Advanced Skills for Progressive and Life-Limiting Illness Conversations
1 day course
Delivery Format: In-Class
Supporting clients and families experiencing progressive disease and life-limiting illness requires skillful and effective communication as part of a palliative approach to care. This workshop will focus on developing advanced skills for facilitating conversations associated with progressive and advanced disease transitions. These skills are transferable across clinical settings and populations. Emphasis will be placed on principles of effective communication and shared decision making, mitigating conflict and managing high emotional states, and strategies for sharing bad news and conducting serious illness conversations. The workshop will address both the perspective of the client and family, and the health care professional. The goal of this course is to enhance the health care professional’s effectiveness and confidence in supporting clients and their families going through transitions associated with progressive disease and life-limiting illness.
By the end of this course, participants will be able to:
- Recall theories and evidence in clinical communication essential for a palliative approach to care.
- Identify strategies for managing serious illness conversations (i.e. prognosis, ‘sharing bad news’) and managing high emotional states.
- Discuss differences between advanced care planning and goals of care conversations.
- Describe how an understanding of the individual’s values, beliefs and preferences support informed decision making through transitions associated with progressive and advanced disease (including at end of life).
- Identify the impact of the power of language (verbal/nonverbal/written).
- Recall a framework for family meetings.
- Reflect on the perspective and past experiences of both the client/family and the health care provider.
This course has been designed to provide a comprehensive, evidence-based education experience for Nurses, Clinical Nurse Specialists, Nurse Practitioners, and other health care professionals. This course is applicable to practitioners in any clinical setting (i.e. clinics, client homes, long term care facilities, intensive care units, in-hospital wards, and palliative care units) where progressive and life-limiting illness conversations occur.
Schedule and Location
The course schedule is available as a Printable PDF – updated June 21, 2018.
Lawrence S. Bloomberg Faculty of Nursing Health Sciences Building University of Toronto 155 College Street Toronto, ON, Canada M5T 1P8 ( map )
Allyson Nowell, RN, BScN, MSc, CON(C) Allyson Nowell is an Advanced Practice Nurse at Sunnybrook Health Sciences Centre in Palliative Care and supporting a Toronto Central LHIN initiative as a Clinical Coach for Long Term Care homes implementing a palliative approach to care. Most recently she held the position of Senior Professional Practice Leader at Princess Margaret Cancer Centre where she also established the McCain Centre for Pancreatic Cancer. Allyson did her Master’s of Nursing at McGill University. She has worked as a Clinical Nurse Specialist for more than 15 years in palliative care and oncology, including spending 5 years in the United Kingdom as a Clinical Nurse Specialist for a Hospice where she was a Team Leader and a Lecturer Researcher. Allyson sits on many local, provincial and national committees and is currently the Director-at-Large, Professional Practice for Canadian Association of Nurses in Oncology (CANO).
Patricia Murphy-Kane RN, BA, BScN, MN, CHPCN (C) Patricia (Trish) Murphy-Kane is a graduate of the University of Ottawa and the University of Toronto. She holds a clinical appointment with the Bloomberg Faculty of Nursing at the University of Toronto. Her nursing experience has been in many different clinical areas both in hospital and the community. Over the last sixteen years Trish has focused her practice in oncology where she has worked in the areas of surgery, medicine and palliative care. Presently she works as a Clinical Nurse Specialist in palliative care at the Princess Margaret Cancer Centre. In this role Trish is committed to the advancement of nursing practice through mentorship, education, research and interprofessional collaboration.
Kelly McGuigan RN, BScN, MN, CON (C), CHPCN (C) Kelly McGuigan is a Clinical Nurse Specialist in palliative care at the Princess Margaret Cancer Centre in Toronto. She has a bachelor’s degree in nursing from Ryerson University, a Masters degree in Nursing from the University of Toronto and she is certified in oncology and hospice palliative care through the Canadian Nursing Association. She has an adjunct lecturer appointment with the Bloomberg School of Nursing at the University of Toronto. Her nursing experience in the last thirty years has been in oncology and palliative care in both hospital and community based programs. In her current role as a clinical nurse specialist in palliative care she works on the inpatient consult service. This role includes providing clinical consultation to oncology patients on the acute care units, supporting clinical teams in providing a palliative approach to care, psychosocial care and advance care planning (ACP). Kelly is involved in program initiatives in education and research in palliative care, advance care planning, psychosocial care and symptom management.
