Queen's University Academic Palliative Care Rounds

The Academic Palliative Care Rounds are held weekly on Fridays from 8-9 am between September and June at Fenwick Conference Room at KGH. The content includes medical topics, symptom management, supportive care, psychosocial, spiritual and ethical issues relevant for palliative care, palliative education, palliative care research and collaborative care. Rounds are open to all health care professionals, volunteers, students and trainees interested in palliative care.

For further information contact: Ruili Fang (fangr@kgh.kari.net)

Conservative Care in End-Stage Kidney Disease

Published Mon Oct 16/17 10:00am.
Presented by: Dr. Hasitha Welihinda

0800-0900
Friday October 20, 2017
Fenwick Conference Room at KGH

Flyer attached here

Highlights from the 1st National Conference on Medical Assistance in Dying

Published Tue Oct 03/17 11:00am.
Presented by: Cathy MacGillivary, MSW, RSW

0800-0900
Friday October 6, 2017
Fenwick Conference Room at KGH

Flyer attached here.

Intra-Thecal Catheters in the Palliative Care Setting

Published Tue Sep 26/17 9:00am.
Presented by: Dr. Alex Trussler

0800-0900
Friday September 29, 2017
Fenwick Conference Room, KGH

Objectives:
1. Anatomy of the spine and placement of an intra-thecal device
2. Evidence for/against their use in the general population and the palliative care setting
3. Challenges and Complications of Intra-Thecal Devices

 
Flyer attached here.

The Role of the Aboriginal Navigator

Published Tue Sep 19/17 11:00am.
Presented by Dionne Nolan, Aboriginal Navigator, SE Regional Cancer Program

0800-0900
Friday Sep 22, 2017
Fenwick Conference Room at KGH

Objectives:
1. Understand the role of the Aboriginal Navigator
2. Understand the role of traditional medicines in patient care 
3. Know how to approach an Aboriginal patient and understand issues around self-identification

Flyer attached here

Forgotten: The Role of Palliative Care In Dementia

Published Fri Sep 15/17 1:00pm.
Presented by Dr. Ryan Fisher

0800-0900
Friday September 15, 2017
Fenwick Conference Room at KGH

Objectives:
  • Know the features of Dementia.
  • Appreciate the natural history of Dementia.
  • Understand and appreciate the Palliative Care considerations in patients with Dementia
Flyer attached here.
Presentation Slides attached here.

The Evolution of Hospice Care in Kingston

Published Mon Jun 19/17 10:00am.
Presented by: Ron Lirette, Executive Director, Hospice Kingston

0800-0900
Friday June 23, 2017
Fenwick Conference Room, KGH

Objectives:
1. Enhanced understanding of the history of Residential Hospice in Ontario
2. Enhanced awareness of the Hospice Kingston Palliative Care Centre and Residential Hospice Service

Flyer attached here.

An update of the recent PCFA formulary changes and an Overview of the use of palliative medications in the context of liver failure

Published Wed Jun 07/17 11:00am.
Presented by: Jen Baker, Phyarmacist

0800-0900
Friday June 9, 2017
Fenwick Conference Room at KGH

Objectives:
1. Review changes to the Ontario Drug Benefit plan including changes to the PCFA formulary and youth pharmacare
2. Outline which commonly used palliative care medications could be concerning in the context of liver failure
3. Review recommendations for reducing adverse effects and toxicity of medications affected by liver failure

Flyer attached here

From Personalized Medicine, Patient-Centered Care to Person-Centered Care

Published Wed May 24/17 9:00am.
Presented by: Dr. Deb Dudgeon

0800-0900
Friday May 26, 2017
Fenwick Conference Room, KGH

Objectives:
1. To discuss the concepts of personalized medicine, patient-centred care and person-centred care
2. To explore implications in the care we provide of each of the approaches

Flyer attached here

Why Caregivers Provide Care at the End of Life: A Literature Review

Published Fri May 12/17 11:00am.
Presented by: Dr. Alison Flanagan, Palliative Medicine PGY3

0800-0900
Friday May 19, 2017
Host site: Fenwick Conference Room @ KGH

Objectives: 
1. Introduce the context for the question of why caregivers provide care at the end-of-life 
2. Review the history of informal caregiving in palliative care 
3. Present a review of the literature available on motivations for caregiving at the end-of-life 
4. Engage in a discussion on how an awareness of these motivations might help inform our clinical practice and support for caregivers 
5. Introduce potential "next steps" and research opportunities in this area

Flyer attached here.

Cannabis for Anorexia

Published Tue May 09/17 10:45am.
Presented by: Brittany Dickson & Dr. Craig Goldie

0800-0900
Friday May 12, 2017
Fenwick Conference Room, KGH

Objectives:
1. Review cannabinoid system
2. Explore clinical evidence pertaining to anorexia
3. Clarify how to prescribe medical cannabis

Flyer attached here.

The Cancer Metaphor: "Because Cowards Get Cancer Too ..."

Published Tue May 02/17 12:00pm.
Presented by: Dr. Ryan Fisher, Md, FRCPC
Palliative Medicine Fellow

0800-0900
Friday May 5, 2017
Fenwick Conference Room @ KGH

Objectives:
1. Understand the history of the “fight” metaphor in cancer and why we use it 
2. Understand the potential advantages and disadvantages of using the “fight” metaphor in cancer language
3. Appreciate the potential impact the “fight” metaphor has on patient care

Flyer attached here.

Advocacy in Palliative Care : Learning From Geriatric Medicine??

Published Fri Apr 21/17 10:00am.
Presented by: Dr. Chris Frank

0800-0900
Friday April 28, 2017
Fenwick Conference Room at KGH

Flyer attached here.

Palliative Care: The Oldest Profession?

Published Wed Apr 12/17 11:00am.
Presented by: Jacalyn Duffin, MD, PhD, FRCPC, FRSC, FCAH

0800-0900
Friday April 21, 2017
Fenwick Conference Room at KGH

Jacalyn Duffin, MD (Toronto 1974), FRCPC (1979), PhD (Sorbonne 1985), is a hematologist and historian who has occupied the Hannah Chair of the History of Medicine at Queen’s University since 1988. A former president of both the American Association for the History of Medicine and the Canadian Society for the History of Medicine, she is the author of eight books and many articles, holds several awards for teaching and research. She is a Fellow of the Royal Society of Canada and the Canadian Academy of Health Sciences. Her research focuses on the history of disease, technology, religion, and health policy. She runs an activist website for the drug shortage problem and blogs about this issue at CMAJ https://cmajblogs.com/category/drug-shortages/.

Objectives:
1. To explore the origins of palliative care as a medical specialty
2. To analyze the relationship of palliative care to geriatrics
3. To set the rise of palliative and geriatrics care in a Canadian context

Flyer attached here.

MAID for Palliative Care? Can They Co-Exist?

Published Fri Mar 24/17 11:00am.
Presented by: 

Andrew Robinson - Medical Oncologist 
Deanna Russell - Veterinarian and Family Physician 
Mark Handelman - Lawyer 
Janeta Kobes - Spiritual Health Specialist 
Cathy MacGillivary - Social Worker 
Craig Goldie - Palliative Care Physician

0800-0900
Friday March 31, 2017
Botterell Hall Room B143

Purpose: To examine the mutual existence of physician-assisted death and palliative care in Canada

Objectives:
1. Review the experience with physician-assisted death so far 
2. Consider how physician-assisted death and palliative care fit with Canadian attitudes towards death and dying 
3. Create discussion on how palliative care and physician-assisted death co-exist now and in the future

Flyer attached here.

Financial Toxicity: The Cost of Cancer for Patients and Families

Published Wed Mar 22/17 2:00pm.
Presented by: Jessica Bonney, MSW, RSW

0800-0900
Friday Mar 24, 2017
Fenwick conference Room, KGH

Objectives:
1. to explore the term "financial toxicity"
2. to highlight the financial impact of a cancer diagnosis on patients and fmailies
3. to provide an overview of current financial programs and their limitations

Flyer attached here.

