Victoria Inn 1808 Wellington Avenue, Winnipeg, MB

2109 Portage Avenue, Winnipeg, Manitoba R3J 0L3 Phone: 889-8525 800-539-0295 Fax: 204-888-8874 ww.manitobahospice.ca

Hospice & Palliative Care Manitoba

20th Annual Provincial Conference September 22 and 23, 2011

Gold Sponsors

Silver Sponsor

Invitation

This year, 2011, marks the 20th HPCM Annual Provincial Palliative Care Conference. The first Annual Provincial Palliative Care Conference occurred in 1991, several years before palliative care was named as a core service within Manitoba. Until April 1999, palliative care was provided only in St. Boniface Hospital and Riverview Health Centre. In 1999, the Minister of Health for Manitoba announced $3 million would be provided over two years for palliative care. Over half of those funds went to renovate the palliative care unit at St. Boniface Hospital. The remaining $1.2 million went to the health regions to create a Regional Palliative Care Coordinator position, with responsibility for the development and coordination of services, and the identification of educational needs of staff in the region. In Winnipeg, a Medical Director and Program Director were hired to develop a regional program to meet the needs of Winnipeggers and to provide consultation and educational resources in other regions. At the provincial Conference in September 2000, the Minister of Health announced an additional $2.75 million for palliative care in the Winnipeg Region, resulting in a full program with clinical nurse specialists, after-hours service, and palliative care coordinators. In the past 20 years, palliative care services have grown and evolved in Manitoba. However, with an aging population, the need for increased services in all areas of the province will continue to rise. It is appropriate then, that this year’s Conference be named “Raising the Bar”. Join us as we listen and learn to address the challenges of today while celebrating the successes of the past.

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Mary Williams, Executive Director, Hospice & Palliative Care Manitoba

Lynda Wolf, President, Hospice & Palliative Care Manitoba

20 years of conferences

20 years of growth

Come join us in 2011!

Notice of Meeting Hospice & Palliative Care Manitoba

Annual General Meeting Thursday, September 22, 2011 4:30 – 5:30 p.m.

Carlton Room - Victoria Inn - 1808 Wellington Avenue, Winnipeg, Manitoba

Open to delegates and the public.

Members of Hospice & Palliative Care Manitoba require voting cards which will be distributed with the registration package for those attending the Annual Conference, or at the door for those attending the Annual General Meeting only.

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Learning Objectives Delegates will:

• Acquire new knowledge in the field of palliative care

• Apply new skills in the delivery of palliative care in Manitoba

• Network with palliative care practitioners

• Explore challenging end-of-life issues and questions

• Examine the integration of palliative care throughout the health care system to meet

end-of-life needs of individuals and families.

Continuing Education Credits

The Board of Administration under the Funeral Directors and Embalmers Act of the Province of Manitoba has accredited the two-day Conference for 6 Continuing Education credit hours. Pharmacists - Manitoba The Manitoba Pharmaceutical Association has accredited this Conference for 11 CEUs (MPhA File No. 31096M) for pharmacists in Manitoba.

Physicians This program meets the accreditation criteria of The College of Family Physicians of Canada and has been accredited by the Manitoba Chapter for up to 11 Mainpro-M1 credits.

Program at a Glance

WEDNESDAY, September 21, 2011

3:30 p.m. – 4:30 p.m. Early registration

THURSDAY, September 22, 2011

7:00 a.m. Registration, Exhibits, Continental Breakfast

8:00 a.m. Opening Remarks

9:00 a.m. Keynote Address: Senator Sharon Carstairs

10:00 a.m. Refreshments, Exhibits

10:30 a.m. Concurrent Session A (60 minutes)

11:30 a.m. Luncheon, Exhibits

12:30 p.m. Keynote Address: Dr. John Bond

1:30 p.m. Stretch Break, Exhibits, Move to Sessions

1:45 p.m. Concurrent Session B (60 minutes)

2:45 p.m. Refreshments, Exhibits

3:15 p.m. Concurrent Session C (60 minutes)

4:15 p.m. Break before HPCM Annual General Meeting

4:30 p.m.– 5:30 p.m. HPCM Annual General Meeting – Carlton Room

7:00 p.m. Doors open for Public Lecture

7:30 p.m.– 9:00 p.m. Public Lecture by and Manitoba tribute to

SENATOR SHARON CARSTAIRS

FRIDAY, September 23, 2011

7:30 a.m. Registration, Exhibits, Continental Breakfast

8:00 a.m. Opening Remarks

8:30 a.m. Keynote Address: Dr. Nuala Kenny

9:30 a.m. Refreshments, Exhibits

10:00 a.m. Concurrent Session D (60 minutes)

