Growing Global Leaders Advancing Palliative Care Pushing the - - PowerPoint PPT Presentation

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Growing Global Leaders Advancing Palliative Care Pushing the - - PowerPoint PPT Presentation

Feb 13, 2024 189 likes •590 views

Growing Global Leaders Advancing Palliative Care Pushing the Agenda: Engaging an International Organization Jamie Von Roenn, MD, LDI C2 RC3 October 13-18, 2013 Why Oncology? The State of Oncology 1980s-1990s Suffering

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Growing Global Leaders… Advancing Palliative Care

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Pushing the Agenda: Engaging an International Organization

LDI C2 RC3 October 13-18, 2013

Jamie Von Roenn, MD,

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Why Oncology?

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The State of Oncology 1980s-1990s

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Suffering

… treatment-related

symptoms

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How do you feel?

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Communication Skills

… or the lack of them

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Model The Way…

…live what you say

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…Model the Way…

  • Clarify values
  • Find your voice
  • Set the example
  • Reflect and act
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Suffering

… disease-related symptoms

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…Model the Way

  • Analgesic dosing service
  • ECOG survey
  • ASCO plenary
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Inspire a Shared Vision…

the tribal nature of medicine

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…Inspire a Shared Vision…

  • Imagine the possibilities
  • Find a common purpose
  • Appeal to common ideals
  • Animate the vision
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…Inspire a Shared Vision…

Palliative Care

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Cancer Care During the Last Phase of Life

02/20/1998

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…Cancer Care at the End of Life…

  • 90% learned by trial and error
  • 38% traumatic patient

experience

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…Inadequate Training

  • 81% prognostication
  • 65% symptom control
  • 66% no lectures on palliative

care

  • 90% no palliative care

rotation

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Challenge the Process…

  • Search for opportunities
  • Generate small wins
  • Experiment and take risks
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… Challenge the Process…

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…Challenge the Process…

  • Integration
  • Education
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…Challenge the Process…

  • Voice on ASCO committees
  • Curriculum series

Optimizing Cancer Care: The Importance of Symptom Management

  • Integration into Annual

Meeting

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…Challenge The Process

  • ASCO Core Curriculum Outline
  • EPEC-O
  • Journal of Supportive

Oncology

  • Chicago Supportive Oncology

Conference

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…Enable Others To Act…

  • Foster collaboration
  • Strengthen others
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…Enable Others To Act…

  • The Art of Oncology- When

the tumor is not the target

  • Changes in the Annual

Meeting

  • Medical Oncology Blueprint
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2009

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American Society Clinical Oncology recommends…

Concurrent palliative care for seriously ill cancer patients – from the beginning

2012

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…Enabling Others To Act…

  • Virtual Learning Collaborative
  • ASCO-AAHPM collaboration
  • Web-based platform to disseminate

evidence based palliative care in

  • ncology
  • Tool box of evidence based resources
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…Enabling Others To Act

  • VLC Pilot
  • 20 oncology practices
  • Structured practice

improvement

  • Share best practices,

resources

  • Provide proven palliative care

toolbox

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…Enabling Others To Act

Palliative Care Training for All

  • Randomized study
  • Spaced education
  • ASCO support
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Encourage the Heart….

  • Lessons from experience

and accepting a new path…

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“My story is broken…”

Howard Brody, 1994

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…Encourage the Heart…

Recognize contributions Mentoring

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… Optimism …

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“To accomplish great things, we must not only act but also dream, not only plan, but also believe.”

Anatole France

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Gandhi… You need to be the change you want to see in the world…

Kobacker House

Columbus, Ohio