Hospice Palliative Services in Our Community

Published Wed Feb 08/17 3:00pm.
Presented by: Siobhan McArdle

0800-0900
Friday February 17, 2017
Fenwick Conference Room at KGH

Objectives: 
1. To have an increased awareness of regional hospices & their services 
2. To understand the pre-requisite entry education & role of hospice volunteers 
3. To know about referral mechanisms 
4. To have an opportunity to ask questions

Flyer attached here.

Vocation of a Community Deathcare Practitioner

Published Tue Feb 07/17 9:00am.
Presented by: Barb Phillips, BA, Physical and Health Education

0800-0900
Friday February 10, 2017
Fenwick Conference Room, KGH

Objectives:
1. Gain insight and become familiar with a philosophy and experiences ( from a non-medical perspective) that support and inspires individuals and families to engage holistically with dying, death care and bereavement 
2. Learn the range of services a Thanadoula/Home Funeral Guide and Life-Cycle Celebrant offers to individuals and families

To Apply or Not to Apply: An Examination of the Evidence of Effectiveness, Indications and Use of Topical Opioids

Published Wed Feb 01/17 12:45pm.
Presented by: Dr. Alison Flanagan, Palliative Medicine PGY3

0800-0900
Friday February 3, 2017
Fenwick Conference Room at KGH

Objectives:
1. Examine the role of peripheral opioid receptors and the pharmacology of topical opioids
2. Review the available literature on the use and efficacy of topical opioids
3. Describe indications, preparation and use of topical opioids

Flyer attached here.

Promoting Quality and Timely Care for Palliative and End of Life Patients - Experiences with the Adoption of eShift across the South East CCAC

Published Fri Jan 20/17 11:00am.
Presented by: Robert Bruce & Nicole St-Aubin

0800-0900
Friday January 27, 2017
Fenwick Conference at KGH

Objectives: 
1. Provide an overview of eHomecare (and specifically the eShift model of care)
2. Describe how the South East CCAC applied the eShift model for Palliative and End of Life care patients
3. Provide and update on the results of the South East CCAC eShift Pilot Project, key deliverables and proposed next steps in expanding the use of eShift to other patient populations

Flyer attached here

Developing a Deactivation Guideline for Patients with Implantable Cardioverter Defibrillator Reaching End-of-life

Published Mon Jan 09/17 11:00am.
Presented by: Debra Campbell & Melissa Touw

0800-0900
Friday January 13, 2017
Fenwick Conference Room @ KGH

Objectives:
1. Explore gaps in practice regarding ICD management in patients reaching end-of-life
2. Describe development of a guideline created for patients with ICD’s reaching end-of-life
3. Explore future considerations with guideline

Flyer attached here

Highlights from the 2016 Montreal Congress

Published Fri Dec 09/16 11:00am.
Presented by:
Tirsh Macpherson, PPSMC Consultant, SECCAC
Carol Northcott, Palliative Care Educator, SECCAC
Helen Cluett, MD, Prince Edward Family Health Team
Deborah Dudgeon, MD, Queen's Unviersity Palliative Medicine

0800-0900
Friday December 16, 2016
Fenwick Conference Room @ KGH

Flyer attached here

2 years of Palliative Medicine - from the bedside to the House of Commons

Published Mon Dec 05/16 10:00am.
Presented by: Dr. Stephanie Connidis

0800-0900
Friday December 9, 2016
Fenwick Conference Room @ KGH

Review experiences in Palliative Medicine including:
1. Pearls and pitfalls in the Community
2. The role of Palliative Care in the Neuromuscular Disorder Clinic
3. The development of an infographic on Advance Care Planning developed by the Palliative Care committee for the CCFP
4. Provide overview of position statements by the Canadian Society of Palliative Care Physicians on Medical Aid in        Dying, Opioids and report on "How to Improve Palliative Care in Canada"

Flyer attached here.

Palliative Care in Heart Failure

Published Tue Nov 29/16 10:00am.
Presented by: Dr. Ryan Fisher, Palliative Care Medicine Fellow

0800-0900
Friday December 2, 2016
Fenwick Conference Room @ KGH

Objectives:
1. Understanding the etiology of heart failure
2. Making the diagnosis
3. General treatment strategies
4. Why is heart failure relevant to the palliative care physician
5. Palliative care management considerations in heart failure

Flyer attached here.

What happens at home stays at home: Evaluating initiatives to facilitate home palliative care

Published Wed Nov 23/16 2:00pm.
Presenters:
Colleen Webber, PhD(c)
Department of Public Health Sciences, Queen’s University
Division of Cancer Care and Epidemiology, Queen’s Cancer Research Institute
Ray Viola, MD
Division of Palliative Medicine, Queen’s University

0800-0900
Friday November 25, 2016
Fenwich Conference Room, KGH

Objectives:
1. Understand rationale for optimizing community palliative care resources
2. Describe palliative home care in Ontario
3. Report a study evaluating two initiatives to facilitate palliative home care in southeastern Ontario

Flyer attached here.


Grief and Bereavement: Are we any good?

Published Wed Nov 16/16 3:15pm.
Presenter: Dr. Craig Goldie

0800-0900
Friday November 18, 2016
Fenwick Conference Room @ KGH

Objectives: 
1. Review types of grief and risk factors for complicated grief 
2. Describe many of the bereavement resources available in SELHIN
3. Reflect (and discuss) how we can provide better/more consistent bereavement supports

Flyer attached here.

What's in a name? Would palliative care by any other name be the same?

Published Tue Nov 01/16 9:00am.
Presented by: Dr. Ray Viola

0800-0900
Friday November 4, 2016
Fenwick Conference Room @ KGH

Objectives:
1. Summarize basic history of palliative care
2. Understand the rationale for early referral to palliative care
3. Recognize the impact of the name ‘Palliative Care’ on access to palliative care 
4. Consider advantages and disadvantages of changing the name ‘Palliative Care’

Flyer attached here

Palliative care in the Netherlands: experiences and challenges

Published Mon Oct 24/16 10:00am.
Presenter: Anna K.L. Reyners, MD, PhD.
Medical oncologist, professor in Palliative Medicine, and head of the Expert Center of Palliative Care of the University Medical Center Groningen in the Netherlands

0800-0900
Friday October 28, 2016
Fenwick Conference Room @ KGH

Objectives:
1. How palliative care is provided in the Netherlands; a country with no formal palliative care physicians.
2. The integration of palliative care in disease specific trajectories - experiences with handover advance care planning for patients discharged from the hospital
3. How to set up a set of indicators regarding the assessment of quality of palliative care.

Flyer attached here

Understanding the Role of the Aboriginal Patient Navigator

Published Thu Oct 13/16 9:00am.
Presented by: Dionne Nolan

Aboriginal Patient Navigator, South East Regional Cancer Program, Kingston General Hospital

0800-0900
Friday October 21, 2016
Fenwick Conference Room @ KGH

Objectives: 
1. To describe the role of the Aboriginal Patient Navigator 
2. To gain cultural awareness of First Nations, Inuit and Metis People within our LIHN

Flyer attached here

Non-Invasive Ventilation in COPD: A Palliative Perspective

Published Wed Oct 12/16 2:00pm.
Presented by: Dr. Ave Ellaurie
Palliative Medicine PGY3

0800-0900
Friday October 14, 2016
Fenwick Conference Room @ KGH

Objectives:
Review the basics of Non-Invasive Positive Pressure Ventilation (NIPPV)
Review an Approach to using NIPPV in different goals of care scenarios
Summarize the evidence for NIPPV in the relief of dyspnea in COPD
Discuss the Possible Role of NIPPV in the provision of Palliative Care

Flyer attached here.

