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Webinar and Updates

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Advance Care Planning and Medical Decision Making Resources

Accessibility Guidance

Institutional Resources and Guidance

Other Ethics Resources

Pandemic Webinar Series and COVID Ethics Updates

PANDEMIC ETHICS: VIDEO SERIES

To view series and choose video, select the playlist icon in top right corner

COVID ETHICS UPDATE

To view series and choose video, select the playlist icon in top right corner

COVID-19 and nursing homes: Why is this happening? (June 25)

COVID19 Series
Nursing homes are not hospitals. Residents of nursing homes need assistance with tasks such as dressing, bathing, and eating. By design, these facilities, their staff, and residents are not clinically oriented. The presence of COVID-19 means nursing homes must adopt acute care levels of infection control and care. This webinar will explain the underlying dynamics of nursing home care that fostered the current crisis and the policy complexities of making changes in the future.
 
FACULTY:

Kathy Greenlee, J.D.
Previously served as U.S. Assistant Secretary for Aging, Kansas Secretary for Aging, and Kansas State Long-Term Care Ombudsman. She has 25 years of public service experience. When she returned to Kansas from her service in Washington, D.C. she was a health and aging policy specialist at the Center for Practical Bioethics. Kathy is currently working by contract as the Kansas COVID-19 Long-Term Supports and Services Liaison.
 
Carol Buller, DNP, APRN, FNP-BC, GNP-BC 
Carol Buller is a Gerontological Nurse Practitioner and a Clinical Assistant Professor at the University of Kansas School of Nursing where she is coordinator of the Adult-Gerontology Nurse Practitioner program, teaches care of older adults, advance care planning and palliative care. Dr. Buller has been in a private geriatric practice and rounded in skilled and long-term care facilities for over 16 years. She holds certification as a Family Nurse Practitioner and a Gerontological Nurse Practitioner. Her clinical interests include caring for persons with dementia, weaving palliative care into geriatric practice and advanced care planning. She is a member of the leadership team for the Kansas-Missouri Bi-State Coalition for the Transportable Physician Orders for Patient Preferences (TPOPP) initiative. 
 

   

Accessibility Guidance

National Association of the Deaf COVID-19 Resources

Patient and institutional resources for medical communication for deaf or hard of hearing.

Confronting Disability Discrimination During the Pandemic

by Katie Savin & Laura Guidry-Grimes

COVID-19 Triage and Disability: What NOT To Do

by Joe Stramondo

Disablism In a Time of Pandemic: Some Things Don’t Change

by Jackie Leach Scully

Disabusing the Disability Critique of the New York State Task Force Report on Ventilator Allocation

by Joe Fins

Applying HHS’S Guidance for States and Health Care Providers on Avoiding Disability-Based Discrimination in Treatment Rationing

Guidance document for avoiding discrimination on the basis of disability

Institutional Resources and Guidance

Ethical Considerations: Care of the Critically Ill and Injured During Pandemics and Disasters

CHEST Consensus Statement

A deep dive into the ethical considerations to be taken while providing care during pandemic.

Allocation of Scarce Critical Care Resources During a Public Health Emergency

UW Medicine COVID-19 Resource Site

A kit of various sample policies and standards assembled by UW Medicine.

Duty To Plan: Health Care, Crisis Standards Of Care, And Novel Coronavirus Sars-Cov-2

Perspective article on hospital planning for COVID-19 triage.

What Us Hospitals Should Do Now To Prepare For A Covid-19 Pandemic

Guidance On Hospital Prep From The Johns Hopkins Center For Health Security

A Pragmatist’s Advice for Nursing Homes

Guidance to long term care providers on preparedness for COVID-19.

Advance Care Planning and Medical Decision Making Resources

Caring Conversations COVID-19 Tip Sheet

Some useful tips and resources for having Caring Conversations during the COVID-19 pandemic.

CAPC COVID-19 Response Resources

Toolkit that addresses myriad palliative care issues in a time of COVID-19

COVID-19 Ready Communication -VitalTalk

Guidance to Clinicians in how to talk about difficult decision making

Working with Families Facing Undesired Outcomes (SWHPN)

Tip sheet for assisting families dealing with psycho-social concerns related to COVID-19 decision making

NHPCO– COVID-19

 Framework for Decision Making

Conversation Project - COVID-19 Resources

Specific questions for patients to consider if exposed to COVID-19

Respecting Choices –COVID-19

Proactive care planning and other resources in a time of COVID-19

Decision aid for patients considering life support at a time of COVID-19

Univ of CO. This DECISION AID addresses patient preferences regarding options about ventilator dependency.
(Not a medical order)

POLST and COVID-19

Specific Guidance from POLST(TPOPP) on executing Medical Orders or modifying existing medical orders due to COVID-19

Caring Conversations

Free advance care planning discussion guide and documents

CodaAlliance – Go Wish

Free online resource that facilities advance care planning while prioritizing patient preferences. 

Ariadne Labs Serious Illness Care Program COVID-19 Toolkit

Support for clinicians having difficult conversations with patients at high risk for serious complications of COVID-19.

Kansas & Missouri Guidance

State of Kansas Executive Order No. 20-26

Temporary relief from certain restrictions and requirements governing the provision of medical services

Missouri Hospital Association:

A Framework for Managing the 2020 COVID-19 Pandemic Response and Implementing Crisis Standards of Care

Guidelines for the Use of Modified Health Care Protocols in Acute Care Hospitals During Public Health Emergencies

Other State Guidance

Minnesota department of health clinical guidance on triage: patient care strategies for scarce resource situations

  • Includes guidance for shortages of
    1) oxygen
    2) hemodynamic support
    3) ventilators
    4) ecmo among other resources.

Guidance on Ventilator Allocation

From New York state task force on life and the law, state department of health (2015): ventilator allocation guidelines

Other Ethics Resources

Health Ethics Considerations

Planning for and Responding to Pandemic Influenza in Missouri

In 2009, the Center for Practical Bioethics, in partnership with regional healthcare, research, and education institutions, wrote and published this guidance document for ethical planning for Pandemic Influenza. It contains timely insight for ethics committee members and others interested in preparing for and responding to pandemic illnesses.

Ethical Guidance for Disaster Response

Crisis Standards of Care: A Systematic Review

This review outlines the key ethics topics related to crisis standards of care (CSC) and provides a round-up of related literature.

Ethics Talk: COVID-19 Pandemic Response

Audio

A discussion of the ethical issues facing providers during a pandemic.

Care of the Critically Ill and Injured During Pandemics and Disasters

Audio

Supplemental audio interview for the CHEST publication.

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