AMDA's 2019 Annual Conference

SA22 - An Interprofessional Approach to a Palliative Care Training Program and Delivery Model in the Skilled Nursing Facility: Perspectives from Medicine, Clinical Quality, Research, and Spiritual Care

Mar 9, 2019 4:00pm ‐ Mar 9, 2019 5:30pm


This session will review an interprofessional palliative care delivery model and training program that integrates care planning, prognostication, and communication skills, and that is specifically focused on palliative care core competencies across clinical disciplines in the skilled nursing facility (SNF). This program includes input from medicine, clinical quality, research, and spiritual care. The presentation will first discuss the implementation of a unique approach to care planning centered on goals of care and advance care planning, and the challenges this has posed in integrating a palliative care approach to the care planning process. Second, the speakers will discuss prognostication in the SNF setting through use of the Palliative Performance Scale (PPS). Third, the speakers will present a curriculum and method to teach palliative care communication skills to the interprofessional team. Finally, a process of data collection and outcome measures will be discussed. The session will be skills-based, focusing on interactive teaching for prognostication and improving communication. Interactive learning strategies will be used, including video demonstration and case studies.

Learning Objectives: 

  • List effective tools for communicating empathy, breaking serious news and mapping new goals of care for residents, patients and their caregivers in the SNF.
  • Demonstrate correct use of the PPS.
  • Describe outcome measures for implementing palliative care programming in the SNF.
  • Identify challenges to the implementation and sustainability of a palliative care program in the SNF setting.


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