the polst conversationthe polst conversation teaching techniques to facilitate the conversation ......
TRANSCRIPT
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The POLST
Conversation Teaching Techniques
To Facilitate
The Conversation
Content Developed and Presented by:
Joanne Hatchett, MSN, RN, FNP
&
Chris Evans, MSN, RN.
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Curriculum Development Goals
Goals were driven by:
California is a large, diverse state
Education for providers in multiple types of
healthcare settings plus community
Importance of Advance Health Care
Directive
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Curriculum Goals
Importance of the POLST Conversation
Educational materials:
Simple, clear and concise
Comprehensive content
Flexible for use in multiple health care
settings
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California POLST Project
C oalition for
The Coalition for Compassionate Care of California (CCCC) provides
leadership and oversight for POLST outreach activities in California, with
support from the California HealthCare Foundation.
C ompassionate
C are of
C alifornia
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POLST Conversation
A rich conversation with
each individual patient
Comprehensive Education
To promote excellent conversational
skills with patients and families
Consistent Form
Standardized form recognized
across care settings
Translating an individual’s wishes for care during serious or chronic illness
into medical orders that honor those preferences for medical treatment.
Community Collaboration
Integrating POLST into the
community standard of care
California POLST Project
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Teaching the POLST Conversation
Demonstrate the Conversation
Power Point Presentation
Role Plays, both scripted (to focus on key
aspects of the Conversation) and open-
ended
Case Studies
POLST Carousel Brainstorm
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Additional Tools for
POLST Conversations
POLST Script and Cue Cards
Diagram of POLST Medical Interventions
POLST Conversation Points: Key
Information
Demonstration of a POLST Conversation
Cultural and Spiritual Awareness
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Diagram of POLST Medical Interventions
CPR
Full Treatment*
DNR
Comfort Measures
Limited Interventions
*Consider time/prognosis factors under “Full Treatment” “Defined trial period. Do not keep on prolonged life support.”
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Role Play Demonstration
Role Play #3 “Change in Medical Condition”
Key Points:
Completing a new POLST, Role of Decisionmaker
2 to 4 Participants:
Staff, Resident, Observer (optional), Resident’s
Daughter (optional)
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Role Play Directions
• Identify Roles and Read Your Instructions:
For your role: Follow instructions as outlined
• Staff – Using POLST Cue Card and POLST form,
begin the POLST Conversation
• Resident & Daughter – Answer according to script
• Observer/Timekeeper – Track time (15 minutes)
Read instructions (4 minutes)
Role play; take notes (6 - 7 minutes)
Feedback, from you and participants (4 minutes)
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POLST Carousel Brainstorm
An engaging, thought-provoking, interactive
activity
Critical thinking using POLST knowledge
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Additional Teaching Tools
Go Wish Card Exercise
Available in English and Spanish
www.coalitionccc.org or www.gowish.org
Advance Health Care Directive
Completion and review as part of class