bruyère clri project · “to healing, and that is something different from curing. healing is to...

Engaging staff in conversations about palliative and end-of-life care:

Using the Square of Care Game

Bruyère CLRI Project

Speakers:

Ruth Richardson

Hospice palliative care nurse educator,

Algonquin College, Ottawa

Valerie Fiset

Professor, Algonquin College

Tracy Luciani

Knowledge broker, Bruyère CLRI

GOALS

2

• Share challenges and strategies for providing

hospice palliative care education in LTC

• Learn about an interactive and engaging

teaching strategy for hospice palliative care

education

• Participate in a learning activity that can be

used to teach about holistic care

4 MODULES

1. What is HPC?

2. Reflections of Grief and Loss and practical application

for LTC residents and families

3. Therapeutic Relationships with LTC residents and their

families

4. Building comfort and skills in creating and sustaining

therapeutic relationships with residents who are in end

of life.

“Communication at End-of-Life” for Personal Support Workers in Long-Term Care

“Communication at End-of-Life” for Personal Support Workers in Long-Term Care

2 Pilots – one full day and 4 – 3 hour sessions

Train-the-Trainer 2 day session with LTC

nurse educators

Strategy for delivery:

“Communication at End-of-Life” for Personal Support Workers in Long-Term Care Learning Activities

Reflection exercises, ?’s, posters

Interactive learning with activities and ppt.

1 on 1 sharing, Group discussion

Personal definitions

Short video clips

Betty Domain Game

Real play practice

Meditation and relaxation

Singing and moving together

What is Hospice Palliative Care?

1. Hospice Palliative Care means providing comfort when

someone is actively dying.

2. Hospice Palliative Care starts when someone is close to

dying and ends at death.

3. Hospice Palliative Care is for people dying with cancer.

4. Telling residents they are dying takes away their hopes.

5. Receiving Hospice Palliative Care means you will die

sooner.

6. Hospice Palliative Care begins with a doctor’s order.

7

Canadian Hospice Palliative Care Association Nursing Standards

http://www.chpca.net/interest_groups/nurses/Hospice_Palliative_

Care_Nursing_Standards_of_Practice.pdf

http://www.youtube.com/watch?v=-SzA-kWB8-s#t=48








Palliative care EARLY is BETTER, than Palliative care LATE

CHPCA Model

Canadian Hospice Palliative Care Association (2013). A Model to Guide Hospice

Palliative Care. Ottawa, ON: Canadian Hospice Palliative Care Association.

Also available at: http://www.chpca.net/media/319547/norms-of-practice-eng-web.pd

http://www.chpca.net/media/319547/norms-of-practice-eng-web.pdf









Hospice Palliative Care aims to address

Physical, psychological,

social, spiritual and practical

expectations and needs

Loss, grief and bereavement

Preparation for, and

management of Self–

determined life closure and

the dying process.













Hospice Palliative Care aims to relieve

suffering, a state of distress associated

with events that threaten the intactness of a

person and are accompanied by a

perceived lack of options for coping.













the quality of living and dying

– sense of individual well

being, experiences that are

meaningful and valuable to

the individual and their ability

to have such experiences.

Hospice Palliative Care aims to improve













Not Just The Dying!

The philosophy and principles of Hospice

Palliative care may apply to patient

populations other than the dying. Hospice

Palliative Care programs may a secondary

role in addressing the needs of these

groups













When is it appropriate??

Anyone living with or at risk of developing a

life –threatening situation

– Due to any diagnosis

– With any prognosis

– Regardless of age

– At any time that they have unmet expectations

or needs and are prepared to accept care













Aspects/Domains of Holistic Care

THE SQUARE OF CARE

5. Model of Care

http://www.chpca.net/norms


Meet Betty – Domain Game

Our residents play with the cards they are dealt

Themes that the Game addresses

Whole Person Care

Square of Care – Domains of care

Information gathering and sharing about

residents.

Working as a team.

Listening and discussing our care.

19

Daily Care Activities…

What PSW activities

would support a

resident experiencing

needs in the various

domains of holistic

care needs?

20

MEET BETTY - Domain Game

Our patients play with the cards they are dealt.

PPS Level

Activity & Evidence of

Disease Self-Care Intake Conscious Level Ambulation

What is Hospice Palliative Care?

1. Hospice Palliative Care means providing comfort when

someone is actively dying.

2. Hospice Palliative Care starts when someone is close to

dying and ends at death.

3. Hospice Palliative Care is for people dying with cancer.

4. Telling residents they are dying takes away their hopes.

5. Receiving Hospice Palliative Care means you will die

sooner.

6. Hospice Palliative Care begins with a doctor’s order.

24

Canadian Hospice Palliative Care Association Nursing Standards

http://www.chpca.net/interest_groups/nurses/Hospice_Palliative_

Care_Nursing_Standards_of_Practice.pdf

Hospice Palliative Care is:

– NOT a person/resident/patient

– NOT a place

– NOT a program

Hospice Palliative care is:

– provided to a

person/resident/patient

– provided in a place

– provided by health care

practitioners, program, service etc.

It is a Philosophy of Care.

People are not PALLIATIVE!

The care they

may benefit from is.

Offer a little bit of a palliative care approach everyday!

Palliative Care is committed:

“to healing, and that is something different

from curing. Healing is to make a

person whole, to relieve suffering and

to give the individual a sense of who he

or she is as a person.

Palliative care is

person-centered, not disease-centered.”

Dr. Larry Librach

bruyère clri project · “to healing, and that is something different from curing. healing is to...

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