11:00 a.m. Stretch Break, Exhibits, Move to Sessions

11:15 a.m. Concurrent Session E (60 minutes)

12:15 p.m. Luncheon, Exhibits

1:15 p.m. Concurrent Session F (60 minutes)

2:15 p.m. Refreshments, Exhibits

2:30 p.m. Keynote Address: Karen Toole

3:45 p.m. Closing Remarks

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Additional Important Information Accommodation The Victoria Inn, located near the Winnipeg airport, has ample free parking and is wheelchair accessible. Amenities include a water park and fitness centre. A limited number of rooms are available at the conference rate of $130 + taxes per night for single occupancy. Please call the hotel to make your arrangements. Driving time to Polo Park Shopping Centre is about five minutes. Buses run to Polo Park (#26) or downtown (#14,15).

Victoria Inn Winnipeg 1808 Wellington Avenue

Winnipeg, Manitoba R3H 0G3 www.vicinn.com Toll Free: 1-877-842-4667 Phone: 204-786-4801 Fax: 204-786-1329

Group #309640

Parking Ample free parking is available at the Victoria Inn for all Conference delegates.

Save a Tree We are attempting to minimize our paper use for the Conference. Please take this brochure to the Conference, as session descriptors are not repeated in the syllabus available on-site. Registration Early bird two-day registration is $350. After August 13th, the two-day rate is $425. Special one-day, student, and companion/bereavement volunteer rates are available – see registration form.

Companion/bereavement volunteers must submit a letter of verification from their Regional/Volunteer Coordinator along with their registration to receive the special rate. Shared registrations are available at a surcharge of $25. A maximum of 2 delegates per day may share a registration. Rates include continental breakfast, nutrition breaks, lunches, poster presentations (new this year!) displays, the public lecture and hand-out materials provided by presenters. All delegates will receive a program syllabus. Additional registration information and rates are on the registration form included in this brochure. Please indicate any special needs and dietary requirements on the registration form. Group Members Hospice & Palliative Care Manitoba group members are entitled to a 10% discount on regular Conference registration rates for two delegates from their organizations. To verify your group member status, contact Hospice & Palliative Care Manitoba at (204) 889-8525 or 1-800-539-0295. Refund Policy Requests for refunds in person or in writing must be received before August 31, 2011 and accompanied by the original receipt. Refunds will be subject to a $40 processing fee. After August 31, 2011, no refunds will be given. Substitutions may be made.

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Care for the Caregivers Room For your enjoyment and relaxation as a Conference delegate, a selection of complementary therapies will be offered by volunteer practitioners throughout the Conference. This is an opportunity to experience different therapies and a time to care for yourself! Quiet Room The Quiet Room is available throughout the Conference to provide a quiet place for personal reflection. A Memory Book is available for delegates to honour individuals whose lives have touched theirs along the road of life. Exhibits Our commercial and educational exhibitors will be available throughout the Conference to share information on the latest products, services and resources. A great opportunity to meet and network! A Conference bookstore will be included in the exhibit area. Privacy Policy Hospice & Palliative Care Manitoba respects your privacy and treats all personal information collected with care and respect. We do not rent, sell or trade your information. We use that information to provide services and to keep you informed of future activities including special education or fundraising events, and opportunities to donate or volunteer. Endorsement Please be aware that inclusion of sessions on complementary, healing, or alternate therapies in the Conference program does not in any way imply endorsement by Hospice & Palliative Care Manitoba. Scented Products In recognition that many people have severe allergies to scents, we ask that you not wear scented products to the Conference so that all may attend in comfort and safety. Concurrent Sessions Additional information on the concurrent sessions is available on our website (www.manitobahospice.ca). Click on ‘Sessions Descriptors’ under ‘Raising the Bar’.

AMus - Associate of Music in Piano Performance (Western Conservatory) ARCT - Associate of Royal Conservatory of Music in Toronto in Piano Performance

BFA - Bachelor of Fine Arts

BHSc - Bachelor of Health Sciences

CCFP - Canadian College of Family Physicians CHPCN (C) - Certified Hospice Palliative Care Nursing (Canada) CNN - Canadian Nursing Association, Neuroscience Nursing certification

CNS - Clinical Nurse Specialist

CVH - Canadian Virtual Hospice

DNSc - Doctor of Nursing Science

FRCPC - Fellow of the Royal College of Physicians of Canada

FRCR - Fellow of the Royal College of Radiologists (UK) FRSC - Fellow of the Royal Society of Canada

GNC (C) - Gerontological Nurse Certified (Canada)

MBBChir - Bachelor of Medicine and Bachelor MRCP - Member of the Royal College of Physicians (UK)

