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For Reference Only Not For Distribution
Thank you for joiningThe presentation will begin shortly
For Reference Only Not For Distribution
Support Through the COVID-19 Pandemic How Healthcare Workers can Still Create
Connections in a Time of Social Distancing
April 3rd 2020Presented by
Yelena Zatulovsky LCAT LPMT MA MT-BC CCLS HPMT
Travis C Overbeck MDiv
Seasons Healthcare Management Inc
For Reference Only Not For Distribution
Successful Completion Criteria
bull Log in to virtual classroom
bull Remain for entire presentationo 1 hour
bull Participate and ask questions if you have them via the chat box in the lower right corner
bull Complete evaluationo You will be redirected to a post-activity survey when webinar ends
o Your NCPD (Nursing Continuing Professional Development)CME certificate for 1 credit hour(s) will be emailed to you within 24 hours
Send questions to communityeducationseasonsorg and our Community Education team will be happy to help
For Reference Only Not For Distribution
Declarations
bull This program is provided to you by Seasons Hospice amp Palliative
Care
bull There is no commercial support for this educational event
bull The speaker declares that they are an employee of Seasons Hospice
amp Palliative Care which provides the service described herein
bull Planners presenters faculty authors and content reviewers declare
no conflict of interest
bull Approval by ANCCASWB does not indicate endorsement of any
products
For Reference Only Not For Distribution
Hospice amp CoronavirusDisclaimer
Please note Seasons Hospice is dedicated to providing the most up to date
information related to the Coronavirus With the rapidly changing daily evolution of
this situation it is recommended that attendees follow up with the CDC (Centers for
Disease Control) and WHO (World Health Organization) websites for the most up to
date information
Objectives
1 Participants will distinguish differences between social distancing spatial distancing and emotional distancing
2 Participants will describe potential risk areas (emotional physical cognitive spiritual) for patients and families and their relationship to trauma and complicated grief responses
3 Participants will discover creative ways to mitigate the implications of social distancing and recognize capacity to overcome barriers to care
For Reference Only Not For Distribution
Distancing What Is It
Social spatial and emotional distancing are all different methods in which individuals separate themselves either physically mentally or spiritually from others
For Reference Only Not For Distribution
What is Social Distancing
A public health intervention aimed at avoiding face to face contact with others and limiting self and others to disease transmission
For Reference Only Not For Distribution
What is Spatial Distancing
A conscious awareness of remaining a certain number of feet or physical distance from others Also a public health intervention aimed at reducing disease outbreaks by limiting groups from congregating
For Reference Only Not For Distribution
What is Emotional Distancing
A maladaptive or adaptive coping mechanism depending on the circumstances in which emotional distancing is occurring and the personal effects
This can occur intentionally or unintentionally when someone begins to remove their heart from a person or situation and the bond weakens over time
For Reference Only Not For Distribution
Risks Distancing
bull Increase depression anxiety and PTSD
bull Exacerbated symptoms
bull History of mental health at higher risk
bull Triggers of past trauma
bull Maladaptive coping mechanism
bull Complicated grief and bereavement
bull Isolation can trigger many negative emotions and cause trauma responses
For Reference Only Not For Distribution
Risk for Cognitive Health and Functioning
bullPrior history of mental health is correlated to poor cognitive baseline
bullIncrease in feelings of loneliness
bullOften multiple co-occurring mental health concerns
For Reference Only Not For Distribution
Risk for Spiritual Beliefs
bullOften will question beliefs and challenge belief systems
For Reference Only Not For Distribution
Implications at End of Life Traumatic Loss
bullUnable to reach life-closure goals
bullGuilt regret shame
bullExacerbated trauma responses
For Reference Only Not For Distribution
Implications of Social Distancing and Overcoming Barriers to Care
Interventions for providers
For Reference Only Not For Distribution
Interventions Via Virtual Platforms
bullMitigate andor decrease symptoms related to depression
bullPsychoeducation
bullBuild community
bullMaintain patient amp family-centered care
For Reference Only Not For Distribution
Therapy Interventions
bull Psychotherapy and Pharmacotherapy
bull Family therapy play therapy or problem-solving therapy for children
bull Life-review and group therapy
bull Legacy
bull Peer support groups
bull Preservation of rituals
For Reference Only Not For Distribution
Interventions for Children
bull Structure and routine
bull Play Therapy
bull Music Therapy
bull Art Therapy
bull Child Life
bull Spiritual Care
bull Creative ArtsExpressive Therapies
bull Distraction All require board-certification andor licensure
For Reference Only Not For Distribution
Physical Interventions and Mindfulness
bullReiki
bullMeditation
bullYoga Pranayama (Breath Exercises)
bullCreative Arts
bullBody Movement Dance
bull Journaling
bullCentering
For Reference Only Not For Distribution
Legacy interventions
bullLife-review
bullLegacy Projects
bull Spiritual Interventions
bull I canrsquot get to the bedside now what
For Reference Only Not For Distribution
All members of the hospice interdisciplinary team are critical to care
delivery during the COVID-19 pandemic
For Reference Only Not For Distribution
Hospice Support System (Internal)bull To ensure that we can support our patients and families Seasons
has taken the following measures oOrdered additional PPE supplies that can be deployed to our sites in
addition to their current inventory to be used when warranted
oCreated an internal Coronavirus educational platform for our staff to access the latest Seasons CDC and WHO updates and recommendations for their programs
oEstablished a dedicated response team that is consistently monitoring the situation to determine if additional steps are needed and answer questions from staff and facility partners in real time
oCreated a COVID-19 Risk amp Response Emergency Plan to guide screening testing reporting and infection control practices using CDC guidelines
For Reference Only Not For Distribution
Seasons Support of Community Partners
bull Seasons Hospice employees will have most up-to-date information to support our partners in hospice care
bull Help deliver supplies for patients
bull Coordinate patient updates virtually (phone text email) with referral sources and facility administrators
bull Obtain consents lsquooffsitersquo where appropriate
bull Deliver free CEs to healthcare workers in the communities
bull Deliver free education seminars to the community via social media
For Reference Only Not For Distribution
ReferencesWhen the webinar ends you will automatically be redirected to the post-activity survey You must fill this survey out to receive your CECME certificate
bull Centers for Disease Control and Prevention (2020) Coronavirus disease 2019 (COVID-19) and you
bull Damianakis T Coyle JP Stergiou CL Searching for more Spirituality for older adult couples seeking enhanced relationship quality Journal of Religion Spirituality amp Aging Volume 32 25-44 2020
bull Dooley CM Carroll B Fry LE Seamon-Lahiff G Bartone PT A Model for Supporting Grief Recovery Following Traumatic Loss The Tragedy Assistance Program for Survivors (TAPS) Military Medicine Volume 184 Volume7-8 166ndash170 2019
bull Helbert K The Chakras in Grief and Trauma A Tantric Guide to Energetic Wholeness (2019)
bull Lundquist A Gurung Regan A R Social Distancing Individuals With Depression The Impact of Symptom Severity Psi Chi Journal of Psychological Research 159-205 2019
For Reference Only Not For Distribution
When the webinar ends you will automatically be redirected to the post-activity survey You must fill this survey out to receive your CECME certificate
bull Mahase E Covid-19 UK starts social distancing after new model points to 260 000 potential deaths BMJ 1-12 2020
bull McQuiad JR Clinical Practice Guideline for the Treatment of Depression Across Three Age Cohorts American Psychological Association 1-213 2019
bull OrsquoBrien K OrsquoKeeffe Cullen H Durcan A Timulak L amp McElvaney J Emotion-focused perspective on generalized anxiety disorder A qualitative analysis of clientsrsquo in-session presentations Psychotherapy Research Volume 29 524-540 2017
bull Reyes AM Aging Households Encyclopedia of Gerontology and Population Aging 101007978-3-319-69892-2_316-1 1-6 2019
bull Wang Y Lippke S Miao M amp Gan Y Restoring meaning in life by meaning‐focused coping The role of self‐distancing Psych Journal Stress-Related Health Outcome Volume 8
3 386-396 2019
References
For Reference Only Not For Distribution
When the webinar ends you will automatically be redirected to the post-activity survey You must fill this survey out to receive your CECME certificate
bull Bowlby J (1963) Pathological mourning and childhood mourning Journal of the American Psychoanalytic Association 11 500-541
bull Bowlby J (1980) Attachment and loss New York NY Basic Books
bull Ira Byock (1998) Dying well Peace and possibilities at the end of life New York Riverhead Books
bull Childrens Project on PalliativeHospice Services (2017 August) Spiritual care of children and their families ChiPPS E-Journal 48
bull Davis B (1999) Shadows in the sun The experience of sibling bereavement in childhood Philadelphia PA Taylor amp Francis
bull Doka K (ed) (2002) Disenfranchised Grief New Directions Challenges and Strategies for Practice New York Research Press
bull Erikson E H (1950) Childhood and society W W Norton amp Co
References
For Reference Only Not For Distribution
When the webinar ends you will automatically be redirected to the post-activity survey You must fill this survey out to receive your CECME certificate
bull Felsenthal E (Ed) (2018) The Science of Laughter [Special issue] TIME
bull Goodrich J Harrison T Cornwell J Resilience a framework supporting hospice staff to flourish in stressful times Hospice UK 2015 Available from httpwwwhospiceukorgpublications
bull Kissane D W (2001) Demoralization syndrome ndash A relevant pscychiatric diagnosis for palliative care Journal of Palliative Care 17 12-21
bull Levetown M and Orloff S (2014) Ethical issues in the care of infants children and adolescents In T W Kirk amp B Jennings (Eds) Hospice Ethics Policy and Practice in Palliative Care 121-143
bull Munley P H (1975) Erik Eriksons theory of psychosocial development and vocational behavior Journal of Counseling Psychology 22(4) 314ndash319
bull Neimeyer R A (2012) Techniques of grief therapy Creative practices for counseling the bereaved New York Routledge
References
For Reference Only Not For Distribution
When the webinar ends you will automatically be redirected to the post-activity survey You must fill this survey out to receive your CECME certificate
bull Sandberg S and Grant A (2017) Option B Facing Adversity Building Resilience and Finding Joy New York Alfred A Knopf
bull Wadsworth B J (1971) Piagets theory of cognitive development An introduction for students of psychology and education New York McKay
bull Worden J W (2002) Grief counseling and grief therapy A handbook for the mental health practitioner New York Springer Pub
bull Loewenstein George (2020 April 1) lsquoReplace the term social distancing with spatial distancingrsquo A behavioral economist on the psychological toll of endless waiting during the coronavirus pandemic wwwmarketwatchcom
bull Kelemen Anne et all (2020) Specific phrases amp word choices that can be helpful when dealing with COVID19 wwwseriousillnessconversationsorg
References
For Reference Only Not For Distribution
Seasons Hospice amp Palliative Care
All contents of this presentation including imagesare the property of Seasons Hospice amp Palliative Care
and are not to be downloaded reproducedor used elsewhere without permission
wwwseasonsorg
For Reference Only Not For Distribution
Support Through the COVID-19 Pandemic How Healthcare Workers can Still Create
Connections in a Time of Social Distancing
April 3rd 2020Presented by
Yelena Zatulovsky LCAT LPMT MA MT-BC CCLS HPMT
Travis C Overbeck MDiv
Seasons Healthcare Management Inc
For Reference Only Not For Distribution
Successful Completion Criteria
bull Log in to virtual classroom
bull Remain for entire presentationo 1 hour
bull Participate and ask questions if you have them via the chat box in the lower right corner
bull Complete evaluationo You will be redirected to a post-activity survey when webinar ends
o Your NCPD (Nursing Continuing Professional Development)CME certificate for 1 credit hour(s) will be emailed to you within 24 hours
Send questions to communityeducationseasonsorg and our Community Education team will be happy to help
For Reference Only Not For Distribution
Declarations
bull This program is provided to you by Seasons Hospice amp Palliative
Care
bull There is no commercial support for this educational event
bull The speaker declares that they are an employee of Seasons Hospice
amp Palliative Care which provides the service described herein
bull Planners presenters faculty authors and content reviewers declare
no conflict of interest
bull Approval by ANCCASWB does not indicate endorsement of any
products
For Reference Only Not For Distribution
Hospice amp CoronavirusDisclaimer
Please note Seasons Hospice is dedicated to providing the most up to date
information related to the Coronavirus With the rapidly changing daily evolution of
this situation it is recommended that attendees follow up with the CDC (Centers for
Disease Control) and WHO (World Health Organization) websites for the most up to
date information
Objectives
1 Participants will distinguish differences between social distancing spatial distancing and emotional distancing
2 Participants will describe potential risk areas (emotional physical cognitive spiritual) for patients and families and their relationship to trauma and complicated grief responses
3 Participants will discover creative ways to mitigate the implications of social distancing and recognize capacity to overcome barriers to care
For Reference Only Not For Distribution
Distancing What Is It
Social spatial and emotional distancing are all different methods in which individuals separate themselves either physically mentally or spiritually from others
For Reference Only Not For Distribution
What is Social Distancing
A public health intervention aimed at avoiding face to face contact with others and limiting self and others to disease transmission
For Reference Only Not For Distribution
What is Spatial Distancing
A conscious awareness of remaining a certain number of feet or physical distance from others Also a public health intervention aimed at reducing disease outbreaks by limiting groups from congregating
For Reference Only Not For Distribution
What is Emotional Distancing
A maladaptive or adaptive coping mechanism depending on the circumstances in which emotional distancing is occurring and the personal effects
This can occur intentionally or unintentionally when someone begins to remove their heart from a person or situation and the bond weakens over time
For Reference Only Not For Distribution
Risks Distancing
bull Increase depression anxiety and PTSD
bull Exacerbated symptoms
bull History of mental health at higher risk
bull Triggers of past trauma
bull Maladaptive coping mechanism
bull Complicated grief and bereavement
bull Isolation can trigger many negative emotions and cause trauma responses
For Reference Only Not For Distribution
Risk for Cognitive Health and Functioning
bullPrior history of mental health is correlated to poor cognitive baseline
bullIncrease in feelings of loneliness
bullOften multiple co-occurring mental health concerns
For Reference Only Not For Distribution
Risk for Spiritual Beliefs
bullOften will question beliefs and challenge belief systems
For Reference Only Not For Distribution
Implications at End of Life Traumatic Loss
bullUnable to reach life-closure goals
bullGuilt regret shame
bullExacerbated trauma responses
For Reference Only Not For Distribution
Implications of Social Distancing and Overcoming Barriers to Care
Interventions for providers
For Reference Only Not For Distribution
Interventions Via Virtual Platforms
bullMitigate andor decrease symptoms related to depression
bullPsychoeducation
bullBuild community
bullMaintain patient amp family-centered care
For Reference Only Not For Distribution
Therapy Interventions
bull Psychotherapy and Pharmacotherapy
bull Family therapy play therapy or problem-solving therapy for children
bull Life-review and group therapy
bull Legacy
bull Peer support groups
bull Preservation of rituals
For Reference Only Not For Distribution
Interventions for Children
bull Structure and routine
bull Play Therapy
bull Music Therapy
bull Art Therapy
bull Child Life
bull Spiritual Care
bull Creative ArtsExpressive Therapies
bull Distraction All require board-certification andor licensure
For Reference Only Not For Distribution
Physical Interventions and Mindfulness
bullReiki
bullMeditation
bullYoga Pranayama (Breath Exercises)
bullCreative Arts
bullBody Movement Dance
bull Journaling
bullCentering
For Reference Only Not For Distribution
Legacy interventions
bullLife-review
bullLegacy Projects
bull Spiritual Interventions
bull I canrsquot get to the bedside now what
For Reference Only Not For Distribution
All members of the hospice interdisciplinary team are critical to care
delivery during the COVID-19 pandemic
For Reference Only Not For Distribution
Hospice Support System (Internal)bull To ensure that we can support our patients and families Seasons
has taken the following measures oOrdered additional PPE supplies that can be deployed to our sites in
addition to their current inventory to be used when warranted
oCreated an internal Coronavirus educational platform for our staff to access the latest Seasons CDC and WHO updates and recommendations for their programs
oEstablished a dedicated response team that is consistently monitoring the situation to determine if additional steps are needed and answer questions from staff and facility partners in real time
oCreated a COVID-19 Risk amp Response Emergency Plan to guide screening testing reporting and infection control practices using CDC guidelines
For Reference Only Not For Distribution
Seasons Support of Community Partners
bull Seasons Hospice employees will have most up-to-date information to support our partners in hospice care
bull Help deliver supplies for patients
bull Coordinate patient updates virtually (phone text email) with referral sources and facility administrators
bull Obtain consents lsquooffsitersquo where appropriate
bull Deliver free CEs to healthcare workers in the communities
bull Deliver free education seminars to the community via social media
For Reference Only Not For Distribution
ReferencesWhen the webinar ends you will automatically be redirected to the post-activity survey You must fill this survey out to receive your CECME certificate
bull Centers for Disease Control and Prevention (2020) Coronavirus disease 2019 (COVID-19) and you
bull Damianakis T Coyle JP Stergiou CL Searching for more Spirituality for older adult couples seeking enhanced relationship quality Journal of Religion Spirituality amp Aging Volume 32 25-44 2020
bull Dooley CM Carroll B Fry LE Seamon-Lahiff G Bartone PT A Model for Supporting Grief Recovery Following Traumatic Loss The Tragedy Assistance Program for Survivors (TAPS) Military Medicine Volume 184 Volume7-8 166ndash170 2019
bull Helbert K The Chakras in Grief and Trauma A Tantric Guide to Energetic Wholeness (2019)
bull Lundquist A Gurung Regan A R Social Distancing Individuals With Depression The Impact of Symptom Severity Psi Chi Journal of Psychological Research 159-205 2019
For Reference Only Not For Distribution
When the webinar ends you will automatically be redirected to the post-activity survey You must fill this survey out to receive your CECME certificate
bull Mahase E Covid-19 UK starts social distancing after new model points to 260 000 potential deaths BMJ 1-12 2020
bull McQuiad JR Clinical Practice Guideline for the Treatment of Depression Across Three Age Cohorts American Psychological Association 1-213 2019
bull OrsquoBrien K OrsquoKeeffe Cullen H Durcan A Timulak L amp McElvaney J Emotion-focused perspective on generalized anxiety disorder A qualitative analysis of clientsrsquo in-session presentations Psychotherapy Research Volume 29 524-540 2017
bull Reyes AM Aging Households Encyclopedia of Gerontology and Population Aging 101007978-3-319-69892-2_316-1 1-6 2019
bull Wang Y Lippke S Miao M amp Gan Y Restoring meaning in life by meaning‐focused coping The role of self‐distancing Psych Journal Stress-Related Health Outcome Volume 8
3 386-396 2019
References
For Reference Only Not For Distribution
When the webinar ends you will automatically be redirected to the post-activity survey You must fill this survey out to receive your CECME certificate
bull Bowlby J (1963) Pathological mourning and childhood mourning Journal of the American Psychoanalytic Association 11 500-541
bull Bowlby J (1980) Attachment and loss New York NY Basic Books
bull Ira Byock (1998) Dying well Peace and possibilities at the end of life New York Riverhead Books
bull Childrens Project on PalliativeHospice Services (2017 August) Spiritual care of children and their families ChiPPS E-Journal 48
bull Davis B (1999) Shadows in the sun The experience of sibling bereavement in childhood Philadelphia PA Taylor amp Francis
bull Doka K (ed) (2002) Disenfranchised Grief New Directions Challenges and Strategies for Practice New York Research Press
bull Erikson E H (1950) Childhood and society W W Norton amp Co
References
For Reference Only Not For Distribution
When the webinar ends you will automatically be redirected to the post-activity survey You must fill this survey out to receive your CECME certificate
bull Felsenthal E (Ed) (2018) The Science of Laughter [Special issue] TIME
bull Goodrich J Harrison T Cornwell J Resilience a framework supporting hospice staff to flourish in stressful times Hospice UK 2015 Available from httpwwwhospiceukorgpublications
bull Kissane D W (2001) Demoralization syndrome ndash A relevant pscychiatric diagnosis for palliative care Journal of Palliative Care 17 12-21
bull Levetown M and Orloff S (2014) Ethical issues in the care of infants children and adolescents In T W Kirk amp B Jennings (Eds) Hospice Ethics Policy and Practice in Palliative Care 121-143
bull Munley P H (1975) Erik Eriksons theory of psychosocial development and vocational behavior Journal of Counseling Psychology 22(4) 314ndash319
bull Neimeyer R A (2012) Techniques of grief therapy Creative practices for counseling the bereaved New York Routledge
References
For Reference Only Not For Distribution
When the webinar ends you will automatically be redirected to the post-activity survey You must fill this survey out to receive your CECME certificate
bull Sandberg S and Grant A (2017) Option B Facing Adversity Building Resilience and Finding Joy New York Alfred A Knopf
bull Wadsworth B J (1971) Piagets theory of cognitive development An introduction for students of psychology and education New York McKay
bull Worden J W (2002) Grief counseling and grief therapy A handbook for the mental health practitioner New York Springer Pub
bull Loewenstein George (2020 April 1) lsquoReplace the term social distancing with spatial distancingrsquo A behavioral economist on the psychological toll of endless waiting during the coronavirus pandemic wwwmarketwatchcom
bull Kelemen Anne et all (2020) Specific phrases amp word choices that can be helpful when dealing with COVID19 wwwseriousillnessconversationsorg
References
For Reference Only Not For Distribution
Seasons Hospice amp Palliative Care
All contents of this presentation including imagesare the property of Seasons Hospice amp Palliative Care
and are not to be downloaded reproducedor used elsewhere without permission
wwwseasonsorg
For Reference Only Not For Distribution
Successful Completion Criteria
bull Log in to virtual classroom
bull Remain for entire presentationo 1 hour
bull Participate and ask questions if you have them via the chat box in the lower right corner
bull Complete evaluationo You will be redirected to a post-activity survey when webinar ends
o Your NCPD (Nursing Continuing Professional Development)CME certificate for 1 credit hour(s) will be emailed to you within 24 hours
Send questions to communityeducationseasonsorg and our Community Education team will be happy to help
For Reference Only Not For Distribution
Declarations
bull This program is provided to you by Seasons Hospice amp Palliative
Care
bull There is no commercial support for this educational event
bull The speaker declares that they are an employee of Seasons Hospice
amp Palliative Care which provides the service described herein
bull Planners presenters faculty authors and content reviewers declare
no conflict of interest
bull Approval by ANCCASWB does not indicate endorsement of any
products
For Reference Only Not For Distribution
Hospice amp CoronavirusDisclaimer
Please note Seasons Hospice is dedicated to providing the most up to date
information related to the Coronavirus With the rapidly changing daily evolution of
this situation it is recommended that attendees follow up with the CDC (Centers for
Disease Control) and WHO (World Health Organization) websites for the most up to
date information
Objectives
1 Participants will distinguish differences between social distancing spatial distancing and emotional distancing
2 Participants will describe potential risk areas (emotional physical cognitive spiritual) for patients and families and their relationship to trauma and complicated grief responses
3 Participants will discover creative ways to mitigate the implications of social distancing and recognize capacity to overcome barriers to care
For Reference Only Not For Distribution
Distancing What Is It
Social spatial and emotional distancing are all different methods in which individuals separate themselves either physically mentally or spiritually from others
For Reference Only Not For Distribution
What is Social Distancing
A public health intervention aimed at avoiding face to face contact with others and limiting self and others to disease transmission
For Reference Only Not For Distribution
What is Spatial Distancing
A conscious awareness of remaining a certain number of feet or physical distance from others Also a public health intervention aimed at reducing disease outbreaks by limiting groups from congregating
For Reference Only Not For Distribution
What is Emotional Distancing
A maladaptive or adaptive coping mechanism depending on the circumstances in which emotional distancing is occurring and the personal effects
This can occur intentionally or unintentionally when someone begins to remove their heart from a person or situation and the bond weakens over time
For Reference Only Not For Distribution
Risks Distancing
bull Increase depression anxiety and PTSD
bull Exacerbated symptoms
bull History of mental health at higher risk
bull Triggers of past trauma
bull Maladaptive coping mechanism
