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End of Life Care Curriculum for implementation at Wayne State University School of Medicine. Angela Chmielewski MS II achmiele@med.wayne.edu. Goals: Remind medical students that death and dying are an integral part of the practice of medicine

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End of life care curriculum for implementation at wayne state university school of medicine

End of Life Care Curriculumfor implementation at Wayne State University School of Medicine

Angela Chmielewski MS II

achmiele@med.wayne.edu


End of life care curriculum for implementation at wayne state university school of medicine

  • Goals:

  • Remind medical students that death and dying are an integral part of the practice of medicine

  • Make students aware of some of the main issues in end of life care

  • Provide a forum for students interested in end of life care/death and dying to share ideas

  • Proposal:

  • 2003-04 Academic Year

    Begin Death and Dying Interest Group under the auspices of the Wayne State University SOM chapter of the American Medical Student Association

  • 2004-2005 Academic Year

    Review outcomes of Death and Dying Interest Group events for implementation/incorporation into Clinical Medicine Course curriculum

  • Support at Wayne State University

    Dr. Michael Stellini Dr. Robert Frank


Components of the death and dying interest group
Components of the Death and Dying Interest Group

  • Lunchtime lectures

  • Movie viewing and discussion

  • Hands-on hospice experience


Lunchtime lectures guest speakers yet to be identified
Lunchtime Lectures(guest speakers yet to be identified)

  • What is Hospice?

    Dr. Michael Marshke, Medical Director, Horizon Hospice

    • Picturing your own death exercise

    • Death in America

    • Modern hospice movement

  • Communicating Bad News

    • Breaking bad news to patients

    • Breaking bad news to families

    • Communicating realistic hopefulness


Lunchtime lectures
Lunchtime Lectures

  • Legal and Ethical Issues in EOL care

    Dr. Cathy Neeley, Northwestern University School of Medicine

    • Informed Consent

    • Surrogates

    • Withholding/withdrawing treatments

    • Power of Attorney for Health Care

    • Living Will

    • Do-not Resuscitate Order (DNR)


Lunchtime lectures1
Lunchtime Lectures

  • Pain Assessment and Management at the End of Life

    Dr. Michael Marshke, Medical Director, Horizon Hospice

    • Acute vs. chronic pain

    • Types of chronic pain

      somatic

      visceral

      neuropathic

    • Pharmacologic and non-pharmacologic management of chronic pain

    • Management of pain in pediatric patients


Lunchtime lectures2
Lunchtime lectures

  • Cultural Considerations in End of life Care

    Lori Hedges, MS, Director of Medical Education, Horizon Hospice

    • Panel of religious leaders

      African American Protestant Church

      Catholic Church

      Islamic Faith

      Jewish Faith

    • Discuss convictions about

      death and dying

      afterlife

      funeral customs


Movie viewing and discussion
Movie Viewing and Discussion

  • Wit

  • To Live Until I Die


Hands on hospice
Hands-on Hospice

  • Shadowing hospice doctors and other team members at Hospice of Michigan

  • Volunteering at Hospice of Michigan


End of life care curriculum for implementation at wayne state university school of medicine