MSW - Master of Social Work

MTA - Music Therapist Accredited

OC - Order of Canada

OT - Occupational Therapist

PC - Privy Councillor

PCP - Palliative Care Program

PCS - Palliative Care Service PGDipMT - Post-Graduate Diploma of Music Therapy

RPN – Registered Psychiatric Nurse

RSW - Registered Social Worker

U of M - University of Manitoba WRHA – Winnipeg Regional Health Authority

Public Lecture by

and

Manitoba Tribute

to

The Honourable

Senator Sharon Carstairs, P.C. Thursday, September 22nd

Victoria Inn 1808 Wellington Avenue Winnipeg

Doors open: 7:00 p.m. Included in registration fee

Limited Seating

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Reflections on the Essence

of Palliative Care

Senator Carstairs has travelled across every

province in Canada over the past ten years

meeting with health care workers, patients,

families and volunteers as she advocated for

better palliative care.

In this lecture, she will share some reflections

on her travels . Sometimes amusing, sometimes

tragic, and always inspiring, these visits reveal

the essence of palliative care.

Senator Sharon Carstairs, P.C. Rising to the Challenge

What have we learned after a conference like this? What difference can it make to our practice? When does the word “care” become an art of inclusion that involves self and those we serve? When authenticity and integrity become part of our practice, then wellness or wholeness are more than ideas or ideals . . .

they become our everyday lived realities.

Keynote Speakers

Commitment to high-quality hospice and palliative care at the end of life requires a social and political decision to resource this care appropriately and fairly. In the midst of resource allocation pressures privileging high-technology and acute care 'fix'-oriented medicine, a compelling case must be made for justice and fairness at the end of life.

Dr. John Bond, PhD Manager of Research, and Advisor on Research and Applied Learning

Riverview Health Centre, Winnipeg

Life after Loss

Dr. Nuala Kenny, OC, BA, MD, FRCP(C) Emeritus Professor of Bioethics, Dalhousie University, Halifax

Justice at the End of Life

Karen Toole, BA, MDiv Provincial Coordinator of Spiritual Care in Health, Province of Manitoba

Making it Work . . . Takes a Little Kindness

Following death, survivors must find a way of living without the physical presence of the deceased in their lives. John will identify and examine a variety of issues (emotional, behavioural, physical, spiritual) he encountered following the unexpected death of his wife, Sharon. Solutions to problems, sources of support and insights into how people assisted him during his grieving will be provided.

This closing session will summarize key moments and meaning of the Conference. Together we will focus not on the “how” or “what” of self care but on the “why”.

A review of the ethical and moral case for just and fair treatment at the end of life and of the empirical literature regarding end of life costs within and without

hospice and palliative care.

This presentation explores a variety of issues the bereaved may face, and suggests ways to move through grief to a new stage of life.

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Palliative care services have come a long way in Manitoba since the opening of the first palliative care unit in 1974. Yet, there remain challenges to overcome in meeting the needs of our aging population, providing appropriate services across all jurisdictions, and supporting caregivers. Public policy challenges and options will be explored in this presentation.

An exploration of the public policy challenges facing palliative care in Manitoba and discussion of policy options for addressing future needs.

Thursday, September 22, 2011 Concurrent Session A (60 minutes) 10:30 a.m. – 11:30 a.m.

A01 ‘Issues of the Ethical’ in Conducting Palliative Care Research Susan McClement RN, PhD Associate Professor, Faculty of Nursing, U of M; Research Associate, Manitoba Palliative Care Research Unit, CancerCare Manitoba No conflict of interest to declare

This interactive session will provide participants with the opportunity to learn about and discuss the ethical challenges inherent in conducting palliative care research with human subjects, and will invite them to reflect upon strategies and solutions for dealing with such challenges.

A02 Music Therapy: The Heart of the Matter Joel Klassen MTA, BFA, PGDipMT Music Therapist, Eden Health Care Services

No conflict of interest to declare

What makes music such an important tool in end-of-life care? What does music therapy look like in this setting? How can music help staff and volunteers interact meaningfully with patients?

A03 Bowel Care in Palliative Care: Getting Your S*** Together! Paul J. Daeninck MD, MSc, FRCPC Assistant Professor, Departments of Internal Medicine and Family Medicine, U of M; Consultant Medical Oncologist and Coordinator, St. Boniface Hospital

Site, CancerCare Manitoba; Consultant Palliative Medicine Specialist, WRHA, PCP Brenda Hearson RN, MN, CHPCN(C) Clinical Nurse Specialist, WRHA PCP

No conflict of interest to declare

Review physiology, assessment and treatment of one of the most common end-of-life symptoms. Learn about the WRHA PCP guideline based on the recent consensus recommendations.

