Ethics, Difficult Conversations and Palliative Care: New tools for integrating human values into future healthcare

24TH ANNUAL STATEWIDE KINSMAN BIOETHICS CONFERENCE THE RIVERHOUSE CONFERENCE CENTER - BEND, OR

Keynote Speakers: Jodi Halpern, MD, PhD – University of California, Berkeley Michael Rabow, MD – University of California, San Francisco Target Audience: An essential conference for anyone interested in broadening their knowledge of the current issues in clinical ethics, compassionate communication and palliative care. Learning Objectives:

1. To enhance abilities to integrate ethical, psychosocial and spiritual perspectives to support patients near the end of life and their families.

2. To enhance abilities to practice and teach communications skills that promote positive therapeutic relationships, shared decision making, interprofessional collaboration, and safe, high quality patient care.

3. To encourage familiarity with ethical frameworks and their application to ongoing and newly emerging ethical issues in the delivery, organization, and financing of health care for individuals and populations.

Credit Statement: Accreditation Oregon Health & Science University School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. Credit OHSU School of Medicine, Division of CME, designates this live activity for a maximum of 13.25 AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Nursing and Social Work CE requested- status pending Registration information: Workshop objectives can be viewed at www.ohsu.edu/ethics Lunch provided both days Acknowledgment: Special appreciation goes to John Kinsman for the endowment he established to provide partial support for this conference and The Kinsman Foundation for their support to help underwrite this conference. Thank you to St. Charles Health System for hosting the OHSU Center for Ethics in Health Care. Lodging: Attendees should contact The Riverhouse at 1-800-547-3928 to make guestroom reservations. When calling, please reference the Kinsman Conference to ensure you are linked to the group and to receive the group rate. Group rates will be available until March 31, or until the contracted group block is sold out, whichever occurs first. Questions: Margaret Jeppesen 503.494.4436 or jeppesem@ohsu.edu

Ethics, Difficult Conversations and Palliative Care: New tools for integrating human values into future healthcare

FACULTY

David Barnard, PhD, JD Dan Kennedy, RPh, FAPhA OHSU Center for Ethics in Health Care OHSU Out Patient Pharmacy Patricia H Berry, PhD, RN, ACHPN, FPCN, FAAN Richard J Maunder, MD University of Utah College of Nursing St Charles Health System Michel Boileau, MD Laura K Mavity, MD Conference Chair St Charles Health System St Charles Health System Tina Castañares, MD Keren McCord, LCSW, OSW-C Providence Center for Health Care Ethics OHSU Center for Hematologic Malignancy Prakash R Chenjeri, PhD Alan L Melnick, MD, MPH Southern Oregon University Clark, Cowlitz, Skamania County Health Officer David Clarke, MD Melissa Monner, MS President, Psychophysiologic Disorders Association OHSU, Patient Relations Jon Furuno, PhD Kathy Perko, RN, MS, PNP, CPON, CHPPN OSU/OHSU College of Pharmacy OHSU Doernbecher Children's Hospital Geoffrey H Gordon, MD Michael W Rabow, MD Consultant University of California, San Francisco Green Roy, D Min Tera Roberts, DNP, FNP Trinity Episcopal Church Washington County Public Health Fred Grewe, MAPS, BCC Barbara Segal, MS, MA Providence Hospice, Medford Providence Center for Health Care Ethics Jodi Halpern, MD, PhD Mary Denise Smith, RN, CNS, ACHPN University of California, Berkeley OHSU Palliative Medicine & Comfort Care Team Lissi Hansen, RN, PhD Craig Tanner, MD OHSU School of Nursing Portland VA Medical Center Katie Hartley, RN, BSN, CHPN Susan Tolle, MD St Charles Health System OHSU Center for Ethics in Health Care Susan Hedlund, LCSW, OSW-C Davis Wilkins, MD OHSU Knight Cancer Institute Ashland Home Health, Hospice & Palliative Care John Holmes, PhD Susan Yoder, RN, BSN PeaceHealth Oregon OHSU Patient Relations Lynn A Jansen, PhD, RN Conference Co-Chair Dana Zive, MS OHSU Center for Ethics in Health Care OHSU Emergency Medicine

