Advance Care Planning: A Better Way to Care and Prepare for End of Life

presented by Julie Hardy, PT, MS, COS-C

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Disclosure Statement:

Financial: Julie Hardy, PT, MS, COS-C is a paid employee of Encompass Home Health. This course was created in cooperation with Encompass Home Health who funded the instructors travel costs. Non-Financial: Julie Hardy, PT, MS, COS-C has no competing non-financial interests or relationships with regard to the content presented in this course.

Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.

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Due to advances in life-sustaining health care and successful public health strategies, Americans are living longer than any time previously in history. While some older adults remain healthy and robust until very close to death, it is more likely that an older individual will have lived for two or more years with one or more chronic diseases and experienced substantial disability before dying. Across the lifespan, Americans are faced with a need to plan for health care services they consider essential to living well. Home health and hospice clinicians must have a better understanding of advance directives, hospice, and palliative care so that they can have crucial conversations with patients and their families on these subjects and facilitate effective advance care planning.

Meet Your Instructor

Julie Hardy, PT, MS, COS-C

Julie Hardy has many years of experience working in the fields of home health care, acute care, and physical therapy education. She is currently using her skills to educate home health and hospice clinicians of all disciplines in her role as Clinical Education Consultant with Encompass Home Health and Hospice, one of the largest home…

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Download the learning objectives for Advance Care Planning: A Better Way to Care and Prepare for End of Life.

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1. Overview

This chapter defines the terms associated with advance care planning, describes how CMS views advance care planning, and outlines the role of the home health/hospice clinician in advance care planning.

2. Palliative Care

This chapter describes the concept of palliative care and begins to compare and contrast palliative and hospice care. The benefits of and indication for palliative care are outlined as well as the domains.

3. Hospice Care

This chapter describes hospice care, including goals, qualifications, and conditions. It will explain Encompass’ use of the Medalogix Bridge program and it’s predictive technology to facilitate earlier and more accurate identification of patients on the home health census who could benefit from hospice care.

4. Having the Conversation

This chapter is designed to empower the home health and hospice clinician to be able to effectively discuss advance care and end-of-life planning. Barriers to the conversation will be identified so that they can be crossed. Cultural sensitivity regarding differences in approaches and attitudes toward the health care system and end-of-life issues is also addressed.