A04 Walking the Talk: Approaching Difficult Conversations with Children Simone Stenekes RN, MN, CHPCN(C) Clinical Nurse Specialist, Pediatric Symptom

Management and Palliative Care Service, WRHA PCP Mike Harlos MD, CCFP, FCFP Medical Director, WRHA PCP and Pediatric Symptom Management and PCS; Professor, Faculty of Medicine at U of M; Physician Consultant for the CVH; Co-Chair of the Canadian Network of PC for Children Fred Nelson MSW, RSW Social Worker and Psychosocialist Program Specialist, WRHA PCP No conflict of interest to declare

This session will identify how children understand serious illness and death. Discover how to approach the common questions that children have and learn about available resources.

A05 Are all Pressure Ulcers Preventable? Kennedy Terminal Ulcers (KTUs) versus Pressure Ulcers

Sarah Brown BSc, RN, MN Clinical Nurse Specialist, WRHA PCP Alexandra Beel RN, MN, CHPC (C) No conflict of interest to declare

This presentation will review the current literature on KTUs (unavoidable skin breakdown) and differentiate between KTUs and pressure ulcers using case studies.

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Thursday, September 22, 2011 Concurrent Session B (60 minutes) 1:45 p.m. – 2:45 p.m. B06 Sublingual Opioids in the Management of Incident Pain and Incident Dyspnea

Jonathan K. Wong BHSc, MD Palliative Medicine and Internal Medicine Fellow, U of M No conflict of interest to declare

Incident pain and incident dyspnea can have a profound negative impact on quality of life. This presentation will discuss the role of fast acting sublingual opioids for the management of incident pain and dyspnea.

B07 Reaching out to Friends in Grief Hedie L. Epp BA, Certificate in Thanatology Consultant, Beyond Grief Consulting Services

No conflict of interest to declare

This presentation is directed at informal and formal support systems around grieving families. Hedie will discuss the grief process and how best to be helpful.

B08 From Beginnings to Endings: Our Journeys as Caregivers Helen Mikolajewski, BA (Hon), MPA, MA (Theology), Spiritual Care Provider, Health Sciences

Centre, Winnipeg No conflict of interest to declare

In this memorial, as caregivers to palliative and chronic care patients and their families, we will reflect through music and ritual our journey with them. We will celebrate our relationships, take time to mourn our losses, and consider how these experiences have changed us.

B09 Culture Change: Dental Hygienists add to Quality of Life Mickey Emmons Wener RDH, BS (DH), MEd Senior Instructor, School of Dental Hygiene

and Faculty of Dentistry, U of M Mary Bertone RDH Oral Health Promotion Specialist, Centre for Community Oral Health, Faculty of Dentistry, U of M No conflict of interest to declare

Learn how a dental hygienist can be integrated into the palliative care team to offer support and partner with family and caregivers to provide client-centred care to improve quality of life.

B10 Developing a Workshop to Share Aboriginal Perspectives on End of Life Lori Embleton, RN, MSA Program Director, WRHA PCP Kim Gray Manager, Aboriginal Health Programs - Workforce Development, WHRA Janice Mulder B.Sc.(Pharm), MD

Palliative Care Physician, WHRA No conflict of interest to declare

This presentation will describe a workshop designed to assist health care providers in developing greater knowledge about diverse Aboriginal perspectives on end-of-life care.

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Thursday, September 22, 2011 Concurrent Session C (60 minutes) 3:15 p.m. – 4:15 p.m. C11 Improving Quality End-of-Life Care in Personal Care Homes

Preetha Krishnan MN Nurse Practitioner, WRHA Long-Term Care No conflict of interest to declare

This session will help attendees understand the importance of recognizing and utilizing personal care homes as preferred places for quality end-of-life care and death.

C12 Balancing hope, miracles and witnessed suffering: Oncology nursing and palliative care

Lisa Streeter RN, MN Clinical Nurse Specialist, WRHA PCP, member of CVH clinical team This study was conducted without external sources of funding.

This presentation will highlight the findings of a recent qualitative research study exploring oncology nurses’ experiences providing non-curative care in an outpatient cancer setting.

C13 Cirrhosis: A Palliative Challenge Tim Hiebert BSc, MSC, FRCPC Palliative Care Physician and General Internist, WRHA Conflict of interest declaration pending

Cirrhosis is a common consequence of many liver diseases. The scope of the problem, prognosis, common symptoms, complications and management strategies will be presented.