Thursday, May 1, 2014 8:00 – 8:15 Welcome

8:15 – 9:15 Difficult Conversations: Sustaining Clinical Empathy as Engaged Curiosity Jodi Halpern

9:15 – 9:25 Walk Time 9:25 – 10:35 A1 - Geoffrey H Gordon

Preventing and Working Through Conflicts with Patients

A2 - Tera Roberts Communication: The Cornerstone of Confidentiality in Rural Communities

A3 - Mary Denise Smith Role of Palliative Care Teams Providing Staff Support

A4 - Susan Yoder & Melissa Monner The Tension of Justice, Autonomy and Beneficence: Applying Practical Wisdom to Complex Psychosocial Medical Situations”

10:35 – 10:50 Break

10:50 – 12:00 B1 - Katie Hartley Advanced Care Planning and The Conversation Project

B2 - John Holmes Who has capacity to determine decision-making capacity? An investigation of the received view

B3 – Laura K Mavity Paternalism vs. Autonomy: A Role for “Maternalism”

B4 - Patricia H Berry Post Mortem Care: Traditions, Rituals, and Making Meaning for Families and Close Others

12:00 – 12:50 Lunch

12:50 – 2:15 Honoring Spiritual Tradition Moderator: Roy Green

2:15 – 2:25 Walk Time 2:25 – 3:35 C1 - Prakash R Chenjeri

Ethics and Logic of Difficult Conversations: Understanding the Normative Imperatives

C2 - David Barnard Preparing the Therapeutic Imagination

C3 - Davis Wilkins Calm to Face the Storm: Pearls for Managing Psychiatric Symptoms in Hospice & Palliative Care

C4 - Tina Castañares & Barbara Segal Communicating with Patients with Life-Threatening Illnesses from Diverse Cultures

3:35 – 3:55 Break

3:55 – 5:00 Ethics Hot Spots in Rural Oregon Moderator: Laura K Mavity

5:00 – 5:15 Thursday’s wrap up

Friday, May 2, 2014 8:00 – 8:10 Welcome Back

8:10 – 9:10 The Current State and Future of Palliative Care Michael W Rabow

9:10 – 9:20 Walk Time

9:20 – 10:30 D1 - David Clarke Reading the Room: Improving Outcomes by Skillful Interpretation of Small Clues

D2 – Lynn A Jansen The Ethical Complexity of Clinical Intentions

D3 - Kathy Perko Babies and Toddlers and Siblings, Oh My! Caring for Pediatric Patients in an Adult Hospice

10:30 – 10:50 Break

10:50 – 12:00 E1 - Fred Grewe The Value of Existential Pain: An Opportunity to Focus on What Is Really Important

E2 - Keren McCord Nurturing Hope When Discussing End of Life Issues: The Fine Balance between Truth Telling and Nurturing Hope

E3 - Dan Kennedy Tracking the Swinging Pendulum of Opioid Utilization in Pain Management and Policies: Balancing Adequate Pain Management against Drug Abuse.

E4 - Susan Tolle, Lissi Hansen, Dana Zive & Jon Furuno Update on End of Life Research

12:00 – 1:50 Lunch

12:50 – 2:00 The new, New Deal – Physicians, Hospitals and their Shared Accountability Michel Boileau

2:00 – 2:10 Walk Time

2:10 – 3:20 F1 – Alan L Melnick Ethical dilemmas: A Case Study from Local Public Health Practice

F2 - Susan Hedlund Boundaries: Balancing Human Connections and Professionalism

F3 - Craig Tanner The In-Hospital DNR Order: Should it be Our Goal? Can it Cause Harm?

F4 - Richard J Maunder Show me the Money: Examining the Ethical Framework of Health Care Finance

3:20 – 3:40 Break

3:40 – 4:45 Oregon in the Next Ten Years: The Future of Health Care and the Future of Health Care Ethics Moderator: David Barnard

4:45 – 5:00 Thank you for coming. Please join us next year.