bull Complicated grief and bereavement
bull Isolation can trigger many negative emotions and cause trauma responses
For Reference Only Not For Distribution
Risk for Cognitive Health and Functioning
bullPrior history of mental health is correlated to poor cognitive baseline
bullIncrease in feelings of loneliness
bullOften multiple co-occurring mental health concerns
For Reference Only Not For Distribution
Risk for Spiritual Beliefs
bullOften will question beliefs and challenge belief systems
For Reference Only Not For Distribution
Implications at End of Life Traumatic Loss
bullUnable to reach life-closure goals
bullGuilt regret shame
bullExacerbated trauma responses
For Reference Only Not For Distribution
Implications of Social Distancing and Overcoming Barriers to Care
Interventions for providers
For Reference Only Not For Distribution
Interventions Via Virtual Platforms
bullMitigate andor decrease symptoms related to depression
bullPsychoeducation
bullBuild community
bullMaintain patient amp family-centered care
For Reference Only Not For Distribution
Therapy Interventions
bull Psychotherapy and Pharmacotherapy
bull Family therapy play therapy or problem-solving therapy for children
bull Life-review and group therapy
bull Legacy
bull Peer support groups
bull Preservation of rituals
For Reference Only Not For Distribution
Interventions for Children
bull Structure and routine
bull Play Therapy
bull Music Therapy
bull Art Therapy
bull Child Life
bull Spiritual Care
bull Creative ArtsExpressive Therapies
bull Distraction All require board-certification andor licensure
For Reference Only Not For Distribution
Physical Interventions and Mindfulness
bullReiki
bullMeditation
bullYoga Pranayama (Breath Exercises)
bullCreative Arts
bullBody Movement Dance
bull Journaling
bullCentering
For Reference Only Not For Distribution
Legacy interventions
bullLife-review
bullLegacy Projects
bull Spiritual Interventions
bull I canrsquot get to the bedside now what
For Reference Only Not For Distribution
All members of the hospice interdisciplinary team are critical to care
delivery during the COVID-19 pandemic
For Reference Only Not For Distribution
Hospice Support System (Internal)bull To ensure that we can support our patients and families Seasons
has taken the following measures oOrdered additional PPE supplies that can be deployed to our sites in
addition to their current inventory to be used when warranted
oCreated an internal Coronavirus educational platform for our staff to access the latest Seasons CDC and WHO updates and recommendations for their programs
oEstablished a dedicated response team that is consistently monitoring the situation to determine if additional steps are needed and answer questions from staff and facility partners in real time
oCreated a COVID-19 Risk amp Response Emergency Plan to guide screening testing reporting and infection control practices using CDC guidelines
For Reference Only Not For Distribution
Seasons Support of Community Partners
bull Seasons Hospice employees will have most up-to-date information to support our partners in hospice care
bull Help deliver supplies for patients
bull Coordinate patient updates virtually (phone text email) with referral sources and facility administrators
bull Obtain consents lsquooffsitersquo where appropriate
bull Deliver free CEs to healthcare workers in the communities
bull Deliver free education seminars to the community via social media
For Reference Only Not For Distribution
ReferencesWhen the webinar ends you will automatically be redirected to the post-activity survey You must fill this survey out to receive your CECME certificate
bull Centers for Disease Control and Prevention (2020) Coronavirus disease 2019 (COVID-19) and you
bull Damianakis T Coyle JP Stergiou CL Searching for more Spirituality for older adult couples seeking enhanced relationship quality Journal of Religion Spirituality amp Aging Volume 32 25-44 2020
bull Dooley CM Carroll B Fry LE Seamon-Lahiff G Bartone PT A Model for Supporting Grief Recovery Following Traumatic Loss The Tragedy Assistance Program for Survivors (TAPS) Military Medicine Volume 184 Volume7-8 166ndash170 2019
bull Helbert K The Chakras in Grief and Trauma A Tantric Guide to Energetic Wholeness (2019)
bull Lundquist A Gurung Regan A R Social Distancing Individuals With Depression The Impact of Symptom Severity Psi Chi Journal of Psychological Research 159-205 2019
For Reference Only Not For Distribution
When the webinar ends you will automatically be redirected to the post-activity survey You must fill this survey out to receive your CECME certificate
bull Mahase E Covid-19 UK starts social distancing after new model points to 260 000 potential deaths BMJ 1-12 2020
bull McQuiad JR Clinical Practice Guideline for the Treatment of Depression Across Three Age Cohorts American Psychological Association 1-213 2019
bull OrsquoBrien K OrsquoKeeffe Cullen H Durcan A Timulak L amp McElvaney J Emotion-focused perspective on generalized anxiety disorder A qualitative analysis of clientsrsquo in-session presentations Psychotherapy Research Volume 29 524-540 2017
bull Reyes AM Aging Households Encyclopedia of Gerontology and Population Aging 101007978-3-319-69892-2_316-1 1-6 2019
bull Wang Y Lippke S Miao M amp Gan Y Restoring meaning in life by meaning‐focused coping The role of self‐distancing Psych Journal Stress-Related Health Outcome Volume 8
3 386-396 2019
References
For Reference Only Not For Distribution
When the webinar ends you will automatically be redirected to the post-activity survey You must fill this survey out to receive your CECME certificate
bull Bowlby J (1963) Pathological mourning and childhood mourning Journal of the American Psychoanalytic Association 11 500-541
bull Bowlby J (1980) Attachment and loss New York NY Basic Books
bull Ira Byock (1998) Dying well Peace and possibilities at the end of life New York Riverhead Books
bull Childrens Project on PalliativeHospice Services (2017 August) Spiritual care of children and their families ChiPPS E-Journal 48
bull Davis B (1999) Shadows in the sun The experience of sibling bereavement in childhood Philadelphia PA Taylor amp Francis
bull Doka K (ed) (2002) Disenfranchised Grief New Directions Challenges and Strategies for Practice New York Research Press
bull Erikson E H (1950) Childhood and society W W Norton amp Co
References
For Reference Only Not For Distribution
When the webinar ends you will automatically be redirected to the post-activity survey You must fill this survey out to receive your CECME certificate
bull Felsenthal E (Ed) (2018) The Science of Laughter [Special issue] TIME
bull Goodrich J Harrison T Cornwell J Resilience a framework supporting hospice staff to flourish in stressful times Hospice UK 2015 Available from httpwwwhospiceukorgpublications
bull Kissane D W (2001) Demoralization syndrome ndash A relevant pscychiatric diagnosis for palliative care Journal of Palliative Care 17 12-21
bull Levetown M and Orloff S (2014) Ethical issues in the care of infants children and adolescents In T W Kirk amp B Jennings (Eds) Hospice Ethics Policy and Practice in Palliative Care 121-143
bull Munley P H (1975) Erik Eriksons theory of psychosocial development and vocational behavior Journal of Counseling Psychology 22(4) 314ndash319
bull Neimeyer R A (2012) Techniques of grief therapy Creative practices for counseling the bereaved New York Routledge
References
For Reference Only Not For Distribution
When the webinar ends you will automatically be redirected to the post-activity survey You must fill this survey out to receive your CECME certificate
bull Sandberg S and Grant A (2017) Option B Facing Adversity Building Resilience and Finding Joy New York Alfred A Knopf
bull Wadsworth B J (1971) Piagets theory of cognitive development An introduction for students of psychology and education New York McKay
bull Worden J W (2002) Grief counseling and grief therapy A handbook for the mental health practitioner New York Springer Pub
bull Loewenstein George (2020 April 1) lsquoReplace the term social distancing with spatial distancingrsquo A behavioral economist on the psychological toll of endless waiting during the coronavirus pandemic wwwmarketwatchcom
bull Kelemen Anne et all (2020) Specific phrases amp word choices that can be helpful when dealing with COVID19 wwwseriousillnessconversationsorg
References
For Reference Only Not For Distribution
Seasons Hospice amp Palliative Care
All contents of this presentation including imagesare the property of Seasons Hospice amp Palliative Care
and are not to be downloaded reproducedor used elsewhere without permission
wwwseasonsorg
For Reference Only Not For Distribution
Declarations
bull This program is provided to you by Seasons Hospice amp Palliative
Care
bull There is no commercial support for this educational event
bull The speaker declares that they are an employee of Seasons Hospice
amp Palliative Care which provides the service described herein
bull Planners presenters faculty authors and content reviewers declare
no conflict of interest
bull Approval by ANCCASWB does not indicate endorsement of any
products
For Reference Only Not For Distribution
Hospice amp CoronavirusDisclaimer
Please note Seasons Hospice is dedicated to providing the most up to date
information related to the Coronavirus With the rapidly changing daily evolution of
this situation it is recommended that attendees follow up with the CDC (Centers for
Disease Control) and WHO (World Health Organization) websites for the most up to
date information
Objectives
1 Participants will distinguish differences between social distancing spatial distancing and emotional distancing
2 Participants will describe potential risk areas (emotional physical cognitive spiritual) for patients and families and their relationship to trauma and complicated grief responses
3 Participants will discover creative ways to mitigate the implications of social distancing and recognize capacity to overcome barriers to care
For Reference Only Not For Distribution
Distancing What Is It
Social spatial and emotional distancing are all different methods in which individuals separate themselves either physically mentally or spiritually from others
For Reference Only Not For Distribution
What is Social Distancing
A public health intervention aimed at avoiding face to face contact with others and limiting self and others to disease transmission
For Reference Only Not For Distribution
What is Spatial Distancing
A conscious awareness of remaining a certain number of feet or physical distance from others Also a public health intervention aimed at reducing disease outbreaks by limiting groups from congregating
For Reference Only Not For Distribution
What is Emotional Distancing
A maladaptive or adaptive coping mechanism depending on the circumstances in which emotional distancing is occurring and the personal effects
This can occur intentionally or unintentionally when someone begins to remove their heart from a person or situation and the bond weakens over time
For Reference Only Not For Distribution
Risks Distancing
bull Increase depression anxiety and PTSD
bull Exacerbated symptoms
bull History of mental health at higher risk
bull Triggers of past trauma
bull Maladaptive coping mechanism
bull Complicated grief and bereavement
bull Isolation can trigger many negative emotions and cause trauma responses
For Reference Only Not For Distribution
Risk for Cognitive Health and Functioning
bullPrior history of mental health is correlated to poor cognitive baseline
bullIncrease in feelings of loneliness
bullOften multiple co-occurring mental health concerns
For Reference Only Not For Distribution
Risk for Spiritual Beliefs
bullOften will question beliefs and challenge belief systems
For Reference Only Not For Distribution
Implications at End of Life Traumatic Loss
bullUnable to reach life-closure goals
bullGuilt regret shame
bullExacerbated trauma responses
For Reference Only Not For Distribution
Implications of Social Distancing and Overcoming Barriers to Care
Interventions for providers
For Reference Only Not For Distribution
Interventions Via Virtual Platforms
bullMitigate andor decrease symptoms related to depression
bullPsychoeducation
bullBuild community
bullMaintain patient amp family-centered care
For Reference Only Not For Distribution
Therapy Interventions
bull Psychotherapy and Pharmacotherapy
bull Family therapy play therapy or problem-solving therapy for children
bull Life-review and group therapy
bull Legacy
bull Peer support groups
bull Preservation of rituals
For Reference Only Not For Distribution
Interventions for Children
bull Structure and routine
bull Play Therapy
bull Music Therapy
bull Art Therapy
bull Child Life
bull Spiritual Care
bull Creative ArtsExpressive Therapies
bull Distraction All require board-certification andor licensure
For Reference Only Not For Distribution
Physical Interventions and Mindfulness
bullReiki
bullMeditation
bullYoga Pranayama (Breath Exercises)
bullCreative Arts
bullBody Movement Dance
bull Journaling
bullCentering
For Reference Only Not For Distribution
Legacy interventions
bullLife-review
bullLegacy Projects
bull Spiritual Interventions
bull I canrsquot get to the bedside now what
For Reference Only Not For Distribution
All members of the hospice interdisciplinary team are critical to care
delivery during the COVID-19 pandemic
For Reference Only Not For Distribution
Hospice Support System (Internal)bull To ensure that we can support our patients and families Seasons
has taken the following measures oOrdered additional PPE supplies that can be deployed to our sites in
addition to their current inventory to be used when warranted
oCreated an internal Coronavirus educational platform for our staff to access the latest Seasons CDC and WHO updates and recommendations for their programs
oEstablished a dedicated response team that is consistently monitoring the situation to determine if additional steps are needed and answer questions from staff and facility partners in real time
oCreated a COVID-19 Risk amp Response Emergency Plan to guide screening testing reporting and infection control practices using CDC guidelines
For Reference Only Not For Distribution
Seasons Support of Community Partners
bull Seasons Hospice employees will have most up-to-date information to support our partners in hospice care
bull Help deliver supplies for patients
bull Coordinate patient updates virtually (phone text email) with referral sources and facility administrators
bull Obtain consents lsquooffsitersquo where appropriate
bull Deliver free CEs to healthcare workers in the communities
bull Deliver free education seminars to the community via social media
For Reference Only Not For Distribution
ReferencesWhen the webinar ends you will automatically be redirected to the post-activity survey You must fill this survey out to receive your CECME certificate
bull Centers for Disease Control and Prevention (2020) Coronavirus disease 2019 (COVID-19) and you
bull Damianakis T Coyle JP Stergiou CL Searching for more Spirituality for older adult couples seeking enhanced relationship quality Journal of Religion Spirituality amp Aging Volume 32 25-44 2020
bull Dooley CM Carroll B Fry LE Seamon-Lahiff G Bartone PT A Model for Supporting Grief Recovery Following Traumatic Loss The Tragedy Assistance Program for Survivors (TAPS) Military Medicine Volume 184 Volume7-8 166ndash170 2019
bull Helbert K The Chakras in Grief and Trauma A Tantric Guide to Energetic Wholeness (2019)
bull Lundquist A Gurung Regan A R Social Distancing Individuals With Depression The Impact of Symptom Severity Psi Chi Journal of Psychological Research 159-205 2019
For Reference Only Not For Distribution
When the webinar ends you will automatically be redirected to the post-activity survey You must fill this survey out to receive your CECME certificate
bull Mahase E Covid-19 UK starts social distancing after new model points to 260 000 potential deaths BMJ 1-12 2020
bull McQuiad JR Clinical Practice Guideline for the Treatment of Depression Across Three Age Cohorts American Psychological Association 1-213 2019
bull OrsquoBrien K OrsquoKeeffe Cullen H Durcan A Timulak L amp McElvaney J Emotion-focused perspective on generalized anxiety disorder A qualitative analysis of clientsrsquo in-session presentations Psychotherapy Research Volume 29 524-540 2017
bull Reyes AM Aging Households Encyclopedia of Gerontology and Population Aging 101007978-3-319-69892-2_316-1 1-6 2019
bull Wang Y Lippke S Miao M amp Gan Y Restoring meaning in life by meaning‐focused coping The role of self‐distancing Psych Journal Stress-Related Health Outcome Volume 8
3 386-396 2019
References
For Reference Only Not For Distribution
When the webinar ends you will automatically be redirected to the post-activity survey You must fill this survey out to receive your CECME certificate
bull Bowlby J (1963) Pathological mourning and childhood mourning Journal of the American Psychoanalytic Association 11 500-541
bull Bowlby J (1980) Attachment and loss New York NY Basic Books
bull Ira Byock (1998) Dying well Peace and possibilities at the end of life New York Riverhead Books
bull Childrens Project on PalliativeHospice Services (2017 August) Spiritual care of children and their families ChiPPS E-Journal 48
bull Davis B (1999) Shadows in the sun The experience of sibling bereavement in childhood Philadelphia PA Taylor amp Francis
bull Doka K (ed) (2002) Disenfranchised Grief New Directions Challenges and Strategies for Practice New York Research Press
bull Erikson E H (1950) Childhood and society W W Norton amp Co
References
For Reference Only Not For Distribution
When the webinar ends you will automatically be redirected to the post-activity survey You must fill this survey out to receive your CECME certificate
bull Felsenthal E (Ed) (2018) The Science of Laughter [Special issue] TIME
bull Goodrich J Harrison T Cornwell J Resilience a framework supporting hospice staff to flourish in stressful times Hospice UK 2015 Available from httpwwwhospiceukorgpublications
bull Kissane D W (2001) Demoralization syndrome ndash A relevant pscychiatric diagnosis for palliative care Journal of Palliative Care 17 12-21
bull Levetown M and Orloff S (2014) Ethical issues in the care of infants children and adolescents In T W Kirk amp B Jennings (Eds) Hospice Ethics Policy and Practice in Palliative Care 121-143
bull Munley P H (1975) Erik Eriksons theory of psychosocial development and vocational behavior Journal of Counseling Psychology 22(4) 314ndash319
bull Neimeyer R A (2012) Techniques of grief therapy Creative practices for counseling the bereaved New York Routledge
References
For Reference Only Not For Distribution
When the webinar ends you will automatically be redirected to the post-activity survey You must fill this survey out to receive your CECME certificate
bull Sandberg S and Grant A (2017) Option B Facing Adversity Building Resilience and Finding Joy New York Alfred A Knopf
bull Wadsworth B J (1971) Piagets theory of cognitive development An introduction for students of psychology and education New York McKay
bull Worden J W (2002) Grief counseling and grief therapy A handbook for the mental health practitioner New York Springer Pub
bull Loewenstein George (2020 April 1) lsquoReplace the term social distancing with spatial distancingrsquo A behavioral economist on the psychological toll of endless waiting during the coronavirus pandemic wwwmarketwatchcom
bull Kelemen Anne et all (2020) Specific phrases amp word choices that can be helpful when dealing with COVID19 wwwseriousillnessconversationsorg
References
For Reference Only Not For Distribution
Seasons Hospice amp Palliative Care
All contents of this presentation including imagesare the property of Seasons Hospice amp Palliative Care
and are not to be downloaded reproducedor used elsewhere without permission
wwwseasonsorg
For Reference Only Not For Distribution
Hospice amp CoronavirusDisclaimer
Please note Seasons Hospice is dedicated to providing the most up to date
information related to the Coronavirus With the rapidly changing daily evolution of
this situation it is recommended that attendees follow up with the CDC (Centers for
Disease Control) and WHO (World Health Organization) websites for the most up to
date information
Objectives
1 Participants will distinguish differences between social distancing spatial distancing and emotional distancing
2 Participants will describe potential risk areas (emotional physical cognitive spiritual) for patients and families and their relationship to trauma and complicated grief responses
3 Participants will discover creative ways to mitigate the implications of social distancing and recognize capacity to overcome barriers to care
For Reference Only Not For Distribution
Distancing What Is It
Social spatial and emotional distancing are all different methods in which individuals separate themselves either physically mentally or spiritually from others
For Reference Only Not For Distribution
What is Social Distancing
A public health intervention aimed at avoiding face to face contact with others and limiting self and others to disease transmission
For Reference Only Not For Distribution
What is Spatial Distancing
A conscious awareness of remaining a certain number of feet or physical distance from others Also a public health intervention aimed at reducing disease outbreaks by limiting groups from congregating
For Reference Only Not For Distribution
What is Emotional Distancing
A maladaptive or adaptive coping mechanism depending on the circumstances in which emotional distancing is occurring and the personal effects
This can occur intentionally or unintentionally when someone begins to remove their heart from a person or situation and the bond weakens over time
For Reference Only Not For Distribution
Risks Distancing
bull Increase depression anxiety and PTSD
bull Exacerbated symptoms
bull History of mental health at higher risk
bull Triggers of past trauma
bull Maladaptive coping mechanism
bull Complicated grief and bereavement
bull Isolation can trigger many negative emotions and cause trauma responses
For Reference Only Not For Distribution
Risk for Cognitive Health and Functioning
bullPrior history of mental health is correlated to poor cognitive baseline
bullIncrease in feelings of loneliness
bullOften multiple co-occurring mental health concerns
For Reference Only Not For Distribution
Risk for Spiritual Beliefs
bullOften will question beliefs and challenge belief systems
For Reference Only Not For Distribution
Implications at End of Life Traumatic Loss
bullUnable to reach life-closure goals
bullGuilt regret shame
bullExacerbated trauma responses
For Reference Only Not For Distribution
Implications of Social Distancing and Overcoming Barriers to Care
Interventions for providers
For Reference Only Not For Distribution
Interventions Via Virtual Platforms
bullMitigate andor decrease symptoms related to depression
bullPsychoeducation
bullBuild community
bullMaintain patient amp family-centered care
For Reference Only Not For Distribution
Therapy Interventions
bull Psychotherapy and Pharmacotherapy
bull Family therapy play therapy or problem-solving therapy for children
bull Life-review and group therapy
bull Legacy
bull Peer support groups
bull Preservation of rituals
For Reference Only Not For Distribution
Interventions for Children
bull Structure and routine
bull Play Therapy
bull Music Therapy
bull Art Therapy
bull Child Life
bull Spiritual Care
bull Creative ArtsExpressive Therapies
bull Distraction All require board-certification andor licensure
For Reference Only Not For Distribution
Physical Interventions and Mindfulness
bullReiki
bullMeditation
bullYoga Pranayama (Breath Exercises)
bullCreative Arts
bullBody Movement Dance
bull Journaling
bullCentering
For Reference Only Not For Distribution
Legacy interventions
bullLife-review
bullLegacy Projects
bull Spiritual Interventions
bull I canrsquot get to the bedside now what
For Reference Only Not For Distribution
All members of the hospice interdisciplinary team are critical to care
delivery during the COVID-19 pandemic
For Reference Only Not For Distribution
Hospice Support System (Internal)bull To ensure that we can support our patients and families Seasons
has taken the following measures oOrdered additional PPE supplies that can be deployed to our sites in
addition to their current inventory to be used when warranted
oCreated an internal Coronavirus educational platform for our staff to access the latest Seasons CDC and WHO updates and recommendations for their programs
oEstablished a dedicated response team that is consistently monitoring the situation to determine if additional steps are needed and answer questions from staff and facility partners in real time
oCreated a COVID-19 Risk amp Response Emergency Plan to guide screening testing reporting and infection control practices using CDC guidelines
For Reference Only Not For Distribution
Seasons Support of Community Partners
bull Seasons Hospice employees will have most up-to-date information to support our partners in hospice care
bull Help deliver supplies for patients
bull Coordinate patient updates virtually (phone text email) with referral sources and facility administrators
bull Obtain consents lsquooffsitersquo where appropriate
bull Deliver free CEs to healthcare workers in the communities
bull Deliver free education seminars to the community via social media
For Reference Only Not For Distribution
ReferencesWhen the webinar ends you will automatically be redirected to the post-activity survey You must fill this survey out to receive your CECME certificate
bull Centers for Disease Control and Prevention (2020) Coronavirus disease 2019 (COVID-19) and you
bull Damianakis T Coyle JP Stergiou CL Searching for more Spirituality for older adult couples seeking enhanced relationship quality Journal of Religion Spirituality amp Aging Volume 32 25-44 2020
bull Dooley CM Carroll B Fry LE Seamon-Lahiff G Bartone PT A Model for Supporting Grief Recovery Following Traumatic Loss The Tragedy Assistance Program for Survivors (TAPS) Military Medicine Volume 184 Volume7-8 166ndash170 2019
bull Helbert K The Chakras in Grief and Trauma A Tantric Guide to Energetic Wholeness (2019)
bull Lundquist A Gurung Regan A R Social Distancing Individuals With Depression The Impact of Symptom Severity Psi Chi Journal of Psychological Research 159-205 2019
For Reference Only Not For Distribution
When the webinar ends you will automatically be redirected to the post-activity survey You must fill this survey out to receive your CECME certificate
bull Mahase E Covid-19 UK starts social distancing after new model points to 260 000 potential deaths BMJ 1-12 2020
bull McQuiad JR Clinical Practice Guideline for the Treatment of Depression Across Three Age Cohorts American Psychological Association 1-213 2019
bull OrsquoBrien K OrsquoKeeffe Cullen H Durcan A Timulak L amp McElvaney J Emotion-focused perspective on generalized anxiety disorder A qualitative analysis of clientsrsquo in-session presentations Psychotherapy Research Volume 29 524-540 2017
bull Reyes AM Aging Households Encyclopedia of Gerontology and Population Aging 101007978-3-319-69892-2_316-1 1-6 2019
bull Wang Y Lippke S Miao M amp Gan Y Restoring meaning in life by meaning‐focused coping The role of self‐distancing Psych Journal Stress-Related Health Outcome Volume 8
3 386-396 2019
References
For Reference Only Not For Distribution
When the webinar ends you will automatically be redirected to the post-activity survey You must fill this survey out to receive your CECME certificate