C14 Death and Dying among Low German-speaking Mennonites: Respecting Religious Diversity

Judith C. Kulig RN, DNSc Professor Faculty of Health Sciences, University of Lethbridge HaiYan (LingLing) Fan BA, MA (candidate) University of Lethbridge Research funded by the Canadian Institutes of Health Research

This presentation will emphasize the importance of understanding death and dying beliefs and practices when working with Low German-speaking Mennonites in palliative and end-of-life situations.

C15 Where is your Happy Place? The Journey of the Palliative Nurse in Coping

with Death and Dying Trish Farkas RN, BN Community Palliative Care Nurse, WHRA Chris Carlyle RN, CHPCN(C) No conflict of interest to declare

This session will lead participants through concepts of grief and the literature surrounding coping skills in palliative care. Individual experiences, insight and relevant clinical practice skills will be discussed.

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Friday, September 23, 2011 Concurrent Session D (60 minutes) 10:00 a.m. – 11:00 a.m.

D16 How to Help People through Grief Rosemarie Forsberg Licensed Funeral Director, Certified Celebrant Heritage Funeral Home and Tisdale Funeral Home No conflict of interest to declare

How to help people coping with grief prior to a death, at the death, and following death.

D17 Perinatal Palliative Care: The View of Health Care Providers Simone Stenekes RN, MN, CHPCN(C) Clinical Nurse Specialist, Pediatric Symptom

Management and Palliative Care Service, WRHA PCP Carla Ens PhD Research Associate,

Department of Community Health Sciences, U of M Mike Harlos MD, CCFP, FCFP Medical

Director, WRHA PCP and Pediatric Symptom Management and PCS Professor, Faculty of

Medicine at U of M, Physician Consultant for the CVH, Co-Chair of the Canadian Network of

PC for Children No conflict of interest to declare

Research study findings from interviewing health care providers about providing perinatal palliative care and implications on overall management of perinatal palliative care will be explored.

D18 Putting the Patient back in Patient-centred Care Dawn White BA, Cert. Ed, BEd, MEd Patient Advocate, Dawn White Education Consultant Inc. No conflict of interest to declare

Do you want to learn how to more actively engage patients and families in their own health care? This session is a navigational roadmap.

D19 End-of-Life Care following an Acute Stroke: The Nurses’ Perspective

Janice Nesbitt RN, CNN (C) University of Manitoba This research project was supported by the Kathleen and Winnifred Ruana Graduate Student

Research Grant for Nurses, administered by the Manitoba Centre for Nursing and Health Research.

This presentation will discuss the findings of a qualitative study examining the lived experiences of neuroscience nurses caring for dying patients who have suffered a stroke.

D20 Palliative Radiotherapy: A Primer for Health Care Professionals Benjamin Mou MD Radiation Oncology Resident, CancerCare Manitoba and U of M No conflict of interest to declare

This session will provide a general overview of the role of therapeutic radiation in the treatment of oncologic palliative care patients.

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Friday, September 23, 2011 Concurrent Session E (60 minutes) 11:15 a.m. – 12:15 p.m.

E21 Considerations in Palliative Respiratory Support for Children Simone Stenekes RN, MN, CHPCN(C) Clinical Nurse Specialist, Pediatric Symptom

Management and Palliative Care Service, WRHA PCP Mike Harlos MD, CCFP, FCFP

Medical Director, WRHA PCP and Pediatric Symptom Management and PCS Professor,

Faculty of Medicine at U of M, Physician Consultant for the CVH, Co-Chair of the Canadian

Network of PC for Children No conflict of interest to declare

This session will help attendees to understand the impact of respiratory technology in pediatrics, the importance of addressing goals of care, and how to manage dyspnea and the withdrawal of ventilatory support.

E22 Oh-h How Sweet it is: Steroid-induced Diabetes in Palliative Care Jana Pilkey MD, FRCP Internal Medicine, Palliative Medicine Assistant Professor, U of M, Dept. of Family Medicine, WRHA PCP Lisa Streeter RN, MN, CHPC(C) CNS - WRHA PCP Alexandra Beel RN, MN, CHPC(C) CNS - WRHA PCP; Timothy Hiebert MD, MSc, FRCPC Riverview Health Centre Research Fund for Medical Residents (Received by Dr. Hiebert)

This presentation will review the current literature related to the use of corticosteroids in palliative care and discuss the preliminary findings from a perspective study examining steroid-induced diabetes undertaken by the WRHA PCP.

E23 Requests for Assisted Death: Implications in Hospice and Palliative Care Nuala Kenny, OC, BA, MD, FRCP(C) Professor Emeritus, Department of Bioethics, Dalhousie University No conflict of interest to declare

This session will review empirical evidence regarding reasons for requests for assisted death (euthanasia and physician-assisted suicide) from many jurisdictions. This evidence presents important challenges to the practice of end-of-life care and for the future of hospice and palliative care.

