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Digital Recordings

End Stage Diseases: Care When There Is No Cure

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Nancy Joyner, MS, CNS-BC, APRN, ACHPN®
6 Hours 35 Minutes
Audio and Video
Oct 07, 2016
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Digital Recordings


Are you ever looking for creative ways to make sure someone’s legacy will be passed on? Well think about what we did with Harold, a patient with metastatic bowel cancer. He was part of a local “village” that, over the years, transformed from acres of farmland to housing and a town. In an effort to keep his heritage alive, he had photos made into large posters and used his carpentry skills to create an entire model of the town. When we made visits, his only focus was teaching us about this legacy. He did not want it lost with his death. So we began to videotape the whole story from Harold. But he was not satisfied yet. So, with his permission, we got a local TV station to come do a story on the model, the photos, and the stories behind them. To their credit, the TV personnel never mentioned Harold was ill, or a hospice patient. The video aired on the local station and Harold was ecstatic - and at peace. He died soon after, his legacy passed on.

Harold’s story and other case studies will provide examples of amazing opportunities that can be experienced when caring for parents dealing with end stage diseases. Caring for patients with end stage disease requires extreme sensitivity, deep compassion, and extraordinary knowledge. In order to deliver expert, holistic care, healthcare professionals need to be knowledgeable of new interventions to promote quality of life for patients with all types of disease processes. To add to the challenge, each particular end stage disease has unique complexities for the patient, the family and the healthcare professional.

Very little has been written about end stage liver disease. Many texts do not mention it at all. Did you know that a patient seeking a liver transplant can be on hospice care while waiting? We will discuss how this is done. What can we do about patients with COPD who have no solution for exacerbations except to come to the emergency department, or go to ICU? One medical director has an excellent intervention for this. It’s time to think out of the box more than we ever have as providers. We will discuss a patient named Adele, who had ovarian cancer for 10 years, was in the final stage, but had a list of 20 items that all had to be “fixed” before she died. The team did a wonderful job helping her obtain peace. It only took a pencil, a yellow pad of paper, and dedicated friends. Find out how the team rallied to help carry out her final wishes! What can we do to keep costs down…yet assist the patient with symptoms experienced? Come learn about the latest strategies that have been proven successful in practice. You are guaranteed to leave with new tools that you can put to use when a cure is not possible, yet quality support and care most definitely are.



This online program is worth 6.5 hours CPD.



Nancy Joyner, MS, CNS-BC, APRN, ACHPN®'s Profile

Nancy Joyner, MS, CNS-BC, APRN, ACHPN® Related seminars and products

Nancy Joyner, MS, CNS-BC, APRN, ACHPN®, is a nationally-recognized consultant, speaker, educator, and author. As a Palliative Care Clinical Nurse Specialist, she currently works for the University of North Dakota's Center for Rural Health disseminating palliative and end-of-life care awareness and education. Nancy has extensive experience caring for patients and their families experiencing serious illness, frailty, and end-of-life at home and in the acute care setting. With over 40 years of nursing practice, she has provided care to patients receiving intensive care, surgical critical care, oncology, and renal care. Nancy has had training through the Center to Advance Palliative Care, Palliative Care Leadership Center at Fairview Health Services in Minneapolis. She holds a certification as an Advanced Practice Hospice and Palliative Care Nurse and has prescriptive authority within her palliative scope of practice. Nancy is an End-of-Life Nursing Education Consortium trained presenter, having presented and published at local, state, and national levels. She has researched and published continuing education articles on pain, hydration, and nutrition in terminal care, as well as POLST, portable medical orders for those with serious illness, frailty, and nearing end-of-life.

Speaker Disclosures: 

Financial: Nancy E. Joyner is CEO and President of Nancy Joyner Consulting, P.C. She receives a speaking honorarium from PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: Nancy E. Joyner has no relevant non-financial relationships to disclose. 


  1. Evaluate two performance and prognostic methods that are predictive of poor survival.
  2. Compare palliative care services to hospice care.
  3. Differentiate unique palliative care interventions for the complexities of five end stage diseases.
  4. Identify two ethical issues often seen in end stage disease.
  5. Specify three challenges faced at the end of life.
  6. Recognize two strategies to overcome fear of death and moral distress.


Disease Prognostication: An Inexact Art & Science

  • Illness and Dying Trajectory
  • Performance Scales
  • Prognosis Tools
  • Determining Palliative Care vs. Hospice
  • National Consensus Project: Eight Domains for Quality Practice
  • Crucial Conversations

Heart Failure

  • Stages
  • Treatment options
  • Devices to Extend Life
  • Symptom Burden/Management
  • Prognostic Models
  • Living better - or prolonging suffering?

Advanced Cancer/ Neoplastic conditions

  • Staging Cancer
  • Spiritual needs
  • Complications and interventions
    • Spinal cord compression
    • Superior vena cava syndrome
    • Bowel obstruction
    • Hypercalcemia
    • Fungating wound care
    • Signs of impending death

Pulmonary Disease

  • Staging the disease
  • Spirometry: a required test
  • The MMRC Breathlessness Scale
  • Treating dyspnea: The pain of non-malignant disease
  • The medical toolbox: oxygen, bronchodilators, opioids & steroids

Amyotrophic Lateral Sclerosis

  • Diagnostic tests
  • Post-polio syndrome: An ALS mimic
  • Advance directives and life support decisions: nutrition & gastrostomy, non-invasive ventilation or invasive?
  • Table of useful medications

Advanced Dementia

  • Stages
  • Ethical issues: feeding, medications
  • Ensuring comfort
  • Delirium & dementia
  • Interventions for agitation and aggression

Renal Disease

  • Appropriate use of dialysis
  • Staging disease with Glomerular Filtration Rate (GFR)
  • Hemodialysis mortality predictor
  • Symptom burden
  • Underutilization of hospice

Liver Disease

  • Prognostic Determination
  • Ethical issues
  • Signs of ‘end stage’

Challenging Decisions

  • What do People Want at the End of Life?
  • Honoring Patients Wishes
  • Delirium vs near death experience
  • Dying Signs, symptoms and needs - is hydration needed?
  • Mental health needs of the dying
  • Managing pain as death nears
  • Palliative sedation therapy: for intractable symptoms

Moral Distress

  • Ethical dilemmas
  • Medication errors
  • Conflicted consciences
  • Giving the last dose
  • Attending the first death
  • Strategies for diminishing death discomfort
  • Personal versus professional grieving

Target Audience

Case Managers, Chaplains/Clergy, Counselors, Nurses, Social Workers



Overall:      4.7

Total Reviews: 9


Elizabeth W

"very interesting and helpful, learned a lot"

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