bull Bowlby J (1963) Pathological mourning and childhood mourning Journal of the American Psychoanalytic Association 11 500-541
bull Bowlby J (1980) Attachment and loss New York NY Basic Books
bull Ira Byock (1998) Dying well Peace and possibilities at the end of life New York Riverhead Books
bull Childrens Project on PalliativeHospice Services (2017 August) Spiritual care of children and their families ChiPPS E-Journal 48
bull Davis B (1999) Shadows in the sun The experience of sibling bereavement in childhood Philadelphia PA Taylor amp Francis
bull Doka K (ed) (2002) Disenfranchised Grief New Directions Challenges and Strategies for Practice New York Research Press
bull Erikson E H (1950) Childhood and society W W Norton amp Co
References
For Reference Only Not For Distribution
When the webinar ends you will automatically be redirected to the post-activity survey You must fill this survey out to receive your CECME certificate
bull Felsenthal E (Ed) (2018) The Science of Laughter [Special issue] TIME
bull Goodrich J Harrison T Cornwell J Resilience a framework supporting hospice staff to flourish in stressful times Hospice UK 2015 Available from httpwwwhospiceukorgpublications
bull Kissane D W (2001) Demoralization syndrome ndash A relevant pscychiatric diagnosis for palliative care Journal of Palliative Care 17 12-21
bull Levetown M and Orloff S (2014) Ethical issues in the care of infants children and adolescents In T W Kirk amp B Jennings (Eds) Hospice Ethics Policy and Practice in Palliative Care 121-143
bull Munley P H (1975) Erik Eriksons theory of psychosocial development and vocational behavior Journal of Counseling Psychology 22(4) 314ndash319
bull Neimeyer R A (2012) Techniques of grief therapy Creative practices for counseling the bereaved New York Routledge
References
For Reference Only Not For Distribution
When the webinar ends you will automatically be redirected to the post-activity survey You must fill this survey out to receive your CECME certificate
bull Sandberg S and Grant A (2017) Option B Facing Adversity Building Resilience and Finding Joy New York Alfred A Knopf
bull Wadsworth B J (1971) Piagets theory of cognitive development An introduction for students of psychology and education New York McKay
bull Worden J W (2002) Grief counseling and grief therapy A handbook for the mental health practitioner New York Springer Pub
bull Loewenstein George (2020 April 1) lsquoReplace the term social distancing with spatial distancingrsquo A behavioral economist on the psychological toll of endless waiting during the coronavirus pandemic wwwmarketwatchcom
bull Kelemen Anne et all (2020) Specific phrases amp word choices that can be helpful when dealing with COVID19 wwwseriousillnessconversationsorg
References
For Reference Only Not For Distribution
Seasons Hospice amp Palliative Care
All contents of this presentation including imagesare the property of Seasons Hospice amp Palliative Care
and are not to be downloaded reproducedor used elsewhere without permission
wwwseasonsorg
Objectives
1 Participants will distinguish differences between social distancing spatial distancing and emotional distancing
2 Participants will describe potential risk areas (emotional physical cognitive spiritual) for patients and families and their relationship to trauma and complicated grief responses
3 Participants will discover creative ways to mitigate the implications of social distancing and recognize capacity to overcome barriers to care
For Reference Only Not For Distribution
Distancing What Is It
Social spatial and emotional distancing are all different methods in which individuals separate themselves either physically mentally or spiritually from others
For Reference Only Not For Distribution
What is Social Distancing
A public health intervention aimed at avoiding face to face contact with others and limiting self and others to disease transmission
For Reference Only Not For Distribution
What is Spatial Distancing
A conscious awareness of remaining a certain number of feet or physical distance from others Also a public health intervention aimed at reducing disease outbreaks by limiting groups from congregating
For Reference Only Not For Distribution
What is Emotional Distancing
A maladaptive or adaptive coping mechanism depending on the circumstances in which emotional distancing is occurring and the personal effects
This can occur intentionally or unintentionally when someone begins to remove their heart from a person or situation and the bond weakens over time
For Reference Only Not For Distribution
Risks Distancing
bull Increase depression anxiety and PTSD
bull Exacerbated symptoms
bull History of mental health at higher risk
bull Triggers of past trauma
bull Maladaptive coping mechanism
bull Complicated grief and bereavement
bull Isolation can trigger many negative emotions and cause trauma responses
For Reference Only Not For Distribution
Risk for Cognitive Health and Functioning
bullPrior history of mental health is correlated to poor cognitive baseline
bullIncrease in feelings of loneliness
bullOften multiple co-occurring mental health concerns
For Reference Only Not For Distribution
Risk for Spiritual Beliefs
bullOften will question beliefs and challenge belief systems
For Reference Only Not For Distribution
Implications at End of Life Traumatic Loss
bullUnable to reach life-closure goals
bullGuilt regret shame
bullExacerbated trauma responses
For Reference Only Not For Distribution
Implications of Social Distancing and Overcoming Barriers to Care
Interventions for providers
For Reference Only Not For Distribution
Interventions Via Virtual Platforms
bullMitigate andor decrease symptoms related to depression
bullPsychoeducation
bullBuild community
bullMaintain patient amp family-centered care
For Reference Only Not For Distribution
Therapy Interventions
bull Psychotherapy and Pharmacotherapy
bull Family therapy play therapy or problem-solving therapy for children
bull Life-review and group therapy
bull Legacy
bull Peer support groups
bull Preservation of rituals
For Reference Only Not For Distribution
Interventions for Children
bull Structure and routine
bull Play Therapy
bull Music Therapy
bull Art Therapy
bull Child Life
bull Spiritual Care
bull Creative ArtsExpressive Therapies
bull Distraction All require board-certification andor licensure
For Reference Only Not For Distribution
Physical Interventions and Mindfulness
bullReiki
bullMeditation
bullYoga Pranayama (Breath Exercises)
bullCreative Arts
bullBody Movement Dance
bull Journaling
bullCentering
For Reference Only Not For Distribution
Legacy interventions
bullLife-review
bullLegacy Projects
bull Spiritual Interventions
bull I canrsquot get to the bedside now what
For Reference Only Not For Distribution
All members of the hospice interdisciplinary team are critical to care
delivery during the COVID-19 pandemic
For Reference Only Not For Distribution
Hospice Support System (Internal)bull To ensure that we can support our patients and families Seasons
has taken the following measures oOrdered additional PPE supplies that can be deployed to our sites in
addition to their current inventory to be used when warranted
oCreated an internal Coronavirus educational platform for our staff to access the latest Seasons CDC and WHO updates and recommendations for their programs
oEstablished a dedicated response team that is consistently monitoring the situation to determine if additional steps are needed and answer questions from staff and facility partners in real time
oCreated a COVID-19 Risk amp Response Emergency Plan to guide screening testing reporting and infection control practices using CDC guidelines
For Reference Only Not For Distribution
Seasons Support of Community Partners
bull Seasons Hospice employees will have most up-to-date information to support our partners in hospice care
bull Help deliver supplies for patients
bull Coordinate patient updates virtually (phone text email) with referral sources and facility administrators
bull Obtain consents lsquooffsitersquo where appropriate
bull Deliver free CEs to healthcare workers in the communities
bull Deliver free education seminars to the community via social media
For Reference Only Not For Distribution
ReferencesWhen the webinar ends you will automatically be redirected to the post-activity survey You must fill this survey out to receive your CECME certificate
bull Centers for Disease Control and Prevention (2020) Coronavirus disease 2019 (COVID-19) and you
bull Damianakis T Coyle JP Stergiou CL Searching for more Spirituality for older adult couples seeking enhanced relationship quality Journal of Religion Spirituality amp Aging Volume 32 25-44 2020
bull Dooley CM Carroll B Fry LE Seamon-Lahiff G Bartone PT A Model for Supporting Grief Recovery Following Traumatic Loss The Tragedy Assistance Program for Survivors (TAPS) Military Medicine Volume 184 Volume7-8 166ndash170 2019
bull Helbert K The Chakras in Grief and Trauma A Tantric Guide to Energetic Wholeness (2019)
bull Lundquist A Gurung Regan A R Social Distancing Individuals With Depression The Impact of Symptom Severity Psi Chi Journal of Psychological Research 159-205 2019
For Reference Only Not For Distribution
When the webinar ends you will automatically be redirected to the post-activity survey You must fill this survey out to receive your CECME certificate
bull Mahase E Covid-19 UK starts social distancing after new model points to 260 000 potential deaths BMJ 1-12 2020
bull McQuiad JR Clinical Practice Guideline for the Treatment of Depression Across Three Age Cohorts American Psychological Association 1-213 2019
bull OrsquoBrien K OrsquoKeeffe Cullen H Durcan A Timulak L amp McElvaney J Emotion-focused perspective on generalized anxiety disorder A qualitative analysis of clientsrsquo in-session presentations Psychotherapy Research Volume 29 524-540 2017
bull Reyes AM Aging Households Encyclopedia of Gerontology and Population Aging 101007978-3-319-69892-2_316-1 1-6 2019
bull Wang Y Lippke S Miao M amp Gan Y Restoring meaning in life by meaning‐focused coping The role of self‐distancing Psych Journal Stress-Related Health Outcome Volume 8
3 386-396 2019
References
For Reference Only Not For Distribution
When the webinar ends you will automatically be redirected to the post-activity survey You must fill this survey out to receive your CECME certificate
bull Bowlby J (1963) Pathological mourning and childhood mourning Journal of the American Psychoanalytic Association 11 500-541
bull Bowlby J (1980) Attachment and loss New York NY Basic Books
bull Ira Byock (1998) Dying well Peace and possibilities at the end of life New York Riverhead Books
bull Childrens Project on PalliativeHospice Services (2017 August) Spiritual care of children and their families ChiPPS E-Journal 48
bull Davis B (1999) Shadows in the sun The experience of sibling bereavement in childhood Philadelphia PA Taylor amp Francis
bull Doka K (ed) (2002) Disenfranchised Grief New Directions Challenges and Strategies for Practice New York Research Press
bull Erikson E H (1950) Childhood and society W W Norton amp Co
References
For Reference Only Not For Distribution
When the webinar ends you will automatically be redirected to the post-activity survey You must fill this survey out to receive your CECME certificate
bull Felsenthal E (Ed) (2018) The Science of Laughter [Special issue] TIME
bull Goodrich J Harrison T Cornwell J Resilience a framework supporting hospice staff to flourish in stressful times Hospice UK 2015 Available from httpwwwhospiceukorgpublications
bull Kissane D W (2001) Demoralization syndrome ndash A relevant pscychiatric diagnosis for palliative care Journal of Palliative Care 17 12-21
bull Levetown M and Orloff S (2014) Ethical issues in the care of infants children and adolescents In T W Kirk amp B Jennings (Eds) Hospice Ethics Policy and Practice in Palliative Care 121-143
bull Munley P H (1975) Erik Eriksons theory of psychosocial development and vocational behavior Journal of Counseling Psychology 22(4) 314ndash319
bull Neimeyer R A (2012) Techniques of grief therapy Creative practices for counseling the bereaved New York Routledge
References
For Reference Only Not For Distribution
When the webinar ends you will automatically be redirected to the post-activity survey You must fill this survey out to receive your CECME certificate
bull Sandberg S and Grant A (2017) Option B Facing Adversity Building Resilience and Finding Joy New York Alfred A Knopf
bull Wadsworth B J (1971) Piagets theory of cognitive development An introduction for students of psychology and education New York McKay
bull Worden J W (2002) Grief counseling and grief therapy A handbook for the mental health practitioner New York Springer Pub
bull Loewenstein George (2020 April 1) lsquoReplace the term social distancing with spatial distancingrsquo A behavioral economist on the psychological toll of endless waiting during the coronavirus pandemic wwwmarketwatchcom
bull Kelemen Anne et all (2020) Specific phrases amp word choices that can be helpful when dealing with COVID19 wwwseriousillnessconversationsorg
References
For Reference Only Not For Distribution
Seasons Hospice amp Palliative Care
All contents of this presentation including imagesare the property of Seasons Hospice amp Palliative Care
and are not to be downloaded reproducedor used elsewhere without permission
wwwseasonsorg
For Reference Only Not For Distribution
Distancing What Is It
Social spatial and emotional distancing are all different methods in which individuals separate themselves either physically mentally or spiritually from others
For Reference Only Not For Distribution
What is Social Distancing
A public health intervention aimed at avoiding face to face contact with others and limiting self and others to disease transmission
For Reference Only Not For Distribution
What is Spatial Distancing
A conscious awareness of remaining a certain number of feet or physical distance from others Also a public health intervention aimed at reducing disease outbreaks by limiting groups from congregating
For Reference Only Not For Distribution
What is Emotional Distancing
A maladaptive or adaptive coping mechanism depending on the circumstances in which emotional distancing is occurring and the personal effects
This can occur intentionally or unintentionally when someone begins to remove their heart from a person or situation and the bond weakens over time
For Reference Only Not For Distribution
Risks Distancing
bull Increase depression anxiety and PTSD
bull Exacerbated symptoms
bull History of mental health at higher risk
bull Triggers of past trauma
bull Maladaptive coping mechanism
bull Complicated grief and bereavement
bull Isolation can trigger many negative emotions and cause trauma responses
For Reference Only Not For Distribution
Risk for Cognitive Health and Functioning
bullPrior history of mental health is correlated to poor cognitive baseline
bullIncrease in feelings of loneliness
bullOften multiple co-occurring mental health concerns
For Reference Only Not For Distribution
Risk for Spiritual Beliefs
bullOften will question beliefs and challenge belief systems
For Reference Only Not For Distribution
Implications at End of Life Traumatic Loss
bullUnable to reach life-closure goals
bullGuilt regret shame
bullExacerbated trauma responses
For Reference Only Not For Distribution
Implications of Social Distancing and Overcoming Barriers to Care
Interventions for providers
For Reference Only Not For Distribution
Interventions Via Virtual Platforms
bullMitigate andor decrease symptoms related to depression
bullPsychoeducation
bullBuild community
bullMaintain patient amp family-centered care
For Reference Only Not For Distribution
Therapy Interventions
bull Psychotherapy and Pharmacotherapy
bull Family therapy play therapy or problem-solving therapy for children
bull Life-review and group therapy
bull Legacy
bull Peer support groups
bull Preservation of rituals
For Reference Only Not For Distribution
Interventions for Children
bull Structure and routine
bull Play Therapy
bull Music Therapy
bull Art Therapy
bull Child Life
bull Spiritual Care
bull Creative ArtsExpressive Therapies
bull Distraction All require board-certification andor licensure
For Reference Only Not For Distribution
Physical Interventions and Mindfulness
bullReiki
bullMeditation
bullYoga Pranayama (Breath Exercises)
bullCreative Arts
bullBody Movement Dance
bull Journaling
bullCentering
For Reference Only Not For Distribution
Legacy interventions
bullLife-review
bullLegacy Projects
bull Spiritual Interventions
bull I canrsquot get to the bedside now what
For Reference Only Not For Distribution
All members of the hospice interdisciplinary team are critical to care
delivery during the COVID-19 pandemic
For Reference Only Not For Distribution
Hospice Support System (Internal)bull To ensure that we can support our patients and families Seasons
has taken the following measures oOrdered additional PPE supplies that can be deployed to our sites in
addition to their current inventory to be used when warranted
oCreated an internal Coronavirus educational platform for our staff to access the latest Seasons CDC and WHO updates and recommendations for their programs
oEstablished a dedicated response team that is consistently monitoring the situation to determine if additional steps are needed and answer questions from staff and facility partners in real time
oCreated a COVID-19 Risk amp Response Emergency Plan to guide screening testing reporting and infection control practices using CDC guidelines
For Reference Only Not For Distribution
Seasons Support of Community Partners
bull Seasons Hospice employees will have most up-to-date information to support our partners in hospice care
bull Help deliver supplies for patients
bull Coordinate patient updates virtually (phone text email) with referral sources and facility administrators
bull Obtain consents lsquooffsitersquo where appropriate
bull Deliver free CEs to healthcare workers in the communities
bull Deliver free education seminars to the community via social media
For Reference Only Not For Distribution
ReferencesWhen the webinar ends you will automatically be redirected to the post-activity survey You must fill this survey out to receive your CECME certificate
bull Centers for Disease Control and Prevention (2020) Coronavirus disease 2019 (COVID-19) and you
bull Damianakis T Coyle JP Stergiou CL Searching for more Spirituality for older adult couples seeking enhanced relationship quality Journal of Religion Spirituality amp Aging Volume 32 25-44 2020
bull Dooley CM Carroll B Fry LE Seamon-Lahiff G Bartone PT A Model for Supporting Grief Recovery Following Traumatic Loss The Tragedy Assistance Program for Survivors (TAPS) Military Medicine Volume 184 Volume7-8 166ndash170 2019
bull Helbert K The Chakras in Grief and Trauma A Tantric Guide to Energetic Wholeness (2019)
bull Lundquist A Gurung Regan A R Social Distancing Individuals With Depression The Impact of Symptom Severity Psi Chi Journal of Psychological Research 159-205 2019
For Reference Only Not For Distribution
When the webinar ends you will automatically be redirected to the post-activity survey You must fill this survey out to receive your CECME certificate
bull Mahase E Covid-19 UK starts social distancing after new model points to 260 000 potential deaths BMJ 1-12 2020
bull McQuiad JR Clinical Practice Guideline for the Treatment of Depression Across Three Age Cohorts American Psychological Association 1-213 2019
bull OrsquoBrien K OrsquoKeeffe Cullen H Durcan A Timulak L amp McElvaney J Emotion-focused perspective on generalized anxiety disorder A qualitative analysis of clientsrsquo in-session presentations Psychotherapy Research Volume 29 524-540 2017
bull Reyes AM Aging Households Encyclopedia of Gerontology and Population Aging 101007978-3-319-69892-2_316-1 1-6 2019
bull Wang Y Lippke S Miao M amp Gan Y Restoring meaning in life by meaning‐focused coping The role of self‐distancing Psych Journal Stress-Related Health Outcome Volume 8
3 386-396 2019
References
For Reference Only Not For Distribution
When the webinar ends you will automatically be redirected to the post-activity survey You must fill this survey out to receive your CECME certificate
bull Bowlby J (1963) Pathological mourning and childhood mourning Journal of the American Psychoanalytic Association 11 500-541
bull Bowlby J (1980) Attachment and loss New York NY Basic Books
bull Ira Byock (1998) Dying well Peace and possibilities at the end of life New York Riverhead Books
bull Childrens Project on PalliativeHospice Services (2017 August) Spiritual care of children and their families ChiPPS E-Journal 48
bull Davis B (1999) Shadows in the sun The experience of sibling bereavement in childhood Philadelphia PA Taylor amp Francis
bull Doka K (ed) (2002) Disenfranchised Grief New Directions Challenges and Strategies for Practice New York Research Press
bull Erikson E H (1950) Childhood and society W W Norton amp Co
References
For Reference Only Not For Distribution
When the webinar ends you will automatically be redirected to the post-activity survey You must fill this survey out to receive your CECME certificate
bull Felsenthal E (Ed) (2018) The Science of Laughter [Special issue] TIME
bull Goodrich J Harrison T Cornwell J Resilience a framework supporting hospice staff to flourish in stressful times Hospice UK 2015 Available from httpwwwhospiceukorgpublications
bull Kissane D W (2001) Demoralization syndrome ndash A relevant pscychiatric diagnosis for palliative care Journal of Palliative Care 17 12-21
bull Levetown M and Orloff S (2014) Ethical issues in the care of infants children and adolescents In T W Kirk amp B Jennings (Eds) Hospice Ethics Policy and Practice in Palliative Care 121-143
bull Munley P H (1975) Erik Eriksons theory of psychosocial development and vocational behavior Journal of Counseling Psychology 22(4) 314ndash319
bull Neimeyer R A (2012) Techniques of grief therapy Creative practices for counseling the bereaved New York Routledge
References
For Reference Only Not For Distribution
When the webinar ends you will automatically be redirected to the post-activity survey You must fill this survey out to receive your CECME certificate
bull Sandberg S and Grant A (2017) Option B Facing Adversity Building Resilience and Finding Joy New York Alfred A Knopf
bull Wadsworth B J (1971) Piagets theory of cognitive development An introduction for students of psychology and education New York McKay
bull Worden J W (2002) Grief counseling and grief therapy A handbook for the mental health practitioner New York Springer Pub
bull Loewenstein George (2020 April 1) lsquoReplace the term social distancing with spatial distancingrsquo A behavioral economist on the psychological toll of endless waiting during the coronavirus pandemic wwwmarketwatchcom
bull Kelemen Anne et all (2020) Specific phrases amp word choices that can be helpful when dealing with COVID19 wwwseriousillnessconversationsorg
References
For Reference Only Not For Distribution
Seasons Hospice amp Palliative Care
All contents of this presentation including imagesare the property of Seasons Hospice amp Palliative Care
and are not to be downloaded reproducedor used elsewhere without permission
wwwseasonsorg
For Reference Only Not For Distribution
What is Social Distancing
A public health intervention aimed at avoiding face to face contact with others and limiting self and others to disease transmission
For Reference Only Not For Distribution
What is Spatial Distancing
A conscious awareness of remaining a certain number of feet or physical distance from others Also a public health intervention aimed at reducing disease outbreaks by limiting groups from congregating
For Reference Only Not For Distribution
What is Emotional Distancing
A maladaptive or adaptive coping mechanism depending on the circumstances in which emotional distancing is occurring and the personal effects
This can occur intentionally or unintentionally when someone begins to remove their heart from a person or situation and the bond weakens over time
For Reference Only Not For Distribution
Risks Distancing
bull Increase depression anxiety and PTSD
bull Exacerbated symptoms
bull History of mental health at higher risk
bull Triggers of past trauma
bull Maladaptive coping mechanism
bull Complicated grief and bereavement
bull Isolation can trigger many negative emotions and cause trauma responses
For Reference Only Not For Distribution
Risk for Cognitive Health and Functioning
bullPrior history of mental health is correlated to poor cognitive baseline
bullIncrease in feelings of loneliness
bullOften multiple co-occurring mental health concerns
For Reference Only Not For Distribution
Risk for Spiritual Beliefs
bullOften will question beliefs and challenge belief systems
For Reference Only Not For Distribution
Implications at End of Life Traumatic Loss
bullUnable to reach life-closure goals
bullGuilt regret shame
bullExacerbated trauma responses
For Reference Only Not For Distribution
Implications of Social Distancing and Overcoming Barriers to Care
Interventions for providers
For Reference Only Not For Distribution
Interventions Via Virtual Platforms
bullMitigate andor decrease symptoms related to depression
bullPsychoeducation
bullBuild community
bullMaintain patient amp family-centered care
For Reference Only Not For Distribution
Therapy Interventions
bull Psychotherapy and Pharmacotherapy
bull Family therapy play therapy or problem-solving therapy for children
bull Life-review and group therapy
bull Legacy
bull Peer support groups
bull Preservation of rituals
For Reference Only Not For Distribution
Interventions for Children
bull Structure and routine
bull Play Therapy
bull Music Therapy
bull Art Therapy
bull Child Life
bull Spiritual Care
bull Creative ArtsExpressive Therapies
bull Distraction All require board-certification andor licensure
For Reference Only Not For Distribution
Physical Interventions and Mindfulness
bullReiki
bullMeditation
bullYoga Pranayama (Breath Exercises)
bullCreative Arts
bullBody Movement Dance
bull Journaling
bullCentering
For Reference Only Not For Distribution
Legacy interventions
bullLife-review
bullLegacy Projects
bull Spiritual Interventions
bull I canrsquot get to the bedside now what
For Reference Only Not For Distribution
All members of the hospice interdisciplinary team are critical to care
delivery during the COVID-19 pandemic
For Reference Only Not For Distribution
Hospice Support System (Internal)bull To ensure that we can support our patients and families Seasons
has taken the following measures oOrdered additional PPE supplies that can be deployed to our sites in
addition to their current inventory to be used when warranted
oCreated an internal Coronavirus educational platform for our staff to access the latest Seasons CDC and WHO updates and recommendations for their programs
oEstablished a dedicated response team that is consistently monitoring the situation to determine if additional steps are needed and answer questions from staff and facility partners in real time
oCreated a COVID-19 Risk amp Response Emergency Plan to guide screening testing reporting and infection control practices using CDC guidelines
For Reference Only Not For Distribution
Seasons Support of Community Partners
bull Seasons Hospice employees will have most up-to-date information to support our partners in hospice care
bull Help deliver supplies for patients
bull Coordinate patient updates virtually (phone text email) with referral sources and facility administrators
