comprehensive End-of-life Care Initiative (CELC) Improve access to hospice and palliative care in all settings Build a sustainable HPC infrastructure Implement quality measures and disseminate successful practices Increase expertise -PC Nursing Assistant Training Evaluate and monitor effectiveness and sustainability of initiative Palliative care is a broader term that includes hospice care as well as other care that emphasizes symptom control, but does not necessarily require the presence of an imminently terminal condition or a time-limited prognosis. Palliative care may include a balance of comfort measures and curative interventions that varies across a wide spectrum. This care is initiated much earlier than hospice care is.Palliative care is a broader term that includes hospice care as well as other care that emphasizes symptom control, but does not necessarily require the presence of an imminently terminal condition or a time-limited prognosis. Palliative care may include a balance of comfort measures and curative interventions that varies across a wide spectrum. This care is initiated much earlier than hospice care is.

9. PC Nursing Assistant Training Hospice and Palliative Nurses Association Train VA and State Veterans Home staff Palliative care training for nurse educators Training materials On-going follow-up and mentoring for nurse educators to implement training programs in their facilities Develop Curriculum Modify EPEC for Veterans for Nursing Assistants Create CDs and online access for distance learning

10. Palliative Care Nursing Assistant Train-the-Trainer Program Focus Nursing assistants working with Veterans in need of palliative care Modules Communication Pain Management Symptom Management Care of the Patient and Family When Death is Nearing Taught by nurses who attend a Train-the-Trainer program

11. PCNA Train-the-Trainer Program Part of the VA Comprehensive End-of-Life Care Initiative Dynamic interactive program to prepare nurse educators to teach palliative care to nursing assistants Target audience - VA and State Veterans Home staff Includes palliative care content and facilitation techniques to teach nursing assistants

12. Participants receive 2 year HPNA membership HPNA Approved Educator status 11 CEUs Training materials: Facilitator Guide / four nursing assistant modules / CD with slides and speaker notes Learning activities

13. Participants receive HPNA Core Curriculum Statement on the Scope and Standards Hospice and Palliative Nursing Assistant Competencies Conversations in Palliative Care

14. PCNA Train-the-Trainer Programs Each facility reports on their teaching efforts At one month, then every 3 months Participants receive a monthly case study education via listserv Networking opportunity with other professionals that care for the veteran population Identify and plan strategies to manage challenges faced by educators

15. Why is this important? Palliative care is initiated much sooner than hospice care and the condition may improve after care is initiated Hospice agencies don’t cover hospice care 24/7 Empowers the nursing assistant to identify and report unique issues related to end of life care End of Life issues such as pain, symptom management and veteran and family spiritual needsEnd of Life issues such as pain, symptom management and veteran and family spiritual needs

16. Why is this important? Allows the nursing assistant the opportunity to understand and provide creative means of support to veteran and family members The care is cost effective End of Life issues such as pain, symptom management and veteran and family spiritual needsEnd of Life issues such as pain, symptom management and veteran and family spiritual needs

17. PCNA Train-the-Trainer Programs Oct 28 - 29, 2008 – Hollidaysburg, PA 48 attended # of facilities represented VA – 13 SVH – 5

18. PCNA Train-the-Trainer Programs January 28 - 29, 2009 – Las Vegas, NV 55 attended # of facilities represented VA – 17 SVH – 1

19. PCNA Train-the-Trainer Programs March 3 - 4, 2009 – Alexandria, VA 35 attended # of facilities represented VA – 13 SVH – 1

20. PCNA Train-the-Trainer Programs April 29 - 30, 2009 – Atlanta, GA 76 attended # of facilities represented VA – 37 SVH – 1

21. PCNA Train-the-Trainer Programs June 17 - 18, 2009 – St. Louis, MO 85 attended # of facilities represented VA – 38 SVH – 10

22. PCNA Train-the-Trainer Programs July 29 - 30, 2009 – Boston, MA 65 attended # of facilities represented VA – 26 SVH – 3

23. Accomplishments Out of 136 VA & SVH facilities attending the training 34 have submitted reports Number of nursing assistants who have attended training so far VA = 297 SVH = 71

24. PCNA Train-the-Trainer Programs 2009-2010 Next steps: Continued Train-the-Trainer program across the country Locations? Teleconference & Web course Program starting in January SVH participation?

25. Comments from facilities “This is now a part of our annual training for nursing assistants” “Our nursing assistants are very pleased with the program and that they are singled out to receive it” “One of the nursing assistants saw the need to develop a hospitality cart for the veteran and his family during his last days of life, we thought voluntary services did this”!

26. Questions?

  • Login