Conference Title:
ETHICS AND LONG-TERM CARE IN THE 21st CENTURY
Sponsored by:
Fordham University Graduate School of Social Service
Consolidated Edison Keynote Speaker: Connie Zuckerman, JD
Long-Term Care Ethics in the 21st Century:
A. HOW DOES ONE DO A GOOD CLINICAL ETHICS CONSULTATION IN END-OF-LIFE DILEMMAS?
Rabbi Lowell S. Kronick
With respect to this workshop's objectives, participants will: Learn about the scope and limitations of medical ethics principles in performing case review; Review and evaluate various stances of the ethics consultant: equipose, casuistic analysis, facilitation and mediation, value-laden agendas; Consider the elements of due process and the inclusion of all stakeholders; and Measure what constitutes a "good" outcome in case review.
B. ORGANIZATIONAL ETHICS:LINKING VALUES TO ACTION FOR RESIDENTS, STAFF, & ORGANIZATIONAL INTEGRITY
Catherine R. Seeley, MA
This workshop will offer a practical roadmap for this generation of ethics committees that must integrate clinical and organizational ethics
activities in order to be systemically effective. Tools for creating a values based, resident focused, socially responsible, collaborative, accountable and measurable integrated ethics program will be
highlighted.
C. BIOETHICS: DILEMMAS IN ETHNOGERIATRIC CARE
Gloria C. Ramsey, RN, JD
In our multicultural society, cross-cultural encounters are becoming increasingly common in our health care setting. Many cultural groups do not place the same emphasis on patient autonomy and self-determination that Western society does and find that many of our bioethical dilemmas are offensive. When patients and health care professionals are from different ethnic backgrounds, value systems that form the basis for such decisions may conflict, often leading to distinct ethical and interpersonal tensions. This session will discuss the relevance and influence of culture in ethnogeriatric care and explore bioethical dilemmas and their impact on the elderly. It will end with a case study analyzing cultural competency challenges in the 21st century.
D. ETHICAL ISSUES IN "RESIDENT-CENTERED" CARE
Facilitators: Patricia Krasnausky, MS
Many nursing home operators are initiating programs to change the "culture" of their facilities to one that is more "resident-centered" and "home-like." The models for change raise questions about autonomy, respect, and other principals which have not yet been explored. Our facilitators will lead a conversation on the ethical issues surrounding this movement.
PAST CONFERENCES
Conference Title: ETHICAL DECISIONS IN DEMENTIA CARE: LOOKING BEYOND THE DIAGNOSIS
Sponsored by:
Fordham University Graduate School of Social Service
Cabrini Mission Foundation Keynote Speaker: Bruce Jennings, MA A. INFORMED CONSENT
Jeffrey Nichols, MD
Dementing illnesses usually have long time courses with a wide spectrum of functioning. Ethical discussions have tended to emphasize directions at the end stage. Using a case vignette format, this workshop will explore the informed consent process for dementia patients including elective diagnostic and surgical procedures and participation in research.
B. ADVANCE DIRECTIVES AND INDIVIDUALS WITH DEMENTIA: LEGAL, PRACTICAL, AND ETHICAL ISSUES
Paulette Sansone, PhD, CSW
Individuals with dementia are often denied the right to express their health care preferences by means of an advance directive. This workshop will explore ways that caregivers and professionals can advocate on behalf of this vulnerable group of individuals and assist them with the execution of these important documents. Topics such as cognitive capacity to appoint a health care proxy, the Health Care Proxy and Do Not Resuscitate laws in NYS, and the role and responsibilities of the health care proxy will be addressed.
C. SYMPTOM ASSESSMENT AND THERAPY IN COGNITIVELY IMPAIRED RESIDENTS IN LONG-TERM CARE
David I. Wollner, MD, FACP
The goals of this workshop will be to: 1) understand the principles of symptom assessment and therapy; 2) identify the barriers to optimal pain and symptom control in the cognitively impaired elderly; 3) develop a systematic approach to these barriers; and 4) appreciate the moral, ethical, and legal aspects in the care of this population.