bull Obtain consents lsquooffsitersquo where appropriate
bull Deliver free CEs to healthcare workers in the communities
bull Deliver free education seminars to the community via social media
For Reference Only Not For Distribution
ReferencesWhen the webinar ends you will automatically be redirected to the post-activity survey You must fill this survey out to receive your CECME certificate
bull Centers for Disease Control and Prevention (2020) Coronavirus disease 2019 (COVID-19) and you
bull Damianakis T Coyle JP Stergiou CL Searching for more Spirituality for older adult couples seeking enhanced relationship quality Journal of Religion Spirituality amp Aging Volume 32 25-44 2020
bull Dooley CM Carroll B Fry LE Seamon-Lahiff G Bartone PT A Model for Supporting Grief Recovery Following Traumatic Loss The Tragedy Assistance Program for Survivors (TAPS) Military Medicine Volume 184 Volume7-8 166ndash170 2019
bull Helbert K The Chakras in Grief and Trauma A Tantric Guide to Energetic Wholeness (2019)
bull Lundquist A Gurung Regan A R Social Distancing Individuals With Depression The Impact of Symptom Severity Psi Chi Journal of Psychological Research 159-205 2019
For Reference Only Not For Distribution
When the webinar ends you will automatically be redirected to the post-activity survey You must fill this survey out to receive your CECME certificate
bull Mahase E Covid-19 UK starts social distancing after new model points to 260 000 potential deaths BMJ 1-12 2020
bull McQuiad JR Clinical Practice Guideline for the Treatment of Depression Across Three Age Cohorts American Psychological Association 1-213 2019
bull OrsquoBrien K OrsquoKeeffe Cullen H Durcan A Timulak L amp McElvaney J Emotion-focused perspective on generalized anxiety disorder A qualitative analysis of clientsrsquo in-session presentations Psychotherapy Research Volume 29 524-540 2017
bull Reyes AM Aging Households Encyclopedia of Gerontology and Population Aging 101007978-3-319-69892-2_316-1 1-6 2019
bull Wang Y Lippke S Miao M amp Gan Y Restoring meaning in life by meaning‐focused coping The role of self‐distancing Psych Journal Stress-Related Health Outcome Volume 8
3 386-396 2019
References
For Reference Only Not For Distribution
When the webinar ends you will automatically be redirected to the post-activity survey You must fill this survey out to receive your CECME certificate
bull Bowlby J (1963) Pathological mourning and childhood mourning Journal of the American Psychoanalytic Association 11 500-541
bull Bowlby J (1980) Attachment and loss New York NY Basic Books
bull Ira Byock (1998) Dying well Peace and possibilities at the end of life New York Riverhead Books
bull Childrens Project on PalliativeHospice Services (2017 August) Spiritual care of children and their families ChiPPS E-Journal 48
bull Davis B (1999) Shadows in the sun The experience of sibling bereavement in childhood Philadelphia PA Taylor amp Francis
bull Doka K (ed) (2002) Disenfranchised Grief New Directions Challenges and Strategies for Practice New York Research Press
bull Erikson E H (1950) Childhood and society W W Norton amp Co
References
For Reference Only Not For Distribution
When the webinar ends you will automatically be redirected to the post-activity survey You must fill this survey out to receive your CECME certificate
bull Felsenthal E (Ed) (2018) The Science of Laughter [Special issue] TIME
bull Goodrich J Harrison T Cornwell J Resilience a framework supporting hospice staff to flourish in stressful times Hospice UK 2015 Available from httpwwwhospiceukorgpublications
bull Kissane D W (2001) Demoralization syndrome ndash A relevant pscychiatric diagnosis for palliative care Journal of Palliative Care 17 12-21
bull Levetown M and Orloff S (2014) Ethical issues in the care of infants children and adolescents In T W Kirk amp B Jennings (Eds) Hospice Ethics Policy and Practice in Palliative Care 121-143
bull Munley P H (1975) Erik Eriksons theory of psychosocial development and vocational behavior Journal of Counseling Psychology 22(4) 314ndash319
bull Neimeyer R A (2012) Techniques of grief therapy Creative practices for counseling the bereaved New York Routledge
References
For Reference Only Not For Distribution
When the webinar ends you will automatically be redirected to the post-activity survey You must fill this survey out to receive your CECME certificate
bull Sandberg S and Grant A (2017) Option B Facing Adversity Building Resilience and Finding Joy New York Alfred A Knopf
bull Wadsworth B J (1971) Piagets theory of cognitive development An introduction for students of psychology and education New York McKay
bull Worden J W (2002) Grief counseling and grief therapy A handbook for the mental health practitioner New York Springer Pub
bull Loewenstein George (2020 April 1) lsquoReplace the term social distancing with spatial distancingrsquo A behavioral economist on the psychological toll of endless waiting during the coronavirus pandemic wwwmarketwatchcom
bull Kelemen Anne et all (2020) Specific phrases amp word choices that can be helpful when dealing with COVID19 wwwseriousillnessconversationsorg
References
For Reference Only Not For Distribution
Seasons Hospice amp Palliative Care
All contents of this presentation including imagesare the property of Seasons Hospice amp Palliative Care
and are not to be downloaded reproducedor used elsewhere without permission
wwwseasonsorg
For Reference Only Not For Distribution
What is Spatial Distancing
A conscious awareness of remaining a certain number of feet or physical distance from others Also a public health intervention aimed at reducing disease outbreaks by limiting groups from congregating
For Reference Only Not For Distribution
What is Emotional Distancing
A maladaptive or adaptive coping mechanism depending on the circumstances in which emotional distancing is occurring and the personal effects
This can occur intentionally or unintentionally when someone begins to remove their heart from a person or situation and the bond weakens over time
For Reference Only Not For Distribution
Risks Distancing
bull Increase depression anxiety and PTSD
bull Exacerbated symptoms
bull History of mental health at higher risk
bull Triggers of past trauma
bull Maladaptive coping mechanism
bull Complicated grief and bereavement
bull Isolation can trigger many negative emotions and cause trauma responses
For Reference Only Not For Distribution
Risk for Cognitive Health and Functioning
bullPrior history of mental health is correlated to poor cognitive baseline
bullIncrease in feelings of loneliness
bullOften multiple co-occurring mental health concerns
For Reference Only Not For Distribution
Risk for Spiritual Beliefs
bullOften will question beliefs and challenge belief systems
For Reference Only Not For Distribution
Implications at End of Life Traumatic Loss
bullUnable to reach life-closure goals
bullGuilt regret shame
bullExacerbated trauma responses
For Reference Only Not For Distribution
Implications of Social Distancing and Overcoming Barriers to Care
Interventions for providers
For Reference Only Not For Distribution
Interventions Via Virtual Platforms
bullMitigate andor decrease symptoms related to depression
bullPsychoeducation
bullBuild community
bullMaintain patient amp family-centered care
For Reference Only Not For Distribution
Therapy Interventions
bull Psychotherapy and Pharmacotherapy
bull Family therapy play therapy or problem-solving therapy for children
bull Life-review and group therapy
bull Legacy
bull Peer support groups
bull Preservation of rituals
For Reference Only Not For Distribution
Interventions for Children
bull Structure and routine
bull Play Therapy
bull Music Therapy
bull Art Therapy
bull Child Life
bull Spiritual Care
bull Creative ArtsExpressive Therapies
bull Distraction All require board-certification andor licensure
For Reference Only Not For Distribution
Physical Interventions and Mindfulness
bullReiki
bullMeditation
bullYoga Pranayama (Breath Exercises)
bullCreative Arts
bullBody Movement Dance
bull Journaling
bullCentering
For Reference Only Not For Distribution
Legacy interventions
bullLife-review
bullLegacy Projects
bull Spiritual Interventions
bull I canrsquot get to the bedside now what
For Reference Only Not For Distribution
All members of the hospice interdisciplinary team are critical to care
delivery during the COVID-19 pandemic
For Reference Only Not For Distribution
Hospice Support System (Internal)bull To ensure that we can support our patients and families Seasons
has taken the following measures oOrdered additional PPE supplies that can be deployed to our sites in
addition to their current inventory to be used when warranted
oCreated an internal Coronavirus educational platform for our staff to access the latest Seasons CDC and WHO updates and recommendations for their programs
oEstablished a dedicated response team that is consistently monitoring the situation to determine if additional steps are needed and answer questions from staff and facility partners in real time
oCreated a COVID-19 Risk amp Response Emergency Plan to guide screening testing reporting and infection control practices using CDC guidelines
For Reference Only Not For Distribution
Seasons Support of Community Partners
bull Seasons Hospice employees will have most up-to-date information to support our partners in hospice care
bull Help deliver supplies for patients
bull Coordinate patient updates virtually (phone text email) with referral sources and facility administrators
bull Obtain consents lsquooffsitersquo where appropriate
bull Deliver free CEs to healthcare workers in the communities
bull Deliver free education seminars to the community via social media
For Reference Only Not For Distribution
ReferencesWhen the webinar ends you will automatically be redirected to the post-activity survey You must fill this survey out to receive your CECME certificate
bull Centers for Disease Control and Prevention (2020) Coronavirus disease 2019 (COVID-19) and you
bull Damianakis T Coyle JP Stergiou CL Searching for more Spirituality for older adult couples seeking enhanced relationship quality Journal of Religion Spirituality amp Aging Volume 32 25-44 2020
bull Dooley CM Carroll B Fry LE Seamon-Lahiff G Bartone PT A Model for Supporting Grief Recovery Following Traumatic Loss The Tragedy Assistance Program for Survivors (TAPS) Military Medicine Volume 184 Volume7-8 166ndash170 2019
bull Helbert K The Chakras in Grief and Trauma A Tantric Guide to Energetic Wholeness (2019)
bull Lundquist A Gurung Regan A R Social Distancing Individuals With Depression The Impact of Symptom Severity Psi Chi Journal of Psychological Research 159-205 2019
For Reference Only Not For Distribution
When the webinar ends you will automatically be redirected to the post-activity survey You must fill this survey out to receive your CECME certificate
bull Mahase E Covid-19 UK starts social distancing after new model points to 260 000 potential deaths BMJ 1-12 2020
bull McQuiad JR Clinical Practice Guideline for the Treatment of Depression Across Three Age Cohorts American Psychological Association 1-213 2019
bull OrsquoBrien K OrsquoKeeffe Cullen H Durcan A Timulak L amp McElvaney J Emotion-focused perspective on generalized anxiety disorder A qualitative analysis of clientsrsquo in-session presentations Psychotherapy Research Volume 29 524-540 2017
bull Reyes AM Aging Households Encyclopedia of Gerontology and Population Aging 101007978-3-319-69892-2_316-1 1-6 2019
bull Wang Y Lippke S Miao M amp Gan Y Restoring meaning in life by meaning‐focused coping The role of self‐distancing Psych Journal Stress-Related Health Outcome Volume 8
3 386-396 2019
References
For Reference Only Not For Distribution
When the webinar ends you will automatically be redirected to the post-activity survey You must fill this survey out to receive your CECME certificate
bull Bowlby J (1963) Pathological mourning and childhood mourning Journal of the American Psychoanalytic Association 11 500-541
bull Bowlby J (1980) Attachment and loss New York NY Basic Books
bull Ira Byock (1998) Dying well Peace and possibilities at the end of life New York Riverhead Books
bull Childrens Project on PalliativeHospice Services (2017 August) Spiritual care of children and their families ChiPPS E-Journal 48
bull Davis B (1999) Shadows in the sun The experience of sibling bereavement in childhood Philadelphia PA Taylor amp Francis
bull Doka K (ed) (2002) Disenfranchised Grief New Directions Challenges and Strategies for Practice New York Research Press
bull Erikson E H (1950) Childhood and society W W Norton amp Co
References
For Reference Only Not For Distribution
When the webinar ends you will automatically be redirected to the post-activity survey You must fill this survey out to receive your CECME certificate
bull Felsenthal E (Ed) (2018) The Science of Laughter [Special issue] TIME
bull Goodrich J Harrison T Cornwell J Resilience a framework supporting hospice staff to flourish in stressful times Hospice UK 2015 Available from httpwwwhospiceukorgpublications
bull Kissane D W (2001) Demoralization syndrome ndash A relevant pscychiatric diagnosis for palliative care Journal of Palliative Care 17 12-21
bull Levetown M and Orloff S (2014) Ethical issues in the care of infants children and adolescents In T W Kirk amp B Jennings (Eds) Hospice Ethics Policy and Practice in Palliative Care 121-143
bull Munley P H (1975) Erik Eriksons theory of psychosocial development and vocational behavior Journal of Counseling Psychology 22(4) 314ndash319
bull Neimeyer R A (2012) Techniques of grief therapy Creative practices for counseling the bereaved New York Routledge
References
For Reference Only Not For Distribution
When the webinar ends you will automatically be redirected to the post-activity survey You must fill this survey out to receive your CECME certificate
bull Sandberg S and Grant A (2017) Option B Facing Adversity Building Resilience and Finding Joy New York Alfred A Knopf
bull Wadsworth B J (1971) Piagets theory of cognitive development An introduction for students of psychology and education New York McKay
bull Worden J W (2002) Grief counseling and grief therapy A handbook for the mental health practitioner New York Springer Pub
bull Loewenstein George (2020 April 1) lsquoReplace the term social distancing with spatial distancingrsquo A behavioral economist on the psychological toll of endless waiting during the coronavirus pandemic wwwmarketwatchcom
bull Kelemen Anne et all (2020) Specific phrases amp word choices that can be helpful when dealing with COVID19 wwwseriousillnessconversationsorg
References
For Reference Only Not For Distribution
Seasons Hospice amp Palliative Care
All contents of this presentation including imagesare the property of Seasons Hospice amp Palliative Care
and are not to be downloaded reproducedor used elsewhere without permission
wwwseasonsorg
For Reference Only Not For Distribution
What is Emotional Distancing
A maladaptive or adaptive coping mechanism depending on the circumstances in which emotional distancing is occurring and the personal effects
This can occur intentionally or unintentionally when someone begins to remove their heart from a person or situation and the bond weakens over time
For Reference Only Not For Distribution
Risks Distancing
bull Increase depression anxiety and PTSD
bull Exacerbated symptoms
bull History of mental health at higher risk
bull Triggers of past trauma
bull Maladaptive coping mechanism
bull Complicated grief and bereavement
bull Isolation can trigger many negative emotions and cause trauma responses
For Reference Only Not For Distribution
Risk for Cognitive Health and Functioning
bullPrior history of mental health is correlated to poor cognitive baseline
bullIncrease in feelings of loneliness
bullOften multiple co-occurring mental health concerns
For Reference Only Not For Distribution
Risk for Spiritual Beliefs
bullOften will question beliefs and challenge belief systems
For Reference Only Not For Distribution
Implications at End of Life Traumatic Loss
bullUnable to reach life-closure goals
bullGuilt regret shame
bullExacerbated trauma responses
For Reference Only Not For Distribution
Implications of Social Distancing and Overcoming Barriers to Care
Interventions for providers
For Reference Only Not For Distribution
Interventions Via Virtual Platforms
bullMitigate andor decrease symptoms related to depression
bullPsychoeducation
bullBuild community
bullMaintain patient amp family-centered care
For Reference Only Not For Distribution
Therapy Interventions
bull Psychotherapy and Pharmacotherapy
bull Family therapy play therapy or problem-solving therapy for children
bull Life-review and group therapy
bull Legacy
bull Peer support groups
bull Preservation of rituals
For Reference Only Not For Distribution
Interventions for Children
bull Structure and routine
bull Play Therapy
bull Music Therapy
bull Art Therapy
bull Child Life
bull Spiritual Care
bull Creative ArtsExpressive Therapies
bull Distraction All require board-certification andor licensure
For Reference Only Not For Distribution
Physical Interventions and Mindfulness
bullReiki
bullMeditation
bullYoga Pranayama (Breath Exercises)
bullCreative Arts
bullBody Movement Dance
bull Journaling
bullCentering
For Reference Only Not For Distribution
Legacy interventions
bullLife-review
bullLegacy Projects
bull Spiritual Interventions
bull I canrsquot get to the bedside now what
For Reference Only Not For Distribution
All members of the hospice interdisciplinary team are critical to care
delivery during the COVID-19 pandemic
For Reference Only Not For Distribution
Hospice Support System (Internal)bull To ensure that we can support our patients and families Seasons
has taken the following measures oOrdered additional PPE supplies that can be deployed to our sites in
addition to their current inventory to be used when warranted
oCreated an internal Coronavirus educational platform for our staff to access the latest Seasons CDC and WHO updates and recommendations for their programs
oEstablished a dedicated response team that is consistently monitoring the situation to determine if additional steps are needed and answer questions from staff and facility partners in real time
oCreated a COVID-19 Risk amp Response Emergency Plan to guide screening testing reporting and infection control practices using CDC guidelines
For Reference Only Not For Distribution
Seasons Support of Community Partners
bull Seasons Hospice employees will have most up-to-date information to support our partners in hospice care
bull Help deliver supplies for patients
bull Coordinate patient updates virtually (phone text email) with referral sources and facility administrators
bull Obtain consents lsquooffsitersquo where appropriate
bull Deliver free CEs to healthcare workers in the communities
bull Deliver free education seminars to the community via social media
For Reference Only Not For Distribution
ReferencesWhen the webinar ends you will automatically be redirected to the post-activity survey You must fill this survey out to receive your CECME certificate
bull Centers for Disease Control and Prevention (2020) Coronavirus disease 2019 (COVID-19) and you
bull Damianakis T Coyle JP Stergiou CL Searching for more Spirituality for older adult couples seeking enhanced relationship quality Journal of Religion Spirituality amp Aging Volume 32 25-44 2020
bull Dooley CM Carroll B Fry LE Seamon-Lahiff G Bartone PT A Model for Supporting Grief Recovery Following Traumatic Loss The Tragedy Assistance Program for Survivors (TAPS) Military Medicine Volume 184 Volume7-8 166ndash170 2019
bull Helbert K The Chakras in Grief and Trauma A Tantric Guide to Energetic Wholeness (2019)
bull Lundquist A Gurung Regan A R Social Distancing Individuals With Depression The Impact of Symptom Severity Psi Chi Journal of Psychological Research 159-205 2019
For Reference Only Not For Distribution
When the webinar ends you will automatically be redirected to the post-activity survey You must fill this survey out to receive your CECME certificate
bull Mahase E Covid-19 UK starts social distancing after new model points to 260 000 potential deaths BMJ 1-12 2020
bull McQuiad JR Clinical Practice Guideline for the Treatment of Depression Across Three Age Cohorts American Psychological Association 1-213 2019
bull OrsquoBrien K OrsquoKeeffe Cullen H Durcan A Timulak L amp McElvaney J Emotion-focused perspective on generalized anxiety disorder A qualitative analysis of clientsrsquo in-session presentations Psychotherapy Research Volume 29 524-540 2017
bull Reyes AM Aging Households Encyclopedia of Gerontology and Population Aging 101007978-3-319-69892-2_316-1 1-6 2019
bull Wang Y Lippke S Miao M amp Gan Y Restoring meaning in life by meaning‐focused coping The role of self‐distancing Psych Journal Stress-Related Health Outcome Volume 8
3 386-396 2019
References
For Reference Only Not For Distribution
When the webinar ends you will automatically be redirected to the post-activity survey You must fill this survey out to receive your CECME certificate
bull Bowlby J (1963) Pathological mourning and childhood mourning Journal of the American Psychoanalytic Association 11 500-541
bull Bowlby J (1980) Attachment and loss New York NY Basic Books
bull Ira Byock (1998) Dying well Peace and possibilities at the end of life New York Riverhead Books
bull Childrens Project on PalliativeHospice Services (2017 August) Spiritual care of children and their families ChiPPS E-Journal 48
bull Davis B (1999) Shadows in the sun The experience of sibling bereavement in childhood Philadelphia PA Taylor amp Francis
bull Doka K (ed) (2002) Disenfranchised Grief New Directions Challenges and Strategies for Practice New York Research Press
bull Erikson E H (1950) Childhood and society W W Norton amp Co
References
For Reference Only Not For Distribution
When the webinar ends you will automatically be redirected to the post-activity survey You must fill this survey out to receive your CECME certificate
bull Felsenthal E (Ed) (2018) The Science of Laughter [Special issue] TIME
bull Goodrich J Harrison T Cornwell J Resilience a framework supporting hospice staff to flourish in stressful times Hospice UK 2015 Available from httpwwwhospiceukorgpublications
bull Kissane D W (2001) Demoralization syndrome ndash A relevant pscychiatric diagnosis for palliative care Journal of Palliative Care 17 12-21
bull Levetown M and Orloff S (2014) Ethical issues in the care of infants children and adolescents In T W Kirk amp B Jennings (Eds) Hospice Ethics Policy and Practice in Palliative Care 121-143
bull Munley P H (1975) Erik Eriksons theory of psychosocial development and vocational behavior Journal of Counseling Psychology 22(4) 314ndash319
bull Neimeyer R A (2012) Techniques of grief therapy Creative practices for counseling the bereaved New York Routledge
References
For Reference Only Not For Distribution
When the webinar ends you will automatically be redirected to the post-activity survey You must fill this survey out to receive your CECME certificate
bull Sandberg S and Grant A (2017) Option B Facing Adversity Building Resilience and Finding Joy New York Alfred A Knopf
bull Wadsworth B J (1971) Piagets theory of cognitive development An introduction for students of psychology and education New York McKay
bull Worden J W (2002) Grief counseling and grief therapy A handbook for the mental health practitioner New York Springer Pub
bull Loewenstein George (2020 April 1) lsquoReplace the term social distancing with spatial distancingrsquo A behavioral economist on the psychological toll of endless waiting during the coronavirus pandemic wwwmarketwatchcom
bull Kelemen Anne et all (2020) Specific phrases amp word choices that can be helpful when dealing with COVID19 wwwseriousillnessconversationsorg
References
For Reference Only Not For Distribution
Seasons Hospice amp Palliative Care
All contents of this presentation including imagesare the property of Seasons Hospice amp Palliative Care
and are not to be downloaded reproducedor used elsewhere without permission
wwwseasonsorg
For Reference Only Not For Distribution
Risks Distancing
bull Increase depression anxiety and PTSD
bull Exacerbated symptoms
bull History of mental health at higher risk
bull Triggers of past trauma
bull Maladaptive coping mechanism
bull Complicated grief and bereavement
bull Isolation can trigger many negative emotions and cause trauma responses
For Reference Only Not For Distribution
Risk for Cognitive Health and Functioning
bullPrior history of mental health is correlated to poor cognitive baseline
bullIncrease in feelings of loneliness
bullOften multiple co-occurring mental health concerns
For Reference Only Not For Distribution
Risk for Spiritual Beliefs
bullOften will question beliefs and challenge belief systems
For Reference Only Not For Distribution
Implications at End of Life Traumatic Loss
bullUnable to reach life-closure goals
bullGuilt regret shame
bullExacerbated trauma responses
For Reference Only Not For Distribution
Implications of Social Distancing and Overcoming Barriers to Care
Interventions for providers
For Reference Only Not For Distribution
Interventions Via Virtual Platforms
bullMitigate andor decrease symptoms related to depression
bullPsychoeducation
bullBuild community
bullMaintain patient amp family-centered care
For Reference Only Not For Distribution
Therapy Interventions
bull Psychotherapy and Pharmacotherapy
bull Family therapy play therapy or problem-solving therapy for children
bull Life-review and group therapy
bull Legacy
bull Peer support groups
bull Preservation of rituals
For Reference Only Not For Distribution
Interventions for Children
bull Structure and routine
bull Play Therapy
bull Music Therapy
bull Art Therapy
bull Child Life
bull Spiritual Care
bull Creative ArtsExpressive Therapies
bull Distraction All require board-certification andor licensure
For Reference Only Not For Distribution
Physical Interventions and Mindfulness
bullReiki
bullMeditation
bullYoga Pranayama (Breath Exercises)
bullCreative Arts
bullBody Movement Dance
bull Journaling
bullCentering
For Reference Only Not For Distribution
Legacy interventions
bullLife-review
bullLegacy Projects
bull Spiritual Interventions
bull I canrsquot get to the bedside now what
For Reference Only Not For Distribution
All members of the hospice interdisciplinary team are critical to care
delivery during the COVID-19 pandemic
For Reference Only Not For Distribution
Hospice Support System (Internal)bull To ensure that we can support our patients and families Seasons
has taken the following measures oOrdered additional PPE supplies that can be deployed to our sites in
addition to their current inventory to be used when warranted
oCreated an internal Coronavirus educational platform for our staff to access the latest Seasons CDC and WHO updates and recommendations for their programs
oEstablished a dedicated response team that is consistently monitoring the situation to determine if additional steps are needed and answer questions from staff and facility partners in real time
oCreated a COVID-19 Risk amp Response Emergency Plan to guide screening testing reporting and infection control practices using CDC guidelines
For Reference Only Not For Distribution
Seasons Support of Community Partners
bull Seasons Hospice employees will have most up-to-date information to support our partners in hospice care
bull Help deliver supplies for patients
bull Coordinate patient updates virtually (phone text email) with referral sources and facility administrators
