Regional Rounds

Queen's Palliative Care Regional Rounds

The Palliative Care Regional Rounds are held monthly on the 3rd Friday of each month from 8-9 am between September to June as a component of the Academic Palliative Care Rounds. The format is variable, including case-based discussion and interactive presentations. The goal of the rounds is to build regional capacity in palliative/end-of-life care through knowledge sharing and collaborative learning.

Palliative Care Regional Videoconference Rounds Schedule and OTN Registration URL 2017-2018

Site Coordinator:

PROV-st. Mary's of the lake Hospital: Anny Murray
Providence Care - Mental Health Services: Eddy Lloyd
Queen's University, Family Medicine Centre: Diane Batchelor
Kingston Street Health Centre: Meredith MacKenzie
Prince Edward Family Health Team - Picton: Cindy Jones
Sanbanks Medical Centre: Cindy Jones
Quinte Health Care Belleville General Hospital: Rosaleen Dunne
Palliative Care Team, Brockville General Hospital, Garden Street Site: TBA
Brighton Quinte West Medical Centre: Kim Doxtator
Southeast CCAC-Head Office (Kingston): Valerie Cooper
Southeast CCAC-Belleville: Trish MacPherson
Southeast CCAC-Brockville: Suzanne Jensen
Southeast CCAC-Northbrook: Peg Goodes
Southeast CCAC-Selby: Cynthia Fediuk
Southeast CCAC-Smiths Falls: Donna Logan
Southeast CCAC-Bancroft: Clarissa Townsend

For further information please contact Ruili Fang

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

Sign-in sheet attached here
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.

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.
Sign-in sheet attached here.
Audience Feedback 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.   
Sign-in sheet 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.
Sign-in sheet 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 10:00am.
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
Sign-in sheet 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
Sign-in sheet attached here.

Grief and Bereavement: Are we any good?

Published Wed Nov 16/16 3:00pm.
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.
Sign-in sheet 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
Host site: 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
Sign-in sheet attached here

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

Published Wed Sep 21/16 10:00am.
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
Evaluation form attached here.
Sign-in sheet 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
Sign-in sheet attached here              
Presentation slides 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.
Sign-in sheet attached here

Coping with Disgusting Symptoms

Published Fri Apr 08/16 9:00am.
Presented by: Dr. Raymond Viola

0800-0900
Friday April 15, 2016
Host site: 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 

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
Sign-in sheet attached.

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
Sign-in sheet attached here.

Palliative Care Integration

Published Fri Dec 11/15 12:45pm.
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              
Sign-in sheet 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
Sign- in sheet 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
Host Site: 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.
sign-in sheet attached here.

Medical Marijuana Today: A Focus on Palliative Care

Published Mon Jun 15/15 10:45am.
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
Sign-in sheet attached here
Evaluation Form attached here.
Presentation slides 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                
Sign-in Sheet attached here
Evaluation form 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              
Sign-in sheet attached here    
Presentation slides 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.

Burnout in Palliative Care

Published Mon Jan 19/15 12:00pm.
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.

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

Published Mon Jan 19/15 11:00am.
Presentated by: Laura McEwen, PhD & Dr. Ingrid Harle

0800-0900
Friday December 19, 2014
Host site: 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.

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.
Sign-in sheet 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.
Sign-in sheet attached here     
Presentation Slides 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
Sign-in sheet Attached here

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

Published Fri Jun 20/14 8:00am.
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.  
Sign-in sheet and Evaluation Form attached.
Presentation slides and handout (Goals of Care Discussion Tool) Attached.

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

Published Mon May 12/14 9:45am.
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.   
Sign-in sheet and Evaluation Form attached.
Presentation slides attached.

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

Published Tue Mar 18/14 11:00am.
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.
Sign-in sheet and Evaluation Form attached.

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, 2014
Host Site: 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.
Sign-in Sheet attached.
Evaluation Form attached.

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.
Sign-in Sheet attached.
Evaluation form attached.
Presentation slides attached

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     

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.

Palliative Sedation

Published Fri Sep 13/13 3:45pm.
Presented by: Dr. Deborah Dudgeon

0800-0900
Friday September 20, 2013
Host site: 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.
Sign-in sheet
Evaluation Form

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: FlyerSign-in Sheet and Evaluation Form     
Presentation slides 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.
Click here for Sign-in sheet.
Evaluation form attached here.
You may go to http://webcast.otn.ca/ to view the rounds via webcasting.



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

Published Tue Mar 12/13 10:30am.

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

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.

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.

The Skill of Brokenheartedness: Euthanasia, Palliative Care and Power

Published Thu Dec 20/12 9:00am.

Hosted by: Janeta Kobes, CASC certified Specialist, Spiritual Care, KGH

0800-0900
Friday December 21, 2012
36 Barrie Street (host site)

Objectives:
1. To consider our dominant NA culture of death phobia
2. To consider grief as a valuable and necessary learned skill
3. To consider "quality of life" and "quality of death"

Please registered your site following the link: https://schedule.otn.ca/tsm/portal/nonclinical/details.do?request.requestId=23652229

Flyer attached here.