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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] Complete this questionnaire . . . . . . and receive both booklets!. $10 value!. $10 value!.

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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]



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. . . and receive both booklets!

$10 value!

$10 value!



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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


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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)


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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


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PC Nursing Assistant TrainingHospice 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


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Palliative Care Nursing AssistantTrain-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


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PCNATrain-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


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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


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Participants receive

  • HPNA Core Curriculum

  • Statement on the Scope and Standards

  • Hospice and Palliative Nursing Assistant Competencies

  • Conversations in Palliative Care


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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


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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


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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


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PCNA Train-the-Trainer Programs

  • Oct 28 - 29, 2008 – Hollidaysburg, PA

    • 48 attended

    • # of facilities represented

      • VA – 13

      • SVH – 5


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PCNA Train-the-Trainer Programs

  • January 28 - 29, 2009 – Las Vegas, NV

    • 55 attended

    • # of facilities represented

      • VA – 17

      • SVH – 1


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PCNA Train-the-Trainer Programs

  • March 3 - 4, 2009 – Alexandria, VA

    • 35 attended

    • # of facilities represented

      • VA – 13

      • SVH – 1


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PCNA Train-the-Trainer Programs

  • April 29 - 30, 2009 – Atlanta, GA

    • 76 attended

    • # of facilities represented

      • VA – 37

      • SVH – 1


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PCNA Train-the-Trainer Programs

  • June 17 - 18, 2009 – St. Louis, MO

    • 85 attended

    • # of facilities represented

      • VA – 38

      • SVH – 10


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PCNA Train-the-Trainer Programs

  • July 29 - 30, 2009 – Boston, MA

    • 65 attended

    • # of facilities represented

      • VA – 26

      • SVH – 3


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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


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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?


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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”!



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