Idiopathic Pulmonary Fibrosis - Challenges in Management

Published Tue Oct 04/16 10:00am.
Presented by: Dr. Ingrid Harle

0800-0900
Friday Oct 7, 2016
Fenwick Conference Room @ KGH

At the end of this session attendees will be able to:
1. Discuss the etiology and pathogenesis of IPF
2. Understand the natural history of IPF and determine likely prognosis by assessment of contributing factors
3. Consider potential management options, and understand the risks and benefits of each
4. Recognize the important role of palliative care in this patient population and facilitate the integration of palliative care into the MDT-IPF for optimal benefits

Flyer attached here

Caring about the Caregivers: An examination of family caregiving in palliative care

Published Mon Sep 26/16 3:00pm.
Presenter: Dr. Alison Flanagan
Palliative Medicine PGY3

0800-0900
Friday September 30, 2016
Fenwick Conference Room @ KGH

Objectives:
1. Review current literature on the characteristics of family caregivers in Canada 
2. Explore themes of gender, culture, and socioeconomic status as they impact the make-up of Canadian caregivers
3. Introduce an upcoming research project proposal looking at the motivation behind caregiving in the palliative care context

Flyer attached here

Investigating a Relationship Between Dyspnea and Muscle Mass: Review of Resident Research Project

Published Wed Sep 21/16 11:00am.
Presented by: Dr. Roddy Davey
Palliative Medicine PGY3

0800-0900
Friday September 23, 2016
Fenwich Conference Room, KGH

Objectives: 
1. Discuss past research on pathophysiology of breathlessness in cancer patients 

2. Understand the current research in cancer cachexia and how this relates to dyspnea
3. Review the current research project assessing muscle mass in cancer patients with progressive dyspnea

Flyer attached here

Dyspnea and Muscles: ? A Relationship

Published Thu Jun 23/16 2:00pm.
Presented by: Dr. Deborah Dudgeon

0800-0900
Friday June 24, 2016
G015b Etherington Hall

Objectives:
To explore the relationship between peripheral and respiratory muscle dysfunction and dyspnea 
To discuss possible mechanisms of muscle dysfunction

Flyer attached here.

MAID in Canada: Where We Are With Assisted Death

Published Thu Jun 09/16 9:00am.
Presented by: Mark Handelman, BA, LLB, MHSc(bioethics)
Barrister and Solicitor

0800-0900
Friday June 17, 2016
Host site: Room G015b, Etherington Hall

Objectives:
1. What the Supreme Court said
2. What Parliament Said 
3. What the Senate is saying 
4. What’s happening now

Flyer attached here              
Presentation slides attached here

Challenges in Management of Patients with Interstitial Lung Disease: A Role for Palliative Care

Published Tue Jun 07/16 9:00am.
Presenter: Dr. Ingrid Harle

0800-0900
Friday June 10, 2016
Room G015b Etherington Hall

By the end of this session, participants will:
1. Understand the underlying pathophysiology of ILD and the relationship to symptomatology
2. Describe the unmet care needs of patients with ILD and their caregivers
3. Describe the role of palliative care in the multidisciplinary approach to management of ILD

Flyer attached here

Respiratory Therapy in Community Palliative Care

Published Tue May 24/16 2:00pm.
Presented by: Miriam Turnbull, MBA, RRT, COPD Ed.

0800-0900
Friday May 27, 2016
Room G015b Etherington Hall

Objectives: 
1. To describe the role of the RT in community respiratory care 
2. To define the types of patients the RT sees and the respiratory interventions possible in the community 
3. To outline how a referral for RT visits are made 
4. To describe what types of patients are appropriate to refer 
5. To identify limitations to community respiratory care

Flyer attached here


Use of eShift for Palliative and End of Life Care in the South East CCAC

Published Fri May 13/16 11:00am.
Presented by: Robert Bruce

0800-0900
Friday May 20, 2016
Hoste site: Room G015b, Etherington Hall

Objectives: 
1. Provide an introduction and overview of eHomecare (and specifically the eShift model of care) 
2. Describe the application of the eShift model for Palliative and End of Life care patients 
3. Describe the South East CCAC eShift Project structure and deliverables 
4. Exploration of how eShift could be applied to other target patient populations in the South East CCAC

Flyer attached here.

Laser Therapy for Peripheral Neuropathy: Shedding Light on Old Problems

Published Fri Apr 29/16 3:00pm.
Presented by: John Nuttall, MD and Mike Watson, DC

0800-0900
Friday May 6, 2016
Room G015b Etherington Hall

Objectives:
1. Discuss Quarry Medical and our daily operations
2. Review pathophysiology of peripheral neuropathy
3. Outline treatment and efficacy of treatment provided at our clinic

Flyer attached here.

Frailty Thy Name is ...

Published Tue Apr 26/16 11:00am.

Presented by: Dr. Chris Frank

0800-0900
Friday April 29, 2016
G015b Etherington Hall

At the end of this presentation the participant will be able to:
1. Identify patients with frailty
2. Assess the level of frailty
3. Determine how to deprescribe while considering the level of frailty
4. Modify medical management and the goals of care based on the level of frailty

Flyer attached here.

Life Review in Palliative Care

Published Mon Apr 18/16 11:00am.
Presented by Dr. Craig Goldie

0800-0900
Friday April 22, 2016
G015b, Etherington Hall

Objectives: 
1. Overview of therapeutic life review techniques (reminiscence therapy / legacy creation)
2. Look at evidence supporting these interventions
3. Discuss (as a group) how we are doing in Kingston in these areas and whether we need to improve

Flyer attached here.
Presentation slides attached here   

Coping with Disgusting Symptoms

Published Fri Apr 08/16 9:30am.
Presented by: Dr. Raymond Viola

0800-0900
Friday April 15, 2016
Room G015b, Etherington Hall

Objectives: 
1) Share experiences caring for patients with disgusting symptoms 
2) Review a qualitative study examining how palliative care clinicians experience and cope with symptom disgust 
3) Discuss implications for patient care and clinician wellbeing

Flyer attached here.
Sign-in sheet attached here 

Advance Care Planning

Published Fri Apr 08/16 9:00am.
Presented by: Dr. Roddy Davey

0800-0900
Friday April 1, 2016
Room G015b, Etherington Hall

Objectives:
1. Review the expected course of end stage heart failure
2. Explore barriers to initiating advance care planning discussions
3. Understand end of life issues that are specific to heart failure patients

Flyer attached here.

Dyspnea as Disease

Published Tue Mar 08/16 9:00am.
Presenter: Dr. Deborah Dudgeon

0800-0900
Friday March 11, 2016
Room G015b Etherington Hall

Objectives:
1. Understand the multidimensional nature of dyspnea and its impact of quality of life
2. Identify the factors associated with dyspnea
3. Outline the components of a thorough assessment
4. Describe the proven non-pharmacological and pharmacological management of dyspnea

Flyer attached here.

Nutritional Management of Malignant Bowel Obstructions

Published Fri Feb 26/16 2:00pm.
Presenters: Brittany Dickson, RD and Margot Lemieux, RD

0800-0900
Friday March 4, 2016
Room G015b, Etherington Hall

Objectives:
1. Explore the role and limitation of therapeutic diets in the management of inoperable malignant bowel obstructions
2. Review the role of aggressive nutrition management and the indications for long term parenteral nutrition
3. Discuss the current state of home parenteral nutrition care in our region

Flyer attached here.

The meaning of Hope in Palliative Care

Published Wed Feb 24/16 3:00pm.
Presenter: Melissa Touw

0800-0900
February 5, 2016
Room G015b Etherington Hall

Objectives:
1. Definition of hope and theories of hope
2. explore patient's experience of hope at end of life
3. Discuss the health professional's experience of hope at end of life

Flyer attached here.

Psychedelics in Palliative Care: Bad trip or useful therapy?

Published Wed Feb 24/16 3:00pm.
Presenter: Dr. Craig Goldie

0800-0900
February 12, 2016
Room G015b Etherington Hall

Objectives:
1. Background on death anxiety/existential suffering
2. Introduce psychedelic medication/history of their use
3. Review literature on psychedelic use for death anxiety/suffering in palliative patients

Flyer attached here.

