Palliative Care ECHO – Past Sessions and Resources

Presenter

ECHO planning team (Kathleen Yue, Marney Thompson, Mary Coleman) 

Competency

Domain 7 –Professional and ethical practice

When appropriate for role, engages in quality improvement, research and knowledge translation to advance practice of self and others; bringing a psychosocial perspective. 

Participants will understand their current state of palliative competency by completing a self-assessment of their practice using the Self-assessment tool for Specialist-FEW Social workers and Counsellors (BC Centre for Palliative Care), Participants will be able to describe the format and process of an ECHO, Participants and ECHO leaders will have a common understanding of expectations for the community of practice by creating a Community Covenant, The members of the ECHO community of practice will begin to establish connection 

Presenter:

Tammy Dyson (MSW, RCSW, Leader, (MAiD) Fraser Health) 

Competency – Domain 5 –Care planning and collaborative practice:

Explores MAiD-related feelings, worries and hopes with people and their family. 

Describe the context of MAiD including current legislation, Distinguish between Desire to Die statements and requests for MAiD, Identify areas for assessment with a request for MAiD, including the patient, family and self, Know how to contact MAiD coordinators in each health authority 

Presenter – Wendy Wainwright & Kathleen Yue facilitated discussion 

Competency – Supporting each other to address Domain 7 –Professional and ethical practice.

If within role, provides education and support to enhance inter-professional team member’s resilience in partnership with organizational leadership. 

Participants will be aware of available resources related to providing psychosocial care and maintaining self-care during COVID-19 and where to locate them 

Presenter – Mary Coleman (MSW, RSW, Canuck Place Children’s Hospice) 

Competency – Domain 4 –Comfort and quality of life.

Adapts care to address person’s fears and anxieties related to past trauma. 

Consider the connections between trauma informed practice and hospice palliative care, Learn a few key theories from trauma treatment that may apply in palliative settings, Understand how traumatic stress may present in the course of serious illness for patients, caregivers, and grievers, Identify appropriate assessment and interventions for role, setting, and trajectory 

Presenter – Marney Thompson (Registered Clinical Counsellor, MA. Director of Psychosocial Services, Victoria Hospice)

Competencies –

• Domain 6: Loss, grief and bereavement. Expert consultant regarding loss, grief and bereavement. Assesses complex grief reactions and situations, such as multiple loss, traumatic loss, and pre-existing vulnerabilities including mental illness and addiction, abuse and neglect.
• Define and identify Complicated / Prolonged Grief and distinguish it from ‘normal’ grief,
• Understand the prevalence and psychosocial correlates of CG,
• Explore the theoretical orientations and basic interventions used in Complicated Grief Treatment(CGT)

Presenter – Camara van Breemen (MN, CHPCN, Play Therapist, Nurse Practitioner(F), Canuck Place Children’s Hospice)

Competencies –

• Domain 5: Comfort and quality of life. Provides developmentally appropriate non-pharmacological interventions within own expertise appropriate including: art, play therapy, and relaxation for relief of distress. Refers to other resources as needed.
• Domain 6: Loss, grief and bereavement. Understands the characteristics and challenges of grieving for a child or youth. Provides counselling support or refers as appropriate.
• Explore strategies to assist parents in sharing serious illness information with children,
• Discuss issues related to connection between the seriously ill person and a child,
• Review activities that may be helpful for children along the illness trajectory and at EOL

Presenter – ECHO planning team

Competency –

• Domain 7 –Professional and ethical practice -When appropriate for role, engages in quality improvement, research and knowledge translation to advance practice of self and others; bringing a psychosocial perspective.
• Understand outcomes of the ECHO pilot, Provide feedback on next ECHO program,
• Contribute to quality improvement and spread of innovation

