2022 PCIEF WINTER CONFERENCE
Zoom Webinar, Friday 4th, 2022
COMPLETE CONFERENCE – YOUTUBE PLAYLIST
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Program
08:00 – 08:30 Zoom webinar wait room open. Messages from Dignitaries and NNPCN-PCIEF
08:30 – 09:00 Welcome. Messages from Dignitaries and NNPCN-PCIEF
09:00 – 10:30 Palliative Care: It’s Everyone’s Business – Sustaining Quality Care amidst Change
Dr. Christine Pun, M.D., Palliative Care Physician at Health Sciences North, ON, Canada
- Introduction: the palliative care approach
- Understanding the Ontario framework for person-centred decision making
- Recent changes in the palliative care delivery.
10:30 – 11:00 Break. Messages from Dignitaries and NNPCN-PCIEF
11:00 – 14:00 When Grief is “Complicated:” A Model to Understand, Identify, and Companion Grievers
Dr. Alan D. Wolfelt, Director of the Center for Loss and Life Transition, Colorado, USA
- Introduction: the wilderness of complicated grief
- Understanding the origins of complicated grief
- Complicated grief influences and risk factors
- 12:30 – 12:45 – QUICK BREAK
- Identifying complicated grief: symptoms and sub-categories
- Companioning principles for complicated grief
- Facilitating active engagement with six needs of mourning
14:00 – 14:30 Break. Messages from Dignitaries and NNPCN-PCIEF
14:30 – 16:00 Telling Your Story with Data
Brian Tramontini, President and CEO Stratim, ON, Canada
Andrea Binkle, Associate Professor at Conestoga College.
- Palliative care providers interact with families at the most difficult of times. Many have wonderful, touching anecdotes to illustrate the positive impact on clients and caregivers’ lives. In the era of Ontario Health Teams (OHT) and growing demands for accountability, it is increasingly important to tell your story with data. This workshop will address both system and organizational performance. We will provide concrete examples of performance metrics from palliative care service organizations all integrated into a balanced scorecard aligned with the Quadruple Aims.
16:00 – 16:30 Wrap Up. COMPLETE ONLINE EVALUATION FOR A CHANCE TO WIN ONE OF MANY FABULOUS DOOR PRIZES!
DOOR PRIZE WINNERS
We are happy to announce the 9 door-prize winners of the PCIEF Winter Conference 2022! Winners receive an email notification and a congratulations phone call! Congratulations, dear winners!
1st Prize- Jill Marcella
2nd- Beth Lewis
3rd- Jennifer Galley
4th- Emily McIntosh
5th- Laura Moss
6th- Ann Lines
7th- Rhonda Hirst
8th- Lynette Snow
9th- Mary Lou Fulton
PRESENTERS AND WORKSHOP DESCRIPTIONS
Dr. Christine Pun, M.D., Palliative Care Physician at Health Sciences North
Dr. Christine Pun is an emergency and palliative care physician at Health Sciences North. She completed her M.D. at the University of Toronto and Family Medicine Residency in Cape Breton, Nova Scotia. Her clinical experience includes hospital emergency department and inpatient care, cancer centre palliative symptom management clinic and home-based care, in both Tertiary Academic Centre and rural communities.
Dr. Pun is the Palliative Care Regional Clinical Co-lead for Northeastern Ontario and is involved in health system administration at the local, regional, and provincial levels. She is an associate professor at the Northern Ontario School of Medicine and is passionate about the advancement of Person-Centred Decision Making and Palliative Care education.
Palliative Care: It’s Everyone’s Business – Sustaining Quality Care Amidst Changes
Content Description: This workshop will help participants explore the provision of palliative care during and beyond the COVID-19 Pandemic.
Now more than ever, quality palliative care is highlighted as an essential component for patients facing life-threatening illnesses.
The workshop content will include reviewing of the palliative approach to care, exploring the person-centred decision-making in the context of the COVID-19 pandemic, and highlight changes in palliative care delivery.