bull Obtain consents lsquooffsitersquo where appropriate
bull Deliver free CEs to healthcare workers in the communities
bull Deliver free education seminars to the community via social media
For Reference Only Not For Distribution
ReferencesWhen the webinar ends you will automatically be redirected to the post-activity survey You must fill this survey out to receive your CECME certificate
bull Centers for Disease Control and Prevention (2020) Coronavirus disease 2019 (COVID-19) and you
bull Damianakis T Coyle JP Stergiou CL Searching for more Spirituality for older adult couples seeking enhanced relationship quality Journal of Religion Spirituality amp Aging Volume 32 25-44 2020
bull Dooley CM Carroll B Fry LE Seamon-Lahiff G Bartone PT A Model for Supporting Grief Recovery Following Traumatic Loss The Tragedy Assistance Program for Survivors (TAPS) Military Medicine Volume 184 Volume7-8 166ndash170 2019
bull Helbert K The Chakras in Grief and Trauma A Tantric Guide to Energetic Wholeness (2019)
bull Lundquist A Gurung Regan A R Social Distancing Individuals With Depression The Impact of Symptom Severity Psi Chi Journal of Psychological Research 159-205 2019
For Reference Only Not For Distribution
When the webinar ends you will automatically be redirected to the post-activity survey You must fill this survey out to receive your CECME certificate
bull Mahase E Covid-19 UK starts social distancing after new model points to 260 000 potential deaths BMJ 1-12 2020
bull McQuiad JR Clinical Practice Guideline for the Treatment of Depression Across Three Age Cohorts American Psychological Association 1-213 2019
bull OrsquoBrien K OrsquoKeeffe Cullen H Durcan A Timulak L amp McElvaney J Emotion-focused perspective on generalized anxiety disorder A qualitative analysis of clientsrsquo in-session presentations Psychotherapy Research Volume 29 524-540 2017
bull Reyes AM Aging Households Encyclopedia of Gerontology and Population Aging 101007978-3-319-69892-2_316-1 1-6 2019
bull Wang Y Lippke S Miao M amp Gan Y Restoring meaning in life by meaning‐focused coping The role of self‐distancing Psych Journal Stress-Related Health Outcome Volume 8
3 386-396 2019
References
For Reference Only Not For Distribution
When the webinar ends you will automatically be redirected to the post-activity survey You must fill this survey out to receive your CECME certificate
bull Bowlby J (1963) Pathological mourning and childhood mourning Journal of the American Psychoanalytic Association 11 500-541
bull Bowlby J (1980) Attachment and loss New York NY Basic Books
bull Ira Byock (1998) Dying well Peace and possibilities at the end of life New York Riverhead Books
bull Childrens Project on PalliativeHospice Services (2017 August) Spiritual care of children and their families ChiPPS E-Journal 48
bull Davis B (1999) Shadows in the sun The experience of sibling bereavement in childhood Philadelphia PA Taylor amp Francis
bull Doka K (ed) (2002) Disenfranchised Grief New Directions Challenges and Strategies for Practice New York Research Press
bull Erikson E H (1950) Childhood and society W W Norton amp Co
References
For Reference Only Not For Distribution
When the webinar ends you will automatically be redirected to the post-activity survey You must fill this survey out to receive your CECME certificate
bull Felsenthal E (Ed) (2018) The Science of Laughter [Special issue] TIME
bull Goodrich J Harrison T Cornwell J Resilience a framework supporting hospice staff to flourish in stressful times Hospice UK 2015 Available from httpwwwhospiceukorgpublications
bull Kissane D W (2001) Demoralization syndrome ndash A relevant pscychiatric diagnosis for palliative care Journal of Palliative Care 17 12-21
bull Levetown M and Orloff S (2014) Ethical issues in the care of infants children and adolescents In T W Kirk amp B Jennings (Eds) Hospice Ethics Policy and Practice in Palliative Care 121-143
bull Munley P H (1975) Erik Eriksons theory of psychosocial development and vocational behavior Journal of Counseling Psychology 22(4) 314ndash319
bull Neimeyer R A (2012) Techniques of grief therapy Creative practices for counseling the bereaved New York Routledge
References
For Reference Only Not For Distribution
When the webinar ends you will automatically be redirected to the post-activity survey You must fill this survey out to receive your CECME certificate
bull Sandberg S and Grant A (2017) Option B Facing Adversity Building Resilience and Finding Joy New York Alfred A Knopf
bull Wadsworth B J (1971) Piagets theory of cognitive development An introduction for students of psychology and education New York McKay
bull Worden J W (2002) Grief counseling and grief therapy A handbook for the mental health practitioner New York Springer Pub
bull Loewenstein George (2020 April 1) lsquoReplace the term social distancing with spatial distancingrsquo A behavioral economist on the psychological toll of endless waiting during the coronavirus pandemic wwwmarketwatchcom
bull Kelemen Anne et all (2020) Specific phrases amp word choices that can be helpful when dealing with COVID19 wwwseriousillnessconversationsorg
References
For Reference Only Not For Distribution
Seasons Hospice amp Palliative Care
All contents of this presentation including imagesare the property of Seasons Hospice amp Palliative Care
and are not to be downloaded reproducedor used elsewhere without permission
wwwseasonsorg
For Reference Only Not For Distribution
Risk for Cognitive Health and Functioning
bullPrior history of mental health is correlated to poor cognitive baseline
bullIncrease in feelings of loneliness
bullOften multiple co-occurring mental health concerns
For Reference Only Not For Distribution
Risk for Spiritual Beliefs
bullOften will question beliefs and challenge belief systems
For Reference Only Not For Distribution
Implications at End of Life Traumatic Loss
bullUnable to reach life-closure goals
bullGuilt regret shame
bullExacerbated trauma responses
For Reference Only Not For Distribution
Implications of Social Distancing and Overcoming Barriers to Care
Interventions for providers
For Reference Only Not For Distribution
Interventions Via Virtual Platforms
bullMitigate andor decrease symptoms related to depression
bullPsychoeducation
bullBuild community
bullMaintain patient amp family-centered care
For Reference Only Not For Distribution
Therapy Interventions
bull Psychotherapy and Pharmacotherapy
bull Family therapy play therapy or problem-solving therapy for children
bull Life-review and group therapy
bull Legacy
bull Peer support groups
bull Preservation of rituals
For Reference Only Not For Distribution
Interventions for Children
bull Structure and routine
bull Play Therapy
bull Music Therapy
bull Art Therapy
bull Child Life
bull Spiritual Care
bull Creative ArtsExpressive Therapies
bull Distraction All require board-certification andor licensure
For Reference Only Not For Distribution
Physical Interventions and Mindfulness
bullReiki
bullMeditation
bullYoga Pranayama (Breath Exercises)
bullCreative Arts
bullBody Movement Dance
bull Journaling
bullCentering
For Reference Only Not For Distribution
Legacy interventions
bullLife-review
bullLegacy Projects
bull Spiritual Interventions
bull I canrsquot get to the bedside now what
For Reference Only Not For Distribution
All members of the hospice interdisciplinary team are critical to care
delivery during the COVID-19 pandemic
For Reference Only Not For Distribution
Hospice Support System (Internal)bull To ensure that we can support our patients and families Seasons
has taken the following measures oOrdered additional PPE supplies that can be deployed to our sites in
addition to their current inventory to be used when warranted
oCreated an internal Coronavirus educational platform for our staff to access the latest Seasons CDC and WHO updates and recommendations for their programs
oEstablished a dedicated response team that is consistently monitoring the situation to determine if additional steps are needed and answer questions from staff and facility partners in real time
oCreated a COVID-19 Risk amp Response Emergency Plan to guide screening testing reporting and infection control practices using CDC guidelines
For Reference Only Not For Distribution
Seasons Support of Community Partners
bull Seasons Hospice employees will have most up-to-date information to support our partners in hospice care
bull Help deliver supplies for patients
bull Coordinate patient updates virtually (phone text email) with referral sources and facility administrators
bull Obtain consents lsquooffsitersquo where appropriate
bull Deliver free CEs to healthcare workers in the communities
bull Deliver free education seminars to the community via social media
For Reference Only Not For Distribution
ReferencesWhen the webinar ends you will automatically be redirected to the post-activity survey You must fill this survey out to receive your CECME certificate
bull Centers for Disease Control and Prevention (2020) Coronavirus disease 2019 (COVID-19) and you
bull Damianakis T Coyle JP Stergiou CL Searching for more Spirituality for older adult couples seeking enhanced relationship quality Journal of Religion Spirituality amp Aging Volume 32 25-44 2020
bull Dooley CM Carroll B Fry LE Seamon-Lahiff G Bartone PT A Model for Supporting Grief Recovery Following Traumatic Loss The Tragedy Assistance Program for Survivors (TAPS) Military Medicine Volume 184 Volume7-8 166ndash170 2019
bull Helbert K The Chakras in Grief and Trauma A Tantric Guide to Energetic Wholeness (2019)
bull Lundquist A Gurung Regan A R Social Distancing Individuals With Depression The Impact of Symptom Severity Psi Chi Journal of Psychological Research 159-205 2019
For Reference Only Not For Distribution
When the webinar ends you will automatically be redirected to the post-activity survey You must fill this survey out to receive your CECME certificate
bull Mahase E Covid-19 UK starts social distancing after new model points to 260 000 potential deaths BMJ 1-12 2020
bull McQuiad JR Clinical Practice Guideline for the Treatment of Depression Across Three Age Cohorts American Psychological Association 1-213 2019
bull OrsquoBrien K OrsquoKeeffe Cullen H Durcan A Timulak L amp McElvaney J Emotion-focused perspective on generalized anxiety disorder A qualitative analysis of clientsrsquo in-session presentations Psychotherapy Research Volume 29 524-540 2017
bull Reyes AM Aging Households Encyclopedia of Gerontology and Population Aging 101007978-3-319-69892-2_316-1 1-6 2019
bull Wang Y Lippke S Miao M amp Gan Y Restoring meaning in life by meaning‐focused coping The role of self‐distancing Psych Journal Stress-Related Health Outcome Volume 8
3 386-396 2019
References
For Reference Only Not For Distribution
When the webinar ends you will automatically be redirected to the post-activity survey You must fill this survey out to receive your CECME certificate
bull Bowlby J (1963) Pathological mourning and childhood mourning Journal of the American Psychoanalytic Association 11 500-541
bull Bowlby J (1980) Attachment and loss New York NY Basic Books
bull Ira Byock (1998) Dying well Peace and possibilities at the end of life New York Riverhead Books
bull Childrens Project on PalliativeHospice Services (2017 August) Spiritual care of children and their families ChiPPS E-Journal 48
bull Davis B (1999) Shadows in the sun The experience of sibling bereavement in childhood Philadelphia PA Taylor amp Francis
bull Doka K (ed) (2002) Disenfranchised Grief New Directions Challenges and Strategies for Practice New York Research Press
bull Erikson E H (1950) Childhood and society W W Norton amp Co
References
For Reference Only Not For Distribution
When the webinar ends you will automatically be redirected to the post-activity survey You must fill this survey out to receive your CECME certificate
bull Felsenthal E (Ed) (2018) The Science of Laughter [Special issue] TIME
bull Goodrich J Harrison T Cornwell J Resilience a framework supporting hospice staff to flourish in stressful times Hospice UK 2015 Available from httpwwwhospiceukorgpublications
bull Kissane D W (2001) Demoralization syndrome ndash A relevant pscychiatric diagnosis for palliative care Journal of Palliative Care 17 12-21
bull Levetown M and Orloff S (2014) Ethical issues in the care of infants children and adolescents In T W Kirk amp B Jennings (Eds) Hospice Ethics Policy and Practice in Palliative Care 121-143
bull Munley P H (1975) Erik Eriksons theory of psychosocial development and vocational behavior Journal of Counseling Psychology 22(4) 314ndash319
bull Neimeyer R A (2012) Techniques of grief therapy Creative practices for counseling the bereaved New York Routledge
References
For Reference Only Not For Distribution
When the webinar ends you will automatically be redirected to the post-activity survey You must fill this survey out to receive your CECME certificate
bull Sandberg S and Grant A (2017) Option B Facing Adversity Building Resilience and Finding Joy New York Alfred A Knopf
bull Wadsworth B J (1971) Piagets theory of cognitive development An introduction for students of psychology and education New York McKay
bull Worden J W (2002) Grief counseling and grief therapy A handbook for the mental health practitioner New York Springer Pub
bull Loewenstein George (2020 April 1) lsquoReplace the term social distancing with spatial distancingrsquo A behavioral economist on the psychological toll of endless waiting during the coronavirus pandemic wwwmarketwatchcom
bull Kelemen Anne et all (2020) Specific phrases amp word choices that can be helpful when dealing with COVID19 wwwseriousillnessconversationsorg
References
For Reference Only Not For Distribution
Seasons Hospice amp Palliative Care
All contents of this presentation including imagesare the property of Seasons Hospice amp Palliative Care
and are not to be downloaded reproducedor used elsewhere without permission
wwwseasonsorg
For Reference Only Not For Distribution
Risk for Spiritual Beliefs
bullOften will question beliefs and challenge belief systems
For Reference Only Not For Distribution
Implications at End of Life Traumatic Loss
bullUnable to reach life-closure goals
bullGuilt regret shame
bullExacerbated trauma responses
For Reference Only Not For Distribution
Implications of Social Distancing and Overcoming Barriers to Care
Interventions for providers
For Reference Only Not For Distribution
Interventions Via Virtual Platforms
bullMitigate andor decrease symptoms related to depression
bullPsychoeducation
bullBuild community
bullMaintain patient amp family-centered care
For Reference Only Not For Distribution
Therapy Interventions
bull Psychotherapy and Pharmacotherapy
bull Family therapy play therapy or problem-solving therapy for children
bull Life-review and group therapy
bull Legacy
bull Peer support groups
bull Preservation of rituals
For Reference Only Not For Distribution
Interventions for Children
bull Structure and routine
bull Play Therapy
bull Music Therapy
bull Art Therapy
bull Child Life
bull Spiritual Care
bull Creative ArtsExpressive Therapies
bull Distraction All require board-certification andor licensure
For Reference Only Not For Distribution
Physical Interventions and Mindfulness
bullReiki
bullMeditation
bullYoga Pranayama (Breath Exercises)
bullCreative Arts
bullBody Movement Dance
bull Journaling
bullCentering
For Reference Only Not For Distribution
Legacy interventions
bullLife-review
bullLegacy Projects
bull Spiritual Interventions
bull I canrsquot get to the bedside now what
For Reference Only Not For Distribution
All members of the hospice interdisciplinary team are critical to care
delivery during the COVID-19 pandemic
For Reference Only Not For Distribution
Hospice Support System (Internal)bull To ensure that we can support our patients and families Seasons
has taken the following measures oOrdered additional PPE supplies that can be deployed to our sites in
addition to their current inventory to be used when warranted
oCreated an internal Coronavirus educational platform for our staff to access the latest Seasons CDC and WHO updates and recommendations for their programs
oEstablished a dedicated response team that is consistently monitoring the situation to determine if additional steps are needed and answer questions from staff and facility partners in real time
oCreated a COVID-19 Risk amp Response Emergency Plan to guide screening testing reporting and infection control practices using CDC guidelines
For Reference Only Not For Distribution
Seasons Support of Community Partners
bull Seasons Hospice employees will have most up-to-date information to support our partners in hospice care
bull Help deliver supplies for patients
bull Coordinate patient updates virtually (phone text email) with referral sources and facility administrators
bull Obtain consents lsquooffsitersquo where appropriate
bull Deliver free CEs to healthcare workers in the communities
bull Deliver free education seminars to the community via social media
For Reference Only Not For Distribution
ReferencesWhen the webinar ends you will automatically be redirected to the post-activity survey You must fill this survey out to receive your CECME certificate
bull Centers for Disease Control and Prevention (2020) Coronavirus disease 2019 (COVID-19) and you
bull Damianakis T Coyle JP Stergiou CL Searching for more Spirituality for older adult couples seeking enhanced relationship quality Journal of Religion Spirituality amp Aging Volume 32 25-44 2020
bull Dooley CM Carroll B Fry LE Seamon-Lahiff G Bartone PT A Model for Supporting Grief Recovery Following Traumatic Loss The Tragedy Assistance Program for Survivors (TAPS) Military Medicine Volume 184 Volume7-8 166ndash170 2019
bull Helbert K The Chakras in Grief and Trauma A Tantric Guide to Energetic Wholeness (2019)
bull Lundquist A Gurung Regan A R Social Distancing Individuals With Depression The Impact of Symptom Severity Psi Chi Journal of Psychological Research 159-205 2019
For Reference Only Not For Distribution
When the webinar ends you will automatically be redirected to the post-activity survey You must fill this survey out to receive your CECME certificate
bull Mahase E Covid-19 UK starts social distancing after new model points to 260 000 potential deaths BMJ 1-12 2020
bull McQuiad JR Clinical Practice Guideline for the Treatment of Depression Across Three Age Cohorts American Psychological Association 1-213 2019
bull OrsquoBrien K OrsquoKeeffe Cullen H Durcan A Timulak L amp McElvaney J Emotion-focused perspective on generalized anxiety disorder A qualitative analysis of clientsrsquo in-session presentations Psychotherapy Research Volume 29 524-540 2017
bull Reyes AM Aging Households Encyclopedia of Gerontology and Population Aging 101007978-3-319-69892-2_316-1 1-6 2019
bull Wang Y Lippke S Miao M amp Gan Y Restoring meaning in life by meaning‐focused coping The role of self‐distancing Psych Journal Stress-Related Health Outcome Volume 8
3 386-396 2019
References
For Reference Only Not For Distribution
When the webinar ends you will automatically be redirected to the post-activity survey You must fill this survey out to receive your CECME certificate
bull Bowlby J (1963) Pathological mourning and childhood mourning Journal of the American Psychoanalytic Association 11 500-541
bull Bowlby J (1980) Attachment and loss New York NY Basic Books
bull Ira Byock (1998) Dying well Peace and possibilities at the end of life New York Riverhead Books
bull Childrens Project on PalliativeHospice Services (2017 August) Spiritual care of children and their families ChiPPS E-Journal 48
bull Davis B (1999) Shadows in the sun The experience of sibling bereavement in childhood Philadelphia PA Taylor amp Francis
bull Doka K (ed) (2002) Disenfranchised Grief New Directions Challenges and Strategies for Practice New York Research Press
bull Erikson E H (1950) Childhood and society W W Norton amp Co
References
For Reference Only Not For Distribution
When the webinar ends you will automatically be redirected to the post-activity survey You must fill this survey out to receive your CECME certificate
bull Felsenthal E (Ed) (2018) The Science of Laughter [Special issue] TIME
bull Goodrich J Harrison T Cornwell J Resilience a framework supporting hospice staff to flourish in stressful times Hospice UK 2015 Available from httpwwwhospiceukorgpublications
bull Kissane D W (2001) Demoralization syndrome ndash A relevant pscychiatric diagnosis for palliative care Journal of Palliative Care 17 12-21
bull Levetown M and Orloff S (2014) Ethical issues in the care of infants children and adolescents In T W Kirk amp B Jennings (Eds) Hospice Ethics Policy and Practice in Palliative Care 121-143
bull Munley P H (1975) Erik Eriksons theory of psychosocial development and vocational behavior Journal of Counseling Psychology 22(4) 314ndash319
bull Neimeyer R A (2012) Techniques of grief therapy Creative practices for counseling the bereaved New York Routledge
References
For Reference Only Not For Distribution
When the webinar ends you will automatically be redirected to the post-activity survey You must fill this survey out to receive your CECME certificate
bull Sandberg S and Grant A (2017) Option B Facing Adversity Building Resilience and Finding Joy New York Alfred A Knopf
bull Wadsworth B J (1971) Piagets theory of cognitive development An introduction for students of psychology and education New York McKay
bull Worden J W (2002) Grief counseling and grief therapy A handbook for the mental health practitioner New York Springer Pub
bull Loewenstein George (2020 April 1) lsquoReplace the term social distancing with spatial distancingrsquo A behavioral economist on the psychological toll of endless waiting during the coronavirus pandemic wwwmarketwatchcom
bull Kelemen Anne et all (2020) Specific phrases amp word choices that can be helpful when dealing with COVID19 wwwseriousillnessconversationsorg
References
For Reference Only Not For Distribution
Seasons Hospice amp Palliative Care
All contents of this presentation including imagesare the property of Seasons Hospice amp Palliative Care
and are not to be downloaded reproducedor used elsewhere without permission
wwwseasonsorg
For Reference Only Not For Distribution
Implications at End of Life Traumatic Loss
bullUnable to reach life-closure goals
bullGuilt regret shame
bullExacerbated trauma responses
For Reference Only Not For Distribution
Implications of Social Distancing and Overcoming Barriers to Care
Interventions for providers
For Reference Only Not For Distribution
Interventions Via Virtual Platforms
bullMitigate andor decrease symptoms related to depression
bullPsychoeducation
bullBuild community
bullMaintain patient amp family-centered care
For Reference Only Not For Distribution
Therapy Interventions
bull Psychotherapy and Pharmacotherapy
bull Family therapy play therapy or problem-solving therapy for children
bull Life-review and group therapy
bull Legacy
bull Peer support groups
bull Preservation of rituals
For Reference Only Not For Distribution
Interventions for Children
bull Structure and routine
bull Play Therapy
bull Music Therapy
bull Art Therapy
bull Child Life
bull Spiritual Care
bull Creative ArtsExpressive Therapies
bull Distraction All require board-certification andor licensure
For Reference Only Not For Distribution
Physical Interventions and Mindfulness
bullReiki
bullMeditation
bullYoga Pranayama (Breath Exercises)
bullCreative Arts
bullBody Movement Dance
bull Journaling
bullCentering
For Reference Only Not For Distribution
Legacy interventions
bullLife-review
bullLegacy Projects
bull Spiritual Interventions
bull I canrsquot get to the bedside now what
For Reference Only Not For Distribution
All members of the hospice interdisciplinary team are critical to care
delivery during the COVID-19 pandemic
For Reference Only Not For Distribution
Hospice Support System (Internal)bull To ensure that we can support our patients and families Seasons
has taken the following measures oOrdered additional PPE supplies that can be deployed to our sites in
addition to their current inventory to be used when warranted
oCreated an internal Coronavirus educational platform for our staff to access the latest Seasons CDC and WHO updates and recommendations for their programs
oEstablished a dedicated response team that is consistently monitoring the situation to determine if additional steps are needed and answer questions from staff and facility partners in real time
oCreated a COVID-19 Risk amp Response Emergency Plan to guide screening testing reporting and infection control practices using CDC guidelines
For Reference Only Not For Distribution
Seasons Support of Community Partners
bull Seasons Hospice employees will have most up-to-date information to support our partners in hospice care
bull Help deliver supplies for patients
bull Coordinate patient updates virtually (phone text email) with referral sources and facility administrators
bull Obtain consents lsquooffsitersquo where appropriate
bull Deliver free CEs to healthcare workers in the communities
bull Deliver free education seminars to the community via social media
For Reference Only Not For Distribution
ReferencesWhen the webinar ends you will automatically be redirected to the post-activity survey You must fill this survey out to receive your CECME certificate
bull Centers for Disease Control and Prevention (2020) Coronavirus disease 2019 (COVID-19) and you
bull Damianakis T Coyle JP Stergiou CL Searching for more Spirituality for older adult couples seeking enhanced relationship quality Journal of Religion Spirituality amp Aging Volume 32 25-44 2020
bull Dooley CM Carroll B Fry LE Seamon-Lahiff G Bartone PT A Model for Supporting Grief Recovery Following Traumatic Loss The Tragedy Assistance Program for Survivors (TAPS) Military Medicine Volume 184 Volume7-8 166ndash170 2019
bull Helbert K The Chakras in Grief and Trauma A Tantric Guide to Energetic Wholeness (2019)
bull Lundquist A Gurung Regan A R Social Distancing Individuals With Depression The Impact of Symptom Severity Psi Chi Journal of Psychological Research 159-205 2019
For Reference Only Not For Distribution
When the webinar ends you will automatically be redirected to the post-activity survey You must fill this survey out to receive your CECME certificate
bull Mahase E Covid-19 UK starts social distancing after new model points to 260 000 potential deaths BMJ 1-12 2020
bull McQuiad JR Clinical Practice Guideline for the Treatment of Depression Across Three Age Cohorts American Psychological Association 1-213 2019
bull OrsquoBrien K OrsquoKeeffe Cullen H Durcan A Timulak L amp McElvaney J Emotion-focused perspective on generalized anxiety disorder A qualitative analysis of clientsrsquo in-session presentations Psychotherapy Research Volume 29 524-540 2017
bull Reyes AM Aging Households Encyclopedia of Gerontology and Population Aging 101007978-3-319-69892-2_316-1 1-6 2019
bull Wang Y Lippke S Miao M amp Gan Y Restoring meaning in life by meaning‐focused coping The role of self‐distancing Psych Journal Stress-Related Health Outcome Volume 8
3 386-396 2019
References
For Reference Only Not For Distribution
When the webinar ends you will automatically be redirected to the post-activity survey You must fill this survey out to receive your CECME certificate
bull Bowlby J (1963) Pathological mourning and childhood mourning Journal of the American Psychoanalytic Association 11 500-541
bull Bowlby J (1980) Attachment and loss New York NY Basic Books
bull Ira Byock (1998) Dying well Peace and possibilities at the end of life New York Riverhead Books
