Webinar Series: Palliative Care Across Cultures

This webinar series will feature keynote speakers, panels and some complicated case studies to examine ways that inequity impacts palliative care patients and learn how to promote health equity on our teams or at the institutional level. Case studies will illustrate how our cultural identities and belief systems influence how we interact and engage with the patients and families we serve, and also examine how these elements impact family decision making when facing serious illness or death or after death care.

Together we will investigate how the medical model’s “culture” can impact how patients and families make medical decisions at the end-of-life, explore the importance of understanding and respecting culture at the end-of-life.

Each webinar will include time for Q&A.

Register for each webinar series event separately at the links below.  

Up to 9 hours of CME credits available.  Participants will receive credit for each session attended.  See Accreditation Statement below.

WEBINAR #1: Cross Cultural Palliative Care: Finding Alignment and Tools - Dr. Jody Waldron, September 24, 2020, 9:00-10:30 am

Underserved communities often underutilize hospice and Palliative Care services at end-of-life. This session will discuss some of the cultural barriers to Palliative Care using cases from various immigrant and refugee communities. We will also highlight how common local approaches to end of life discussions and care may be rooted in Western or Eurocentric values in ways that are often taken for granted by practitioners.  We will discuss ways to reduce this bias, build rapport and alignment in these communities, and provide culturally specific end of life care to this growing population of patients in need. At the end of this webinar, participants will be able to:

1. Recognize how some commonly accepted practice fundamentals of Palliative Care may be culturally specific

2. Identify potential sources of conflict and marginalization as Palliative Care is provided cross-culturally

3. Engage collaboratively with patients and families from certain refugee communities re: Palliative Care

4. Develop methods for approaching cross cultural end of life cases which may reduce conflict and promote alignment and patient centered care. 

 

WEBINAR #2:  Providing Culturally Relevant Palliative Care Systematically as a Community - Gurpreet Dhillon, MBA, October 6, 2020, 10:00 am-12:00 pm

Approaching Palliative Care as a community system with many layers and stakeholders.  This session will explore what the Palliative Care system in our community looks like, what is working really well, and where do we have opportunities to further develop. On completion of this webinar participants should be able to:

1.    Explain the various types of Palliative Care services available in our community today 

2.    Describe the importance of collaboration and communication as a part of delivering effective Palliative Care

3.    Examine the business model for Palliative Care in the healthcare system

4.    Explore how you or your organization support the Palliative Care system approach

 

WEBINAR #3: PANEL: Case Studies in Cultural Aspects of Care, Dr. Devyani Chandran, moderator, October 7, 2020, 2:30-4:00 pm

In this Webinar,  panel will respond to case studies from varied cultural and spiritual perspectives, exploring how different communities and families may respond to differently to the same end of life challenges.

Panelists include:  

 

Jenna Bowman, MSPS, MSCJ, PhDc.  Bowman is a member of the Tulalip/Yakama tribes and is the Washington State Tribal Liaison for UnitedHealthcare- Community Plan.

Australia Hernández Cosby, MS, Promotora at Community to Community Development

Geraldine Reitz, MA, Hospital chaplain at PeaceHealth Saint Joseph Medical Center

 

Webinar #4  - From Alleviation to Action:  Health Equity and Palliative Care, Dr. Tracey Ng, October 19, 2:30-4:00 pm

Our own cultural identities and belief systems impact how we interact and engage with the patients and families we serve. This session will explore how unconscious bias and racism can impact health equity in palliative care.  On completion of this session, participants should be able to:

  1. Identify at least 3 ways that inequity impacts palliative care patients
  2. Discuss 3 unique challenges and opportunities in addressing health equity in palliative care
  3. Identify 3 actions providers can take to promote health equity for their patients
  4. Identify 3 actions providers can take to promote health equity on their teams or at the institutional level

Webinar #5 - Caring Across Cultures – The values and voices of immigrant caregivers, Marinel Kniseley, MA, October 29, 2020. 3:00-4:00 pm

An exploration of the values and perspectives that caregivers from Mexicana background bring to caregiving roles and the challenges of providing care across cultural identities.On completion of this session, participants should be able to:

  1. Examine the disconnect between mainstream culture and care needs of elders in our community
  2. Discuss how caregivers can be supported to express their cultural values and knowledge in their work to the benefit of the patient
  3. Identify specific challenges faced by immigrant or first-generation caregivers
  4. Identify strategies to improve retention of caregivers in these roles

 

Webinar #6   Immigrants and Undocumented – Challenges of Healthcare Access, Dr. Devyani Chandran, November 5, 2020, 10:00-11:00 am

Undocumented individuals face several challenges in accessing end of life care. This session will explore several of these challenges. At the end of this session participants should be able to:

  1. Explain individual barriers to care for undocumented individuals
  2. Examine structural barriers to accessing care (for example, low rates of enrollment in hospice) that negatively impact the end of life experience of undocumented individuals.
  3. Explore cultural beliefs that may impact decision making for this population
  4. Explain why undocumented individuals may find it harder than citizens or documented individuals to engage in advance care planning

 

Accreditation Statement:

This activity has been planned and implemented in accordance with the accreditation requirements of the Washington State Medical Association through the joint providership of PeaceHealth St. Joseph Medical Center and Western Washington University. PeaceHealth St. Joseph is accredited by the WSMA to provide continuing medical education for physicians.