E24 Good Grief Charlene Diehl PhD, Director of Thin Air (Winnipeg International Writers’ Festival) No conflict of interest to declare

Grieving can be one of the most important and enriching things we do. Charlene Diehl shares her journey toward healing, opening a conversation about caring for those who sorrow.

E25 Gifts of Courage: Poetry on the Frontlines Repeated by popular request from 2010 Conference

Zofia Monika Dove (Gustowska) Rehabilitation Assistant, Rehabilitation Services, St. Boniface Hospital Ina Baas-Penner, Chaplain, Riverview Health Centre Michèle Barr BA, MA (Theology) Diaconal Minister, Evangelical Lutheran Church in Canada, music teacher, Winnipeg School Division #1 Conflict of interest declaration pending

“Let us remember that in the end we go to poetry for one reason, so that we might more fully inhabit our lives and the world in which we live them…” - Christian Wiman

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Friday, September 23, 2011

Concurrent Session F (60 minutes) 1:15 p.m. – 2:15 p.m. F26 Advance Care Planning in the WRHA: It’s all about Good Communication

Kathleen Klaasen RN, MN, GNC(C), Manager of Nursing Initiatives, WRHA Lisa Streeter RN, MN, CHPC(C), CNS - WRHA PCP Luana Whitbread BSc, BN, MN, GNC(C) No conflict of interest to declare

The revised WRHA policy on Advance Care Planning will be highlighted. Practical tips for those participating in advance care planning discussions with clients and their families will be shared.

F27 Music Care: Musical Approaches in Caring Communities Bev Foster BEd, BMus, ARCT, AMus No conflict of interest to declare

This session will lead participants through concepts of grief and the literature surrounding coping skills in palliative care. Individual experiences, insights and relevant clinical practice skills will be discussed.

F28 The Forgotten Grievers: Where are we now? Claudette Moquin RPN Program Services Coordinator, Hospice & Palliative Care Manitoba Funding for supplies and the cost of space rental for the pilot program described was received from the Winnipeg Foundation, thanks to a granting decision made by the students of

St. Mary’s Academy, Winnipeg, through the Youth in Philanthropy Program.

This session is a follow-up to last year’s presentation The Forgotten Grievers. The session will focus on the evolving developments of this project, including the pilot program that has been completed. The vision for the future and direction of this project will be covered.

F29 Cancelled

F30 Part 1 Gamma Knife Radiosurgery and Central Metastasis

Janice Nesbitt RN, BN, CNN(C) Clinical Nurse Specialist, WRHA PCP No conflict of interest to declare

The role of gamma knife radiosurgery to treat brain metastasis will be discussed, including studies which explore the impact on the patient.

Part 2 Malignant Spinal Cord Compression Ethan Lyn, MBBChir MRCP FRCR FRCPC Chair of the Thoracic Disease Site Group, Head of Radiation Oncology, Medical Director of the Radiation Oncology Program, CancerCare Manitoba

No conflict of interest to declare

Malignant spinal cord compression is an oncological emergency which needs to be recognized, diagnosed and treated within 24 hours for neurological recovery to be likely. This presentation will consider management of adults with metastatic spinal disease from epithelial tumours that endanger the spinal cord.

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Poster Presentations For the first time, poster presentations are included in the Annual Provincial Conference of Hospice & Palliative Care Manitoba. We anticipate making this a regular part of the Conference and encourage submission of poster abstracts in the future. Representative poster authors will be present in the poster display area at times indicated on signage near the posters.

P31 Personhood and the Person with Dementia Lynda Wolf

P32 Use of Intranasal Fentanyl in Palliative Care of Newborns and Infants Simone Stenekes, Mike Harlos, David Lambert, Chris Hohl, Harvey Max Chochinov, Carla Ens

P33 Perinatal Palliative Care: The View of Health Care Providers Simone Stenekes, Carla Ens, Mike Harlos, Devon Brown, Harvey Max Chochinov, Kristine Mytopher

P34 Transitioning from the Pediatric Intensive Care Unit: Withdrawal of Life-sustaining Treatment in the Home

Simone Stenekes, Christy Press, Jannell Plouffe, Devon Brown, Stephanie Burge, Stasa Veroukis, David Lambert

P35 Corticosteroid-induced Diabetes in Palliative Care Jana Pilkey, Alexandra Beel, Lisa Streeter, Timothy Hiebert, Xuan Li

P36 Evaluating Care in an Inpatient Palliative Care Unit Joanne Mills, Linda McKellar

