Early Integration of Palliative Care – Why is Integration a Benefit?
There is growing evidence that early integration of palliative care into the management of people with serious illnesses improves patient and system outcomes. This session will build an understanding of what is meant by integration and what a palliative approach could entail.
Various models will be identified and examined in a didactic session and small group discussions.
- To explore what is meant by integration
- To discuss what a “palliative approach” to care entails
- To outline different parameters and models for identifying appropriate patients
- To discuss a mentoring model to support early integration
- Deborah Dudgeon MD, FRCPC, W Ford Connell Professor of Palliative Care, Queen’s University, Senior Scientific Lead, Person-Centred Perspective, Canadian Partnership Against Cancer
- Marnie MacKinnon
Serious Illness Conversation Initiative Workshop
As part of the provincial initiatives for Advance Care Planning and a palliative approach to care, some jurisdictions in Canada have adopted the Serious Illness Conversation Guide (SICG) and program, developed and tested by Ariadne Labs (Harvard Medical School). The purpose of the guide is to assist clinicians in providing more, earlier, better conversations to individuals diagnosed with a serious illness. It aims to ensure that patients receive care that is consistent with their goals and values. The program is designed to help identify high-risk patients, prepare for the conversation, help clinicians guide the conversation, and then help the individuals talk to their families about their goals and values regarding their future care.
The Serious Illness Conversation is part of the overall process of Advance Care Planning. The clinician revisits or starts the conversation about goals and preferences when a person has an illness that is serious, but stable with an expected prognosis of less than one year. The conversations may contribute to medical orders that reflect goal – concordant care..
The Continuing Medical Education-accredited clinician workshop developed in BC is designed to support the interdisciplinary use of the Serious Illness Conversation Guide and will include a focus on skills development and an understanding of how to use the Guide within various settings of care.
- Summarize the rationale for a systematic approach to improving conversations about patient values and priorities in serious illness.
- Define the structure of the Serious Illness Care intervention and its components.
- Practice using a structured, person-centred approach to goals-of-care conversation.
- Carolyn Tayler RN BN MSA CON (C) Director Strategic Initiatives BC Centre for Palliative Care
- Gillian Fyles MD CCFP(PC) Medical Lead Serious Illness Care Guide Initiative BC-CPC
- Elizabeth Beddard Huber RN, MSN, CHPCN(C) Consultant, BC Centre for Palliative Care
Serious Illness Conversation Initiative Workshop – continuation of previous session