ALS - Palliative Management

Published Wed Feb 24/16 3:00pm.
Presenter: Dr. Stephanie Connidis

0800-0900
Friday February 19, 2016
Room G015b, Etherington Hall

Objectives:
1. Review 3 community cases
2. Understand common symptoms and management
3. Use of Trigger Points to guide goals of care discussion

Flyer attached here

3 Posters from the South Side

Published Mon Jan 11/16 3:00pm.
Presented by: Dr. Ray Viola

0800-0900
Friday January 15, 2016
Room G015b, Etherington Hall

Objectives:
1. Does dexamethasone suppress adrenal function when used to prevent nausea in cancer patients?
2. What are the smallest clinically important changes for ESAS symptom scores?
3. What is the correct rotation ratio to use when converting to transdermal fentanyl? 
4. Why is Chicago called ‘The Windy City’?

Flyer attached here

Palliative Care Integration

Published Fri Dec 11/15 12:00pm.
Presented by: Dr. Deborah Dudgeon

08000-0900
Friday December 18, 2015
Room G015b, Etherington Hall

Objectives:
1. Review evidence of the benefit of early integration of palliative care for people with cancer
2. Describe different conceptual models of integration
3. Discuss possible ‘optimal’ model for integration of palliative care

Flyer attached here

Distress May Be Hidden But It Is Never Silent

Published Tue Dec 01/15 9:00am.
Presented by: Dr. Ingrid Harle

0800-0900
Friday December 4, 2015
G015b, Etherington Hall

Objectives:

1. Understanding distress in people with severe communication challenges
2. Challenges in provisions of palliative and end of life care in people with Intellectual Disabilities (ID)
3. Discuss models/approaches of palliative and end of life care delivery in people with ID. 

Flyer attached here

A Good Death - Does our reach exceed our grasp?

Published Fri Nov 13/15 10:00am.
Presented by: Janeta Kobes, Margaret Milne, Susan Gies and Dr. Ray Viola

0800-0900
Friday November 20, 2015
Room G015b, Etherington Hall

Objectives:
1. Describe what constitues 'a good death'
2. Consider how we ever know that a good death has occurred
3. Determine how we can optimize the chance of a good death occurring

Flyer attached here

Live Free or Die Hard

Published Mon Nov 02/15 11:00am.
Presented by: Cindy Fitzpatrick, MSW, RSW

0800-0900
November 6, 2015
Room G015b Etherington Hall

Objectives:
1. Explore the differences between assisted suicide and euthanasia 
2. Explore the laws on assisted suicide and euthanasia in North America and how they are changing
3. Case example and video highlighting the Brittany Maynard story

Flyer attached here

Intrathecal Analgesia - Trials and Tribulations

Published Thu Oct 29/15 9:00am.
Presented by: Dr. Scott Duggan and Dr. Jonathan Yen

0800-0900
Friday October 30, 2015
Room G015b Etherington Hall

Objectives:
1. Review challenges faced when initiating and maintaining intrathecal analgesic infusions
2. List potential common and uncommon adverse effects of intrathecal infusions
3. Debrief about two recent patient experiences

Flyer attached here.

Dying to eat: Cancer Anorexia and Cachexia

Published Thu Oct 15/15 10:00am.
Presented by: Dr. Craig Goldie

0800-0900
Friday October 16, 2015
Room G015b, Etherington Hall

Objectives:
1. Define burden of anorexia and cachexia in cancer patients
2. Cover ways for assessing and counseling patients regarding anorexia and cachexia
3. Provide a brief overview of MD, RN, dietician interventions for anorexia and cachexia

Flyer attached here.

Palliative Sedation - To sleep, perchance to dream?

Published Fri Oct 09/15 3:00pm.
Presented by: Dr. Ray Viola

0800-0900
Friday September 11, 2015
Room G015b Etherington Hall
Queen's University

In this round we will:
1. Define palliative sedation
2. Discuse ethical principles relevant to palliative sedation
3. State specific indications for palliative sedation
4. Describe the application of palliative sedation

Presentation slides attached here.

Use of eHomecare as an emerging model of care in the South East CCAC

Published Fri Oct 09/15 3:00pm.
Presented by: Robert Bruce

0800-0900
Friday September 25, 2015
Room G015b Etherington Hall

In this round we will:
1. Provide an introduction and understanding of what eHomecare (and specifically the use of eShift) is
2. Describe how the South East CCAC will adopt eShift as a new model of care for Palliative and End of Life patients
3. Describe the South East CCAC eShift Pilot Project deliverables
4. Exploration of the possible use of eShift in Palliative care and other target populations in the South East CCAC

Presentation slides attached here.

After the Last Breath

Published Mon Jun 22/15 2:00pm.
Presented by: Dorothy Trimble-Hayes

0800-0900
Friday June 26, 2015
36 Barrie Street

Objectives:
1. The role and services of funeral homes/crematoriums
2. The process of receiving the deceased
3. Challenging situations in the home

Flyer attached here.

Medical Marijuana Today: A Focus on Palliative Care

Published Mon Jun 15/15 11:00am.
Presented by: Dr. Saneea Abboud

0800-0900 
Friday June 19, 2015
36 Barrie Street

Objectives:
1. Be introduced to the different cannabis/cannabinoid products
2. Review current recommendation for cannabis/cannabinoid use for common symptoms in palliative care 
3. Become familiar with Health Canada’s current medical marijuana legislation

Flyer attached here
Presentation slides attached here.  

Talking to Children about Death and Dying

Published Fri Jun 05/15 12:00pm.
Presented by: Melissa Touw, RN, MScN, APN - Palliative Care

0800-0900
Friday June 12, 2015
36 Barrie Street

Objectives:
1. Identify the barries when talking to children about death and dying of a loved one
2. Review the important aspects of child development when communicating about death and dying
3. Identify tools useful when communicating about death and dying

Flyer attached here.

Elder Abuse

Published Mon Jun 01/15 10:00am.
Presented by: Dr. Ingrid Harle

0800-0900
Friday June 5, 2015
36 Barrie Street

Objectives:
1. Review the definition of elder abuse
2. Discuss prevalence rates
3. Identify risk factors
4. Review clinical manifestations
5. Consider screening and interventional appraoch

Flyer attached here.

Pediatric Palliative Care

Published Tue May 26/15 3:00pm.
Presented by: Dr. Craig Goldie

1800-0900
Friday May 29, 2015
36 Barrie Street

Objectives: (TBA)

Flyer attached here.
Presentation slides attached here.  

Hospice Kingston Today and into the Future

Published Tue May 19/15 9:00am.
Presented by: Natasha Girard

0800-0900
Friday May 22, 2015
36 Barrie Street

Objectives:
1. Increase awareness about Hospice Kingston's programs and services
2. Learn how Hospice Kingston plans to improve access to quality hospice palliative care

Flyer attached here.

Providing Care for Aboriginal People of Canada

Published Wed May 13/15 10:00am.
Presented by: Dr. Jaimi Heidman, Palliative Medicine PGY3

0800-0900
Friday May 15, 2015
36 Barrie Street

Objectives:

1. Increase awareness of important cultural considerations to take into account when providing end-of-life care for Aboriginal peoples 
2. Discuss the various barriers limiting Aboriginal people in accessing culturally sensitive and high quality palliative care as well as ways in which access can be increased 

Flyer attached here

A Mindful Approach to Stress

Published Wed May 06/15 9:00am.
Presented by: Dr. John Smythe

0800-0900
Friday May 8, 2015
36 Barrie Street

John Smythe is a Pediatric Cardiologist and a Student Wellness Advisor with the Queens Faculty of Medicine. He has been a meditation instructor since 1996 and is a Mindfulness Based Stress Reduction teacher and Shambhala Meditation Training Director. He has provided Mindfulness Training Workshops for medical trainees and medical faculty since 2008.  His current research interests include self-compassion training for the prevention of compassion fatigue/burnout during medical school and residency. 

Flyer attached here.

