Perhaps one of the most challenging aspects of case management practice is caring for patients in the final hours or days of their lives. This session will examine effective strategies practitioners can utilize to engage families, patients and the care team in the care process. The speaker will discuss the essential elements of an appropriate transition plan for palliative care and explore key considerations such as advance directives.

Learning Objectives:

1.       Understand strategies for case management to engage families, patient and the care team regarding goals in care

2.       Identify an appropriate transition plan for palliative care

3.       Understand POLST and advance directives