D. CLINICAL AND ETHICAL ISSUES IN HYDRATION AND
NUTRITION
Daniel Sulmasy, OFM, MD, PhD
This workshop will begin with a brief presentation on clinical and ethical issues regarding feeding tubes and parenteral nutrition in patients suffering from dementia. Participants will then be asked to present cases from their own experience for an interactive discussion, facilitated by Dr. Sulmasy, as if the cases were being discussed by an ethics committee. Conference Title: ORGANIZATIONAL ETHICS AND MORAL INTEGRITY: WHOSE RESPONSIBILITY ARE THEY?
Sponsored by:
Fordham University Graduate School of Social Service
Ross Products Division, Abbott Laboratories
ORGANIZATIONAL ETHICS: PRACTICAL CONSIDERATIONS Keynote Speaker: Carol Taylor, CSFN, RN, MSN, PhD ORGANIZATIONAL ETHICS FROM THE BOARD ROOM TO THE BOILER ROOM: CREATING MORAL SPACE IN THE WORKPLACE
Sara Goldberger, ACSW
Representatives from various disciplines in long-term care will examine several case studies involving organizational ethics.
MODERATOR: Linda Farber Post, JD, BSN, MA
PANELISTS:
Bonnie Burke, LNHA, MS
Ann M. Callaghan, RN, CNAA, MA
Mark J. Kator, MBA, MA, BA
Ann E. McDermott, CSW-R, BCD, CCM
Jeffrey Nichols, MD
Rabbi Harold Stern
To find out more about organizational ethics read: Khushf, G. (1998). The scope of organizational ethics. HEC Forum, 10(2), 127-135. Potter, R. L. (1996). From clinical ethics to organizational ethics: The second stage of the evolution of bioethics. Bioethics Forum, 139-148. Weber, L. J. (1997). Taking on organizational ethics. Health Progress, May/June, 20-23, 32.
Date: Thursday, June 10, 1999
Panel Topic: The Case of Mrs. S
Panel Topic: The Case of Mr. M
Panel Topic: The Process of Creating an Advance Directive
Date: Monday, December 7, 1998
Workshop Facilitaters:
Date: Thursday, June 25, 1999
Date: September 15, 1998
Date: Thursday, March 26, 1998
Date: Thursday, September 11, 1997
Date: Thursday, March 13, 1997
Title of Address: Managed Care: Shifts in Power, Shifts in Value, New Challenges
Date: Monday, December 9, 1996
Date: June 4, 1996 * Jay Kantor, PhD
Date: February 26, 1996
Date: May 16, 1995
Links to:
Back to Home Page
The page was updated on July 2, 2001.
WHAT'S THE NEXT CONFERENCE?????
ETHICS AND LONG-TERM CARE
Wednesday, September 12, 2001
12:00 - 4:30 P.M.
12th Floor Faculty Lounge
Fordham University, Lincoln Center
Health Care Attorney and Bioethics Consultant
Continuing Challenges, Emerging Concerns
WORKSHOPS:
Director, Spiritual Care
Parker Institute for Health Care and Rehabilitation
New Hyde Park, NY
Writer, Lecturer, and Healthcare Consultant
Director, Legal and Ethical Aspects of Practice
New York Univesity
Division of Nursing
New York, NY
Executive Director
St. Cabrini Nursing Home, Dobbs Ferry, NY, and
Cabrini Center for Nursing and Rehabilitation, NY, NY
Jeffrey Nichols, MD
Medical Director, Cabrini Center for Nursing and Rehabilitation,and
Chief of Geriatrics and Palliative Care, Cabrini Medical Center, NY, NY
Thursday, June 8, 2000
12:30 - 4:00 P.M.