And now for something completely different ... My Gift of Grace

Published Fri Apr 24/15 11:00am.
Presented by: Dr. Ray Viola

0800-0900
Friday May 1, 2015
36 Barrie Street

Objectives:
1. Learn about a game to facilitate conversations about living and dying well
2. Play the game
3. Reflect on the game's potential or lack thereof

Flyer attached here.
Presentation slides attached here

2015-2018 SE Regional Hospice Palliative Care Work Plan

Published Mon Apr 13/15 11:00am.
Presenter: Olga Nikolajev

0800-0900
Friday April 17, 2015
36 Barrie Street

Objectives: 
1. Learn about Provincial Palliative Care Planning Structures and Governance 
2. Highlight South East LHIN Hospice Palliative Care 2015-2018 Work Plan 
3. Engage palliative care community in partnership to improve care

Flyer attached here     
Presentation slides attached here

A Review of the Treatment of Cancer-Associated Thrombosis

Published Tue Apr 07/15 12:00pm.
Presenter: Dr. Saneea Abboud

0800-0900
Friday April 10, 2015
36 Barrie Street

Objectives:

1. Outline the current evidence and recommendations for initial and long-term management of first and recurrent episodes of VTE 
2. Discuss the management of commonly encountered thrombotic complications 
3. Appreciate developing areas of research in the treatment of cancer-associated thrombosis 

Flyer attached here.

From Order to Infusion:

Published Mon Mar 23/15 10:00am.

Presenter: Jen Baker, RPH

0800-0900
Friday March 27, 2015
36 Barrie Street

Objectives:
1.  To understand the process of a home care medication from prescribing physician to the patient 
2. To become aware of the common issues that occur that may result in delays in the order reaching the patient

Flyer attached here.

Medication at the End Life - Management Dilemmas in the community Setting

Published Fri Mar 13/15 3:00pm.
Presenter: Dr. Stephanie Connidis

0800-0900
Friday March 20, 2015
36 Barrie Street

Objectives:
1. Recognize challenges in determining when restlessness/loss of symptom control may be iatrogenic
2. Review common medication interactions
3. Discuss possible strategies to mitigate interactions

Flyer attached here.

The Experience of Hope in Palliative Care

Published Mon Feb 09/15 10:15am.
Presented by Dr. Jaimi Heidman

0800-0900
February 13, 2015
36 Barrie Street

Objectives:

1. Discuss the notion of hope in palliative care and the factors that influence it  
2. Discuss ways in which to assess hope in palliative care patients 
3. Consider ways in which to maintain or facilitate hope in terminally ill patients  

Flyer attached here.

Palliative Wound Care

Published Mon Feb 02/15 9:15am.
Presented by: Dr. Saneea Abboud

0800-0900
Friday February 6, 2015
36 Barrie Street

Objectives:

1. Discuss the concept of palliative wound management 
2. Apply palliative management strategies to common wound related symptoms 
3. Become familiar with major wound dressing groups and their common applications

Flyer attached here.


Music Therapy with Hospice and Palliative Care

Published Fri Jan 23/15 3:00pm.
Presented by: Mackenzie Costron, BMT
Music Therapist and Owner of Find Your Voice Music Therapy

0800-0900
January 30, 2015
36 Barrie Street

Objectives:
1. To understand what music therapy is and how it enhances health and wellness
2. To discuss the intentional and purposeful application of music therapy techniques and interventions in hospice and palliative care
3. To explore the benefits of music therapy in hospice and palliative care

Flyer attached here

Ageing and Dying in Prison: Out of Sight, Out of Mind

Published Mon Jan 19/15 12:00pm.
Presented by: Dr. Chris Frank

0800-0900
Friday January 23, 2015
36 Barrie Street

Objectives:
1. Consider opportunities to improve end of life care for people in prison
2. Consider advocacy roles for palliative care in prisons

Flyer attached here.
Podcast of the CBC interview: 

http://podcast.cbc.ca/mp3/podcasts/tapestry_20141205_28377.mp3

Weaving Together Concepts and Tools to Operationalize CBME in Palliative Care Medicine

Published Mon Jan 19/15 11:45am.
Presentated by: Laura McEwen, PhD & Dr. Ingrid Harle

0800-0900
Friday December 19, 2014
36 Barrie Street

Objectives:
1. Explore the Competency by Design initiative, including changes in CanMEDS 2015 and the role of Milestones and Entrustable Professinal Activity (EPAs)
2. Appreciate the role of assessment as the backbone of CBME
3. Consider potential EPAs for Palliative Medicine

Flyer attached here.

Prescribing Palliative Care Medication from the Pharmacy Perspective

Published Mon Jan 19/15 11:00am.
Presented by: Brent Schneider, RPh, BSP, MSc

0800-0900
December 12, 2014
36 Barrie Street

Objectives:
1. Review what happens after we write a CADD prescription from pharmacy perspective
2. Common errors in Palliative Care prescription writing
3. Tips from a pharmacy perspective


Flyer attached here.



Geography's 'Place' in Palliative care Research

Published Mon Jan 19/15 11:00am.
Presented by: Dr. Heather Castleden, Associate Professor

0800-0900
Friday January 9, 2015
36 Barrie Street

Objectives:
1. To introduce the sub-discipline of health geography to the field of palliative care research
2. To demonstrate the application of a health geography lens to sitting palliative care facilities
3. To use social and physical place as an analytic tool to elucidate issues central to rural and aboriginal palliative care

Flyer attached here.

Burnout in Palliative Care

Published Mon Jan 19/15 11:00am.
Presented by; Dr. Craig Goldie

0800-0900
Friday January 16, 2015
36 Barrie Street

Objectives:
1. Review the frequency of burnout in palliative care
2. Discuss some aggravating and protective habits and practices
3. Talk as a group about how we are doing/what we could do better

Flyer attached here.
Presentation slides attached here.

Implications of Implantable Cardioverter Defibrillators (ICDs) in Palliative Care Patient

Published Tue Dec 02/14 9:00am.
Presenter: Dr. Jaimi Heidman, Palliative Medicine PGY3

0800-0900
Friday December 5, 2014
36 Barrie Street

Objectives:

1. Examine important issues surrounding the use of ICDs in palliative care patients

2. Identify factors that influence decisions on ICD deactivation

3. Discuss an approach to discuss goals of care and patient wishes regarding continued ICD use vs deactivation

Flyer attached here.

Physician Hastened Death: Spiritual Considerations

Published Fri Nov 21/14 11:00am.
Presenter: Neil Elford

DMin, CASC Teaching Supervisor (PCE/CPE), Director for Spiritual Health, Mission and Ethics

0800-0900
Friday November 28, 2014
36 Barrie Street

Objectives:

  • Exploration of what influences spiritual considerations
  • Discussion about spiritual considerations in conversations with patients and their loved ones
  • Identifying spiritual distress in health care providers
  • Recommendations for clinical practice
Flyer attached.
Presentation slides attached here.

Systemic Therapies for Treatment of Cancer

Published Fri Nov 14/14 2:00pm.
Presenter: Dr. Deb Dudgeon

0800-0900
Friday November 21, 2014
36 Barrie Street

Objectives:
1. To describe the different therapies available for the treatment of cancers
2. To describe the mechanisms of action
3. To outline possible toxicities related to the therapies

Flyer attached here.

Hypnosis in Clinical Care

Published Tue Nov 11/14 12:00pm.
Presenter: Dr. David Goldstein
Associate Professor
Department of Anesthesiology & Perioperative Medicine
Queen's University

0800-0900
Friday November 14, 2014
36 Barrie Street

Flyer attached here.

Refeeding Syndrome - Are you in the know?

Published Wed Oct 29/14 3:00pm.
Presented by: Lyndsay Glazier RD, Kim Gough RD, Cathy Renda-Moore Rd

0800-0900
Friday October 31, 2014
36 Barrie Street

Objectives:
1. To increase awareness of refeeding syndrome in the oncology patient population
2. To be able to identify patients at risk
3. To know how to prevent and treat refeeding syndrome

Flyer attached here.