PeaceHealth St. Joseph designates this live internet activity for a maximum of 9 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

This activity meets the criteria for up to 9 hours of Category I CME credit to satisfy the relicensure requirements of the Washington State Medical Quality Assurance Commission.

**

 

Your Voice, Your Choice Free Online Advance Care Planning Workshops

These interactive discussions will guide
you through completing your advance directive and durable power of attorney for healthcare.

Two convenient options:

Watch a pre-recorded class, on-demand.

or

Sign up for an online class in your state.

These workshops are facilitated by The Advance Care Planning Team at PeaceHealth. All sessions are led by PeaceHealth advance care planning coordinators or trained volunteers.

REGISTER AT:

www.peacehealth.org/advance-care-planning-live-webinar-classes

For more information
visit peacehealth.org/advance-care-planning or email RSSSC-ACPTeam@peacehealth.org

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Your Voice, Your Choice Workshops are made possible by donations to the PeaceHealth St. Joseph Medical Center Foundation.

Psychedelics for Serious Illness and End of Life Care

Psychedelic Therapy for Serious Illness and End of Life Care

Webinar:  September 28, 2023, 4-6 pm.

Articles about psychedelic treatments for serious illness and end of life care seem to be everywhere. Rarely a week goes by without a newly published study appearing in a peer-reviewed medical journal, usually followed by reports of the study in prominent news outlets. In this webinar, we will present recent research on this topic, provide an update on the current legislation efforts to legalize these treatments in Washington State, and reflect on proposed treatment guidelines how legalization may impact treatment plans.

Panelists include:

Dr. David Gruenwald, Medical Director of the Palliative Care and Hospice Service at VA Puget Sound Health Care System

Lisa Yeager, MSW, LICSW, CPTR Licensed Independent Clinical Social Worker

Jesse Salomon, J.D. Democratic State Senator representing the 32nd Legislative District in Washington

 

Moderated by Devyani Chandran, Director, Palliative Care Institute, Western Washington University, Bellingham, Washington

This webinar has been approved for 2 CME credits.

Accreditation Statement:

This activity has been planned and implemented in accordance with the accreditation requirements of the Washington State Medical Association through the joint providership of PeaceHealth St. Joseph Medical Center and Western Washington University Palliative Care Institute. PeaceHealth St. Joseph is accredited by the WSMA to provide continuing medical education for physicians.

PeaceHealth St. Joseph designates this live activity for a maximum of 2 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

This activity meets the criteria for up to 2 hour of Category I CME credits to satisfy the relicensure requirements of the Washington State Medical Quality Assurance Commission.

 

Disclosure:  No one in control of content for this educational activity has disclosed a relevant financial relationship with ineligible companies whose primary business is producing, marketing, selling, re-selling, or distributing products used by or on patients.

Medical Aid in Dying: Challenges and Solutions

Two CME credits will be offered for this webinar.  (See Accreditation Statement Below)

Medical aid in dying (MAID) is currently legal in ten US states and the District of Columbia. The most frequent reasons for requesting MAID are typically loss of autonomy, decreasing ability to participate in pleasurable activities, impaired quality of life, and loss of dignity.

As of 2021, nearly 20% of hospital beds in community settings nationally are provided by a religiously affiliated healthcare organization. In Washington State, over 45% of Washington state's hospital beds are in facilities that are under religious directives,

In most of faith based systems, developing a compassionate and appropriate response to patients who request MAID has been challenging, raising both clinical and public health challenges and concerns regarding how health care providers, institutions, and medical systems will handle requests for AID.

This webinar will present the current landscape of MAID in Washington state and use case studies from three different faith based systems to explore these challenges and suggest some possible strategies and solutions.