Objectives:
Upon completion of this workshop the participant will be able to:
- Describe the palliative approach to care
- Define advance care planning and goals of care discussions within the Ontario Person-Centred Decision-Making framework
- Discuss strategies for palliative care delivery during and beyond the COVID-19 Pandemic
Agenda:
Among the content areas explored in this workshop are:
- Introduction: the palliative care approach
- Understanding the Ontario framework for person-centred decision making
- Recent changes in the palliative care delivery
Prof. Dr. Alan D. Wolfelt, Director of the Center for Loss and Life Transition, Colorado, USA
Dr. Alan D. Wolfelt has been recognized as one of North America’s leading death educators and grief counselors. Recipient of the Association for Death Education and Counseling’s Death Educator Award, he serves as the Director of the Center for Loss and Life Transition (www.centerforloss.com), in Fort Collins, Colorado. He is also a faculty member of the University of Colorado Medical School’s Department of Family Medicine.
In addition to presenting dozens of keynotes and workshops across North America each year, Dr. Wolfelt facilitates training seminars for bereavement caregivers in Fort Collins, CO and Scottsdale, AZ. Dr. Wolfelt is a popular media resource who regularly provides his expertise to many top-tier television shows, newspapers, and magazines.
Dr. Wolfelt is the best-selling author of more than fifty books including When Grief is Complicated: A Model for Therapists to Understand, Identify, and Companion Grievers Lost in the Wilderness of Grief; Companioning the Bereaved: A Soulful Guide for Caregivers; Understanding Your Grief; Grief One Day at a Time; The Journey Through Grief; Healing a Spouse’s Grieving Heart; Companioning the Grieving Child; Healing a Parent’s Grieving Heart; and Creating Meaningful Funeral Ceremonies.
When Grief is “Complicated:” A Model to Understand, Identify, and Companion Grievers
Content Description: This workshop will help participants explore the important topic of “complicated” grief. Alan Wolfelt will present his model for understanding, identifying, and companioning grievers lost in the wilderness of grief.
After a significant loss, grief is normal and necessary. But sometimes a mourner’s grief becomes naturally heightened, stuck, or made more complex by especially difficult circumstances surrounding the death or complications surrounding the nature of the relationship.
The workshop content will include exploring the origins of complicated grief, risk factors, common symptoms, sub-categories of complicated grief (unembarked, impasse, off-trail, and encamped), and provide specific guidance on caring for complicated grievers. Come join us and learn about this important body of knowledge from one of North America’s leading clinical thanatology.
Objectives:
Upon completion of this workshop the participant will be able to:
- Identify complicated grief influences and risk factors
- Describe symptoms and sub-categories of complicated grief
- Explain the use of a companioning model for complicated grief
- Facilitate the griever’s work on six needs of mourning
Agenda:
Among the content areas explored in this workshop are:
- Introduction: the wilderness of complicated grief
- Understanding the origins of complicated grief
- Complicated grief influences and risk factors
- Identifying complicated grief: symptoms and sub-categories
- Companioning principles for complicated grief
- Facilitating active engagement with six needs of mourning
Brian Tramontini, President and CEO Stratim
Mr. Tramontini founded Stratim over 25 years ago after holding a variety of roles in government and the private sector. Stratim specializes in organizational performance metrics with a focus on palliative care. Brian co-led the development and creation of the Hospice Palliative Care Ontario (HPCO) suite of performance measures in 2016. The Stratim software platform supports over 80 palliative care services providers across the province of Ontario through the HPCO Metrics Platform. The extended Stratim suite is used by many palliative care service providers to support: Balanced Scorecards aligned with the Quadruple Aims; Strategic and Operational Planning; Organizational Risk Management; and Governance.