12th Floor Faculty Lounge
Fordham University, Lincoln Center
Senior Research Scholar
Former Executive Vice President
The Hastings Center
Garrison, NY 
WORKSHOPS:
Medical Director
Cabrini Center for Nursing and Rehabilitation
Chief of Geriatrics & Palliative Care
Cabrini Medical Center
New York, NY
Director of Social Services and Research
Ilan Ledner, CSW, MSW
Social Work Supervisor
Schervier Nursing Care Center
Bronx, NY
Geriatric Palliative Care Specialist
Department of Pain Medicine & Palliative Care
Beth Israel Medical Center, New York, NY
Faculty, Albert Einstein College, Bronx, NY
Sisters of Charity Chair in Ethics
Saint Vincents Hospital, New York, NY
Director, Bioethics Institute
New York Medical College, Valhalla, NY
Tuesday, December 14, 1999
12:00 P.M. - 4:30 P.M.
Pope Auditorium
Fordham University, Lincoln Center
Director, Center for Clinical Bioethics
Assistant Professor, Nursing
Georgetown University
Washington, DC
PLENARY SESSION:
Chairperson of the Patients' Rights and Organizational Ethics Committee
and
Catherine Seeley, MA
Director of Bereavement Services
Former Co-Chair, Patients' Rights and Organizational Ethics Committee
Calvary Hospital, Bronx, NY
MULTIDISCIPLINARY PANEL DISCUSSION
Bioethics Consultant, Division of Bioethics
Montefiore Medical Center
Assistant Professor of Bioethics
Albert Einstein College of Medicine, Bronx, NY
Assistant Administrator, Frances Schervier Home and Hospital, Bronx, NY
Director of Nursing, Ozanam Hall Nursing Home, Queens, NY
President and Chief Executive Officer, Isabella Geriatric Center, New York, NY
Director of Social Services, Chair of Ethics Committee, Isabella Geriatric Center, New York, NY
Medical Director,Cabrini Center for Nursing and Rehabilitation, and Chief of Geriatrics, Cabrini Medical Center, New York, NY
Director of Spiritual Care, Chariman of Bio-Ethics Committee, Daughters of Jacob Geriatric Center, Bronx, NY
PAST CONFERENCES
ADVANCE DIRECTIVES CONFERENCE:
Time: 1:30 PM -5:00 PM
Conference Title: When the Unexpected Happens: Interpreting Advance Directives in an Imperfect World
Location: St. Vincents Hospital and Medical Center, New York City
Overview: Renie Rutchick, MSSS, Director of Program, Choice In Dying 
Panel Moderator: * Dr. Bart Collopy
Panelists: * The Rev. Curtis Hart, M.Div., * Alice Herb, JD, LLM, & * Dr. Ellen Olson
Panel Moderator: * Dr. Jeffrey Nichols
Panelists: *Susan Gerbino, PhD, * Rabbi Lowell S. Kronick, * Jill L. Loeb, BSN, RN, & * Phyllis Erlbaum Zur, ACSW
Panel Moderator: * Clare L. Horn, ACSW, CCM
Panelists: * Dr. Gerald Blandford, * Linda Farber Post, & * Alyson Keane, RN, BS
THE SPIRITUALITY CONFERENCE:
Time: 9:00 AM - 4:30 PM
Conference Title: Ethical Mandate: Reclaiming the Practice of Spirituality in Long-Term Care
Location: Wurzweiler Graduate School of Social Work, New York City
Keynote Speaker: Dr. Philip Boyle, Park Ridge Center for Health, Faith, and Ethics
* Dr. Eric Cassell
* Dr. Rick Moody
* The Rev. Stephen Overall
* Rabbi Dr. Moses D. Tendler
Following the workshops, representatives from the fields of social work, nursing, and pastoral care role-played with three residents some of the common spiritual issues and conditions encountered in clinical practice.
VIDEOTAPES
AVAILABLE FOR PURCHASE/VIEWING
END OF APRIL, 1999
PALLIATIVE CARE CONFERENCE
Time: 12:00 PM - 5:00 PM
Conference Title: Ethical Issues of Palliative Care and Pain Management in the Nursing Home
Location: Hebrew Home For The Aged at Riverdale
Keynote Speaker: Dr. Jeffrey
Nichols, Medical Director, Cabrini Center
for Nursing and Rehabilitation, and Chief
of Geriatrics, Cabrini Medical Center,
New York, NY. Dr. Nichols is also a Co-
Founder and Co-Director of the
NYCLTCEN.
