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A short course of lectures
«Advance Care Planning»





Tailoring and Anticipatory GuidanceDEATH AND DYINGProblems With Advance DirectivesPREDICTABLE CAREGIVING NEEDS OF PERSONS WITH DEMENTIALack of a Seamless Health Care SystemMOBILES AND SHATTERED GLASSFrom Product to Process: From Advance Directives to Advance Care PlanningPassion, Persistence, and PenniesThe Attack on ProfessionsReflective Practice: Discovering Countertransference and CotransferenceSix Leadership Actions From Kabcenell and ConwayChallenges to Effective Advance Care PlanningSevere BurnsThe Centrality of Truth Telling or Parrhe–siaCOPING WITH THE REALLY BIG STORMCOMING TOGETHERReflectionPalliative Care and the VirtuesRECONCEPTUALIZING PLANNING IN ADVANCE FOR CAREBACKGROUND“To Err Is Human”: Building a Safer Health SystemMaximum Conservative Treatment and CareLack of Awareness About Advance Directives and Advance Care PlanningRELIGIOUS PERSPECTIVES ON ADVANCE CARE PLANNING AND ADVANCE DIRECTIVESHONESTY AND HOPEEffective LeadershipGood Death/Dying WellEDUCATIONA SHIFT TO RELATIONALITY: APPLYING THE INTERDISCIPLINARY MODEL OF CAREDEATH IS NOT THE ENEMYOTHERCompassionate CommunicationTHE CONTEMPORARY LEGAL ENVIRONMENTCreate the SpaceTHE MAJOR KEY: RESCUE AS NATIONAL IDEOLOGYBELIEF, PAIN, AND ADVANCE CARE PLANNINGPRIMARY FOCUS ON ADVANCE CARE PLANNINGThe Consumer Movement and Advent of Advance DirectivesWhen Great Teams Are Not EnoughBACKGROUNDVALUES AND GOALSTHE PROBLEM OF OVERTREATMENTThe Importance of Local LeadershipTHE MEETING OF SPIRITUALITY, RELIGION, AND CULTUREPrefaceConflicting AutonomiesAdvance Care Planning as a Public Health IssueHow Is Information and Education Provided to Almost 30,000 Staff?ADVANCE CARE PLANNING IS PERSON-CENTEREDTHE MINOR KEY: PALLIATIVE CARE, THE VIRTUES OF CLASSICAL CITIZENSHIP, AND A NEW END-OF-LIFE CONVERSATIONDying for CPRMULTIPLE CARE CONSIDERATIONS BY DOMAINTHE PROFESSIONALS' OWN STORIESSYSTEM INFRASTRUCTUREPUBLIC ENGAGEMENTWatch Over Me: Therapeutic Conversations in Advanced DementiaFailure or Success?NATURAL PROGRESSION OF DEMENTIAConversations That Matter: Stories and MobilesThe Social Support System of Nursing Home ResidentsV Selected Resources on Advance Care Planning and End-of-Life CareREFLECTIONS ON LIFE AS WE WORK WITH OTHERSAcknowledgmentsSTEWARDSHIP, JUSTICE, AND PROFESSIONAL ETHICSLEADERSHIP AND GREAT TEAMSLack of Health Care Provider Skills in CommunicationTHE CHALLENGE OF PLANNING FOR END OF LIFETRAJECTORIES OF DECLINE AT THE END OF LIFETerminal ConditionSTATE OR REGIONAL INITIATIVESReligion, Spirituality, and Culture in Advance Care PlanningACHIEVING IDENTITYMaking Quality Improvement DifficultDEVELOPMENTAL DISABILITIESBrain Injury/PathologyBEHAVIORAL CHANGE MODEL FOR PLANNINGReliance on ExpertsQuality Improvement in End-of-Life CareAdvance Care Planning and Trying to Get WellVentilator / Respirator / Mechanical Ventilation / Breathing MachineStoring and Retrieving POLST FormsPersonality Styles Associated With Decision MakingOVERCOMING CHALLENGESIt Ain't Easy: Making Life And Death Decisions Before The CrisisPROFESSIONAL ASSOCIATIONSAdvance Care Planning and the Problem of OvertreatmentDISCUSSION OF THE ABOVE ADVANCE DIRECTIVESpiritual ConsiderationsMaximum Conservative Treatment and CareBarriers to Advance Care Planning: A Sociological