P37 Sublingual Sufentanil for the Management of Incident Pain Jonathan K. Wong, Mike Harlos, H. Marr, Harvey Max Chochinov, Paul J. Daeninck

P38 The Use of Sublingual Fentanyl for the Treatment of Incident Dyspnea: Results of a Pilot Study Jonathan K. Wong, J. Richman-Eisenstat, Paul J. Daeninck

P39 Developing Teaching Resources for Social Work Education in Hospice Palliative Care Fred Nelson

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Index of Presenters

Baas-Penner, Ina E25 13 Lyn, Ethan F30 14 Barr, Michèle E25 13 McClement, Susan A01 9 Beel, Alexandra A05 9 Mikolajewski, Helen B08 10

E22 13 Moquin, Claudette F28 14

Bertone, Mary B09 10 Mou, Benjamin D20 12

Brown, Sarah A05 9 Nelson, Fred A04 9 Carlyle, Chris C15 11 Nesbitt, Janice D19 12

Public Lecture 7

Pilkey, Jana E22 13

Diehl, Charlene E24 13 D17 12 Dove,(Gustowska) E25 13 E21 13

Zofia Monica Streeter, Lisa C12 11

Embleton, Lori B10 10 E22 13

Ens, Carla D17 12 F26 14

Epp, Hedie L. B07 10 Toole, Karen Keynote 8

Fan, HaiYan (LingLing) C14 11 Wener, Mickey Emmons B09 10

Farkas, Trish C15 11 Whitbread, Luana F26 14

Forsberg, Rosemarie D16 12 White, Dawn D18 12 Foster, Bev F27 14 Wong, Jonathan K. B06 10

Harlos, Mike A04 9 D17 12 E21 13

Hearson, Brenda A03 9 Hiebert, Timothy C13 11

E22 13

Keynote 8

Klaasen, Kathleen F26 14

Klassen, Joel A02 9

Krishnan, Preetha C11 11

Kulig, Judith C. C14 11

Presenter Session Page Presenter Session Page

Gray, Kim B10 10

Kenny, Nuala E23 13

Bond, John Keynote 8 Mulder, Janice B10 10

Daeninck, Paul J. A03 9 Stenekes, Simone A04 9

Carstairs, Sharon Keynote 8 F30 14

Victoria Inn 1808 Wellington Avenue, Winnipeg, MB

Hospice & Palliative Care Manitoba 20th Annual Provincial Conference

September 22 and 23, 2011

CONFERENCE REGISTRATION FORM Please Print Name _________________________________ Organization ____________________________________ Address _________________________________________________________________________________ _________________________________________________________________________________ Telephone ___________________ Fax ___________________ Email ________________________________ Daytime Confirmation will be via email Dietary or other special needs _________________________________________________________________________________

Please indicate your role in hospice palliative care: □ Administration □ Health Care Aide □ Pharmacist □ Spiritual Care Provider □ Caregiver for family/friend □ Physician □ Volunteer □ Elder □ Nurse □ Social Worker □ Other (please specify) □ Funeral Director _______________________

Concurrent Session Registration: • Please indicate preferences by workshop number (e.g. A9). • Space is limited, therefore, you MUST MAKE A SECOND CHOICE. First Choice Second Choice

Session A Thursday, September 22nd 10:30 a.m. - 11:30 a.m. ______ ______

Session B Thursday, September 22nd 1:45 p.m. - 2:45 p.m. ______ ______

Session C Thursday, September 22nd 3:15 p.m. - 4:15 p.m. ______ ______

Session D Friday, September 23rd 10:00 a.m. - 11:00 a.m. ______ ______

Session E Friday, September 23rd 11:15 a.m. - 12:15 p.m. ______ ______

Session F Friday, September 23rd 1:15 p.m. - 2:15 p.m. ______ ______

Reminder

Please take this brochure (minus the registration form) to the Conference.

Session descriptors will not be repeated in the syllabus.

Please be aware that participation in any Conference activity may result in your

experience may be captured in a photograph. Photographs taken at Conference

may be used in reports, newsletters and on our website.

Please advise the photographer if you do not wish to be included in photographs.

Shared Registrations A maximum of two people per day may share a registration. Each must complete a registration form and the forms and payment (with $25 surcharge) must be submitted together.

