The 8th Interdisciplinary and Interfaith Conference About Palliative and End of Life Care        November 30, 2017

Keynote Presentations and Workshops

A-1    The Joys and Challenges of Working with Families
            •  Susan Gerbino PhD, LCSW, Clinical Professor and Director, Zelda Foster Studies Program in 
               Palliative and End of Life Care, New York University Silver School of Social Work

A-2    Palliative & End of Life Care for Persons with Dementia
            •  Thomas V. Caprio, MD, MPH, MSHPE, CMD, HMDC, FACP, AGSF, Associate Professor of Medicine, University 
               of Rochester Medical Center

A-3    An Update on State of the Art Principles and Best Practices for Managing Cancer Pain
            •  Eugene Cauvin, DNP-BC, ACHPN, CPE, Pain Management and Palliative Medicine, White Plains Hospital

A-4    Perinatal / Neonatal Palliative Care: A Multi-Disciplinary Approach 
            •  Elvira Parravicini, MD, Director, Neonatal Comfort Care Program, NY-Presbyterian/Columbia University Medical Center
            •  Frances​ T. McCarthy, RN, Nurse Coordinator, Neonatal Comfort Care Program
            •  Solimar Santiago, LCSW, Social Worker, Neonatal Comfort Care Program

A-5    Palliative Care Without a Home-Building Trust in the Homeless Community
            •  Deidre Sekulic,LCSW, Assistant Director of Social Work
            •  Ken Meeker, LMSW, Palliative Care Service, Montefiore Medical Center

B-1    Palliative Care Through a Dementia Lens
            •  Ann Wyatt, Manager Palliative and Residential Care, Caring Kind, The Heart of Alzheimers Caregiving
            •  Tony Lewis, CEO, Cobble Hill Health Center

B-2    Serious Illness Conversation: Talking About What Patients and Families Want to Know
            •  Mary L. Dunne, MD, Supportive Care and Palliative Medicine, Vassar Brothers Medical Center

B-3    Facilitating Ritual at End of Life
            •  Colleen Fleming-Damon, PhDc, APRN-BC, ACHPN, FT, Director of Education and Training
               MJHS Institute for Innovation in Palliative Care 

B-4    Palliative Care, Geriatrics and Hospice: How They Work Together 
            •  Thomas V. Caprio, MD, MPH, MSHPE, CMD, HMDC, FACP, AGSF, Associate Professor of Medicine, University of 
                Rochester Medical Center 

B-5    Pain and Symptom Management
​            •  Christopher P. Comfort, MD, Medical Director, Calvary Hospital

Major Presentations
The Reva Greenberg Lecture
Healthcare Transformation: Challenges and Opportunities in an Unprecedented Time
  • • Ira Byock, MD, FAAHPM, Chief Medical Officer, Institute for Human Caring of Providence St Joseph Health System 
  • • Moderator: Dr Christopher Comfort, Medical Director, Calvary Hospital

Morning Plenary Presentation
Ethical Responsibilities and Therapeutic Opportunities: Goals of Medicine and the Health Professions
  • • Ira Byock, MD, FAAHPM, Chief Medical Officer, Institute for Human Caring of Providence St Joseph Health System

Afternoon Plenary Presentation - The William F. Dawe Lecture
Achieving Equity in End-of-Life Care: Patterns and Trends Across Diverse Populations
  • • Karen Bullock, PhD, LCSW, Professor, North Carolina State University, Department of Social Work

Concurrent Workshops - Series A
Concurrent Workshops - Series B
The health care system presents many challenges to families, particularly in palliative care.  They are often asked to make emotionally-charged decisions and adjust to changes in care plans in quick, unrealistic time frames. When unable or unwilling to do so, they are often labeled as "difficult" or "hostile." This workshop will review family system concepts and discuss how our own family history influences the work. Given our ethical responsibility to share the moral burden of decision-making with families, how we intervene with families in crisis is critical to providing high quality palliative care. Participants will be invited to share examples from their own practice.
Alzheimer’s Disease and related dementias are becoming increasingly prevalent, especially with the shifting demographics of an aging population.  Research has elucidated the underlying biologic mechanisms and many genetic risk factors, but has yielded little by the way of effective therapies that may delay the onset or reverse the disease.  Current pharmacological approaches may provide modest symptomatic benefit for some patients but drug advertising suggests a greater effect in professional and public marketing.  This presentation reviews the current state of affairs of managing dementia from a clinician’s perspective including appropriate prescribing for cognitive, behavioral, and psychological symptoms; pain assessment and management; caregiver education and support; and the role of hospice in end-of-life care.
Participants will learn about the changing landscape of pain medicine - addiction/overdose and better understanding of hyperalgesia/pain thresholds. Managing Cancer Pain will also be explored, with a discussion on the different types of opiods, adjuvants, long acting/short acting opiods, and opiod/adjuvant management of Cancer Patients.
Participants will learn about comfort care concepts and measures for infants with life-limiting or terminal conditions. Will provide description of the roles of the multidisciplinary Perinatal/Neonatal Palliative Care Team and the interventions and strategies that staff can use to provide comprehensive and customized care to babies diagnosed with life-limiting conditions, either prenatally or postnatally and for neonates who become terminally ill and to provide support to their families. There will also be a discussion on parent-child bonding when infants are affected by life-limiting or terminal conditions.
Review the Demographics of the New York City and Bronx homeless population and their prevalent illnesses, types of treatment, and palliative/hospice care that could take place in the shelter system.  Examine Moral Distress of Support Teams, as well as, ideal end of life experience and what that means in the homeless population.
Identify the specific benefits a palliative approach can provide for people with advanced dementia. Moreover, participants will be able to identify the specific palliative practices that bring comfort to people with dementia (and to their families, and caregivers), and the tools and processes needed in order for these practices to be effective for people with advanced dementia, regardless of setting (nursing home, hospital, home).
Rituals have been well documented within rites of human passage including the transition of dying and death. The purpose of this workshop is to define and understand the structure and meaning of ritual at end of life. Participants will learn ritual assessment, enactment, debriefing and evaluation to work with individuals and families to create meaningful ritual at end of life, with the possible outcomes of healing, growth, and transformation for all involved in this human experience. This workshop provides the current research on end-of-life ritual practices. This knowledge provides insight and enhances communication and practice skills for all disciplines providing end-of-life care.
The aging of the population has created a demographic imperative in meeting the needs of older adult patients and their families when faced with chronic illness, frailty, and functional losses.  The fields of geriatrics and palliative care embrace a number of shared precepts in the approach to patients in which the overarching goal is not to cure or modify the underlying disease process but instead focuses on quality of life and symptom management.  Older adult patients with physical frailty, cognitive loss, and multiple chronic medical conditions can make it challenging to assess palliative care needs and develop person-centered plans of care.  This presentation will review the shared goals of palliative care and geriatrics, focus on the key trajectories of decline in an older frail population, and allow participants to reflect on the important dimensions in assessing the needs of older patients across the continuum of clinical care.
Participants will be introduced to the basics of pain management. In addition, there will also be a review of case studies regarding ongoing care of pain syndromes.
During the workshop, we will review the history of the checklist approach to complex medical care. In addition, participants will be provided an overview of the Serious Illness Conversation Project. We will also review the benefits of and barriers to using a Serious Illness Conversation script and demonstrate use of the Serious Illness Conversation Guide.