bull Childrens Project on PalliativeHospice Services (2017 August) Spiritual care of children and their families ChiPPS E-Journal 48
bull Davis B (1999) Shadows in the sun The experience of sibling bereavement in childhood Philadelphia PA Taylor amp Francis
bull Doka K (ed) (2002) Disenfranchised Grief New Directions Challenges and Strategies for Practice New York Research Press
bull Erikson E H (1950) Childhood and society W W Norton amp Co
References
For Reference Only Not For Distribution
When the webinar ends you will automatically be redirected to the post-activity survey You must fill this survey out to receive your CECME certificate
bull Felsenthal E (Ed) (2018) The Science of Laughter [Special issue] TIME
bull Goodrich J Harrison T Cornwell J Resilience a framework supporting hospice staff to flourish in stressful times Hospice UK 2015 Available from httpwwwhospiceukorgpublications
bull Kissane D W (2001) Demoralization syndrome ndash A relevant pscychiatric diagnosis for palliative care Journal of Palliative Care 17 12-21
bull Levetown M and Orloff S (2014) Ethical issues in the care of infants children and adolescents In T W Kirk amp B Jennings (Eds) Hospice Ethics Policy and Practice in Palliative Care 121-143
bull Munley P H (1975) Erik Eriksons theory of psychosocial development and vocational behavior Journal of Counseling Psychology 22(4) 314ndash319
bull Neimeyer R A (2012) Techniques of grief therapy Creative practices for counseling the bereaved New York Routledge
References
For Reference Only Not For Distribution
When the webinar ends you will automatically be redirected to the post-activity survey You must fill this survey out to receive your CECME certificate
bull Sandberg S and Grant A (2017) Option B Facing Adversity Building Resilience and Finding Joy New York Alfred A Knopf
bull Wadsworth B J (1971) Piagets theory of cognitive development An introduction for students of psychology and education New York McKay
bull Worden J W (2002) Grief counseling and grief therapy A handbook for the mental health practitioner New York Springer Pub
bull Loewenstein George (2020 April 1) lsquoReplace the term social distancing with spatial distancingrsquo A behavioral economist on the psychological toll of endless waiting during the coronavirus pandemic wwwmarketwatchcom
bull Kelemen Anne et all (2020) Specific phrases amp word choices that can be helpful when dealing with COVID19 wwwseriousillnessconversationsorg
References
For Reference Only Not For Distribution
Seasons Hospice amp Palliative Care
All contents of this presentation including imagesare the property of Seasons Hospice amp Palliative Care
and are not to be downloaded reproducedor used elsewhere without permission
wwwseasonsorg
For Reference Only Not For Distribution
Implications of Social Distancing and Overcoming Barriers to Care
Interventions for providers
For Reference Only Not For Distribution
Interventions Via Virtual Platforms
bullMitigate andor decrease symptoms related to depression
bullPsychoeducation
bullBuild community
bullMaintain patient amp family-centered care
For Reference Only Not For Distribution
Therapy Interventions
bull Psychotherapy and Pharmacotherapy
bull Family therapy play therapy or problem-solving therapy for children
bull Life-review and group therapy
bull Legacy
bull Peer support groups
bull Preservation of rituals
For Reference Only Not For Distribution
Interventions for Children
bull Structure and routine
bull Play Therapy
bull Music Therapy
bull Art Therapy
bull Child Life
bull Spiritual Care
bull Creative ArtsExpressive Therapies
bull Distraction All require board-certification andor licensure
For Reference Only Not For Distribution
Physical Interventions and Mindfulness
bullReiki
bullMeditation
bullYoga Pranayama (Breath Exercises)
bullCreative Arts
bullBody Movement Dance
bull Journaling
bullCentering
For Reference Only Not For Distribution
Legacy interventions
bullLife-review
bullLegacy Projects
bull Spiritual Interventions
bull I canrsquot get to the bedside now what
For Reference Only Not For Distribution
All members of the hospice interdisciplinary team are critical to care
delivery during the COVID-19 pandemic
For Reference Only Not For Distribution
Hospice Support System (Internal)bull To ensure that we can support our patients and families Seasons
has taken the following measures oOrdered additional PPE supplies that can be deployed to our sites in
addition to their current inventory to be used when warranted
oCreated an internal Coronavirus educational platform for our staff to access the latest Seasons CDC and WHO updates and recommendations for their programs
oEstablished a dedicated response team that is consistently monitoring the situation to determine if additional steps are needed and answer questions from staff and facility partners in real time
oCreated a COVID-19 Risk amp Response Emergency Plan to guide screening testing reporting and infection control practices using CDC guidelines
For Reference Only Not For Distribution
Seasons Support of Community Partners
bull Seasons Hospice employees will have most up-to-date information to support our partners in hospice care
bull Help deliver supplies for patients
bull Coordinate patient updates virtually (phone text email) with referral sources and facility administrators
bull Obtain consents lsquooffsitersquo where appropriate
bull Deliver free CEs to healthcare workers in the communities
bull Deliver free education seminars to the community via social media
For Reference Only Not For Distribution
ReferencesWhen the webinar ends you will automatically be redirected to the post-activity survey You must fill this survey out to receive your CECME certificate
bull Centers for Disease Control and Prevention (2020) Coronavirus disease 2019 (COVID-19) and you
bull Damianakis T Coyle JP Stergiou CL Searching for more Spirituality for older adult couples seeking enhanced relationship quality Journal of Religion Spirituality amp Aging Volume 32 25-44 2020
bull Dooley CM Carroll B Fry LE Seamon-Lahiff G Bartone PT A Model for Supporting Grief Recovery Following Traumatic Loss The Tragedy Assistance Program for Survivors (TAPS) Military Medicine Volume 184 Volume7-8 166ndash170 2019
bull Helbert K The Chakras in Grief and Trauma A Tantric Guide to Energetic Wholeness (2019)
bull Lundquist A Gurung Regan A R Social Distancing Individuals With Depression The Impact of Symptom Severity Psi Chi Journal of Psychological Research 159-205 2019
For Reference Only Not For Distribution
When the webinar ends you will automatically be redirected to the post-activity survey You must fill this survey out to receive your CECME certificate
bull Mahase E Covid-19 UK starts social distancing after new model points to 260 000 potential deaths BMJ 1-12 2020
bull McQuiad JR Clinical Practice Guideline for the Treatment of Depression Across Three Age Cohorts American Psychological Association 1-213 2019
bull OrsquoBrien K OrsquoKeeffe Cullen H Durcan A Timulak L amp McElvaney J Emotion-focused perspective on generalized anxiety disorder A qualitative analysis of clientsrsquo in-session presentations Psychotherapy Research Volume 29 524-540 2017
bull Reyes AM Aging Households Encyclopedia of Gerontology and Population Aging 101007978-3-319-69892-2_316-1 1-6 2019
bull Wang Y Lippke S Miao M amp Gan Y Restoring meaning in life by meaning‐focused coping The role of self‐distancing Psych Journal Stress-Related Health Outcome Volume 8
3 386-396 2019
References
For Reference Only Not For Distribution
When the webinar ends you will automatically be redirected to the post-activity survey You must fill this survey out to receive your CECME certificate
bull Bowlby J (1963) Pathological mourning and childhood mourning Journal of the American Psychoanalytic Association 11 500-541
bull Bowlby J (1980) Attachment and loss New York NY Basic Books
bull Ira Byock (1998) Dying well Peace and possibilities at the end of life New York Riverhead Books
bull Childrens Project on PalliativeHospice Services (2017 August) Spiritual care of children and their families ChiPPS E-Journal 48
bull Davis B (1999) Shadows in the sun The experience of sibling bereavement in childhood Philadelphia PA Taylor amp Francis
bull Doka K (ed) (2002) Disenfranchised Grief New Directions Challenges and Strategies for Practice New York Research Press
bull Erikson E H (1950) Childhood and society W W Norton amp Co
References
For Reference Only Not For Distribution
When the webinar ends you will automatically be redirected to the post-activity survey You must fill this survey out to receive your CECME certificate
bull Felsenthal E (Ed) (2018) The Science of Laughter [Special issue] TIME
bull Goodrich J Harrison T Cornwell J Resilience a framework supporting hospice staff to flourish in stressful times Hospice UK 2015 Available from httpwwwhospiceukorgpublications
bull Kissane D W (2001) Demoralization syndrome ndash A relevant pscychiatric diagnosis for palliative care Journal of Palliative Care 17 12-21
bull Levetown M and Orloff S (2014) Ethical issues in the care of infants children and adolescents In T W Kirk amp B Jennings (Eds) Hospice Ethics Policy and Practice in Palliative Care 121-143
bull Munley P H (1975) Erik Eriksons theory of psychosocial development and vocational behavior Journal of Counseling Psychology 22(4) 314ndash319
bull Neimeyer R A (2012) Techniques of grief therapy Creative practices for counseling the bereaved New York Routledge
References
For Reference Only Not For Distribution
When the webinar ends you will automatically be redirected to the post-activity survey You must fill this survey out to receive your CECME certificate
bull Sandberg S and Grant A (2017) Option B Facing Adversity Building Resilience and Finding Joy New York Alfred A Knopf
bull Wadsworth B J (1971) Piagets theory of cognitive development An introduction for students of psychology and education New York McKay
bull Worden J W (2002) Grief counseling and grief therapy A handbook for the mental health practitioner New York Springer Pub
bull Loewenstein George (2020 April 1) lsquoReplace the term social distancing with spatial distancingrsquo A behavioral economist on the psychological toll of endless waiting during the coronavirus pandemic wwwmarketwatchcom
bull Kelemen Anne et all (2020) Specific phrases amp word choices that can be helpful when dealing with COVID19 wwwseriousillnessconversationsorg
References
For Reference Only Not For Distribution
Seasons Hospice amp Palliative Care
All contents of this presentation including imagesare the property of Seasons Hospice amp Palliative Care
and are not to be downloaded reproducedor used elsewhere without permission
wwwseasonsorg
For Reference Only Not For Distribution
Interventions Via Virtual Platforms
bullMitigate andor decrease symptoms related to depression
bullPsychoeducation
bullBuild community
bullMaintain patient amp family-centered care
For Reference Only Not For Distribution
Therapy Interventions
bull Psychotherapy and Pharmacotherapy
bull Family therapy play therapy or problem-solving therapy for children
bull Life-review and group therapy
bull Legacy
bull Peer support groups
bull Preservation of rituals
For Reference Only Not For Distribution
Interventions for Children
bull Structure and routine
bull Play Therapy
bull Music Therapy
bull Art Therapy
bull Child Life
bull Spiritual Care
bull Creative ArtsExpressive Therapies
bull Distraction All require board-certification andor licensure
For Reference Only Not For Distribution
Physical Interventions and Mindfulness
bullReiki
bullMeditation
bullYoga Pranayama (Breath Exercises)
bullCreative Arts
bullBody Movement Dance
bull Journaling
bullCentering
For Reference Only Not For Distribution
Legacy interventions
bullLife-review
bullLegacy Projects
bull Spiritual Interventions
bull I canrsquot get to the bedside now what
For Reference Only Not For Distribution
All members of the hospice interdisciplinary team are critical to care
delivery during the COVID-19 pandemic
For Reference Only Not For Distribution
Hospice Support System (Internal)bull To ensure that we can support our patients and families Seasons
has taken the following measures oOrdered additional PPE supplies that can be deployed to our sites in
addition to their current inventory to be used when warranted
oCreated an internal Coronavirus educational platform for our staff to access the latest Seasons CDC and WHO updates and recommendations for their programs
oEstablished a dedicated response team that is consistently monitoring the situation to determine if additional steps are needed and answer questions from staff and facility partners in real time
oCreated a COVID-19 Risk amp Response Emergency Plan to guide screening testing reporting and infection control practices using CDC guidelines
For Reference Only Not For Distribution
Seasons Support of Community Partners
bull Seasons Hospice employees will have most up-to-date information to support our partners in hospice care
bull Help deliver supplies for patients
bull Coordinate patient updates virtually (phone text email) with referral sources and facility administrators
bull Obtain consents lsquooffsitersquo where appropriate
bull Deliver free CEs to healthcare workers in the communities
bull Deliver free education seminars to the community via social media
For Reference Only Not For Distribution
ReferencesWhen the webinar ends you will automatically be redirected to the post-activity survey You must fill this survey out to receive your CECME certificate
bull Centers for Disease Control and Prevention (2020) Coronavirus disease 2019 (COVID-19) and you
bull Damianakis T Coyle JP Stergiou CL Searching for more Spirituality for older adult couples seeking enhanced relationship quality Journal of Religion Spirituality amp Aging Volume 32 25-44 2020
bull Dooley CM Carroll B Fry LE Seamon-Lahiff G Bartone PT A Model for Supporting Grief Recovery Following Traumatic Loss The Tragedy Assistance Program for Survivors (TAPS) Military Medicine Volume 184 Volume7-8 166ndash170 2019
bull Helbert K The Chakras in Grief and Trauma A Tantric Guide to Energetic Wholeness (2019)
bull Lundquist A Gurung Regan A R Social Distancing Individuals With Depression The Impact of Symptom Severity Psi Chi Journal of Psychological Research 159-205 2019
For Reference Only Not For Distribution
When the webinar ends you will automatically be redirected to the post-activity survey You must fill this survey out to receive your CECME certificate
bull Mahase E Covid-19 UK starts social distancing after new model points to 260 000 potential deaths BMJ 1-12 2020
bull McQuiad JR Clinical Practice Guideline for the Treatment of Depression Across Three Age Cohorts American Psychological Association 1-213 2019
bull OrsquoBrien K OrsquoKeeffe Cullen H Durcan A Timulak L amp McElvaney J Emotion-focused perspective on generalized anxiety disorder A qualitative analysis of clientsrsquo in-session presentations Psychotherapy Research Volume 29 524-540 2017
bull Reyes AM Aging Households Encyclopedia of Gerontology and Population Aging 101007978-3-319-69892-2_316-1 1-6 2019
bull Wang Y Lippke S Miao M amp Gan Y Restoring meaning in life by meaning‐focused coping The role of self‐distancing Psych Journal Stress-Related Health Outcome Volume 8
3 386-396 2019
References
For Reference Only Not For Distribution
When the webinar ends you will automatically be redirected to the post-activity survey You must fill this survey out to receive your CECME certificate
bull Bowlby J (1963) Pathological mourning and childhood mourning Journal of the American Psychoanalytic Association 11 500-541
bull Bowlby J (1980) Attachment and loss New York NY Basic Books
bull Ira Byock (1998) Dying well Peace and possibilities at the end of life New York Riverhead Books
bull Childrens Project on PalliativeHospice Services (2017 August) Spiritual care of children and their families ChiPPS E-Journal 48
bull Davis B (1999) Shadows in the sun The experience of sibling bereavement in childhood Philadelphia PA Taylor amp Francis
bull Doka K (ed) (2002) Disenfranchised Grief New Directions Challenges and Strategies for Practice New York Research Press
bull Erikson E H (1950) Childhood and society W W Norton amp Co
References
For Reference Only Not For Distribution
When the webinar ends you will automatically be redirected to the post-activity survey You must fill this survey out to receive your CECME certificate
bull Felsenthal E (Ed) (2018) The Science of Laughter [Special issue] TIME
bull Goodrich J Harrison T Cornwell J Resilience a framework supporting hospice staff to flourish in stressful times Hospice UK 2015 Available from httpwwwhospiceukorgpublications
bull Kissane D W (2001) Demoralization syndrome ndash A relevant pscychiatric diagnosis for palliative care Journal of Palliative Care 17 12-21
bull Levetown M and Orloff S (2014) Ethical issues in the care of infants children and adolescents In T W Kirk amp B Jennings (Eds) Hospice Ethics Policy and Practice in Palliative Care 121-143
bull Munley P H (1975) Erik Eriksons theory of psychosocial development and vocational behavior Journal of Counseling Psychology 22(4) 314ndash319
bull Neimeyer R A (2012) Techniques of grief therapy Creative practices for counseling the bereaved New York Routledge
References
For Reference Only Not For Distribution
When the webinar ends you will automatically be redirected to the post-activity survey You must fill this survey out to receive your CECME certificate
bull Sandberg S and Grant A (2017) Option B Facing Adversity Building Resilience and Finding Joy New York Alfred A Knopf
bull Wadsworth B J (1971) Piagets theory of cognitive development An introduction for students of psychology and education New York McKay
bull Worden J W (2002) Grief counseling and grief therapy A handbook for the mental health practitioner New York Springer Pub
bull Loewenstein George (2020 April 1) lsquoReplace the term social distancing with spatial distancingrsquo A behavioral economist on the psychological toll of endless waiting during the coronavirus pandemic wwwmarketwatchcom
bull Kelemen Anne et all (2020) Specific phrases amp word choices that can be helpful when dealing with COVID19 wwwseriousillnessconversationsorg
References
For Reference Only Not For Distribution
Seasons Hospice amp Palliative Care
All contents of this presentation including imagesare the property of Seasons Hospice amp Palliative Care
and are not to be downloaded reproducedor used elsewhere without permission
wwwseasonsorg
For Reference Only Not For Distribution
Therapy Interventions
bull Psychotherapy and Pharmacotherapy
bull Family therapy play therapy or problem-solving therapy for children
bull Life-review and group therapy
bull Legacy
bull Peer support groups
bull Preservation of rituals
For Reference Only Not For Distribution
Interventions for Children
bull Structure and routine
bull Play Therapy
bull Music Therapy
bull Art Therapy
bull Child Life
bull Spiritual Care
bull Creative ArtsExpressive Therapies
bull Distraction All require board-certification andor licensure
For Reference Only Not For Distribution
Physical Interventions and Mindfulness
bullReiki
bullMeditation
bullYoga Pranayama (Breath Exercises)
bullCreative Arts
bullBody Movement Dance
bull Journaling
bullCentering
For Reference Only Not For Distribution
Legacy interventions
bullLife-review
bullLegacy Projects
bull Spiritual Interventions
bull I canrsquot get to the bedside now what
For Reference Only Not For Distribution
All members of the hospice interdisciplinary team are critical to care
delivery during the COVID-19 pandemic
For Reference Only Not For Distribution
Hospice Support System (Internal)bull To ensure that we can support our patients and families Seasons
has taken the following measures oOrdered additional PPE supplies that can be deployed to our sites in
addition to their current inventory to be used when warranted
oCreated an internal Coronavirus educational platform for our staff to access the latest Seasons CDC and WHO updates and recommendations for their programs
oEstablished a dedicated response team that is consistently monitoring the situation to determine if additional steps are needed and answer questions from staff and facility partners in real time
oCreated a COVID-19 Risk amp Response Emergency Plan to guide screening testing reporting and infection control practices using CDC guidelines
For Reference Only Not For Distribution
Seasons Support of Community Partners
bull Seasons Hospice employees will have most up-to-date information to support our partners in hospice care
bull Help deliver supplies for patients
bull Coordinate patient updates virtually (phone text email) with referral sources and facility administrators
bull Obtain consents lsquooffsitersquo where appropriate
bull Deliver free CEs to healthcare workers in the communities
bull Deliver free education seminars to the community via social media
For Reference Only Not For Distribution
ReferencesWhen the webinar ends you will automatically be redirected to the post-activity survey You must fill this survey out to receive your CECME certificate
bull Centers for Disease Control and Prevention (2020) Coronavirus disease 2019 (COVID-19) and you
bull Damianakis T Coyle JP Stergiou CL Searching for more Spirituality for older adult couples seeking enhanced relationship quality Journal of Religion Spirituality amp Aging Volume 32 25-44 2020
bull Dooley CM Carroll B Fry LE Seamon-Lahiff G Bartone PT A Model for Supporting Grief Recovery Following Traumatic Loss The Tragedy Assistance Program for Survivors (TAPS) Military Medicine Volume 184 Volume7-8 166ndash170 2019
bull Helbert K The Chakras in Grief and Trauma A Tantric Guide to Energetic Wholeness (2019)
bull Lundquist A Gurung Regan A R Social Distancing Individuals With Depression The Impact of Symptom Severity Psi Chi Journal of Psychological Research 159-205 2019
For Reference Only Not For Distribution
When the webinar ends you will automatically be redirected to the post-activity survey You must fill this survey out to receive your CECME certificate
bull Mahase E Covid-19 UK starts social distancing after new model points to 260 000 potential deaths BMJ 1-12 2020
bull McQuiad JR Clinical Practice Guideline for the Treatment of Depression Across Three Age Cohorts American Psychological Association 1-213 2019
bull OrsquoBrien K OrsquoKeeffe Cullen H Durcan A Timulak L amp McElvaney J Emotion-focused perspective on generalized anxiety disorder A qualitative analysis of clientsrsquo in-session presentations Psychotherapy Research Volume 29 524-540 2017
bull Reyes AM Aging Households Encyclopedia of Gerontology and Population Aging 101007978-3-319-69892-2_316-1 1-6 2019
bull Wang Y Lippke S Miao M amp Gan Y Restoring meaning in life by meaning‐focused coping The role of self‐distancing Psych Journal Stress-Related Health Outcome Volume 8
3 386-396 2019
References
For Reference Only Not For Distribution
When the webinar ends you will automatically be redirected to the post-activity survey You must fill this survey out to receive your CECME certificate
bull Bowlby J (1963) Pathological mourning and childhood mourning Journal of the American Psychoanalytic Association 11 500-541
bull Bowlby J (1980) Attachment and loss New York NY Basic Books
bull Ira Byock (1998) Dying well Peace and possibilities at the end of life New York Riverhead Books
bull Childrens Project on PalliativeHospice Services (2017 August) Spiritual care of children and their families ChiPPS E-Journal 48
bull Davis B (1999) Shadows in the sun The experience of sibling bereavement in childhood Philadelphia PA Taylor amp Francis
bull Doka K (ed) (2002) Disenfranchised Grief New Directions Challenges and Strategies for Practice New York Research Press
bull Erikson E H (1950) Childhood and society W W Norton amp Co
References
For Reference Only Not For Distribution
When the webinar ends you will automatically be redirected to the post-activity survey You must fill this survey out to receive your CECME certificate
bull Felsenthal E (Ed) (2018) The Science of Laughter [Special issue] TIME
bull Goodrich J Harrison T Cornwell J Resilience a framework supporting hospice staff to flourish in stressful times Hospice UK 2015 Available from httpwwwhospiceukorgpublications
bull Kissane D W (2001) Demoralization syndrome ndash A relevant pscychiatric diagnosis for palliative care Journal of Palliative Care 17 12-21
bull Levetown M and Orloff S (2014) Ethical issues in the care of infants children and adolescents In T W Kirk amp B Jennings (Eds) Hospice Ethics Policy and Practice in Palliative Care 121-143
bull Munley P H (1975) Erik Eriksons theory of psychosocial development and vocational behavior Journal of Counseling Psychology 22(4) 314ndash319
bull Neimeyer R A (2012) Techniques of grief therapy Creative practices for counseling the bereaved New York Routledge
References
For Reference Only Not For Distribution
When the webinar ends you will automatically be redirected to the post-activity survey You must fill this survey out to receive your CECME certificate
bull Sandberg S and Grant A (2017) Option B Facing Adversity Building Resilience and Finding Joy New York Alfred A Knopf
bull Wadsworth B J (1971) Piagets theory of cognitive development An introduction for students of psychology and education New York McKay
bull Worden J W (2002) Grief counseling and grief therapy A handbook for the mental health practitioner New York Springer Pub
bull Loewenstein George (2020 April 1) lsquoReplace the term social distancing with spatial distancingrsquo A behavioral economist on the psychological toll of endless waiting during the coronavirus pandemic wwwmarketwatchcom
bull Kelemen Anne et all (2020) Specific phrases amp word choices that can be helpful when dealing with COVID19 wwwseriousillnessconversationsorg
References
For Reference Only Not For Distribution
Seasons Hospice amp Palliative Care
All contents of this presentation including imagesare the property of Seasons Hospice amp Palliative Care
and are not to be downloaded reproducedor used elsewhere without permission
wwwseasonsorg
For Reference Only Not For Distribution
Interventions for Children
bull Structure and routine
bull Play Therapy
bull Music Therapy
bull Art Therapy
bull Child Life
bull Spiritual Care
bull Creative ArtsExpressive Therapies
bull Distraction All require board-certification andor licensure
For Reference Only Not For Distribution
Physical Interventions and Mindfulness
bullReiki
bullMeditation
bullYoga Pranayama (Breath Exercises)
bullCreative Arts
bullBody Movement Dance
bull Journaling
bullCentering
For Reference Only Not For Distribution
Legacy interventions
bullLife-review
bullLegacy Projects
bull Spiritual Interventions
bull I canrsquot get to the bedside now what
For Reference Only Not For Distribution
All members of the hospice interdisciplinary team are critical to care
delivery during the COVID-19 pandemic
For Reference Only Not For Distribution
Hospice Support System (Internal)bull To ensure that we can support our patients and families Seasons
has taken the following measures oOrdered additional PPE supplies that can be deployed to our sites in
addition to their current inventory to be used when warranted
oCreated an internal Coronavirus educational platform for our staff to access the latest Seasons CDC and WHO updates and recommendations for their programs
oEstablished a dedicated response team that is consistently monitoring the situation to determine if additional steps are needed and answer questions from staff and facility partners in real time