Method of payment

□ Paying for self □ Payment by third party If 3rd party, include name and address here: ____________________________________ ____________________________________ □ Cheque □ Visa □ Mastercard ____________________________________ Account Number

____________________________________ Name on card (please print)

Expiry date ______________________

Signature ______________________

Total amount enclosed $ _____________

Conference Fees Please circle the applicable fee

Regular HPCM Student** Bereavement Shared Group Companion Registration Member* Volunteer*** Surcharge**** Thursday $215 $195 $100 $100 $ 25 Friday $215 $195 $100 $100 $ 25

Thursday and Friday Early – before Aug 13th $350 $315 $195 $195 $ 25 Late – after Aug 14th $425 $383 $195 $195 $ 25 *Two delegates per Hospice & Palliative Care Manitoba group member. **Rates for full-time students only. Proof of full-time status is required. ***Letter from Regional/Volunteer Coordinator required. **** Maximum two registrants per day.

Full payment must accompany your registration. Registrations will not be processed until payment is received.

Confirmation will be emailed prior to the Conference. If you do not have email, confirmation will be sent by regular mail.

Receipt will be included in your registration package at the Conference.

Refund Policy: Requests for refunds must be made in person or in writing and received prior to August 31, 2011. No refunds will be made after August 31, 2011. Substitutions may be made. Refunds are subject to a $40.00 processing fee.

Registration checklist

Please read before you send your registration: □ Name and contact details completed

□ Special dietary and other needs indicated, if applicable

□ Registration type selected

□ Cheque attached or credit card details completed

□ If payment from third party, name and address of payer

is on registration form

□ Companion/bereavement volunteer verification letter

included, if applicable

□ Student verification included, if applicable

□ First and second choices for concurrent session

indicated

□ If shared registration, all forms and total payment

included

Please mail or fax registration to: Hospice & Palliative Care Manitoba, 2109 Portage Avenue, Winnipeg, MB R3J 0L3 Fax (204) 888-8874

For more information contact: Andrea Firth (204) 889-8525 ext 225; e-mail afirth@manitobahospice.mb.ca Brochure and registration form also available on the website www.manitobahospice.ca

Photographs taken at Conference

may be used in reports, newsletters and on our website.

Please advise the photographer if you do not wish to be photographed.

Conference Steering Committee

Shannon Pyziak - Co-chair Nurse Interlake Regional Health Authority Pam Bolton - Co-chair Volunteer, Social Worker (retired) Hospice & Palliative Care Manitoba

Linda Sundevic - Chair, Hospitality Committee Administrator Charleswood Care Centre Laurie Read - Member at Large Research Nurse Faculty of Nursing, University of Manitoba Cornelius Woelk – Chair, Program Committee Physician Dr. C.W.Wiebe Medical Centre

Lynda Wolf - Board Representative Volunteer, Occupational Therapist (retired) Hospice & Palliative Care Manitoba Shelley Ireland - Chair, Raffle Sub-Committee Social Worker Charleswood Care Centre Karen Toole - Member-at-Large Administrator, Spiritual Care Province of Manitoba Lori Embleton - Member-at-Large Nurse Winnipeg Regional Health Authority Andrea Firth (Staff) Conference Coordinator Hospice & Palliative Care Manitoba Joan Lawless (Staff) Sponsorship, Exhibits Development Coordinator Hospice & Palliative Care Manitoba Peggy McRitchie (Staff) Volunteer Development Coordinator Hospice & Palliative Care Manitoba Mary Williams – Ex-officio (Staff) Executive Director Hospice & Palliative Care Manitoba

Conference Program Committee

Cornelius Woelk, MD, CCFP, FCFP - Chair Physician Dr. C.W. Wiebe Medical Centre Pam Bolton, MSW Steering Committee Co-Chair Social Worker, volunteer Shannon Pyziak, RN, BN, CHPCN (C) Steering Committee Co-Chair Nurse, rural Gregory Harochaw, BSc (Pharm) Pharmacist Tache Pharmacy John B. Bond, Jr., PhD Manager - Research Advisor - Research and Applied Learning Riverview Health Centre Simone Stenekes, RN, MN, CHPCN (C) Clinical Nurse Specialist Pediatric Symptom Management & Palliative Care Service, WRHA Brenda Hearson, RN, MN, CHPCN (C) Nurse Canadian Vitrual Hospice, WRHA Evelyn Leferink Professional Development Coordinator Community Cancer Programs Network and Uniting Primary Care and Oncology (UPCON) CancerCare Manitoba Helen Mikolajewski, BA (Hon), MPA, MA Spiritual Care Seven Oaks General Hospital Kathy Stevenson Nurse, diversity Percey E. Moore Hospital Mary Ann Rosenbloom, RN Nurse, staff, diversity Program Coordinator Hospice & Palliative Care Manitoba Andrea Firth Staff, ex officio Conference Coordinator Hospice & Palliative Care Manitoba Mary Williams Staff, ex officio Executive Director Hospice & Palliative Care Manitoba 19

20th Annual Provincial Conference

20 years of conferences

20 years of growth

Come join us in 2011!