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Integration of End of Life Care into Georgetown


Religious Traditions in Health Care. Patients, Physicians and Behavior. Clinical Ethics I (of 4) ... Selectives meet for two hours a week for eight weeks in the ... – PowerPoint PPT presentation

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Title: Integration of End of Life Care into Georgetown

Integration of End of Life Care into Georgetowns
  • Ilona Lorincz Lisa DelSignore
  • Georgetown University
  • School of Medicine

Cura Personalis
  • Religious Traditions in Health Care
  • Patients, Physicians and Behavior
  • Clinical Ethics I (of 4)
  • Ambulatory Care (Hospice)
  • Death and Dying 1st Year Elective
  • Mind-body 1st year Elective
  • Senior Care 1st Year Elective
  • IHC II
  • Various basic science courses

Introduction to Health Care II Selectives.
Course director Dr. Schwartz (Ilonas BFF)
  • Selectives meet for two hours a week for eight
    weeks in the spring of first year.
  • Up to 12 students can participate in the course.
  • Students choose from 20 options.
  • Purpose to address health care issues of student
    interest in greater detail.

  • Increase medical student awareness of hospice and
    the benefits of palliative care when curative
    care is no longer an option.
  • Teach students about the physiological changes
    occurring during the dying process.
  • Address patients psychological and spiritual
    issues during the last few months of life.
  • Discuss legal and ethical issues.

Course Syllabus
  • WEEK ONE Intro to palliative care and the
    history of hospice To Live Until I Die
  • WEEK TWO Visualizing terminal illness
    physiology of dying and last days of life
    special populations (Byock assignment.)

Course Syllabus
  • WEEK THREE Assessment of drug knowledge and
    biases pain and symptom management.
  • WEEK FOUR death awareness squares psychosocial
    and spiritual issues of death and dying.

Course Syllabus
  • WEEK FIVE Advanced directives and other legal
    and ethical issues, keeping in mind reading
    assignment. (Byock assignment due)
  • WEEK SIX Dinner with a former caregiver

Course Syllabus
  • WEEK SEVEN Hospice visit group 1,
    presentations group 2.
  • WEEK EIGHT Debriefing. Hospice visit group 2,
    presentations group 1.

End of Life Care Week at Georgetown University
End of Life Care Awareness Week
  • What is it?
  • - a week long series of lunch time events (food
    provided!) introducing the idea of patient care
    at the end of life
  • Who will it involve?
  • - student body primarily 1st 2nd years
  • How will we get people to attend?
  • - lunch (of course!), and an extra credit point
    towards a non-science based course (e.g. IHC)

EOL Week Goals
  • To provide Georgetowns medical student body with
    a greater awareness of death and dying and of
    alternative methods of patient care for the
    terminally ill, i.e. hospice

  • Introduction to Hospice
  • -panel of speakers interdisciplinary hospice
    team members, each to discuss their roles (10 min
  • team physician
  • nurse/team manager
  • social worker
  • chaplain
  • -open for questions at the end

  • Staging a students death
  • We will have a hospice nurse (or physician if
    available) pronounce one of our own students
    death on site and have him/her discuss what has
    and will happen to the body.
  • Flashback discussion to the signs symptoms the
    patient presented with a few days prior to death
    and the treatments used to control those symptoms.

  • Lunch with a terminally ill patient (preferably
    one enrolled in hospice, if available)
  • Physician or Nurse present also to help clarify
    the patients medical condition treatment

  • Death Awareness Activity
  • - paper ripping activity
  • Thinking about Advanced Directives
  • What would you do in given situations what could
    you still do (spinal cord injuries, etc.)

  • Student Panel
  • 4 student participants
  • 2 from Dr. Putnams Death and Dying Class
  • 2 of us who participated in the AMSA/Vitas
  • A mixed panel would provide students with
    insights into both end of life care approaches,
    last line therapy and hospice/palliative care