oCreated a COVID-19 Risk amp Response Emergency Plan to guide screening testing reporting and infection control practices using CDC guidelines
For Reference Only Not For Distribution
Seasons Support of Community Partners
bull Seasons Hospice employees will have most up-to-date information to support our partners in hospice care
bull Help deliver supplies for patients
bull Coordinate patient updates virtually (phone text email) with referral sources and facility administrators
bull Obtain consents lsquooffsitersquo where appropriate
bull Deliver free CEs to healthcare workers in the communities
bull Deliver free education seminars to the community via social media
For Reference Only Not For Distribution
ReferencesWhen the webinar ends you will automatically be redirected to the post-activity survey You must fill this survey out to receive your CECME certificate
bull Centers for Disease Control and Prevention (2020) Coronavirus disease 2019 (COVID-19) and you
bull Damianakis T Coyle JP Stergiou CL Searching for more Spirituality for older adult couples seeking enhanced relationship quality Journal of Religion Spirituality amp Aging Volume 32 25-44 2020
bull Dooley CM Carroll B Fry LE Seamon-Lahiff G Bartone PT A Model for Supporting Grief Recovery Following Traumatic Loss The Tragedy Assistance Program for Survivors (TAPS) Military Medicine Volume 184 Volume7-8 166ndash170 2019
bull Helbert K The Chakras in Grief and Trauma A Tantric Guide to Energetic Wholeness (2019)
bull Lundquist A Gurung Regan A R Social Distancing Individuals With Depression The Impact of Symptom Severity Psi Chi Journal of Psychological Research 159-205 2019
For Reference Only Not For Distribution
When the webinar ends you will automatically be redirected to the post-activity survey You must fill this survey out to receive your CECME certificate
bull Mahase E Covid-19 UK starts social distancing after new model points to 260 000 potential deaths BMJ 1-12 2020
bull McQuiad JR Clinical Practice Guideline for the Treatment of Depression Across Three Age Cohorts American Psychological Association 1-213 2019
bull OrsquoBrien K OrsquoKeeffe Cullen H Durcan A Timulak L amp McElvaney J Emotion-focused perspective on generalized anxiety disorder A qualitative analysis of clientsrsquo in-session presentations Psychotherapy Research Volume 29 524-540 2017
bull Reyes AM Aging Households Encyclopedia of Gerontology and Population Aging 101007978-3-319-69892-2_316-1 1-6 2019
bull Wang Y Lippke S Miao M amp Gan Y Restoring meaning in life by meaning‐focused coping The role of self‐distancing Psych Journal Stress-Related Health Outcome Volume 8
3 386-396 2019
References
For Reference Only Not For Distribution
When the webinar ends you will automatically be redirected to the post-activity survey You must fill this survey out to receive your CECME certificate
bull Bowlby J (1963) Pathological mourning and childhood mourning Journal of the American Psychoanalytic Association 11 500-541
bull Bowlby J (1980) Attachment and loss New York NY Basic Books
bull Ira Byock (1998) Dying well Peace and possibilities at the end of life New York Riverhead Books
bull Childrens Project on PalliativeHospice Services (2017 August) Spiritual care of children and their families ChiPPS E-Journal 48
bull Davis B (1999) Shadows in the sun The experience of sibling bereavement in childhood Philadelphia PA Taylor amp Francis
bull Doka K (ed) (2002) Disenfranchised Grief New Directions Challenges and Strategies for Practice New York Research Press
bull Erikson E H (1950) Childhood and society W W Norton amp Co
References
For Reference Only Not For Distribution
When the webinar ends you will automatically be redirected to the post-activity survey You must fill this survey out to receive your CECME certificate
bull Felsenthal E (Ed) (2018) The Science of Laughter [Special issue] TIME
bull Goodrich J Harrison T Cornwell J Resilience a framework supporting hospice staff to flourish in stressful times Hospice UK 2015 Available from httpwwwhospiceukorgpublications
bull Kissane D W (2001) Demoralization syndrome ndash A relevant pscychiatric diagnosis for palliative care Journal of Palliative Care 17 12-21
bull Levetown M and Orloff S (2014) Ethical issues in the care of infants children and adolescents In T W Kirk amp B Jennings (Eds) Hospice Ethics Policy and Practice in Palliative Care 121-143
bull Munley P H (1975) Erik Eriksons theory of psychosocial development and vocational behavior Journal of Counseling Psychology 22(4) 314ndash319
bull Neimeyer R A (2012) Techniques of grief therapy Creative practices for counseling the bereaved New York Routledge
References
For Reference Only Not For Distribution
When the webinar ends you will automatically be redirected to the post-activity survey You must fill this survey out to receive your CECME certificate
bull Sandberg S and Grant A (2017) Option B Facing Adversity Building Resilience and Finding Joy New York Alfred A Knopf
bull Wadsworth B J (1971) Piagets theory of cognitive development An introduction for students of psychology and education New York McKay
bull Worden J W (2002) Grief counseling and grief therapy A handbook for the mental health practitioner New York Springer Pub
bull Loewenstein George (2020 April 1) lsquoReplace the term social distancing with spatial distancingrsquo A behavioral economist on the psychological toll of endless waiting during the coronavirus pandemic wwwmarketwatchcom
bull Kelemen Anne et all (2020) Specific phrases amp word choices that can be helpful when dealing with COVID19 wwwseriousillnessconversationsorg
References
For Reference Only Not For Distribution
Seasons Hospice amp Palliative Care
All contents of this presentation including imagesare the property of Seasons Hospice amp Palliative Care
and are not to be downloaded reproducedor used elsewhere without permission
wwwseasonsorg
For Reference Only Not For Distribution
Physical Interventions and Mindfulness
bullReiki
bullMeditation
bullYoga Pranayama (Breath Exercises)
bullCreative Arts
bullBody Movement Dance
bull Journaling
bullCentering
For Reference Only Not For Distribution
Legacy interventions
bullLife-review
bullLegacy Projects
bull Spiritual Interventions
bull I canrsquot get to the bedside now what
For Reference Only Not For Distribution
All members of the hospice interdisciplinary team are critical to care
delivery during the COVID-19 pandemic
For Reference Only Not For Distribution
Hospice Support System (Internal)bull To ensure that we can support our patients and families Seasons
has taken the following measures oOrdered additional PPE supplies that can be deployed to our sites in
addition to their current inventory to be used when warranted
oCreated an internal Coronavirus educational platform for our staff to access the latest Seasons CDC and WHO updates and recommendations for their programs
oEstablished a dedicated response team that is consistently monitoring the situation to determine if additional steps are needed and answer questions from staff and facility partners in real time
oCreated a COVID-19 Risk amp Response Emergency Plan to guide screening testing reporting and infection control practices using CDC guidelines
For Reference Only Not For Distribution
Seasons Support of Community Partners
bull Seasons Hospice employees will have most up-to-date information to support our partners in hospice care
bull Help deliver supplies for patients
bull Coordinate patient updates virtually (phone text email) with referral sources and facility administrators
bull Obtain consents lsquooffsitersquo where appropriate
bull Deliver free CEs to healthcare workers in the communities
bull Deliver free education seminars to the community via social media
For Reference Only Not For Distribution
ReferencesWhen the webinar ends you will automatically be redirected to the post-activity survey You must fill this survey out to receive your CECME certificate
bull Centers for Disease Control and Prevention (2020) Coronavirus disease 2019 (COVID-19) and you
bull Damianakis T Coyle JP Stergiou CL Searching for more Spirituality for older adult couples seeking enhanced relationship quality Journal of Religion Spirituality amp Aging Volume 32 25-44 2020
bull Dooley CM Carroll B Fry LE Seamon-Lahiff G Bartone PT A Model for Supporting Grief Recovery Following Traumatic Loss The Tragedy Assistance Program for Survivors (TAPS) Military Medicine Volume 184 Volume7-8 166ndash170 2019
bull Helbert K The Chakras in Grief and Trauma A Tantric Guide to Energetic Wholeness (2019)
bull Lundquist A Gurung Regan A R Social Distancing Individuals With Depression The Impact of Symptom Severity Psi Chi Journal of Psychological Research 159-205 2019
For Reference Only Not For Distribution
When the webinar ends you will automatically be redirected to the post-activity survey You must fill this survey out to receive your CECME certificate
bull Mahase E Covid-19 UK starts social distancing after new model points to 260 000 potential deaths BMJ 1-12 2020
bull McQuiad JR Clinical Practice Guideline for the Treatment of Depression Across Three Age Cohorts American Psychological Association 1-213 2019
bull OrsquoBrien K OrsquoKeeffe Cullen H Durcan A Timulak L amp McElvaney J Emotion-focused perspective on generalized anxiety disorder A qualitative analysis of clientsrsquo in-session presentations Psychotherapy Research Volume 29 524-540 2017
bull Reyes AM Aging Households Encyclopedia of Gerontology and Population Aging 101007978-3-319-69892-2_316-1 1-6 2019
bull Wang Y Lippke S Miao M amp Gan Y Restoring meaning in life by meaning‐focused coping The role of self‐distancing Psych Journal Stress-Related Health Outcome Volume 8
3 386-396 2019
References
For Reference Only Not For Distribution
When the webinar ends you will automatically be redirected to the post-activity survey You must fill this survey out to receive your CECME certificate
bull Bowlby J (1963) Pathological mourning and childhood mourning Journal of the American Psychoanalytic Association 11 500-541
bull Bowlby J (1980) Attachment and loss New York NY Basic Books
bull Ira Byock (1998) Dying well Peace and possibilities at the end of life New York Riverhead Books
bull Childrens Project on PalliativeHospice Services (2017 August) Spiritual care of children and their families ChiPPS E-Journal 48
bull Davis B (1999) Shadows in the sun The experience of sibling bereavement in childhood Philadelphia PA Taylor amp Francis
bull Doka K (ed) (2002) Disenfranchised Grief New Directions Challenges and Strategies for Practice New York Research Press
bull Erikson E H (1950) Childhood and society W W Norton amp Co
References
For Reference Only Not For Distribution
When the webinar ends you will automatically be redirected to the post-activity survey You must fill this survey out to receive your CECME certificate
bull Felsenthal E (Ed) (2018) The Science of Laughter [Special issue] TIME
bull Goodrich J Harrison T Cornwell J Resilience a framework supporting hospice staff to flourish in stressful times Hospice UK 2015 Available from httpwwwhospiceukorgpublications
bull Kissane D W (2001) Demoralization syndrome ndash A relevant pscychiatric diagnosis for palliative care Journal of Palliative Care 17 12-21
bull Levetown M and Orloff S (2014) Ethical issues in the care of infants children and adolescents In T W Kirk amp B Jennings (Eds) Hospice Ethics Policy and Practice in Palliative Care 121-143
bull Munley P H (1975) Erik Eriksons theory of psychosocial development and vocational behavior Journal of Counseling Psychology 22(4) 314ndash319
bull Neimeyer R A (2012) Techniques of grief therapy Creative practices for counseling the bereaved New York Routledge
References
For Reference Only Not For Distribution
When the webinar ends you will automatically be redirected to the post-activity survey You must fill this survey out to receive your CECME certificate
bull Sandberg S and Grant A (2017) Option B Facing Adversity Building Resilience and Finding Joy New York Alfred A Knopf
bull Wadsworth B J (1971) Piagets theory of cognitive development An introduction for students of psychology and education New York McKay
bull Worden J W (2002) Grief counseling and grief therapy A handbook for the mental health practitioner New York Springer Pub
bull Loewenstein George (2020 April 1) lsquoReplace the term social distancing with spatial distancingrsquo A behavioral economist on the psychological toll of endless waiting during the coronavirus pandemic wwwmarketwatchcom
bull Kelemen Anne et all (2020) Specific phrases amp word choices that can be helpful when dealing with COVID19 wwwseriousillnessconversationsorg
References
For Reference Only Not For Distribution
Seasons Hospice amp Palliative Care
All contents of this presentation including imagesare the property of Seasons Hospice amp Palliative Care
and are not to be downloaded reproducedor used elsewhere without permission
wwwseasonsorg
For Reference Only Not For Distribution
Legacy interventions
bullLife-review
bullLegacy Projects
bull Spiritual Interventions
bull I canrsquot get to the bedside now what
For Reference Only Not For Distribution
All members of the hospice interdisciplinary team are critical to care
delivery during the COVID-19 pandemic
For Reference Only Not For Distribution
Hospice Support System (Internal)bull To ensure that we can support our patients and families Seasons
has taken the following measures oOrdered additional PPE supplies that can be deployed to our sites in
addition to their current inventory to be used when warranted
oCreated an internal Coronavirus educational platform for our staff to access the latest Seasons CDC and WHO updates and recommendations for their programs
oEstablished a dedicated response team that is consistently monitoring the situation to determine if additional steps are needed and answer questions from staff and facility partners in real time
oCreated a COVID-19 Risk amp Response Emergency Plan to guide screening testing reporting and infection control practices using CDC guidelines
For Reference Only Not For Distribution
Seasons Support of Community Partners
bull Seasons Hospice employees will have most up-to-date information to support our partners in hospice care
bull Help deliver supplies for patients
bull Coordinate patient updates virtually (phone text email) with referral sources and facility administrators
bull Obtain consents lsquooffsitersquo where appropriate
bull Deliver free CEs to healthcare workers in the communities
bull Deliver free education seminars to the community via social media
For Reference Only Not For Distribution
ReferencesWhen the webinar ends you will automatically be redirected to the post-activity survey You must fill this survey out to receive your CECME certificate
bull Centers for Disease Control and Prevention (2020) Coronavirus disease 2019 (COVID-19) and you
bull Damianakis T Coyle JP Stergiou CL Searching for more Spirituality for older adult couples seeking enhanced relationship quality Journal of Religion Spirituality amp Aging Volume 32 25-44 2020
bull Dooley CM Carroll B Fry LE Seamon-Lahiff G Bartone PT A Model for Supporting Grief Recovery Following Traumatic Loss The Tragedy Assistance Program for Survivors (TAPS) Military Medicine Volume 184 Volume7-8 166ndash170 2019
bull Helbert K The Chakras in Grief and Trauma A Tantric Guide to Energetic Wholeness (2019)
bull Lundquist A Gurung Regan A R Social Distancing Individuals With Depression The Impact of Symptom Severity Psi Chi Journal of Psychological Research 159-205 2019
For Reference Only Not For Distribution
When the webinar ends you will automatically be redirected to the post-activity survey You must fill this survey out to receive your CECME certificate
bull Mahase E Covid-19 UK starts social distancing after new model points to 260 000 potential deaths BMJ 1-12 2020
bull McQuiad JR Clinical Practice Guideline for the Treatment of Depression Across Three Age Cohorts American Psychological Association 1-213 2019
bull OrsquoBrien K OrsquoKeeffe Cullen H Durcan A Timulak L amp McElvaney J Emotion-focused perspective on generalized anxiety disorder A qualitative analysis of clientsrsquo in-session presentations Psychotherapy Research Volume 29 524-540 2017
bull Reyes AM Aging Households Encyclopedia of Gerontology and Population Aging 101007978-3-319-69892-2_316-1 1-6 2019
bull Wang Y Lippke S Miao M amp Gan Y Restoring meaning in life by meaning‐focused coping The role of self‐distancing Psych Journal Stress-Related Health Outcome Volume 8
3 386-396 2019
References
For Reference Only Not For Distribution
When the webinar ends you will automatically be redirected to the post-activity survey You must fill this survey out to receive your CECME certificate
bull Bowlby J (1963) Pathological mourning and childhood mourning Journal of the American Psychoanalytic Association 11 500-541
bull Bowlby J (1980) Attachment and loss New York NY Basic Books
bull Ira Byock (1998) Dying well Peace and possibilities at the end of life New York Riverhead Books
bull Childrens Project on PalliativeHospice Services (2017 August) Spiritual care of children and their families ChiPPS E-Journal 48
bull Davis B (1999) Shadows in the sun The experience of sibling bereavement in childhood Philadelphia PA Taylor amp Francis
bull Doka K (ed) (2002) Disenfranchised Grief New Directions Challenges and Strategies for Practice New York Research Press
bull Erikson E H (1950) Childhood and society W W Norton amp Co
References
For Reference Only Not For Distribution
When the webinar ends you will automatically be redirected to the post-activity survey You must fill this survey out to receive your CECME certificate
bull Felsenthal E (Ed) (2018) The Science of Laughter [Special issue] TIME
bull Goodrich J Harrison T Cornwell J Resilience a framework supporting hospice staff to flourish in stressful times Hospice UK 2015 Available from httpwwwhospiceukorgpublications
bull Kissane D W (2001) Demoralization syndrome ndash A relevant pscychiatric diagnosis for palliative care Journal of Palliative Care 17 12-21
bull Levetown M and Orloff S (2014) Ethical issues in the care of infants children and adolescents In T W Kirk amp B Jennings (Eds) Hospice Ethics Policy and Practice in Palliative Care 121-143
bull Munley P H (1975) Erik Eriksons theory of psychosocial development and vocational behavior Journal of Counseling Psychology 22(4) 314ndash319
bull Neimeyer R A (2012) Techniques of grief therapy Creative practices for counseling the bereaved New York Routledge
References
For Reference Only Not For Distribution
When the webinar ends you will automatically be redirected to the post-activity survey You must fill this survey out to receive your CECME certificate
bull Sandberg S and Grant A (2017) Option B Facing Adversity Building Resilience and Finding Joy New York Alfred A Knopf
bull Wadsworth B J (1971) Piagets theory of cognitive development An introduction for students of psychology and education New York McKay
bull Worden J W (2002) Grief counseling and grief therapy A handbook for the mental health practitioner New York Springer Pub
bull Loewenstein George (2020 April 1) lsquoReplace the term social distancing with spatial distancingrsquo A behavioral economist on the psychological toll of endless waiting during the coronavirus pandemic wwwmarketwatchcom
bull Kelemen Anne et all (2020) Specific phrases amp word choices that can be helpful when dealing with COVID19 wwwseriousillnessconversationsorg
References
For Reference Only Not For Distribution
Seasons Hospice amp Palliative Care
All contents of this presentation including imagesare the property of Seasons Hospice amp Palliative Care
and are not to be downloaded reproducedor used elsewhere without permission
wwwseasonsorg
For Reference Only Not For Distribution
All members of the hospice interdisciplinary team are critical to care
delivery during the COVID-19 pandemic
For Reference Only Not For Distribution
Hospice Support System (Internal)bull To ensure that we can support our patients and families Seasons
has taken the following measures oOrdered additional PPE supplies that can be deployed to our sites in
addition to their current inventory to be used when warranted
oCreated an internal Coronavirus educational platform for our staff to access the latest Seasons CDC and WHO updates and recommendations for their programs
oEstablished a dedicated response team that is consistently monitoring the situation to determine if additional steps are needed and answer questions from staff and facility partners in real time
oCreated a COVID-19 Risk amp Response Emergency Plan to guide screening testing reporting and infection control practices using CDC guidelines
For Reference Only Not For Distribution
Seasons Support of Community Partners
bull Seasons Hospice employees will have most up-to-date information to support our partners in hospice care
bull Help deliver supplies for patients
bull Coordinate patient updates virtually (phone text email) with referral sources and facility administrators
bull Obtain consents lsquooffsitersquo where appropriate
bull Deliver free CEs to healthcare workers in the communities
bull Deliver free education seminars to the community via social media
For Reference Only Not For Distribution
ReferencesWhen the webinar ends you will automatically be redirected to the post-activity survey You must fill this survey out to receive your CECME certificate
bull Centers for Disease Control and Prevention (2020) Coronavirus disease 2019 (COVID-19) and you
bull Damianakis T Coyle JP Stergiou CL Searching for more Spirituality for older adult couples seeking enhanced relationship quality Journal of Religion Spirituality amp Aging Volume 32 25-44 2020
bull Dooley CM Carroll B Fry LE Seamon-Lahiff G Bartone PT A Model for Supporting Grief Recovery Following Traumatic Loss The Tragedy Assistance Program for Survivors (TAPS) Military Medicine Volume 184 Volume7-8 166ndash170 2019
bull Helbert K The Chakras in Grief and Trauma A Tantric Guide to Energetic Wholeness (2019)
bull Lundquist A Gurung Regan A R Social Distancing Individuals With Depression The Impact of Symptom Severity Psi Chi Journal of Psychological Research 159-205 2019
For Reference Only Not For Distribution
When the webinar ends you will automatically be redirected to the post-activity survey You must fill this survey out to receive your CECME certificate
bull Mahase E Covid-19 UK starts social distancing after new model points to 260 000 potential deaths BMJ 1-12 2020
bull McQuiad JR Clinical Practice Guideline for the Treatment of Depression Across Three Age Cohorts American Psychological Association 1-213 2019
bull OrsquoBrien K OrsquoKeeffe Cullen H Durcan A Timulak L amp McElvaney J Emotion-focused perspective on generalized anxiety disorder A qualitative analysis of clientsrsquo in-session presentations Psychotherapy Research Volume 29 524-540 2017
bull Reyes AM Aging Households Encyclopedia of Gerontology and Population Aging 101007978-3-319-69892-2_316-1 1-6 2019
bull Wang Y Lippke S Miao M amp Gan Y Restoring meaning in life by meaning‐focused coping The role of self‐distancing Psych Journal Stress-Related Health Outcome Volume 8
3 386-396 2019
References
For Reference Only Not For Distribution
When the webinar ends you will automatically be redirected to the post-activity survey You must fill this survey out to receive your CECME certificate
bull Bowlby J (1963) Pathological mourning and childhood mourning Journal of the American Psychoanalytic Association 11 500-541
bull Bowlby J (1980) Attachment and loss New York NY Basic Books
bull Ira Byock (1998) Dying well Peace and possibilities at the end of life New York Riverhead Books
bull Childrens Project on PalliativeHospice Services (2017 August) Spiritual care of children and their families ChiPPS E-Journal 48
bull Davis B (1999) Shadows in the sun The experience of sibling bereavement in childhood Philadelphia PA Taylor amp Francis
bull Doka K (ed) (2002) Disenfranchised Grief New Directions Challenges and Strategies for Practice New York Research Press
bull Erikson E H (1950) Childhood and society W W Norton amp Co
References
For Reference Only Not For Distribution
When the webinar ends you will automatically be redirected to the post-activity survey You must fill this survey out to receive your CECME certificate
bull Felsenthal E (Ed) (2018) The Science of Laughter [Special issue] TIME
bull Goodrich J Harrison T Cornwell J Resilience a framework supporting hospice staff to flourish in stressful times Hospice UK 2015 Available from httpwwwhospiceukorgpublications
bull Kissane D W (2001) Demoralization syndrome ndash A relevant pscychiatric diagnosis for palliative care Journal of Palliative Care 17 12-21
bull Levetown M and Orloff S (2014) Ethical issues in the care of infants children and adolescents In T W Kirk amp B Jennings (Eds) Hospice Ethics Policy and Practice in Palliative Care 121-143
bull Munley P H (1975) Erik Eriksons theory of psychosocial development and vocational behavior Journal of Counseling Psychology 22(4) 314ndash319
bull Neimeyer R A (2012) Techniques of grief therapy Creative practices for counseling the bereaved New York Routledge
References
For Reference Only Not For Distribution
When the webinar ends you will automatically be redirected to the post-activity survey You must fill this survey out to receive your CECME certificate
bull Sandberg S and Grant A (2017) Option B Facing Adversity Building Resilience and Finding Joy New York Alfred A Knopf
bull Wadsworth B J (1971) Piagets theory of cognitive development An introduction for students of psychology and education New York McKay
bull Worden J W (2002) Grief counseling and grief therapy A handbook for the mental health practitioner New York Springer Pub
bull Loewenstein George (2020 April 1) lsquoReplace the term social distancing with spatial distancingrsquo A behavioral economist on the psychological toll of endless waiting during the coronavirus pandemic wwwmarketwatchcom
bull Kelemen Anne et all (2020) Specific phrases amp word choices that can be helpful when dealing with COVID19 wwwseriousillnessconversationsorg
References
For Reference Only Not For Distribution
Seasons Hospice amp Palliative Care
All contents of this presentation including imagesare the property of Seasons Hospice amp Palliative Care
and are not to be downloaded reproducedor used elsewhere without permission
wwwseasonsorg
For Reference Only Not For Distribution
Hospice Support System (Internal)bull To ensure that we can support our patients and families Seasons
has taken the following measures oOrdered additional PPE supplies that can be deployed to our sites in
addition to their current inventory to be used when warranted
oCreated an internal Coronavirus educational platform for our staff to access the latest Seasons CDC and WHO updates and recommendations for their programs
oEstablished a dedicated response team that is consistently monitoring the situation to determine if additional steps are needed and answer questions from staff and facility partners in real time
oCreated a COVID-19 Risk amp Response Emergency Plan to guide screening testing reporting and infection control practices using CDC guidelines
For Reference Only Not For Distribution
Seasons Support of Community Partners
bull Seasons Hospice employees will have most up-to-date information to support our partners in hospice care
bull Help deliver supplies for patients