Breaking Bad News

Published Wed Oct 15/14 3:00pm.
Presented by: Dr. Ray Viola

0800-0900
Friday October 17, 2014
36 Barrie Street

Objectives:
1. Describe models for communicating bad news

2. Identify situations when bad news is provided
3. Provide input into design of learning session for breaking bad news

Flyer attached here.
Presentation slides attached here    

De-prescribing in Palliative Care

Published Tue Sep 30/14 2:00pm.
Presented by: Dr. Natalie Kondor

0800-0900
Friday Oct 3, 2014
36 Barrie Street

Objectives:

1. To discuss possible reasons for over-prescription in palliative care patients
2. To examine the rationale behind de-prescribing
3. To review tools to help optimize the use of pharmaceuticals in palliative care

Flyer attached here.

Art Therapy: Exploring its role in Palliative Care

Published Thu Sep 25/14 10:00am.
Presented by: Dr. Saneea Abboud, Palliative Medicine PGY3

0800-0900
Friday September 26, 2014
36 Barrie Street

In this session, you will be able to:
1. Describe art therapy
2. Explain the potential benefits of art therapy for palliative care patients
3. Provide input into the design of a project to examine art therapy in palliative care

Flyer attached here.

20th International Congress on Palliative Care - What I Learned in Montreal

Published Mon Sep 15/14 2:00pm.
Presenters: Dr. Craig Goldie, Dr. Deb Dudgeon, Suzanne Jensen & Dr. Ray Viola

0800-0900 
Friday September 19, 2014
36 Barrie Street

Objectives:
1. Hear about and discuss learning highlights from the Congress as identified by 4 participants
2. Discover 4 restaurants to try the next time you visit Montreal

Flyer attached here

Assessing Quality of Palliative Home Care Interventions

Published Wed Sep 10/14 11:00am.
Presented by: Ryan Pardy, 4th year Bachelor of Science candidate (Life Science Major), Queen's University, TVN Summer Student Award Recipient (2014)

0800-0900
Friday September 12, 2014
36 Barrie Street

After this round, you will:
1. Understand the trade-offs involved in evaluations of palliative home care services.
2. Be able to describe key quality of palliative home care themes from the perspective of patients and informal caregivers.
3. Be able to compare these themes with the goals identified for the Ontario health care system

Flyer attached here.

Caring for the Palliative Care Patient with Multiple Sclerosis

Published Fri Sep 05/14 11:00am.
Presented by: Dr. Jaimi Heidman, Palliative Medicine PGY3

0800-0900
September 5, 2014
36 Barrie Street

At the end of this round you will be able to:
1 List the common physical emotional and psychosocial issues experienced by patients with multiple sclerosis (MS)
2. Manage symptoms frequently experienced by patients with MS

Flyer attached here.

Non-invasive Ventilation: A Role in Palliative Care?

Published Thu Jul 10/14 12:00pm.
Presented by: Dr. Ingrid Harle

0800-0900
Friday June 13, 2014
36 Barrie Street

Objectives:
1. Review the mechanics of non-invasive ventilation
2. Review technical considerations of NIV
3. Evaluate the role of NIV in providing palliative care to our patients

Flyer attached.
Presentation slides attached.

Delirium

Published Fri Jun 20/14 9:00am.
Presented by: Kevin Varley, HBSc, MD, FRCPC
Director of Consultation Liaison Psychiatry Service

0800-0900
Friday June 27, 2014
36 Barrie Street

Learning objectives:
1. To explore the approaches to delirium in psychiatry and palliative care and learn from each other in a small group forum
2. To discuss recognition and treatment of delirium

Flyer attached here.

The Development of a Goals-of-Care Discussion Resource for Hospitalized Patients

Published Thu Jun 19/14 9:00am.
Presented by: Dr. Neil Bellack, Family Medicine Resident PGY2

0800-0900
Friday Jun 20, 2014
36 Barrie Street

Objectives:
1. Review the rationale for developing a tool to improve communication with patients in hospital
2. Describe the new resources available in Kingston General Hospital to facilitate goals-of-care discussions

Flyer attached here.
Presentation slides and handout (Goals fo Care Discussion Tool) attached

Malignant Extradural Spinal Cord Compression - A review of diagnosis and management

Published Thu May 29/14 3:45pm.
Presented by: Dr. Greg Patey

0800-0900
Friday May 23, 2014
36 Barrie Street

Flyer attached.
Presentation slides and References attached.

Quality End-of-Life Care and Resources in Southeastern Ontario to Help Achieve It

Published Mon May 12/14 9:00am.
Presented by: Dr. Ray Viola

0800-0900
Friday May 16, 2014
36 Barrie Street

At the end of this session, participants will be able to:
1. List factors that impact on perceived quality of care at the end-of-life
2. Access resources to assist in providing high quality end-of-life care

Flyer attached here.
Presentation slides attached.

Before and Beyond CLOT: Venous thromboembolism in palliative care

Published Thu May 08/14 11:00am.
Presented by: Dr. Craig Goldie

0800-0900
Friday May 9, 2014
36 Barrie Street

Objectives:

1. Define the incidence and risks of venous thromboembolism in palliative care
2. Discuss the evidence for VTE prophylaxis in our patients
3. Discuss the evidence for VTE treatment past the 6 month CLOT trial window

Flyer attached here

DO THE RIGHT THING! But, what is right?

Published Tue Apr 29/14 10:00am.
Presented by: Dr. Ray Viola

0800-0900
Friday May 2, 2014
36 Barrie Street

Objectives:

1. Discuss the meaning of 'DNR' 
2. Debate ethical decision-making in clinical care

Note: At Palliative Care Round this week, we will discuss the attached 2 1/2 page article from the most recent CMAJ, describing two patient scenarios that raise questions pertinent to the end-of-life care we provide.  Please read the 2 scenarios (they are very brief) at least, and the rest of the short article, if you have time.  There will not be any PowerPoint or didactic component.  We will discuss and debate.  Thank you. (Article attached here)

When Grief Gets Complicated

Published Thu Apr 10/14 9:00am.
Presented by: Jessica Bonney, MSW, RSW
Social worker, Psychosocial Oncology, CCSEO

0800-0900
Friday April 11, 2014
36 Barrie Street

Objectives:
1. To define complicated grief and how it differs from uncomplicated grief
2. To review the predictors of complicated grief
3. To discuss implications for practice

Flyer attached here.
Presentation slides attached here.
The article that is the basis for the presentation: Predictors of complicated grief: A systematic review of empirical studies. E Lobb, L Janson, S. Aoun, L. Monterosso, G. Halkett, A. Davies. Death Studies, 34:673-698, 2010

Sexual Health after Gynecologic Malignancy

Published Wed Mar 26/14 2:00pm.
Presented by: Dr. Hasan Khudairi
Palliative Medicine Fellow, Queen's University

0800-0900
Friday March 28, 2014
36 Barrie Street

Objectives:
1. To recognize barriers to addressing sexual health
2. To be aware of treatment modalities for gynecologic cancers and their effects on sexual health
3. To use diagnostic and assessment tools for sexual health of women with gynecologic cancers
4. To manage sexual dysfunction
5. To recognize the need for good communication


Flyer attached.

Assisted Death ---- Murder or End-of-Life Care? A Palliative Care Fellow's Journey Through the Literature

Published Tue Mar 18/14 11:30am.
Presented by: Dr. Kelly Parks
Palliative Medicine PGY3
Queen's University

0800-0900
Friday March 21, 2014
36 Barrie street

Objectives:
1. Define the terms involved in assisted-death
2. Outline the current state of assisted death around the world and in Canada
3. Review the evidence and issues around assisted death in context of the 
4. Four P's ... (Patients, Public, Physicians, Law/Policy makers)
5. Draw conclusions and open discussion

Flyer attached here.

Do Family Medicine Residents Feel Ready to Provide Palliative Care?

Published Fri Feb 14/14 2:00pm.
Presented by: Dr. Tony Soeyonggo

0800-0900
Friday February 21
36 Barrie Street

By the end of this presentation, participants will be able to:
1) Identify the current state of palliative care curriculum received in medical school and residency for Queen's family medicine residents
2) Identify the residents' preferred learning formats and self-identified curricular topics to be considered for Queen's family medicine residency
3) Identify the barriers for Queen's family medicine residents to provide palliative care following graduation

Flyer is attached here.  