Andrea Binkle is a Registered Nurse with over three decades of experience in health care and holds a Master of Arts in Leadership. Her past 15 years, her work has been in the design of hospice palliative care service delivery at the local, regional, and provincial level. Andrea was the Team Lead and Regional Liaison for the Ontario Palliative Care Network and is currently an Associate Professor at Conestoga College. She has previous with Waterloo Wellington Community Care Access Centre as, Regional Hospice Palliative Care Director, Senior Director of Patient Services & Performance and with the Victorian Order of Nurses as a branch Executive Director and National Quality Lead. Andrea has extensive experience in the fields of acute, community and long-term care. Andrea was the YMCA Women of Distinction Award in Public Service in 2010 and the WWCCAC’s Leadership Award in 2011.
Presently, Andrea provides strong leadership to an outstanding professional team at Lisaard and Innisfree Hospice dedicated to “Making Moments Matter”. Andrea is pleased to contribute to the well-established and respected leadership team of Lisaard and Innisfree Hospice in the Cambridge & Kitchener Area.
Workshop Topic:
Telling Your Story with Data
Palliative care providers interact with families at the most difficult of times. Many have wonderful, touching anecdotes to illustrate the positive impact on clients and caregivers’ lives. In the era of Ontario Health Teams (OHT) and growing demands for accountability, it is increasingly important to tell your story with data. This workshop will address both system and organizational performance. We will provide concrete examples of performance metrics from palliative care service organizations all integrated into a balanced scorecard aligned with the Quadruple Aims.
PCIEF Palliative Care Interdisciplinary Education Funding
A LITTLE ABOUT US
The CFPCIE Community and Facility Palliative Care Interdisciplinary Education was first introduced in 1992 as one of four new palliative care initiatives for Ontario. This service provides education to front line health care providers. The education plan may include but is not limited to one-day (i.e., 6-hour) courses, refresher days, mentoring programs and videoconference options. The courses will use a variety of instructional methods, including coaching, course presentation and distance learning.
The sponsoring agency (transfer payment organization) is accountable for the PCIEF Palliative Care Interdisciplinary Education Funding, provided for the CFPCIE service. The agency/organization is responsible for submitting yearly service plans, budget, and statistics to the MOHL TC.
The PCIEF Palliative Care Interdisciplinary Education Funding (Nipissing Sub-Region) was transferred by the NE LHIN to NNPCN on January 11th, 2019. NNPCN Near North Palliative Care Network (Nipissing/Parry Sound) was invested by the NE LHIN as the PCIEF sponsoring agency, with the responsibility “to act as the planner and administrator for the Palliative Care Interdisciplinary Education Funding for the Nipissing Sub-Region, including the annual Palliative Care Conference.”
The funding allows NNPCN “to work with palliative health care partners to build capacity in local facility and community settings, enhance an interdisciplinary team approach to care in the community, and help shift the care of persons in the last stages of their life to their setting of choice.”
The Chair of the PCIEF Committee is the representative of the sponsoring organization NNPCN.The sponsoring organization is accountable to the Ministry for reporting, good results and proper use of funding. The current Chair of the PCIES is Monica Do Coutto Monni, NNPCN Executive Director.
PCIEF Regular Meetings are held online by teleconference and/or at the facility of the banker (St. Joseph’s Motherhouse, 2025 Main Street West, North Bay ON, P1B 2X6, Conference Room), on the second Tuesday of odd months: January, March, May, July (if needed), September, November, from 1 to 2:00 pm, at the facility of the PCIEF sponsoring agency(NNPCN Office) and/or teleconference on Zoom.
PCIEF Conference Planning Meetings are held online by teleconference and/or at the facility of the sponsoring agency (St. Joseph’s Motherhouse, 2025 Main Street West, North Bay ON, P1B 2X6, Conference Room), on the second Tuesday of even months: February, April, June, August, October, December (if needed), from 1 to 2:00 pm, at the facility of the PCIEF sponsoring agency (NNPCN Office) and/or teleconference on Zoom.