PerspectiveCULTURAL DIVERSITYDeskilling in the Knowledge SocietyCommunication Challenges in the Nursing Home SettingTHE IMPORTANCE OF RELIGION AND SPIRITUALITY IN ADVANCE CARE PLANNINGRespecting Choices: An Evidence-Based Advance Care Planning Program With Proven Success and ReplicationKotter's Change Management ToolsASSETS OF THE NURSING HOME SETTINGWHAT DOES ADVANCE CARE PLANNING ASK OF US?Focus on Autonomy and ControlUnderstandingOPPORTUNITIES FOR DECISION MAKING AND ADVANCE CARE PLANNINGThe Institute of Medicine Principles and Advance Care PlanningMaking Quality Improvement EasierNondisclosureAdvance Care Planning: Considerations for Practice With Older AdultsPerforming IllnessHospiceHemiplegiaCONFLICTS WITH “WESTERN” MEDICAL SYSTEM VALUESNormalize Feelings of Relief in GriefAdvance Care Planning: Focus on Communication and Care Planning RatherFinancial ConsiderationsThe Ideology of RescueSet the AgendaWorlds of Connection: Applying an Interdisciplinary Relational Model of Care© to Communicating About End of LifeHOW PUBLIC HEALTH CONTEXTS ADDRESS CHALLENGES AND BARRIERS TO ADVANCE CARE PLANNINGThe Unasked QuestionThe Importance of Knowing Goals of CareDEALING WITH DARK EMOTIONSTHE PUBLIC HEALTH ROLES OF DEATH EDUCATION IN SUPPORTING ADVANCE CARE PLANNINGIMPLEMENTING LARGE-SCALE CHANGEREFERENCEDoes the Nation's Survival Depend on a New End-of-Life Conversation?III Implementing Advance Care Planning: Model ProgramsThe Conversation ProjectBEYOND OBJECTIVITY, PATERNALISM, AND AUTONOMYCultural ConsiderationsUNSPOKEN CLINICAL REALITIES: TRANSFERENCE, COUNTERTRANSFERENCE, AND COTRANSFERENCEWheel of Fortune: Don't Count on Controlling EverythingPsychological ConsiderationsHistory of the ProblemAPPLYING THE PRINCIPLES OF WATCH OVER MEESTABLISHING OUR IDENTITYArrhythmiaTHE GOALS OF ADVANCE CARE PLANNING ARE DEFINEDThe Triple AimTHE IMPORTANCE OF CULTUREJUST TALK ABOUT ITPHILOSOPHICAL UNDERPINNINGSFederal Laws Related to Advance Care Planning in Nursing HomesBringing the Community Back InDying for CPRDetermine Understanding of IllnessCONTINUOUS QUALITY IMPROVEMENTEthical Foundations of Advance Care PlanningHOW IS THE RESPECTING CHOICES APPROACH TO ADVANCE CARE PLANNING DIFFERENT FROM THE TYPICAL APPROACH TO ADVANCE DIRECTIVES?THE PROMISE OF ADVANCE DIRECTIVESWATCH OVER ME: THERAPEUTIC CONVERSATIONSHealth Policy and End of Life (EOL) in the United StatesCROSS-CULTURAL INFLUENCES AND ADVANCE CARE PLANNINGHow Did We Get Here: A Brief History of Advance Care PlanningUniversal Positive ChangeHOPE, DEATH, AND COMMUNICATION: REFLECTIONS THAT INFORM THE IRMOCKey Element #4: Continuous Quality ImprovementTHE PROCESS OF ADVANCE CARE PLANNING INVOLVES UNDERSTANDING, REFLECTION, AND DISCUSSIONPlanning for End-of-Life Care: Where Are We and How Did We Get Here?Let's Make a Deal: The Importance of Recognizing an OpportunityI Advance Care Planning: Promise and ChallengeTHE NEXT STEPS IN ADVANCE MEDICAL PLANNINGThe Leadership ChallengeComplex Medical Characteristics of Nursing Home ResidentsReluctance to Talk About Death and DyingTHE SICK ROLENATIONAL INITIATIVESPhysical ConsiderationsPOLST Strategic IssuesIdentifying Patients With Particular Needs: The Gold Standards FrameworkBad Death/Dying PoorlyJOURNALSSETTING THE STAGETailoring and Anticipatory GuidanceFUTUREWho Has the Time?DiscussionPolicy Issues for Health Care