Panelists include: 

 

Hilary Walker, Advance Care Planning Coordinator, PeaceHealth 

Judy Kinney, Executive Director, End of Life Washington, Seattle, Washington

Gregg Vandekieft, Executive Medical Director, Palliative Practice Group and TelePC, Providence Institute for Human Caring, Olympia, Washington

Barbara Morris, Geriatrician at STRIDE Community Health Center, Denver, Colorado

and will be moderated by Devyani Chandran, Director, Palliative Care Institute, Western Washington University, Bellingham, Washington

Accreditation Statement:

This activity has been planned and implemented in accordance with the accreditation requirements of the Washington State Medical Association through the joint providership of PeaceHealth St. Joseph Medical Center and Western Washington University Palliative Care Institute. PeaceHealth St. Joseph is accredited by the WSMA to provide continuing medical education for physicians.

PeaceHealth St. Joseph designates this live activity for a maximum of 2 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

This activity meets the criteria for up to 2 hour of Category I CME credits to satisfy the relicensure requirements of the Washington State Medical Quality Assurance Commission.

 

Breaking Bad News to Patients: Webinar

Breaking bad news is one of a provider’s most difficult duties, yet medical education typically offers little formal preparation for this daunting task. In this free Zoom webinar, a panel of practitioners will provide advice and share case studies to explore best practices for this challenging responsibility, including techniques to facilitate breaking bad news, offer realistic hope based on the patient's goals and support patients and their families after the diagnosis has been shared.

 

Panelists include:

C. Bree Johnston, MD, Director, Palliative Care, Skagit Regional Health.

Eddie Harrod, MDiv, Chaplain, Whatcom Hospice, PeaceHealth

Koreen Fish, MSW, Coordinator for the Outpatient Palliative Care Team for PeaceHealth.

Claudia Fischer, RN, MSN, Program Coordinator, Inpatient Palliative Care Team, PeaceHealth. 

Moderator:

Devyani Chandran, PHD, Director, Palliative Care Institute and Associate Professor of Human Services at Western Washington University. 

1 hour of CME credit will be available.

Accreditation: This activity has been planned and implemented in accordance with the accreditation requirements of the Washington State Medical Association through the joint providership of PeaceHealth St. Joseph Medical Center and Western Washington University Palliative Care Institute. PeaceHealth St. Joseph is accredited by the WSMA to provide continuing medical education for physicians.

PeaceHealth St. Joseph designates this live activity for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

This activity meets the criteria for up to 1 hour of Category I CME credit to satisfy the relicensure requirements of the Washington State Medical Quality Assurance Commission.

New Trends in Dementia Diagnosis and Care - Webinar Series

This free three part Zoom webinar series will address some of the new developments in treatment and care of dementias, focusing on emerging areas of research and practice. Although these webinars are targeted for clinicians, family members and community members are welcome to attend.
 

Session One - January 26: Dementia in Primary Care: Prevalence to Partnerships

picture of Dr. Rhoads

Dr. Kristoffer Rhoads - Associate Professor in the Department of Neurology at the University of Washington School of Medicine, co-director of Project ECHO- Dementia and Chair of the Health and Medical Subcommittee of the Dementia Action Collaborative

Session One will provide background on health and health care disparities for cognitive impairment and dementia and explore lifestyle interventions (i.e., risk reduction, exercise, diet, cognitive stimulation) that have impact on cognition and neurological disease processes, from prodromal phases to early dementia.
 

Session Two - February 2: Dementia in Primary Care: Identification and Advance Care Planning 

picture of Dr. Gaster

Dr. Barak Gaster - Professor of Medicine, University of Washington, Primary care physician, and Director of Cognition in Primary Care.

Session Two will evaluate how cognitive concerns can be managed in the primary care setting and explore tools to help express and document their values and preferences as families navigate difficult decisions related to goals of care discussions during a dementia illness.
 

Session Three - February 9: Early diagnosis, biomarkers and intervention in Alzheimer’s disease

Picture of Dr. Grabowski

Dr. Thomas Grabowski - Professor of Radiology and Neurology at the University of Washington, leads the UW Medicine Memory and Brain Wellness Center

Session Three will explore some of the new diagnostic and treatment options for dementia and evaluate recent developments around anti-amyloid antibody treatment of Alzheimer’s disease and other strategies promoted to enhance brain health. Participants will learn about the current research about how dementias disrupt brain function, the role of biomarkers, and the current efficacy of diagnostic and treatment options.

Register for all three sessions (January 26, February 2, and February 9, 2022) at the link below.

We hope you will attend all the sessions, but you are welcome to join any that fit your schedule and interests. 

CME will be offered. Please contact pci@wwu.edu for information about continuing education credits.

Disclosure:  No one in control of content for this educational activity has disclosed a relevant financial interest with ineligible companies whose primary business is producing, marketing, selling, re-selling, or distributing products used by or on patients.