PCIEF Member Agency Representatives are welcome and encouraged to bring their suggestions and requests of palliative care education to PCIEF meetings, or by email to the Chair. The PCIEF supports the palliative care education needs of its member agencies, and of professionals belonging to the palliative care continuum.
The PCIEF Nipissing Sub-Region is committed to the continuous delivery of high-quality Palliative Care Education to healthcare services providers in our area.
If you would like to know more about the PCIEF Palliative Care Interdisciplinary Education Services or consider becoming a member agency of the PCIEF, please phone Near North Palliative Care Network (705-497-9239) or email [email protected] and we will be glad to assist.
PCIEF MEMBER AGENCIES
PCIEF WINTER CONFERENCE 2021
PCIEF Palliative Care Interdisciplinary Education Funding Nipissing Sub Region
presents
PCIEF WINTER Conference 2021
What’s New: Best Practices in the Continuum of Palliative Care
February 5th, 2021- 8:30 AM TO 4:30 PM
ONLINE ON ZOOM WEBCONFERENCE
Click Here to View Full Conference Video Recording
PDF’s of the Conference Presentations:
- Eugene Dufour – Click here for a link to the Google Drive location
- Dr. Jinnah Tara – Click here for the PDF
If Google Drive asks us to allow your access to it, don’t hesitate to let us know.
Click here to watch Eugene Dufour’s complimentary Debriefing Workshop
Click here for the PDF of Eugene Dufour’s Debriefing Workshop
Message from Hon. Anthony Rota Bureau de l’hon. Anthony Rota
Speaker of the House of Commons, 43rd Parliament
Member of Parliament | Député Nipissing-Timiskaming
Message from Brian Ktytor
Regional Lead (Interim), Ontario Health (North)
Chief Executive Officer, North West Local Health Integration Network
Chief Executive Officer, North East Local Health Integration Network
“The number of Ontarians entering their last stages of life is expected to increase appreciably as the “baby boom” generation continues to age. From research, we know that coping with the growing demand for services and supports affects hundreds of thousands of Ontarians, their extended networks of family, friends and caregivers, and countless institutions. That is why it is so important for palliative care partners to work together. I want to congratulate the contributions of providers from all sectors for helping the people of the North have dignity at end-of-life, including home and community care; visiting hospice; residential hospice; hospital; long-term care; congregate care, pharmacies; paramedicine; primary care; palliative pain and symptom management consultation service; pastoral care; funeral home services; and patient and family, Indigenous, and Francophone representation.”
Message from Darren Renaud
Chair of the Board, Near North Palliative Care Network
Perspectives in Palliative Care
“Aniee – Hello – Bonjour – Ullaakkut,
Welcome everyone to this year’s conference. Like many of you my days are now filled with time spent in video/virtual meeting spaces like this. I encourage you, to treat this space with honour and respect and be present in the room. This is the new and evolving way we live and connect community, and the temptations of distraction from our desk are immense. Be present and mindful. Write on a sticky note or the top of your note pad. “Are you being mindful?”. Keep this visible for your day with us.
So that little reminder is not only for the respect that this conference and its speakers deserve, but for a lead into what I, as Board Chair want to relate in opening this conference.
Mindfulness in Palliative Care and our lives being of service to others.
Demands on our focus and attention are at unprecedented levels right now, and for many reasons, and – not just the pandemic or whatever buzz phrase the media is using today. Much is pulling our focus in such divergent directions, and the demand for instant response and reaction, or our perception of that demand is a weakening force. Here is a quick mindfulness check. For the next week watch your email, text messages, instant messages, etc. and reflect on each one. Yes, every one of them. Make a judgement call, and decide if you need to respond immediately, thus interrupting whatever you are engaging in. Ask, what would be affected if I waited 15min, or 30min, or an hour. This reflection is just a short pause. After a week, how many messages truly required an immediate response? For perspective, it takes on average less than 15min to eat breakfast, 30min to eat dinner, or 1hr to have tea with a friend. You see we have sacrificed quality time for quantity time. It is a myth that we can multitask. What we do is task switch quickly. Are you doing that right now? Are you in this conference, and on your cell, and working on your computer, and… and what? What is negatively being affected by dividing our attention. … “are you being mindful?”