Presenter – ECHO planning team

Competencies –

• Domain 5 – Care planning & collaborative practice. Advocates for the role of the social worker/counsellor in responding to complex situations.
• Understands and promotes bio-psychosocial perspective as integral to health and well-being, delivery of care, and goals and decision-making.
• Challenges inter-professional team, health care organizations, and public attitudes regarding psychosocial needs of people with a life limiting illness.
• Competencies – Domain 7 – Professional & ethical practice. When appropriate for role, engages in quality improvement, research and knowledge translation to advance practice of self and others, bringing a psychosocial perspective
• Participants will be able to describe the format and process of an ECHO group.
• Participants and ECHO leaders will have a common understanding of expectations for the community of practice by creating a Community Covenant.
• Members of the ECHO community of practice will begin to establish connection through introduction to ECHO Team members, breakout session, and large group debrief

Presenter – Anke Krey, Education and Research Project Facilitator, Victoria Hospice, and Wendy Wainwright, former Director of Clinical Services, Victoria Hospice

Competencies:

• Domain 7 – Professional & ethical practice. When appropriate for role, engages in quality improvement, research and knowledge translation to advance practice of self and others, bringing a psychosocial perspective.
• Educates others (teams, learners, systems, community) regarding psychosocial palliative care (PC) and palliative approach.
• Takes leadership in policy, program development and delivery of psychosocial PC as appropriate for role. Identify “teachable moments” to educate (teams, learners, systems, community) and describe strategies to advocate for psychosocial PC and the palliative approach to advance practice of self and others.
• Describe opportunities to engage and bring a psychosocial perspective to quality improvement, research, and knowledge translation.
• Describe their role and responsibility in leadership in policy, program development and delivery of psychosocial PC

Presenter – Frank Cohn, Jhevoi Melville, MSW, RSW, and Ayesha Sackey, all from VAST

Competencies

• Domain 1 – Principles of PC & palliative approach. Promotes and supports the adaptation of palliative principles in all care settings through capacity building of other care providers/community partners as appropriate for role.
• Domain 2 – Cultural safety & humility. Advocates for incorporation of the person’s and family’s cultural traditions, beliefs, expectations, and preferences into decision making, care planning and service delivery models. Advocates for changes in policy to facilitate incorporation of culture into care.
• Domain 4 – Comfort & quality of life. Adapts care to address person’s fears and anxieties related to past trauma.
• Domain 7 – Professional & ethical practice. Participates in community awareness and engagement activities to build understanding, capacity, and inclusion. Addresses micro, meso, and macro factors that influence PC (e.g., internal and external barriers, social determinants of health).
• Domain 8 – Self care. Identifies team and organizational barriers and issues and works collaboratively to address them.
• Promotes an organizational culture that is safe for expression of multiple perspectives and practicing within ambiguity.
•  Define the concept of race as a social construct and identify the ways it is manifested systemically.
• Describe how to Link PC practice to Anti-Racist practice through honouring our values and each other at the organizational level. Describe the barriers to responding to racism and identify how racism in the workplace impacts individual staff, clients, client service, and organizational culture.
• Describe how to respond competently to racial comments, behaviours or policies in the workplace setting through a stance of cultural humility (compassionate, reflective, non-judgmental).
• Develop a deeper understanding of intersectionality, privilege, and marginalization.
• Describe how to advocate against racist and discriminatory remarks and systems.
• Understand and describe how end of life circumstances present challenges and opportunities in cultural understandings of “Quality of Life”.

Presenter – Frank Cohn, Jhevoi Melville, MSW, RSW, and Ayesha Sackey, all from VAST