Accreditation Statement:

This activity has been planned and implemented in accordance with the accreditation requirements of the Washington State Medical Association through the joint providership of PeaceHealth St. Joseph Medical Center and Western Washington University. PeaceHealth St. Joseph is accredited by the WSMA to provide continuing medical education for physicians.

PeaceHealth St. Joseph designates this live activity for a maximum of 3.75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

This activity meets the criteria for up to 3.75 hours of Category I CME credit to satisfy the relicensure requirements of the Washington State Medical Quality Assurance Commission.

 

Art of Aging

One of the elements addressed in the Aging Well Whatcom Blueprint is Cultural Shift, acknowledging that “our community has an incomplete and often negatively biased vision of aging.”  One of the expressed goals of this initiative is that “our community will have a full, honest understanding of the entire range of the realities of aging.”

The Art of Aging project was started because we recognized that although we know a lot about aging, most of what we know are broad brushstrokes. The details are missing. Important details. Reading statistical and demographic data, we cannot see the unique features that grace the face of each aging person.  When we look across our community, as a whole, we cannot possibly see the laugh lines and creases of sorrow of each individual’s experiences or hear their voice or rhythms of their thoughts.

The Art of Aging project is one step toward exploring some of the details of aging through series of portraits and recorded interviews reflecting diverse experiences of older adults in Whatcom County, as told through their own words.

A collaboration between Marie EatonSarah Lane, and Richard Scholtz, the project produced 20 painted and audio portraits throughout 2021. 

Visit the Art of Aging webpage to spend some time with elders from across Whatcom County. 

The portraits are on display for the month of February 2022 at the Blaine Senior Center, 763 G Street, Blaine, WA.

 

Home Care Workers for the Elderly in Washington State and Whatcom County

Washington State has been a national leader in long-term support and services among all 50 states.  Despite these successes, we continue to suffer from the crisis of caregiver shortage. Such a challenge will only get worse as baby boomers begin to enter their later senior years.  The good news is that many entities in our state are working hard and creatively to strengthen and grow a quality long-term care workforce to serve our elderly at home.

The Northwest Life Passages Coalition and the Palliative Care Institute have collaborated to host a research team from Western Washington University who will share the current conditions of the home care workforce in the state overall and Whatcom county specifically.

They will also propose specific advocacy efforts that individuals and families within our community can engage in to help solve this challenge.  

Presenters include:

Baozhen Luo, PhD, Sociology

Jodie Howson-Watt, Sociology

Sawyer Jarvis, Sociology

Jane Polinder, Palliative Care Institute &

Human Services

 

Time: May 24, 2021 03:00 PM Pacific Time (US and Canada)

Join Zoom Meeting
https://wwu-edu.zoom.us/j/92735117094?pwd=K3F5UGEwNW5aaTRkanB2aGxPQTFjZz09

Meeting ID: 927 3511 7094
Passcode: 372667

 

Supporting Your Patients Who Choose VSED

Voluntary Stopping Eating and Drinking (VSED) is becoming a more recognized end-of-life choice; patients are choosing to hasten their death by stopping eating and drinking. Typically, they make this choice when they feel that their body is so severely compromised that their quality of life is no longer acceptable.

Although a number of states, including Washington, have laws that allow patients who are close to dying to take medication to end their lives, that option is not always available and so some patients turn to VSED.

This 2-hour webinar will examine this process, Voluntary Stopping of Eating and Drinking (VSED), as an end-of-life choice, exploring moral, medical and legal issues that arise for patients, and their families and providers.

This webinar is intended to be an introduction to VSED as an end-of-life choice. We acknowledge that we advocate VSED as a choice but also understand that there are significant ethical and moral dilemmas raised by this choice.  Attendees will develop a basic understanding of VSED as an end-of-life option and be able to describe some of the moral, ethical and legal questions surrounding this choice, when and how to refer someone, and some of the key steps that should be taken if supporting a patient in this process.  There will also be time for questions for presenters.

An application for CME credit has been submitted.

Although this webinar is intended primarily for those in the medical field, we welcome community participation.  

Presenters include:

  • Hope Wechkin, MD, Medical Director, EvergreenHealth Hospice and Palliative Medicine
  • Megan Ellingson, MD, Palliative Care, Whatcom Hospice
  • Sharmon FIgenshaw, ARNP, Hospice Nurse
  • Jen VanderWeyden – family member whose mother chose VSED
  • Erin Mae Glass, Elder Law Attorney, Baron Smith Law
  • Nancy Simmers, RN, Death Doula, VSED Resources NW
  • John Holmes, PhD,  Ethics Educator, PeaceHealth System

This webinar is co-sponsored by the Palliative Care Institute, A Sacred Passing, VSED Resources NW, End of Life Washington, and The Northwest Washington Medical Society.

See registration link below.

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