Psychosocial Elements of Terminal Illness Palliative Care and Grief Continuing Education

Please SUBSCRIBE by clicking the button above More videos on case management at a https 3A 2F 2Fallceus com 2FYouTube-Playlists a or get a Certificate in Comprehensive Case Management at a https 3A 2F 2Fallceus com 2Fcase-management a hospice casemanagement cheapceus Purchase CEUs at a https 3A 2F 2Fwww allceus com 2Fmember 2Fcart 2Findex 2Fproduct 2Fid 2F1271 2Fc 2F a Sponsored by TherapyNotes com Manage your practice securely and efficiently Two free months of TherapyNotes with coupon code CEU Affective Coping may be either adaptive by reducing stress and promoting psychological adjustment or maladaptive preventing necessary adjustments Coping Strategies Seeking information Keeping busy distress tolerance Redefining options Examining alternatives Create a win-win Expressing feelings Taking time away to recharge Getting support synergize Mindfulness Purposeful action Affective Antidepressant therapy is usually relatively well-tolerated Expert consensus statement recommends a low threshold for initiating treatment Psychostimulants SSRIs and tricyclic antidepressants are the main pharmacologic treatment modalities for depression at the end of life Sertraline paroxetine mirtazapine and citalopram have demonstrated effectiveness for fatigue and depression in patients at the end of life Cochrane review concluded that there is no systematic evidence of the effectiveness of pharmacologic treatment of anxiety in the palliative care setting Cognitive Identify what the client and family already know about the prognosis and whether there are gaps and doubts to be resolved Diagnosis Nature extent trajectory Meaning and impact of illness Explanation of symptoms Handling of emergencies Financial concerns Legal issues Death and dying Options DNR burial cremation donation Process see physical Cognitive Intra-family conflict situations call for a family reunion with the health team to negotiate with the family Respecting the patient's wishes and establishing a consensual plan of actions It is important to make written notes of the points discussed and the agreed plan Cognitive Interventions Counseling strategies that combine emotional support flexibility appreciation of the patient s strengths warmth and genuineness life-review and narrative therapy and exploration of fears and concerns Environmental Continuity of care Structure and process of care Supplies and accommodations for client and caregivers Community resources Shopping cleaning transportation Pay attention to sensory stimuli In the hospital LTC facility At home Relational Community support Peer support Spiritual guidance Willingness to accept help You cannot do everything yourself Let others share the load for the dying person for you for themselves Increased desire to have loved ones close or not Not wanting people to be around no energy remember me as I was not wanting to impose Children and Death Children respond to death Denial shock and confusion Anger and irritability Inability to sleep or nightmares Loss of appetite More Children and Death Don t try t o protect them from grief Communicate in concrete developmentally appropriate ways Let children discuss their fears and educate when possible Validate feelings Provide choices about how to memorialize the person and express their feelings Be sensitive that they may not want to talk or think about the deceased because it is too painful Explain the person loved them and would want them to be happy Remind your child that not everyone who gets sick will die Reassure him of your health Let him know how many people in his life care for him Take care of yourself and make sure you have support Resources References Assessment Tools for Palliative Care Clinical Practice Guidelines for Quality Palliative Care Summary End of life care often involves multiple providers the client and caregivers It is essential to consider all biopsychosocial needs with a focus on integrative care Stress and distress will increase HPA-Axis activation impair sleep and immunity and contribute to worsening of health and wellbeing of both the patient and caregivers Children will need different approaches depending on their developmental level AllCEUs provides multimedia counseloreducation and CEUs for LPCs LMHCs LMFTs and LCSWs as well as addiction counselor precertification training and continuing education DrDawnEliseSnipes provides training through allceus that are helpful for LPCCEUs LMHCCEUs LCPCCEUs LSWCEUs LCSWCEUs LMFTCEUs CRCCEUs LADCCEUs CADCCEUs MACCEUs CAPCEUs NCCCEUS LCDCCEUs CPRSCEUs CTRSCEUs and more adacb mentalhealth anxiety psych cbt dbt depression mentalhealthceus counselingceus socialworkceus social work mental health

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