InstitutionsInspiring Improvement and Leading ChangeNURSING HOMESOUR EVOLVING FAMILY STORIESPalliative CareExpanding Medical TechnologyIdentify HopeKey Element #2: Advance Care Planning Facilitation Skills Education and TrainingOn Writing One's Own Advance DirectiveAdvance Care Planning and Nursing Home Residents and Families: Lessons Inspired by TV Game ShowsCOMPASSION IN THE CLINICAL RELATIONSHIPGreat TeamsPrepareDialysisThe POLST Paradigm DefinedRational KnowledgeThe Importance of Nursing Home StaffIV Systems Level Change: Charting a New Path for Dying, Death, and End-of-Life CareThe Coalition for Compassionate Care of CaliforniaA STAGED APPROACH TO ACPDEFINING RELIGION AND SPIRITUALITYResident Health and Functional Status CharacteristicsAdvance DirectivesDISCUSSION: THE PROBLEMImprovement ScienceCASE STUDIESThe Longevity RevolutionTHE CHALLENGE OF FACING DEATH FOR AMERICAN PUBLIC HEALTHThe Role of Contemporary Nursing HomesHeroic SupportAphasiaSetting the AgendaUNCERTAINTYENGAGEMENTCPRUnderutilizationINFLUENCE OF THE LEGAL ENVIRONMENT ON END-OF-LIFE CARE AND ADVANCE MEDICAL PLANNINGTaking Comfort in ComplexityOverview of Advance Medical PlanningHigh Spinal InjuryThe Take Charge Partnership “Just Talk(s) About It:” A Model for Sustained Grassroots ActivismState the ObviousProgressive DementiaWHAT CAN WE LEARN ABOUT ACP IN THE NURSING HOME FROM TV GAME SHOWS?Advance Medical Care Planning: The Legal EnvironmentDefining Advance Directives and Advance Care PlanningACKNOWLEDGMENTNutritional SupportReforming Ideology, Reforming Worldview, Reforming Health CarePLANNING FOR ENDINGSPHYSICIAN ORDERS FOR LIFE-SUSTAINING TREATMENTExperts and Routine ActivitiesDelivering Higher System PerformanceIdentify HopeDifficulties in Deciding on Specific TreatmentsProfessionalizationCAN THE RESPECTING CHOICES MODEL BE SUCCESSFULLY REPLICATED?SPIRITUAL ASSESSMENT AND ADVANCE CARE PLANNINGTHE COMMUNICATION REVOLUTION IN ADVANCE CARE PLANNING: A NEW PATH FORWARDQUALITY IMPROVEMENT AND LEADING LARGE-SCALE CHANGEImprovement and the Institute for Healthcare ImprovementBRIEF HISTORYMinimizing the Dying in DeathDISCUSSING RELIGIOUS AND SPIRITUAL ASPECTS OF ADVANCE CARE PLANNINGKey Element #1: Designing Systems to Support Advance Care PlanningThe Unasked QuestionResource DevelopmentYOUR WISH, MY COMMAND: FINDING SOLACE IN ADVANCE DIRECTIVESII Best Practices for Communicating About End-of-Life CareDeliver the Person With Dementia From AnonymityORGANIZATION OF THIS BOOKSocial ConsiderationsPERCEPTIONS OF SUFFERING AT THE EOLWHY HAS THE RESPECTING CHOICES APPROACH TO PLANNING WORKED WHEN OTHER APPROACHES HAVE FAILED?BOOKSJeopardy: The Importance of Asking the Right QuestionTHE KNOWLEDGE SOCIETY AND THE CULTURE OF DECISION MAKINGNormalize Feelings of Relief in GriefPolicy and Medical OrdersKey Element #3: Community Engagement and EducationTHE FAMILY JOURNEYA STORY OF BELIEF AND END-OF-LIFE CARE DECISION MAKINGPotential Benefits of Advance Care PlanningMedical ConsiderationsHow Do You Reach the Physician Group and Move From a Curative Medical Model of Care?Whose Role Is It Anyway?Advance Care PlanningA HEALTH PROMOTION AND COMMUNITY ENGAGEMENT CONTEXT FOR ADVANCE CARE PLANNINGCalculating ValueAUTONOMY AND INTERDEPENDENCE“The Quality Chasm”DISCUSSIONThe Legal Environment of Advance Care Planning
 
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