I am Anishinaabe. The seven grandfather teachings of: Respect – Love – Truth – Bravery – Wisdom – Generosity – and Humility are gifts I try to use every day. When I use the lens of the teachings and ask what if I did not? The answer is inevitably a much poorer outcome. Each of the teachings must be used with the rest. To leave out one is to embrace the opposite of what is left out.
Some of you may be seeing where this fits in with Palliative Care and some may be stretching to understand, so let us look to our warriors, our Palliative Care volunteers, workers, and supports. This is the front line. Put the 7 lenses on and look at them from: Respect – Love – Truth – Bravery – Wisdom – Generosity – and Humility. Now are you seeing a path that these warriors live and subscribe to? What would be the effect if they dropped one of those teachings? Is this not immensely powerful?
What I am seeing in the changing world around us is an erosion of these foundational values and a resulting fatigue and apathy. Not in palliative care, but in much of what surrounds us in palliative care. I see it in the daily interactions with government, agencies, and stakeholders. Ask are they using the 7 lenses? In what we see in publicity pieces and media, are they using the lenses?
Look for what lens is missing and that will tell you volumes.
I guess what I am doing is issuing a call-to-action to all the warriors here. You are all warriors, or you would not be here.
The need for palliative care and all related services is undeniable. It is growing and all indicators, leading or trailing, show that it is only gaining momentum. Look at the 400% growth of services delivered by NNPCN in the last few years as but one measure.
We need to look at the world and specifically palliative care through the seven lenses. There is no room for competition in compassion. Yet we see this every day with system members, and providers, with committee members, and hidden agendas. Use the seven lenses and see what has been dropped.
When working with my Inuit first nation brothers in Nunavut, I learned a valuable lesson from their eight Inuit societal values. Pilimmaksarniq, or loosely translated means “doing the right things right”. Powerful teachings when you explore it.
In determining if we are doing the right things, the seven lenses will help. They will also help to let us know if we are doing them right.
This is by no means easy work, to shift our way of living and engaging in life.
It is the right thing to do. Are you doing it right? – Pilimmaksarniq.
So be mindful, attend this conference with pride, and embrace learning about doing the:
Right Things Right
Message from Monica Do Coutto Monni
PCIES Palliative Care Interdisciplinary Education Services Nipissing Subregion, Chair
“Welcome everyone! My name is Monica Do Coutto Monni and I am the Chair of the Palliative Care Interdisciplinary Education Funding, Nipissing Subregion, organizer of this Winter Conference.
I want to give sincere thanks for the words of support and encouragement we received from Anthony Rota, Speaker of the House of Commons, and Member of Parliament Nipissing-Timiskaming; from Brian Ktytor, Regional Lead of Ontario Health (North) and CEO of NW and NE LHINS; from Darren Renaud, Chair of the Board of Near North Palliative Care Network, responsible for the management of the PCIEF; for the media with us today; and for the massive support and attendance to this year’s Conference, by our Member Agencies and countless Non-Member Agencies across Northern Ontario.
It is a great pleasure and honour to have you with us today, and to see hundreds of faces of each of you, brave palliative care professionals. I also want to extend our welcome ad thanks to our Conference Presenters: Jonathan Faulkner, Vice President of Operations and Alana Corkery, Account Manager, Pallium Canada. Dr. Inez Fatima Jinnah, MDm CCFP (PC) and Tara Moffatt, MN, RN, CHPCN, CON, Palliative Pain and Symptom Management Consultant. Eugene Dufour, M.Div. King’s College at the University of Western Ontario. Our Member Agency colleagues and my staff and placement students at Near North Palliative Care Network, who helped organize this event for you.