Blood transfusions in Palliative Care--the gift of life, the gift of love, or something else?

Published Thu Feb 13/14 2:00pm.
Presented by: Dr. Kelly Parks

0800-0900
Friday February 14, 2014
36 Barrie Street

Objectives:
1. Outline the medical and ethical issues surrounding blood transfusions in the palliative care population
2. Review actual cases and the challenges inherent to the decision making process
3. Review the current literature and guidelines available regarding blood transfusions in Palliative Care
4. Open discussion and suggestions for future policy, research, guidelines, and direction

Flyer attached

Choosing Wisely 5 Years from Now

Published Mon Feb 03/14 3:00pm.
Presented by: Dr. Chris Frank

0800-0900
Friday January 31, 2014
36 Barrie Street

Objectives:
1. be aware of the current Palliative Care lists from Choosing Wisely

2. consider gaps in PC knowledge and research
3. develop what the List might look like in 2019

Flyer attached here

Description and prediction of inpatient admissions and home care use following a terminal cancer diagnosis

Published Mon Feb 03/14 3:00pm.
Presented by: Alyson Mahar
PhD Candidate, Department of Public Health Sciences, Queen's University

0800-0900
Friday February 7, 2014
36 Barrie Street

Objectives:

1. Introduction to health services research at Queen’s University
2. Describe regional variations in health service use following a metastatic gastric cancer diagnosis in Ontario.
3. Identify predictors of two major cost drivers in the care of metastatic gastric cancer patients in Ontario.

Flyer attached here.

What happens at home stays at home - Facilitating Expected Home Deaths in Southeastern Ontario

Published Thu Jan 23/14 9:00am.
Presented by: Dr. Ray Viola

0800-0900
Friday January 24, 2014
36 Barrie Street

Objectives:

1. List challenges facing end-of-life care in the community
2. Describe two initiatives to facilitate end-of-life care in the home in southeastern Ontario
3. Become aware of plans to evaluate the two initiatives

Flyer attached here

Pruritis in Palliative Care

Published Tue Jan 14/14 9:00am.
Presented by: Dr. Craig Goldie

0800-0900
Friday January 17, 2014
36 Barrie Street

Objectives:

1. Understand the burden of pruritis in palliative care
2. Learn about the presumed mechanism of pruritis
3. Explore some evidence-informed treatment options

Flyer attached here.

Dementia Is Not a Cure for Pain

Published Wed Jan 08/14 9:00am.
Presented by: Kathy Baker  & Trish Macpherson

0800-0900
Friday January 10, 2014
36 Barrie Street

Objectives:
1.Participants will recognize the complexity of managing pain in those with dementia
2.To identify the manifestations of pain in those with dementia
3. Increased awareness of the tools to assess pain in dementia

Flyer attached here.

From a sore back to death by Bowel Perforation...an unusual case of lung cance

Published Tue Dec 10/13 11:00am.
Presented by: Dr. Kelly Parks

0800-0900
Friday December 13, 2013
36 Barrie Street

Objectives:

1. To outline the case
2. To provide an overview of current literature around bowel perforation in lung cancer
3. To discuss possible pathophysiology and confounders
4. To discuss lessons learned

Flyer attached here

Exploring New Frontiers: Palliative Care in Rheumatic Diseases

Published Wed Dec 04/13 10:00am.
Presented by: Dr. Mino Mitri

0800-0900
Friday December 6, 2013
36 Barrie Street

Objectives:
1 - Gaining an understanding of the specific rheumatic diseases that would be considered for palliative care
2 - Recognizing the time of onset for palliative care in rheumatic diseases
3 - Discussing the gaps in literature on the management of these diseases in palliative care

Flyer attached here.

Death by Doctor or Helping People Live Well Until They Die

Published Thu Nov 28/13 12:00pm.
Presented by: Dr. Deborah Dudgeon

0800-0900
Friday November 29, 2013
36 Barrie Street

Goals/Objectives:
1. Review current state re: PAS/Euthanasia in Canada
2. Brief review of state in Belgium & Oregon
3. Focused discussion on what palliative care offers

Attendees are strongly encouraged to review coverage on this topic: http://news.nationalpost.com/tag/death-by-doctor/

Flyer attached here.

Palliative Care in Saudi Arabia

Published Thu Nov 21/13 9:00am.
Presented by: Dr. Hasan Khudairi

0800-0900
Friday November 22, 2013
36 Barrie Street

During this session we will review:
1. Saudi Arabia in brief
2. Health system in Saudi Arabia
3. History of palliative care in Saudi Arabia
4. Palliative care in Saudi Arabia currently
5. Problems facing palliative care in Saudi Arabia

Flyer attached here

Diagnosis and Management of Cancer-Related Neuropathic Pain

Published Fri Nov 08/13 10:00am.
Presented by: Dr. Ray Viola

0800-0900
Friday November 15, 2013
36 Barrie Street

During this session, we will review:
1. causes and pathophysiology of cancer-related neuropathic pain
2. prevalence of neuropathic pain in cancer patients with pain
3. approach to diagnosing neuropathic pain
4. pharmacologic management of neuropathic pain

Click here for presentation slides
Flyer attached here
Sign-in Sheet attached here
Evaluation form attached here

Nearing the End of a Long Life: Pain Management for the Elderly

Published Mon Nov 04/13 11:00am.
Presented by: Dr. Ray Viola

0800-0900
Friday November 8, 2013
36 Barrie Street

In this session you will learn:
1. symptom prevalence in the elderly with advanced illness
2. an approach to pain assessment in the elderly
3. considerations when prescribing analgesics/co-analgesics
4. an approach to analgesic use in renal insufficiency
5. options for non-pharmacologic pain treatment

Presentation slides attached here  
Flyer attached.

Autoimmune Polyendocrine Syndromes

Published Thu Oct 17/13 10:00am.
Presented by: Dr. Ingrid Harle

0800-0900
Friday October 18, 2013
36 Barrie Street

Objectives:
1. Understand the specific clinical, pathological and epidemiological features of these syndromes
2. Familiarize oneself with proposed pathogenesis of these syndromes
3. Identify potential therapies
4. Identify considerations for long term follow up

Flyer attached.
Sign-in Sheet attached here
Evaulation form attached here.

#HPM: Social Media and Palliative Care

Published Fri Sep 27/13 11:00am.
Presented by: Dr. Stephen Singh

0800-0900
Friday October 4, 2013
36 Barrie Street

Objectives:
1. Understand the basics of blogs, Facebook and Twitter
2. List some reasons why patients and families use these modalities
3. List some reasons why physicians may consider using these modalities in a professional capacity

Flyer attached.

Therapeutic Touch as an Integrative Therapy for Palliative Care

Published Mon Sep 23/13 12:00pm.
Presented by: Alison Cooke, BSA(Hon), BEd
Practicing/teaching Therapeutic Touch for 17 years

0800-0900
Friday September 27, 2013
36 Barrie Street

Goals/Objectives

1. To describe how TT provides relaxation , reduced anxiety and reduced pain
2. To provide research references proving the efficacy of TT in inhibiting the growth of bone cancer cells
3. To demonstrate a TT treatment
4. To demonstrate ways in which TT can be used for self-care

Flyer attached

Palliative Sedation

Published Fri Sep 13/13 3:00pm.
Presented by: Dr. Deborah Dudgeon

0800-0900
Friday September 20, 2013
36 Barrie Street

Objectives:
1. To outline the indications and aims for palliative sedation
2. To discuss drugs, administraion and monitoring
3. To review the Canadian Society of Palliative Care Physician framework for continous palliative sedation

Flyer attached here.

The Role of Buprenorphine in the Management of Complex Chronic Pain

Published Wed Sep 04/13 3:00pm.

Presented by: Dr. Scott Duggan, Assistant Professor, Department of Anesthesiology and Perioperative Medicine

0800-0900
Friday September 13, 2013
36 Barrie Street

Objectives:

1.  To review the pharmacology of buprenorphine and buprenorphine/naloxone combinations
2.  To identify patients that may be appropriate candidates for buprenorphine therapy
3.  To examine the role of buprenorphine therapy in the management of opioid induced hyperalgesia
4.  To introduce treatment options and services available through the Hotel Dieu Chronic Pain Clinic

Flyer attached here.