Workshop Facilitaters:
* Elle Steinhardt, RN, & * Susan Gerbino, PhD, CSW
* Eileen Chichin, PhD, CSW, RN
* Sarah Hogenauer, RN
Plenary Session: * Judith Ahronheim, MD, FACP
Title: Ethical Issues of Pain and Suffering Management
Following the first plenary session, a plenary session on Constructing a Palliative Care Service in the Nursing Home will invite the audience members to suggest a range of necessary elements in establishing a palliative-care service in the nursing home and identify workable clinical pathways to promote its successful implementation.
ETHICS COMMITTEES
Time: 1:00 PM -- 4:30 PM
Seminar Title: The Formation and Maintenance of Ethics Committees
Location: Fairview Nursing Care Center, Queens
Plenary Session: * Dr. Jeffrey Nichols
Title: Different Models and Concerns
Plenary Session: * Rabbi Lowell S. Kronick
Title: The Process of Ethics Case Consultation
Plenary Session: * Mary Devlin
Title: Developing Institutional Support for the Ethics Committee
Following the plenary sessions three concurrent workshops will be offered:
1. Evaluating and Strengthening an Ethics Committee--Mary Devlin
2. The Decision Tree Model of Ethics Case Review--Rabbi Lowell S. Kronick
3. Getting Started: The Basics--Dr. Jeffrey Nichols
HEALTH CARE DECISION MAKING & CULTURE
Time: 12:30 PM - 5:00 PM
Conference Title: Health Care Decision Making: The Impact of Culture on Ethics in Long-Term Care
Location: Ben Barrack Auditorium, The Jewish Home and Hospital, NYC
Keynote Speaker: Dr. Edmund D. Pellegrino, John Carroll Professor of Medicine & Medical Ethics,
Center for Clinical Bioethics, Georgetown
University Medical Center, Washington,
D.C.
Panel Moderators:
* Bart Collopy, PhD
* Ellen Bartoldus, CSW
Following the panel discussions, both panels will participate in a DIALOGUE about cultural and ethical approaches to health care that differ from Western Norms but deserve respect. The audience will have an opportunity to participate as well.
Moderator: * Rabbi Lowell S. Kronick
ARTIFICIAL NUTRITION & HYDRATION
Time: 12:00 PM - 4:30 PM
Conference Title: Artificial Nutrition and Hydration in the Frail Elderly: Diverse Ethical Perspectives
Location: Fordham University at Lincoln Center
Keynote Speaker: Paul R. Brenner, M. Div., Executive Director, Jacob Perlow Hospice, Department of Pain Medicine and Palliative Care, NYC
Title of Address: The Ethical Framework: Hydration and Nutrition at the End of Life--Hospice and Nursing Perspectives
Workshop Facilitators:
* Judith Ahronheim, MD, FACP, and * Gerald Blandford, MBBS, FRCP(C), FACP
Title: Disordered Eating in Late Stage Dementia: Science and Controversy
* Ellen Olson, MD
Title: Suggesting a Broad Framework in which Individual Decisions on ANH Can Be Made
* Allen J. Bennett, MD, FACP
Title: The Role of Values and Beliefs in Patient Autonomy
Following the workshops, a multidisciplinary panel will analyze a case vignette that raises the salient ethical issues about ANH in the frail elderly.
Moderator: * Rabbi Lowell S. Kronick
MANAGED CARE
Time: 12:00 PM - 4:30 PM
Conference Title: Managed Care: Looming Ethical Dilemmas in Long-Term Care Delivery
Location: Fordham University at Lincoln Center
Keynote Speaker: Msgr. Charles J. Fahey, Senior Associate and Maria Doty Professor of Aging Studies, The Third Age Center, Fordham University, Bronx, NY
Workshop Facilitators:
* Harrison Bloom, MD
Title: The Relationship Between the Managed Care Entity and Professional Autonomy
* Tia Powell, MD
Title: The Changing Relationship Between Providers and Residents/Patients
* David Naseff
Title: Ethical Approaches to Allocation of Resources
Following the workshops, a multidisciplinary panel will address the question, "Who will advocate for the resident?"