This year, we gather to think about Best Practices in the Continuum of Palliative Care. A continuum is made of people united in harmony. The best practice, and the transformative power in this continuum is YOU. You will hear a lot today about being mutually considerate, supportive, and compassionate with your superiors, peers, staff, and patients. About being gentle, understanding and patient with yourself, especially during hard times. About building together the best workplace environment one can get, with our personal attitude. Palliative Care is evolving fast, and you have the power to make it better, in every action you take. Today, I want to share a message of trust in YOU and hope in our common future.
Never doubt the Power of the Small. The power of a million acts of kindness repeated daily by all of us in the grassroots. This creates a culture. You work in Palliative Care because you are kind, and you want to help. So, bring your kindness daily to work, let it shine before your superiors, peers, staff, and patients – and see smiles of gratitude and respect multiply around you. Never forget who YOU are! You desired to help people when you started your beautiful journey in Palliative Care. Well, you and your colleagues are people too, and deserving of one another’s support. Let us not allow rivalries, cynicism, mistrust, judgement, and exhaustion take the best from us. Let us never act below ourselves, and always take the high road of compassion and solidarity at every moment. Together, we can and will build best practices in the healthcare system. A continuum of kindness and mutual consideration is at the heart of system change. YOU MATTER, and you make a world of difference to those around you, one small act of kindness and one small smile at a time!
Thank you and hope you enjoy our day together at the 2021 PCIEF Winter Conference!”
CONFERENCE PROGRAM
08:00 – 08:30 Zoom webinar wait room open.
08:30 – 08:45 Welcome
08:45 – 10:15 Building Palliative Care Capacity and Compassionate Workplaces Across Canada
Jonathan Faulkner, Vice President of Operations, Pallium Canada
Alana Corkery, Account Manager, Pallium Canada
- Pallium’s approach to building palliative care capacity within both the health care system and the community.
- Learnings from the pandemic.
- An overview of LEAP Online and what we have learned.
- Overview of the Compassionate Workplace Campaign and the importance of this campaign for workplace culture.
10:15 – 10:30 Interval
10:30 – 12:00 Interdisciplinary Palliative Care: Case Based Learnings and Evidence Based Practice.
Dr. Inez Fatima Jinnah, MDm CCFP (PC)
Tara Moffatt, MN, RN, CHPCN, CON, Palliative Pain and Symptom Management Consultant
- Pain Management in ESLD (End Stage Liver Disease)
- The Importance of Cross-sector Palliative Care Teams in Complex Pain and Symptom Management
12:00 – 13:00 Interval
13:00 – 14:30 Healthcare Frontline Workers: Loss, Grief and Bereavement in Pandemic Times (Part I)
Eugene Dufour, B.A., M.Div. King’s College at the University of Western Ontario.
- We are a “house of four rooms…”- physical, social, emotional, and spiritual. To stay healthy, we must visit each room, if only to air it out. This workshop will present current thinking and experience on how to survive and thrive as we face complex stress during this pandemic. Participant will revive many different tools on how to support our clients, their family members, our coworkers, and ourselves during the marathon of COVID-19.
14:30 – 14:45 Interval
14:45 – 16:15 Healthcare Frontline Workers: Loss, Grief and Bereavement in Pandemic Times (Part II)
Eugene Dufour, B.A., M.Div. King’s College at the University of Western Ontario.
- This overwhelming experience of COVID-19 has created an enormous amount of complicated grief. In many situations our Hospice Palliative Care Movement could not fulfill its most important mandate that no one would die alone. Due to pandemic regulations many people died alone, families were not able to participate in healing death bed rituals and our workers became overwhelmed with intense suffering. This workshop will present current information and tools on how to journey with people who are experiencing complicated grief. Special attention will be directed to dealing with the misery and mystery of Complicated Grief.
16:15 – 16:30 Wrap Up. COMPLETE ONLINE EVALUATION FOR A CHANCE TO WIN ONE OF MANY FABULOUS DOOR PRIZES!
III. MEMBER AGENCIES