Integrating Palliative Care into the Management of COPD Patients

Published Thu Jun 27/13 12:00pm.

Presented by: Dr. Ingrid Harle

0800-0900
Friday June 28, 2013
36 Barrie Street

Flyer attached

The Use of Intrathecal Infusion for Pain in Palliative Care

Published Mon May 27/13 3:00pm.

Presented by: Melissa Touw, APN

0800-0900
Friday May 31, 2013
36 Barrie Street

Objectives:

1. To review intrathecal analgesia and role in pain management 
2. To identify appropriate patients for receiving intrathecal analgesia 
3. 
To discuss the feasibility of use in a Palliative Care Program

Flyer attached

Marijuana in Palliative Care: Useful Agent or Reefer Madness?

Published Tue May 14/13 3:00pm.

Presented by: Dr. Stephen Singh

0800-0900
Friday May 17, 2013
36 Barrie Street

Objectives:
1. List the ways patients can take cannabinoids
2. Understand some indications for use such as nausea and pain
3. Understand how marijuana can be prescribed in Canada

Click on the words to get: Flyer, Sign-in Sheet and Evaluation Form
Presentation slides attached here.

Prognosis - Not Always What It Seems!!

Published Thu May 02/13 12:00pm.

Presented by: Dr. Greg Patey

0800-0900
Friday May 3, 2013
36 Barrie Street

Objectives:
1. Who cares?
2. Why does it matter?
3. How do we do it?
4. How good are we at it?

Flyer attached here.

Asking to Die: How Requests for Physician Assisted Suicide at End of Life Impact Physicians

Published Mon Apr 15/13 10:00am.

Presented by: Dr. Natalie Kondor

0800-0900
Friday April 19, 2013
36 Barrie Street

Objectives:

1) To review various reasons for and responses to patient requests 
2) To explore how such requests affect the physician-patient relationship

Flyer attached here.

Do Parenteral Fluids Benefit Dying Patients?

Published Thu Mar 28/13 2:00pm.

Presented by: Dr. Ray Viola

0800-0900
Friday Apirl 5, 2013
36 Barrie Street

Objectives:

1) List reasons for providing and not providing parenteral fluids to dying patients
2) Describe the evidence that exists regarding the effects of parenteral fluids on dying patients.

"To Know or Not to Know": The Psychological and Ethical Implications to Predictive Testing in Huntington Disease

Published Tue Mar 12/13 10:00am.

Presented by: Sherrie McKegney
, MSW, RSW

0800-0900
Friday March 15, 2013
Host site: 36 Barrie Street

Objectives:

1. To better understand Huntington Disease and the development of genetic testing
2. To review the psychological and social impact the decision for predictive testing has on the at-risk individual and the family
     *Donna Marie Letourneau will share her personal struggle with living at risk of Huntington Disease
       and her experience with predictive testing
3. To discuss the ethical issues surrounding genomics and the concern for genetic discrimination as a society

Flyer attached here
Click here for Sign-in Sheet
Click here for Evaluation form

Deprescribing in Palliative Care

Published Tue Feb 26/13 10:00am.

Presented by: Dr. Chris Frank

0800-0900
Friday March 1, 2013
36 Barrie Street

Objectives:
1. Consider the role of medications in contributing to symptoms in PC patients
2. Develop an approach to medication review and "deprescribing" in palliative care

Flyer attached here.

Should We standardize Palliative Care Prescribing in Southeastern Ontario?

Published Fri Feb 08/13 10:00am.

Presented by: Dr. Ray Viola


0800-0900
Friday February 15, 2013
36 Barrie Street

Objectives:
 

1) Review the international literature regarding essential drugs in palliative care
2) Compare these with the SE Ontario Symptom Response Kit
3) Discuss expanding palliative care medical orders-directives across SE Ontario
4) Discuss the use of the Facilitated Access to Palliative Care Drug Products program

Flyer, Sign-in Sheet, Evaluation Form attached.
Presentation slides attached here.

Do You Know Your Omega-3 Facts?

Published Tue Jan 29/13 9:00am.

Presented by: Lyndsay Glazier, RD; Cathy Renda-Moore, RD; Sarah Patterson, Dietetic Intern

0800-0900
Friday February 1, 2013
36 Barrie Street

Flyer attached here.

Identification and Management of Depression in Older Adults with Dementia

Published Fri Jan 11/13 12:00pm.

Presented by: Dr. Dallas Seitz

0800-0900
Friday January 18, 2013
36 Barrie Street

Objectives:

1.) To review the epidemiology and phenomenology of depression in older adults with dementia;
2.) To understand the evidence for pharmacological and nonpharmacological treatments for depression in dementia;
3.) Discuss local resources for managing depressed older adults with dementia.

Flyer attached here.

Communication with Children Around the Dying Process or Death of a Loved One

Published Wed Jan 02/13 2:00pm.


Presented by: Dr. Stephen Singh

0800-0900
Friday January 4, 2013
36 Barrie Street

Objectives:
1. Understand that death and dying are not beyond a young child's comprehension
2. Learn ways to feel more confident and competent when talking with children about dying or death
3. Learn ways to assist families in supporting their children

Flyer attached here.
Presentation slides attached here.

Lymphedema in Advanced Cancer

Published Wed Dec 05/12 3:00pm.

Presented by: Vicki Campbell, Registered Fitter Board of Orthotics Certified

0800-0900
Friday December 7, 2012
36 Barrie Street

Objectives:
1) You will learn about current supportive therapies for managing lymphedema due to cancer
2) Strategies for managing limb discomfort

Flyer attached here.

Too Tired to Care: Compassion Fatigue

Published Thu Nov 22/12 2:00pm.

Presenter: Melissa Touw, APN


0800-0900
Friday Nov 23, 2012
36 Barrie Street

Objectives:
1. To define compassion fatigue
2. To discuss signs and symptoms and impact on daily life
3. To identify self-care strategies for compassion fatigue

"Open Wide - Take a Look" Oral Care

Published Wed Nov 07/12 10:00am.

Presented by: Dr. Ingrid Harle

0800-0900
Friday November 9, 2012
36 Barrie Street

Objectives:
1. Understand the risk factors for the development of oral complications
2. Discuss basic and intensified oral care plans
3. Identify common oral problems
4. Discuss preventive and treatment measures for common oral problems

Presentation slides attached here.


Compassionate Care - A Patient Experience with Liz Shibley

Published Thu Oct 11/12 10:00am.

Presented by: Liz Shibley & Janeta Kobes

0800-0900
Friday October 12th, 2012
36 Barrie Street

Objectives;
1. Explore the meaning of "compassion"
2. Explore human characteristics that embody compassion
3. Explore compassion and self-care
4. Explore the value of compassionate care in meeting the needs of patients and families.

Life Before Death - A Multi-award Winning Documentary Series

Published Thu Jun 28/12 10:00am.
Hosted by: Dr. Deb Dudgeon

0800-0900
Friday June 29, 2012
36 Barrie Street

Objectives:
1. To understand issues worldwide related to management fo pain

Broken Heart Syndrome: A Case of Takotsubo Cardiomyopathy Secondary to Cancer-Related Pain Crisis

Published Tue Jun 19/12 10:00am.
Presented by: Dr. Stephen Singh

0800-0900
Friday June 1, 2012
36 Barrie Street

At the end of this session, participants will be able to:
(1) Explain the Mayo-Clinic criteria for diagnosis of Takotsubo cardiomyopathy (TC)
(2) List at least three precipitating factors for the development of TC
(3) Explain to patients why investigation of potential complications of pain crisis could help improve quality of life

Flyer attached here.

Ottawa's Experience with Methadone Rotation: Retrospective and Prospective Studies

Published Thu May 24/12 3:00pm.
Presented by: Dr. Peter Lawlor & Dr. Raphael Chan

0800-0900
May 11, 2012
36 Barrie Street