bull Coordinate patient updates virtually (phone text email) with referral sources and facility administrators
bull Obtain consents lsquooffsitersquo where appropriate
bull Deliver free CEs to healthcare workers in the communities
bull Deliver free education seminars to the community via social media
For Reference Only Not For Distribution
ReferencesWhen the webinar ends you will automatically be redirected to the post-activity survey You must fill this survey out to receive your CECME certificate
bull Centers for Disease Control and Prevention (2020) Coronavirus disease 2019 (COVID-19) and you
bull Damianakis T Coyle JP Stergiou CL Searching for more Spirituality for older adult couples seeking enhanced relationship quality Journal of Religion Spirituality amp Aging Volume 32 25-44 2020
bull Dooley CM Carroll B Fry LE Seamon-Lahiff G Bartone PT A Model for Supporting Grief Recovery Following Traumatic Loss The Tragedy Assistance Program for Survivors (TAPS) Military Medicine Volume 184 Volume7-8 166ndash170 2019
bull Helbert K The Chakras in Grief and Trauma A Tantric Guide to Energetic Wholeness (2019)
bull Lundquist A Gurung Regan A R Social Distancing Individuals With Depression The Impact of Symptom Severity Psi Chi Journal of Psychological Research 159-205 2019
For Reference Only Not For Distribution
When the webinar ends you will automatically be redirected to the post-activity survey You must fill this survey out to receive your CECME certificate
bull Mahase E Covid-19 UK starts social distancing after new model points to 260 000 potential deaths BMJ 1-12 2020
bull McQuiad JR Clinical Practice Guideline for the Treatment of Depression Across Three Age Cohorts American Psychological Association 1-213 2019
bull OrsquoBrien K OrsquoKeeffe Cullen H Durcan A Timulak L amp McElvaney J Emotion-focused perspective on generalized anxiety disorder A qualitative analysis of clientsrsquo in-session presentations Psychotherapy Research Volume 29 524-540 2017
bull Reyes AM Aging Households Encyclopedia of Gerontology and Population Aging 101007978-3-319-69892-2_316-1 1-6 2019
bull Wang Y Lippke S Miao M amp Gan Y Restoring meaning in life by meaning‐focused coping The role of self‐distancing Psych Journal Stress-Related Health Outcome Volume 8
3 386-396 2019
References
For Reference Only Not For Distribution
When the webinar ends you will automatically be redirected to the post-activity survey You must fill this survey out to receive your CECME certificate
bull Bowlby J (1963) Pathological mourning and childhood mourning Journal of the American Psychoanalytic Association 11 500-541
bull Bowlby J (1980) Attachment and loss New York NY Basic Books
bull Ira Byock (1998) Dying well Peace and possibilities at the end of life New York Riverhead Books
bull Childrens Project on PalliativeHospice Services (2017 August) Spiritual care of children and their families ChiPPS E-Journal 48
bull Davis B (1999) Shadows in the sun The experience of sibling bereavement in childhood Philadelphia PA Taylor amp Francis
bull Doka K (ed) (2002) Disenfranchised Grief New Directions Challenges and Strategies for Practice New York Research Press
bull Erikson E H (1950) Childhood and society W W Norton amp Co
References
For Reference Only Not For Distribution
When the webinar ends you will automatically be redirected to the post-activity survey You must fill this survey out to receive your CECME certificate
bull Felsenthal E (Ed) (2018) The Science of Laughter [Special issue] TIME
bull Goodrich J Harrison T Cornwell J Resilience a framework supporting hospice staff to flourish in stressful times Hospice UK 2015 Available from httpwwwhospiceukorgpublications
bull Kissane D W (2001) Demoralization syndrome ndash A relevant pscychiatric diagnosis for palliative care Journal of Palliative Care 17 12-21
bull Levetown M and Orloff S (2014) Ethical issues in the care of infants children and adolescents In T W Kirk amp B Jennings (Eds) Hospice Ethics Policy and Practice in Palliative Care 121-143
bull Munley P H (1975) Erik Eriksons theory of psychosocial development and vocational behavior Journal of Counseling Psychology 22(4) 314ndash319
bull Neimeyer R A (2012) Techniques of grief therapy Creative practices for counseling the bereaved New York Routledge
References
For Reference Only Not For Distribution
When the webinar ends you will automatically be redirected to the post-activity survey You must fill this survey out to receive your CECME certificate
bull Sandberg S and Grant A (2017) Option B Facing Adversity Building Resilience and Finding Joy New York Alfred A Knopf
bull Wadsworth B J (1971) Piagets theory of cognitive development An introduction for students of psychology and education New York McKay
bull Worden J W (2002) Grief counseling and grief therapy A handbook for the mental health practitioner New York Springer Pub
bull Loewenstein George (2020 April 1) lsquoReplace the term social distancing with spatial distancingrsquo A behavioral economist on the psychological toll of endless waiting during the coronavirus pandemic wwwmarketwatchcom
bull Kelemen Anne et all (2020) Specific phrases amp word choices that can be helpful when dealing with COVID19 wwwseriousillnessconversationsorg
References
For Reference Only Not For Distribution
Seasons Hospice amp Palliative Care
All contents of this presentation including imagesare the property of Seasons Hospice amp Palliative Care
and are not to be downloaded reproducedor used elsewhere without permission
wwwseasonsorg
For Reference Only Not For Distribution
Seasons Support of Community Partners
bull Seasons Hospice employees will have most up-to-date information to support our partners in hospice care
bull Help deliver supplies for patients
bull Coordinate patient updates virtually (phone text email) with referral sources and facility administrators
bull Obtain consents lsquooffsitersquo where appropriate
bull Deliver free CEs to healthcare workers in the communities
bull Deliver free education seminars to the community via social media
For Reference Only Not For Distribution
ReferencesWhen the webinar ends you will automatically be redirected to the post-activity survey You must fill this survey out to receive your CECME certificate
bull Centers for Disease Control and Prevention (2020) Coronavirus disease 2019 (COVID-19) and you
bull Damianakis T Coyle JP Stergiou CL Searching for more Spirituality for older adult couples seeking enhanced relationship quality Journal of Religion Spirituality amp Aging Volume 32 25-44 2020
bull Dooley CM Carroll B Fry LE Seamon-Lahiff G Bartone PT A Model for Supporting Grief Recovery Following Traumatic Loss The Tragedy Assistance Program for Survivors (TAPS) Military Medicine Volume 184 Volume7-8 166ndash170 2019
bull Helbert K The Chakras in Grief and Trauma A Tantric Guide to Energetic Wholeness (2019)
bull Lundquist A Gurung Regan A R Social Distancing Individuals With Depression The Impact of Symptom Severity Psi Chi Journal of Psychological Research 159-205 2019
For Reference Only Not For Distribution
When the webinar ends you will automatically be redirected to the post-activity survey You must fill this survey out to receive your CECME certificate
bull Mahase E Covid-19 UK starts social distancing after new model points to 260 000 potential deaths BMJ 1-12 2020
bull McQuiad JR Clinical Practice Guideline for the Treatment of Depression Across Three Age Cohorts American Psychological Association 1-213 2019
bull OrsquoBrien K OrsquoKeeffe Cullen H Durcan A Timulak L amp McElvaney J Emotion-focused perspective on generalized anxiety disorder A qualitative analysis of clientsrsquo in-session presentations Psychotherapy Research Volume 29 524-540 2017
bull Reyes AM Aging Households Encyclopedia of Gerontology and Population Aging 101007978-3-319-69892-2_316-1 1-6 2019
bull Wang Y Lippke S Miao M amp Gan Y Restoring meaning in life by meaning‐focused coping The role of self‐distancing Psych Journal Stress-Related Health Outcome Volume 8
3 386-396 2019
References
For Reference Only Not For Distribution
When the webinar ends you will automatically be redirected to the post-activity survey You must fill this survey out to receive your CECME certificate
bull Bowlby J (1963) Pathological mourning and childhood mourning Journal of the American Psychoanalytic Association 11 500-541
bull Bowlby J (1980) Attachment and loss New York NY Basic Books
bull Ira Byock (1998) Dying well Peace and possibilities at the end of life New York Riverhead Books
bull Childrens Project on PalliativeHospice Services (2017 August) Spiritual care of children and their families ChiPPS E-Journal 48
bull Davis B (1999) Shadows in the sun The experience of sibling bereavement in childhood Philadelphia PA Taylor amp Francis
bull Doka K (ed) (2002) Disenfranchised Grief New Directions Challenges and Strategies for Practice New York Research Press
bull Erikson E H (1950) Childhood and society W W Norton amp Co
References
For Reference Only Not For Distribution
When the webinar ends you will automatically be redirected to the post-activity survey You must fill this survey out to receive your CECME certificate
bull Felsenthal E (Ed) (2018) The Science of Laughter [Special issue] TIME
bull Goodrich J Harrison T Cornwell J Resilience a framework supporting hospice staff to flourish in stressful times Hospice UK 2015 Available from httpwwwhospiceukorgpublications
bull Kissane D W (2001) Demoralization syndrome ndash A relevant pscychiatric diagnosis for palliative care Journal of Palliative Care 17 12-21
bull Levetown M and Orloff S (2014) Ethical issues in the care of infants children and adolescents In T W Kirk amp B Jennings (Eds) Hospice Ethics Policy and Practice in Palliative Care 121-143
bull Munley P H (1975) Erik Eriksons theory of psychosocial development and vocational behavior Journal of Counseling Psychology 22(4) 314ndash319
bull Neimeyer R A (2012) Techniques of grief therapy Creative practices for counseling the bereaved New York Routledge
References
For Reference Only Not For Distribution
When the webinar ends you will automatically be redirected to the post-activity survey You must fill this survey out to receive your CECME certificate
bull Sandberg S and Grant A (2017) Option B Facing Adversity Building Resilience and Finding Joy New York Alfred A Knopf
bull Wadsworth B J (1971) Piagets theory of cognitive development An introduction for students of psychology and education New York McKay
bull Worden J W (2002) Grief counseling and grief therapy A handbook for the mental health practitioner New York Springer Pub
bull Loewenstein George (2020 April 1) lsquoReplace the term social distancing with spatial distancingrsquo A behavioral economist on the psychological toll of endless waiting during the coronavirus pandemic wwwmarketwatchcom
bull Kelemen Anne et all (2020) Specific phrases amp word choices that can be helpful when dealing with COVID19 wwwseriousillnessconversationsorg
References
For Reference Only Not For Distribution
Seasons Hospice amp Palliative Care
All contents of this presentation including imagesare the property of Seasons Hospice amp Palliative Care
and are not to be downloaded reproducedor used elsewhere without permission
wwwseasonsorg
For Reference Only Not For Distribution
ReferencesWhen the webinar ends you will automatically be redirected to the post-activity survey You must fill this survey out to receive your CECME certificate
bull Centers for Disease Control and Prevention (2020) Coronavirus disease 2019 (COVID-19) and you
bull Damianakis T Coyle JP Stergiou CL Searching for more Spirituality for older adult couples seeking enhanced relationship quality Journal of Religion Spirituality amp Aging Volume 32 25-44 2020
bull Dooley CM Carroll B Fry LE Seamon-Lahiff G Bartone PT A Model for Supporting Grief Recovery Following Traumatic Loss The Tragedy Assistance Program for Survivors (TAPS) Military Medicine Volume 184 Volume7-8 166ndash170 2019
bull Helbert K The Chakras in Grief and Trauma A Tantric Guide to Energetic Wholeness (2019)
bull Lundquist A Gurung Regan A R Social Distancing Individuals With Depression The Impact of Symptom Severity Psi Chi Journal of Psychological Research 159-205 2019
For Reference Only Not For Distribution
When the webinar ends you will automatically be redirected to the post-activity survey You must fill this survey out to receive your CECME certificate
bull Mahase E Covid-19 UK starts social distancing after new model points to 260 000 potential deaths BMJ 1-12 2020
bull McQuiad JR Clinical Practice Guideline for the Treatment of Depression Across Three Age Cohorts American Psychological Association 1-213 2019
bull OrsquoBrien K OrsquoKeeffe Cullen H Durcan A Timulak L amp McElvaney J Emotion-focused perspective on generalized anxiety disorder A qualitative analysis of clientsrsquo in-session presentations Psychotherapy Research Volume 29 524-540 2017
bull Reyes AM Aging Households Encyclopedia of Gerontology and Population Aging 101007978-3-319-69892-2_316-1 1-6 2019
bull Wang Y Lippke S Miao M amp Gan Y Restoring meaning in life by meaning‐focused coping The role of self‐distancing Psych Journal Stress-Related Health Outcome Volume 8
3 386-396 2019
References
For Reference Only Not For Distribution
When the webinar ends you will automatically be redirected to the post-activity survey You must fill this survey out to receive your CECME certificate
bull Bowlby J (1963) Pathological mourning and childhood mourning Journal of the American Psychoanalytic Association 11 500-541
bull Bowlby J (1980) Attachment and loss New York NY Basic Books
bull Ira Byock (1998) Dying well Peace and possibilities at the end of life New York Riverhead Books
bull Childrens Project on PalliativeHospice Services (2017 August) Spiritual care of children and their families ChiPPS E-Journal 48
bull Davis B (1999) Shadows in the sun The experience of sibling bereavement in childhood Philadelphia PA Taylor amp Francis
bull Doka K (ed) (2002) Disenfranchised Grief New Directions Challenges and Strategies for Practice New York Research Press
bull Erikson E H (1950) Childhood and society W W Norton amp Co
References
For Reference Only Not For Distribution
When the webinar ends you will automatically be redirected to the post-activity survey You must fill this survey out to receive your CECME certificate
bull Felsenthal E (Ed) (2018) The Science of Laughter [Special issue] TIME
bull Goodrich J Harrison T Cornwell J Resilience a framework supporting hospice staff to flourish in stressful times Hospice UK 2015 Available from httpwwwhospiceukorgpublications
bull Kissane D W (2001) Demoralization syndrome ndash A relevant pscychiatric diagnosis for palliative care Journal of Palliative Care 17 12-21
bull Levetown M and Orloff S (2014) Ethical issues in the care of infants children and adolescents In T W Kirk amp B Jennings (Eds) Hospice Ethics Policy and Practice in Palliative Care 121-143
bull Munley P H (1975) Erik Eriksons theory of psychosocial development and vocational behavior Journal of Counseling Psychology 22(4) 314ndash319
bull Neimeyer R A (2012) Techniques of grief therapy Creative practices for counseling the bereaved New York Routledge
References
For Reference Only Not For Distribution
When the webinar ends you will automatically be redirected to the post-activity survey You must fill this survey out to receive your CECME certificate
bull Sandberg S and Grant A (2017) Option B Facing Adversity Building Resilience and Finding Joy New York Alfred A Knopf
bull Wadsworth B J (1971) Piagets theory of cognitive development An introduction for students of psychology and education New York McKay
bull Worden J W (2002) Grief counseling and grief therapy A handbook for the mental health practitioner New York Springer Pub
bull Loewenstein George (2020 April 1) lsquoReplace the term social distancing with spatial distancingrsquo A behavioral economist on the psychological toll of endless waiting during the coronavirus pandemic wwwmarketwatchcom
bull Kelemen Anne et all (2020) Specific phrases amp word choices that can be helpful when dealing with COVID19 wwwseriousillnessconversationsorg
References
For Reference Only Not For Distribution
Seasons Hospice amp Palliative Care
All contents of this presentation including imagesare the property of Seasons Hospice amp Palliative Care
and are not to be downloaded reproducedor used elsewhere without permission
wwwseasonsorg
For Reference Only Not For Distribution
When the webinar ends you will automatically be redirected to the post-activity survey You must fill this survey out to receive your CECME certificate
bull Mahase E Covid-19 UK starts social distancing after new model points to 260 000 potential deaths BMJ 1-12 2020
bull McQuiad JR Clinical Practice Guideline for the Treatment of Depression Across Three Age Cohorts American Psychological Association 1-213 2019
bull OrsquoBrien K OrsquoKeeffe Cullen H Durcan A Timulak L amp McElvaney J Emotion-focused perspective on generalized anxiety disorder A qualitative analysis of clientsrsquo in-session presentations Psychotherapy Research Volume 29 524-540 2017
bull Reyes AM Aging Households Encyclopedia of Gerontology and Population Aging 101007978-3-319-69892-2_316-1 1-6 2019
bull Wang Y Lippke S Miao M amp Gan Y Restoring meaning in life by meaning‐focused coping The role of self‐distancing Psych Journal Stress-Related Health Outcome Volume 8
3 386-396 2019
References
For Reference Only Not For Distribution
When the webinar ends you will automatically be redirected to the post-activity survey You must fill this survey out to receive your CECME certificate
bull Bowlby J (1963) Pathological mourning and childhood mourning Journal of the American Psychoanalytic Association 11 500-541
bull Bowlby J (1980) Attachment and loss New York NY Basic Books
bull Ira Byock (1998) Dying well Peace and possibilities at the end of life New York Riverhead Books
bull Childrens Project on PalliativeHospice Services (2017 August) Spiritual care of children and their families ChiPPS E-Journal 48
bull Davis B (1999) Shadows in the sun The experience of sibling bereavement in childhood Philadelphia PA Taylor amp Francis
bull Doka K (ed) (2002) Disenfranchised Grief New Directions Challenges and Strategies for Practice New York Research Press
bull Erikson E H (1950) Childhood and society W W Norton amp Co
References
For Reference Only Not For Distribution
When the webinar ends you will automatically be redirected to the post-activity survey You must fill this survey out to receive your CECME certificate
bull Felsenthal E (Ed) (2018) The Science of Laughter [Special issue] TIME
bull Goodrich J Harrison T Cornwell J Resilience a framework supporting hospice staff to flourish in stressful times Hospice UK 2015 Available from httpwwwhospiceukorgpublications
bull Kissane D W (2001) Demoralization syndrome ndash A relevant pscychiatric diagnosis for palliative care Journal of Palliative Care 17 12-21
bull Levetown M and Orloff S (2014) Ethical issues in the care of infants children and adolescents In T W Kirk amp B Jennings (Eds) Hospice Ethics Policy and Practice in Palliative Care 121-143
bull Munley P H (1975) Erik Eriksons theory of psychosocial development and vocational behavior Journal of Counseling Psychology 22(4) 314ndash319
bull Neimeyer R A (2012) Techniques of grief therapy Creative practices for counseling the bereaved New York Routledge
References
For Reference Only Not For Distribution
When the webinar ends you will automatically be redirected to the post-activity survey You must fill this survey out to receive your CECME certificate
bull Sandberg S and Grant A (2017) Option B Facing Adversity Building Resilience and Finding Joy New York Alfred A Knopf
bull Wadsworth B J (1971) Piagets theory of cognitive development An introduction for students of psychology and education New York McKay
bull Worden J W (2002) Grief counseling and grief therapy A handbook for the mental health practitioner New York Springer Pub
bull Loewenstein George (2020 April 1) lsquoReplace the term social distancing with spatial distancingrsquo A behavioral economist on the psychological toll of endless waiting during the coronavirus pandemic wwwmarketwatchcom
bull Kelemen Anne et all (2020) Specific phrases amp word choices that can be helpful when dealing with COVID19 wwwseriousillnessconversationsorg
References
For Reference Only Not For Distribution
Seasons Hospice amp Palliative Care
All contents of this presentation including imagesare the property of Seasons Hospice amp Palliative Care
and are not to be downloaded reproducedor used elsewhere without permission
wwwseasonsorg
For Reference Only Not For Distribution
When the webinar ends you will automatically be redirected to the post-activity survey You must fill this survey out to receive your CECME certificate
bull Bowlby J (1963) Pathological mourning and childhood mourning Journal of the American Psychoanalytic Association 11 500-541
bull Bowlby J (1980) Attachment and loss New York NY Basic Books
bull Ira Byock (1998) Dying well Peace and possibilities at the end of life New York Riverhead Books
bull Childrens Project on PalliativeHospice Services (2017 August) Spiritual care of children and their families ChiPPS E-Journal 48
bull Davis B (1999) Shadows in the sun The experience of sibling bereavement in childhood Philadelphia PA Taylor amp Francis
bull Doka K (ed) (2002) Disenfranchised Grief New Directions Challenges and Strategies for Practice New York Research Press
bull Erikson E H (1950) Childhood and society W W Norton amp Co
References
For Reference Only Not For Distribution
When the webinar ends you will automatically be redirected to the post-activity survey You must fill this survey out to receive your CECME certificate
bull Felsenthal E (Ed) (2018) The Science of Laughter [Special issue] TIME
bull Goodrich J Harrison T Cornwell J Resilience a framework supporting hospice staff to flourish in stressful times Hospice UK 2015 Available from httpwwwhospiceukorgpublications
bull Kissane D W (2001) Demoralization syndrome ndash A relevant pscychiatric diagnosis for palliative care Journal of Palliative Care 17 12-21
bull Levetown M and Orloff S (2014) Ethical issues in the care of infants children and adolescents In T W Kirk amp B Jennings (Eds) Hospice Ethics Policy and Practice in Palliative Care 121-143
bull Munley P H (1975) Erik Eriksons theory of psychosocial development and vocational behavior Journal of Counseling Psychology 22(4) 314ndash319
bull Neimeyer R A (2012) Techniques of grief therapy Creative practices for counseling the bereaved New York Routledge
References
For Reference Only Not For Distribution
When the webinar ends you will automatically be redirected to the post-activity survey You must fill this survey out to receive your CECME certificate
bull Sandberg S and Grant A (2017) Option B Facing Adversity Building Resilience and Finding Joy New York Alfred A Knopf
bull Wadsworth B J (1971) Piagets theory of cognitive development An introduction for students of psychology and education New York McKay
bull Worden J W (2002) Grief counseling and grief therapy A handbook for the mental health practitioner New York Springer Pub
bull Loewenstein George (2020 April 1) lsquoReplace the term social distancing with spatial distancingrsquo A behavioral economist on the psychological toll of endless waiting during the coronavirus pandemic wwwmarketwatchcom
bull Kelemen Anne et all (2020) Specific phrases amp word choices that can be helpful when dealing with COVID19 wwwseriousillnessconversationsorg
References
For Reference Only Not For Distribution
Seasons Hospice amp Palliative Care
All contents of this presentation including imagesare the property of Seasons Hospice amp Palliative Care
and are not to be downloaded reproducedor used elsewhere without permission
wwwseasonsorg
For Reference Only Not For Distribution
When the webinar ends you will automatically be redirected to the post-activity survey You must fill this survey out to receive your CECME certificate
bull Felsenthal E (Ed) (2018) The Science of Laughter [Special issue] TIME
bull Goodrich J Harrison T Cornwell J Resilience a framework supporting hospice staff to flourish in stressful times Hospice UK 2015 Available from httpwwwhospiceukorgpublications
bull Kissane D W (2001) Demoralization syndrome ndash A relevant pscychiatric diagnosis for palliative care Journal of Palliative Care 17 12-21
bull Levetown M and Orloff S (2014) Ethical issues in the care of infants children and adolescents In T W Kirk amp B Jennings (Eds) Hospice Ethics Policy and Practice in Palliative Care 121-143
bull Munley P H (1975) Erik Eriksons theory of psychosocial development and vocational behavior Journal of Counseling Psychology 22(4) 314ndash319
bull Neimeyer R A (2012) Techniques of grief therapy Creative practices for counseling the bereaved New York Routledge
References
For Reference Only Not For Distribution
When the webinar ends you will automatically be redirected to the post-activity survey You must fill this survey out to receive your CECME certificate
bull Sandberg S and Grant A (2017) Option B Facing Adversity Building Resilience and Finding Joy New York Alfred A Knopf
bull Wadsworth B J (1971) Piagets theory of cognitive development An introduction for students of psychology and education New York McKay
bull Worden J W (2002) Grief counseling and grief therapy A handbook for the mental health practitioner New York Springer Pub
bull Loewenstein George (2020 April 1) lsquoReplace the term social distancing with spatial distancingrsquo A behavioral economist on the psychological toll of endless waiting during the coronavirus pandemic wwwmarketwatchcom
bull Kelemen Anne et all (2020) Specific phrases amp word choices that can be helpful when dealing with COVID19 wwwseriousillnessconversationsorg
References
For Reference Only Not For Distribution
Seasons Hospice amp Palliative Care
All contents of this presentation including imagesare the property of Seasons Hospice amp Palliative Care
and are not to be downloaded reproducedor used elsewhere without permission
wwwseasonsorg
For Reference Only Not For Distribution
When the webinar ends you will automatically be redirected to the post-activity survey You must fill this survey out to receive your CECME certificate
bull Sandberg S and Grant A (2017) Option B Facing Adversity Building Resilience and Finding Joy New York Alfred A Knopf
bull Wadsworth B J (1971) Piagets theory of cognitive development An introduction for students of psychology and education New York McKay
bull Worden J W (2002) Grief counseling and grief therapy A handbook for the mental health practitioner New York Springer Pub
bull Loewenstein George (2020 April 1) lsquoReplace the term social distancing with spatial distancingrsquo A behavioral economist on the psychological toll of endless waiting during the coronavirus pandemic wwwmarketwatchcom
bull Kelemen Anne et all (2020) Specific phrases amp word choices that can be helpful when dealing with COVID19 wwwseriousillnessconversationsorg
References
For Reference Only Not For Distribution
Seasons Hospice amp Palliative Care
All contents of this presentation including imagesare the property of Seasons Hospice amp Palliative Care
and are not to be downloaded reproducedor used elsewhere without permission
wwwseasonsorg
For Reference Only Not For Distribution
Seasons Hospice amp Palliative Care
All contents of this presentation including imagesare the property of Seasons Hospice amp Palliative Care
and are not to be downloaded reproducedor used elsewhere without permission
wwwseasonsorg
