Presentations

The following presentations have been shared by Coalition members and are available for others to use.  Appropriate credit is always appreciated.

• Connecting the Institute of Medicine's Dying in America report with the CSCKP's Strategic Goals (Slide Presentation PDF)
  This presentation was developed and presented as a webinar on February 17, 2015, by Diane Meier, MD (Ichan School of Medicine at Mt. Sinai); Alvin Moss, MD, FACP, FAAHPM (West Virginia School of Medicine); and Dale Lupu, MPH, PhD (Daleview Associates; University of George Washington).
   
• Incorporating Palliative Care into the Dialysis Unit (Slide Presentation PDF)
  This presentation was developed and presented as a webinar on April 28, 2010, by Michael Germain, MD, from Baystate Medical Center. The following objectives are covered during this presentation: 
• Describe a systemized approach to advance care planning for ESRD patients.
• Communicate expectations of care for terminal dialysis patients.
• Provide psychosocial and spiritual support for patients.
• Develop closer tie between hospice and dialysis unit. 

Click here to view the April 28, 2010, webinar presentation.*

Relative Handouts:

• The RCPI Memorial Service Manual (Slide 7)
• Promoting Excellence in End-of-Life Care: ESRD Workgroup's Full Report (Slide 30)
• RPA/ASN Clinical Practice Guideline, Shared Decision Making in the Appropriate Initiation and Withdrawal from Dialysis (Slide 33) 
• Relevance of Palliative Care and Hospice for Dialysis Patients (Slide Presentation PDF)
  This presentation was developed and presented as a webinar on January 20, 2010, by Alvin Moss, MD, from the West Virginia University School of Medicine. The following objectives are covered in this presentation:
• Describe the growing relevance of palliative care for dialysis patients
• Discuss the underutilization of hospice by dialysis patients and reasons for the low referral rate of dialysis patients to hospice
• Explain how the palliative care approach can improve the quality of life for dialysis patients
• Identify the benefits of advance care planning for dialysis patients
• Highlight the Kidney End-of-Life Coalition as a resource for dialysis units   

Click here to listen to the January 20, 2010 webinar presentation (MP3)

Relative Handouts: 

• Prevalance, Severity, and Importance of Physical and Emotional Symptoms in Chronic Hemodialysis Patients (select "Manual Download") Weisbord, et al. J Am Soc Nephrol 16:2487-2494,2005 (slide 14)
• RPA/ASN Clinical Practice Guideline, Shared Decision Making in the Appropriate Initiation and -  Withdrawal from Dialysis (slide 16).
• Surprise Question Prognostic Tool (slides 17-22)
• Physician's Orders for Life-Sustaining Treatment (POLST) Paradigm

• Palliative Care for the ESRD Patient, Alvin Moss, MD
• Sustaining Hope, Providing Help: Case Studies in Advanced Illness (Slide Presentation PDF) This presentation was developed by Laurence E. Carroll, MD, FASN, of Hypertension Kidney Specialists, and Joan K. Harrold, MD, MPH, of Hospice of Lancaster County. The slides use case studies to discuss the benefits of palliative care for patients and physicians, list conversational tools, and describe how to reduce caregiver burdens.
• End Stage Renal Disease: When Is It Time for Hospice? 
• Did This Patient Die with Hospice? New Questions in Caring for Patients with ESRD (Slide Presentation PDF) This presentation was developed by Lewis M. Cohen, MD, Baystate Medical Center, Principle Investigator in the Renal Palliative Care Initiative, and Malene Davis, RN, MSN, MBA, Hospice Care Corporation. This presentation provides a discussion of the palliative care needs of the ESRD population, describes critical elements a hospice program should consider for this population, and suggests strategies hospices can use to work with dialysis centers.
• Hospice in ESRD: To Withdraw or Not to Withdraw (Slide Presentation PDF) This presentation was developed by Rebecca J. Schmidt, DO, FACP, West Virginia University Hospital, Renal Physicians Association (RPA) Nephrology Coverage Advisory Panel. This presentation reviews eligibility, reimbursement, cost, and barriers to access to hospice experienced by the ESRD population.

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