• Competencies – Domain 1 – Principles of PC & palliative approach. Promotes and supports the adaptation of palliative principles in all care settings through capacity building of other care providers/community partners as appropriate for role.
• Domain 2 – Cultural safety & humility. Advocates for incorporation of the person’s and family’s cultural traditions, beliefs, expectations, and preferences into decision making, care planning and service delivery models.
• Advocates for changes in policy to facilitate incorporation of culture into care.
• Domain 4 – Comfort & quality of life. Adapts care to address person’s fears and anxieties related to past trauma.
• Domain 7 – Professional & ethical practice. Participates in community awareness and engagement activities to build understanding, capacity, and inclusion. Addresses micro, meso, and macro factors that influence PC (e.g., internal and external barriers, social determinants of health).
• Domain 8 – Self care. Identifies team and organizational barriers and issues and works collaboratively to address them. Promotes an organizational culture that is safe for expression of multiple perspectives and practicing within ambiguity.
• Become aware of own level of Racism profile through use of self-assessment tools and anti-racism growth chart.
• Become more comfortable with using anti-racism tools through application of ACTION tool to a case study. Describe how to respond competently to racial comments, behaviours, or policies in the workplace setting through a stance of cultural humility (compassionate, reflective, non-judgmental) in practice.
• Describe the barriers to responding to racism and identify how racism in the workplace impacts individual staff, clients, client service, and organizational culture

Presenter – Camara van Breemen, MN, CHPCN, Play Therapist, Nurse Practitioner(F), Canuck Place Children’s Hospice

Competencies –

• Domain 1 – Principles of PC & palliative approach. Utilizes a holistic approach to care with awareness of how illness, death and bereavement impacts all aspects of person’s and family’s functioning.
• Domain 2 – Cultural safety & humility. Facilitates expression and inclusion of the person’s and family’s values, beliefs, and wishes during declining health and bereavement.
• Domain 3 – Communication. Facilitates different conversations with families and members of the inter-professional team. Understands how fatigue, weakness and imminent death may impact communication and helps person/family and inter-professional teams interpret other forms of communication (e.g., symbolic communication, gestures, facial expressions).
• Domain 5 – Comfort & quality of life. Provides developmentally appropriate non-pharmacological interventions within own expertise appropriate including art, play therapy, and relaxation for relief of distress. Refers to other resources as needed.  Domain 6 – Loss, grief, and bereavement. Understands the characteristics and challenges of grieving for a child or youth. Provides counselling support or refers as appropriate.
• Domain 8 – Self care. Understands and attends to the impact of death, dying, and bereavement on caregivers (self, family, team, professionals).
• Describe strategies to assist parents/caregivers in sharing serious illness information appropriately with children
• Describe issues and barriers related to connection between the seriously ill person and a child and how to address same
• Describe activities and play therapy techniques that may be helpful for children along the illness trajectory and at EOL

Presenter – Marney Thompson, RCC, MA, Director of Psychosocial Services, Victoria Hospice

Competencies –

• Domain 1 – Principles of PC & palliative approach. Utilizes a holistic approach to care with awareness of how illness, death and bereavement impacts all aspects of person’s and family’s functioning.
• Domain 3 – Communication. Provides the person and family/caregiver bereavement counselling and psychosocial education through evidence-based frameworks, if within role and expertise.
• Domain 6: Loss, grief, & bereavement. Expert consultant regarding loss, grief, and bereavement. Assesses complex grief reactions and situations, such as multiple loss, traumatic loss, and pre-existing vulnerabilities including mental illness and addiction, abuse, and neglect.
• Domain 8 – Self care. Understands and attends to the impact of death, dying and bereavement on caregivers (self, family, team, professionals).
• Identify and define Prolonged Grief and distinguish it from ‘normal’ grief
• Understand and describe the prevalence and psychosocial correlates of Prolonged Grief
• Discuss and describe the theoretical orientations and basic interventions used in Complicated Grief Treatment (CGT)

Presenter – First Nations Elder Bruce Robinson, Lexi Fisher, BSW, RSW, and Leah Walker, BSW, RSW, all with Kilala Lelum

