CTIC

AUGUST 16, 2015

SEPSIS ACTIVITIES

• OPEN FORUM• https://www.youtube.com/watch?v=7HprgjCk

fsE&feature=youtu.be

T-shirts

SEPSIS SUNDAY – 232 signed roster

Other events through September• Participated in donating to sepisalliance.org race to raise

awareness• Nursing Leadership• Table top “Symptoms of Sepsis”• SMML Facebook postings twice a week with newsletter• MHA Patient Safety Seminar in Traverse City• Summit at Canton – 300 people• Lunch and Learn – 2 sessions 1 contact hour• Senior Health Fair at Costick Center - Farmington• Leadership Forum next week• Livonia Woods September 28th

SPEAK UP!

WWW.NHDD.ORG

How could this be prevented?

• Do you think this could happen here?• How do you communicate someone’s end of life

wishes?• How do we communicate someone’s end of life

wishes?• Is the Code Form we use adequate to

communicate someone’s wishes?• DNAR, DNAR and don’t provide the following,

DNAR with comfort measures

FAMILY DYNAMICS

• There is no more emotionally connected system than the family because no one can ever leave it

• Family embraces all generation – those living, those dead, and those yet to be born

• Family system can be open or closed

DON’T KEEP IT A SECRET

• WOULD YOU BE SURPRISED IF …..WAS NOT HERE IN THE NEXT 6 MONTHS?

• WHAT ARE YOU THE MOST AFRAID OF?• HOW CAN I HELP YOU?

Not talking about death with a dying patient is like not talking about birth

with a pregnant woman.

They’ll probably find out in the end.(Michael Simpson, South African oncologist and poet)

What else can we do?

• Offer journaling to help facilitate adaptive coping during this time

• Determine goals – if options will not help meet goals, then discontinue or don’t start

• Feeding tube recommendation – Geriatric Society

How to have a family meeting

• EPERC – end-of-life palliative • www.gwish.org – “Restoring the Heart and

Humanity to Health Care• Assessment of Spirituality in Older Adults: FICA

spirituality tool (Faith & Belief, Importance, Community, Address Care)

• https://smhs.gwu.edu/gwish/clinical/fica• http://www.helpguide.org/articles/caregiving/ho

spice-and-palliative-care.htm

I hear so many terms, can you clear them up for me?

• Palliative care• Hospice care• Consult• Benefits• What is covered benefit?