August 28, 2018
8:30 a.m. Registration/Continental Breakfast
9:00 a.m. Person Centered Care – What Happens When Choice Involves Risk
Speaker: Ken Watkins
Nursing facilities that have implemented person-centered care practices express concerns about giving residents the freedom to make their own decisions and the accompanying risks. Although the Centers for Medicare and Medicaid Services regulations are clear that residents have the right to a dignified existence and self-determination, and that the facility must protect and promote their rights, examples abound of care communities coercing, cajoling, or requiring residents to do things they do not want to do (e.g., take medications), or the reverse of not letting them do what they want (e.g., eat a regular diet). This session will review a process that helps social workers follow the regulations about education and offering choices while honoring resident preferences and documenting the process for surveyors.
10:30 a.m. Dealing with Family Conflict and Concerns
Speaker: Ken Watkins
At some point all social workers will have to deal with a problem family member. Handling difficult situations with problematic people can easily get out of hand and make things even worse. This session will review strategies for handling many family issues and concerns including the difference between family and resident/patient expectations, regulatory solutions involving pre-admission screening, social services interventions, involuntary discharge, visitation restrictions and other legal strategies.
11:45 a.m. Lunch (provided)
12:15 p.m. The Role of the Social Worker in Transitions of Care
Speakers: Wendy Ager and Bethany Wentink
This session will cover issues residents and families face as they transition into a nursing facility and the role the social worker plays during the transition. There will be a discussion on issues that families and residents face as the resident declines and needs to move to a higher level of care. You will learn how to talk to residents and families about discharge potentials and choosing a higher level of care if needed in the future. The session will also cover the applicable Iowa laws and regulations pertaining to occupancy, transfer, and residents rights.
1:30 p.m. Using IPOST for Advanced Care Planning
Speaker: Kady Reese
In the last stages of illness, health decisions can be complicated and difficult for the patient, their families, and even the treating health providers. The Iowa Physician Orders for Scope of Treatment, known as IPOST, helps health providers guide and support the patient and their families during this sensitive time. A completed IPOST creates a clear declaration of the patient’s healthcare treatment choices and assures that the patient’s wishes are fulfilled at the prescribed time. Discussion during this session will focus on understanding the POLST paradigm movement and Iowa’s IPOST; understanding the power of the IPOST conversation; and dealing with common pitfalls using IPOST.
3:00 p.m. Adjourn