1. CTIC AUGUST 16, 2015

2. SEPSIS ACTIVITIES OPEN FORUM https://www.youtube.com/watch?v=7HprgjCk fsE&feature=youtu.be https://www.youtube.com/watch?v=7HprgjCk fsE&feature=youtu.be

3. T-shirts

4. SEPSIS SUNDAY – 232 signed roster

5. Other events through September Participated in donating to sepisalliance.org race to raise awareness Nursing Leadership Table top “Symptoms of Sepsis” SMML Facebook postings twice a week with newsletter MHA Patient Safety Seminar in Traverse City Summit at Canton – 300 people Lunch and Learn – 2 sessions 1 contact hour Senior Health Fair at Costick Center - Farmington Leadership Forum next week Livonia Woods September 28th

6. SPEAK UP! WWW.NHDD.ORG

7. How could this be prevented? Do you think this could happen here? How do you communicate someone’s end of life wishes? How do we communicate someone’s end of life wishes? Is the Code Form we use adequate to communicate someone’s wishes? DNAR, DNAR and don’t provide the following, DNAR with comfort measures

8. FAMILY DYNAMICS There is no more emotionally connected system than the family because no one can ever leave it Family embraces all generation – those living, those dead, and those yet to be born Family system can be open or closed

9. DON’T KEEP IT A SECRET WOULD YOU BE SURPRISED IF …..WAS NOT HERE IN THE NEXT 6 MONTHS? WHAT ARE YOU THE MOST AFRAID OF? HOW CAN I HELP YOU?

10. Not talking about death with a dying patient is like not talking about birth with a pregnant woman. They’ll probably find out in the end. (Michael Simpson, South African oncologist and poet)

11. What else can we do? Offer journaling to help facilitate adaptive coping during this time Determine goals – if options will not help meet goals, then discontinue or don’t start Feeding tube recommendation – Geriatric Society

12. How to have a family meeting EPERC – end-of-life palliative www.gwish.org – “Restoring the Heart and Humanity to Health Care www.gwish.org Assessment of Spirituality in Older Adults: FICA spirituality tool (Faith & Belief, Importance, Community, Address Care) https://smhs.gwu.edu/gwish/clinical/fica http://www.helpguide.org/articles/caregiving/ hospice-and-palliative-care.htm http://www.helpguide.org/articles/caregiving/ hospice-and-palliative-care.htm

13. I hear so many terms, can you clear them up for me? Palliative care Hospice care Consult Benefits What is covered benefit?