Dhara Moddel MSW, RSW Dhara Moddel is a Social Worker in the Department of Supportive Care at Princess Margaret Cancer Centre. She currently works in Palliative Care on both the Inpatient Palliative Care unit as well as supporting patients and families in the Palliative Care Clinic. She previously worked as the Coordinator for a specialized psychosocial volunteer program at the Princess Margaret, and worked as an Oncology Social Worker as well. Dhara Moddel is a graduate of the University of Toronto Masters in Social Work program.
Jennifer Moore MD Jennifer is a Palliative Care Physician for the Palliative Care Consult Team at Sunnybrook Health Sciences Centre. She is a member of the Division of Palliative Care, Department of Family and Community Medicine, University of Toronto Faculty of Medicine. Her research areas/interests include: palliative care, medical education, self-care and reflective practice.
Early Bird price (ends January 4, 2019) $315 + HST Regular price (starting January 5, 2019) $350 + HST U of T Nursing Alumni save 15%* $295 + HST U of T Nursing Adjunct and Status Faculty save 15%*** $295 + HST U of T Nursing Current Student save 50%**** $175 + HST
A group discount rate is available for site groups of three or more people. For details please contact firstname.lastname@example.org.
- Registration is limited.
- Advanced registration is required. You must register by January 28, 2019. No on-site registration at the event.
- *U of T Nursing Alumni discount is available to participants who hold a BScN, MN, PMNP Diploma, MScN or PhD from the Lawrence S. Bloomberg Faculty of Nursing, University of Toronto.
- ***U of T Nursing Faculty discount is available to participants who hold a current faculty position, a clinical instructor position, an adjunct appointment or a status appointment to the Lawrence S. Bloomberg Faculty of Nursing, University of Toronto
- ****U of T Nursing Current Student discount is available to participants who are currently completing their BScN, MN or PhD at the Lawrence. S Bloomberg Faculty of Nursing.
- Applicable taxes (13% HST) will be added to the registration fees.
- Refund Policy – To withdraw from the course and receive a refund, your written request must be emailed to email@example.com by January 4, 2019. No refunds will be given after this date. All refunds are subject to an administration fee of $100 + tax. As an alternative, a colleague may attend in your place. Please send your substitution request at least 7 days before the course.
- Course Cancellation Policy – The university reserves the right to cancel courses due to unavailability of instructors, facilities or insufficient enrollment. Decisions on course cancellations are made at least 15 calendar days prior to the course starting date, so early registration is recommended. If you enroll in a course that is subsequently cancelled, you may transfer to another section of that course if an alternative is available; or you may receive a full refund of the fee and tax you paid to the University of Toronto. We are not responsible for travel arrangements, travel fees, or any expenses incurred by you.
Payment method options
You have two payment options if you are an individual registering for this course:
- Register online with a credit card.
- Register by mail with a certified cheque or money order.
If you are registering on behalf of a site group of three or more people and want to take advantage of the special discounted price please contact firstname.lastname@example.org.
You can register and pay online with a credit card.
Certified cheque or money order:
You can register and pay by mail.
Step 1: Type your information onto the online form and then print the page (i.e. don’t click “Confirmation and Payment”. Don’t pay by online credit card). Step 2: Obtain a certified cheque or money order payable to “University of Toronto” for the registration fee plus 13% HST. No personal cheques. No debit cards.
Fees (including HST)
Early Bird price (ends January 4, 2019) $355.95 incl HST Regular price (starting January 5, 2019) $395.50 incl HST U of T Nursing Alumni save 15%** $333.35 incl HST U of T Nursing Adjunct and Status Faculty save 15%*** $333.35 incl HST U of T Nursing Current Student Faculty save 50%**** $197.75 incl HST Step 3: Mail the paper registration form with payment (no personal cheques, no cash, no credit cards, no debit cards) to:
Centre for Professional Development Lawrence S. Bloomberg Faculty of Nursing University of Toronto Suite 130, 155 College Street, Toronto, ON M5T 1P8
Step 4: When we receive your registration form we will email a confirmation notice.
What past participants have said about this course:
“You gave us tools, tips and courage to carry the torch forward. Thank you!”
“Excellent discussion, feedback and insights!”
“This was a fabulous course. I would highly recommend it for others!”
“Very knowledgeable and approachable presenters.”
“The presenters were excellent and brought such great knowledge, experience and understanding of this very challenging aspect of practice.”
Email: email@example.com Website: bloomberg.nursing.utoronto.ca/pd Phone: (416) 978-1784 Address: Centre for Professional Development
Lawrence S. Bloomberg Faculty of Nursing
University of Toronto
155 College Street
Canada M5T 1P8