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"EXCEL" Steering
Committee Minutes
July 18, 2000
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If you have any questions please
contact Stephanie Lane at 802-223-7898.
Present
Tim Thompson, MD, Arnold Golodetz, MD, Diana Peirce, Marie Kirn John
Campbell, Joan Madison, MD, Judith Hills, MD, Denise Niemira,
Madeleine Mongan
The meeting began with a discussion
of the Hospice and ExCEL meetings at Lake Morey in June. A
suggestion was made that next year we should prepare separate
announcements of the two meetings because some people found the
combined announcement confusing.
Brattleboro - follow-up
Since the meetings a steering committee has formed and has met three
times. They have planned training in the hospital and community for
August and September. A member of their steering committee who works
at Woodbury College has offered the group the opportunity to
participate in a 4-day workshop on mediation at no charge.
The new EMT-DNR protocol will be
piloted in Brattleboro before being implemented statewide. Jeff Bell
MD will be coordinating this.
Bennington
Advance care planning trainings are scheduled for October 13 and 14
in Bennington. Local leaders will be involved including Barbara
Fane, an oncology nurse who will do a presentation on hospice.
EMT-DNR -
Next meeting of the EMT/DNR group is Thursday, September 14 at 6 p.m
at Central Vermont Home Health & Hospice.
Central Vermont
Central Vermont is marketing hospice training to EMT's. This is
designed to help with recruiting volunteers and also to pave the way
for the coming EMT/DNR policy.
The Central Vermont palliative care
service is off the ground. They have had 4 referrals so far since
they opened in July. Primary care docs, specialists and nurses have
requested consults. They have two nurses and two docs who offer
coverage at all times and so far have been able to consult within 4
hours. The physicians bill regular consults for medical care in the
hospital and the nurses bill through a consultation contract they
have with the hospital
Central Vermont hospital is also in
the process of developing a family comfort room where families can "veg
out" and rest as opposed to a "dying room" for patients.
VEN Posters
VEN has "How can we respect your wishes if we don't know what they
are" posters available for posting in doctors and other medical
offices. VMS will include a notice about these in the next
newsletter and/or policy bulletin.
North East Kingdom
The North East Kingdom group is moving forward on their project with
nursing homes. They are educating nursing home staff and recruiting
volunteers to sit with people who are dying. A dinner meeting with
physicians is scheduled for Monday July 24 to review the results of
their survey of families of dying patients and to increase physician
involvement and participation.
North Country Hospital has agree to
fund 1 of their employed docs to become certified in palliative care
and provide palliative care in the hospital. (Two other docs in the
community, Denise Niemira and Skip Linton are already certified.) |