Competencies –

• Domain 2 – Cultural safety & humility. Advocates for incorporation of the person’s and family’s cultural traditions, beliefs, expectations, and preferences into decision making, care planning, and service delivery models.
• Facilitates expression and inclusion of the person’s and family’s values, beliefs, and wishes during declining health and bereavement.
• Advocates for changes in policy to facilitate incorporation of culture into care.
• Domain 3 – Communication. Provides support, mediation, and advocacy in exploring and clarifying treatment goals and care planning.
• Domain 4 – Comfort & quality of life. Adapts care to address persons fears and anxieties related to past trauma.
• Understands, educates, and works with the person/family and inter-professional team about the interplay of spiritual, emotional, social, cognitive, and physical aspects of the person’s past experiences on their current quality of life.
• Domain 7 – Professional & ethical practice. Advocates at a system and community level
• Describe strategies and approaches people can use in their clinical practice to honour and value the stories of Indigenous peoples in a respectful way that builds trusting relationship and allyship, fosters connections, and allows Indigenous voices to be heard at all stages of life

Presenter – Tammy Dyson, MSW, RCSW, Lead, Medical Assistance in Dying, Fraser Health

Competencies –

• Domain 5 – Care planning & collaborative practice. Explores MAiD-related feelings, worries, and hopes with people and their family. May provide leadership in case reviews and debriefings.
• Leads/facilitates inter-professional team and family meetings to plan care that addresses complex psychosocial issues. Advocates for the role of the social worker/counsellor in responding to complex situations.
• Domain 7 – Professional & ethical practice. Facilitates inter-professional team reflection to identify group values and ethical practices, and the impact of these on people, families, and the team
• Describe the context of MAiD including changes with new legislation, Bill C-7
• Distinguish between desire to die statements and requests for MAiD and describe strategies for responding appropriately to each  Identify areas for assessment with a request for MAiD, including the patient, family, and staff
• Understand how to contact MAiD co-ordinators in each health authority  Understand where to look for additional information and resources on MAiD

Presenter – First Nations Elder Bruce Robinson, Lexi Fisher, BSW, RSW, and Leah Walker, BSW, RSW, all with Kilala Lelum

Competencies –

• Domain 2 – Cultural safety & humility. Advocates for incorporation of the person’s and family’s cultural traditions, beliefs, expectations, and preferences into decision making, care planning, and service delivery models.
• Facilitates expression and inclusion of the person’s and family’s values, beliefs, and wishes during declining health and bereavement. Advocates for changes in policy to facilitate incorporation of culture into care.
• Domain 3 – Communication. Provides support, mediation, and advocacy in exploring and clarifying treatment goals and care planning.
• Domain 4 – Comfort & quality of life. Adapts care to address persons fears and anxieties related to past trauma.
• Understands, educates, and works with the person/family and inter-professional team about the interplay of spiritual, emotional, social, cognitive, and physical aspects of the person’s past experiences on their current quality of life.
• Describe strategies for persons in a helping role to assist them in reconciling working within a healthcare system that has and continues to do significant harm to Indigenous peoples and their way of being
• Describe strategies and approaches people can use in their clinical practice to recognize and acknowledge both the devastating experiences of indigenous peoples both within and outside the healthcare system and the impact of these experiences on their decision-making around access to and receiving end of life care
• Describe strategies and approaches people can use in their clinical practice to honour and value the stories of Indigenous peoples in a respectful way that builds trusting relationships and allyship, fosters connections, and allows Indigenous voices to be heard at all stages of life

Presenter – ECHO Leadership Team

Competencies –

• Domain 7 – Professional & ethical practice. Engages in quality improvement, research and knowledge translation to advance practice of self and others; bringing a psychosocial perspective.
• Domain 8 – Self care. Provide education and support to enhance inter-professional team members’ resilience in partnership with organizational leadership.
• Promotes an organizational culture that is safe for expression of multiple perspectives and practicing within ambiguity.
• Understand outcomes of the Current ECHO cohort group
• Provide feedback on format, structure, composition, and content of current and next ECHO cohort group
• Contribute to quality improvement and spread of innovation in PC practice through sharing of personal and professional experiences as an active member of an ECHO community of practice