Moderator: * Rabbi Lowell S. Kronick
SPIRITUAL/RELIGIOUS VALUES & ETHICS
Time: 9:00 AM - 4:30 PM
Conference Title: Whose Life Is It Anyway? Spiritual/Religious Values and Clinical Ethics in Long-Term Care
Location: Wurzweiler School of Social Work
Keynote Speaker: David H. Smith, PhD, Professor of Religious Studies, and Director, Poynter Center for the Study of Ethics and American Institutions, Bloomington, Indiana
Workshop Facilitators:
* Rabbi Lowell S. Kronick
Title: Identifying Faith Based Values in Formulating Health Care Decisions
* Rabbi Moses D. Tendler, PhD
Title: The Meaning of Suffering: Religious and Clinical Perspectives
* Paul R. Brenner, M. Div.
Title: Issues of Religion and Spirituality in Death and Dying: An Exploration of Conflict and Synergy
* The Rev. Joe Nilsen, Th. M.
Title: Terminal Illness and Issues: Choosing How to Die in an Indecisive Society
* The Rev. Amy Furth
Title: The Meaning of Suffering: Religious and Clinical Perspectives
* Ellen Bartoldus, CSW, * Louise Schmitt, PhD, & * The Rev. Senan Taylor, OFM Cap
Title: The Values History As a Tool in Formulating Spiritually Based Decisions
* William Ruddick, PhD, * Jeffrey Blustien, PhD, & * The Rev. William Purdy, STM
Title: The Personhood of the Severely Demented
Following the afternoon workshops, representatives from six major faith groups will examine and discuss a clinical case from the various religious perspectives.
Moderators: *Norman Linzer, PhD, and * Paulette Sansone, PhD
LONG-TERM HOME HEALTH CARE
Time: 11:30 AM -- 4:30 PM
Conference Title: Ethical Dilemmas In Long-Term Home Health Care
Location: Fordham University at Lincoln Center
Keynote Speaker: Nancy Neveloff Dubler, LL.B.
Director, Division of Bioethics,
Department of Epidemiology and Social
Medicine, Montefiore Medical Center,
New York, NY
Workshop Facilitators:
Title: Fair Access to Home Care Services in a Managed Care Environment
* Ann Wyatt
Title: Cultural and Family Considerations in Home Care vs. Nursing Home Placement Dilemmas
* Anne Dawson
Title: Non-Compliance and Threatened Violence Against Home Care Staff
Following the afternoon workshops, a plenary mock ethics committee will be held.
Moderator: * Robert Cassidy, PhD
ASSESSING CAPACITY
Time: 12:30 PM -- 4:30 PM
Conference Title: Assessing Capacity in Long-Term Health Care Decision Making
Location: Fordham University at Lincoln Center
Keynote Speaker: Gary Kennedy, MD, Director, Division of Geriatric Psychiatry, Albert Einstein College of Medicine, Montefiore Medical Center, Bronx, NY
Research Findings: * Louise Schmitt, PhD, * Jeffrey Nichols, MD, & * Paulette Sansone, PhD
Title: The Right to Choose Capacity Study
Following the afternoon workshops, a multidisciplinary panel will examine case studies.
Panelists: * Patricia Krasnausky, LNHA
* Rabbi Lowell S. Kronick
* Ellen Olson, MD
* Paulette Sansone
* Joan Skyers, RN
* Connie Zuckerman, JD
ETHICAL DECISION MAKING
Time: 12:30 PM -- 4:30 PM
Conference Title: Using Conflict as a Tool in Ethical Decision Making
Location: Fordham University at Lincoln Center
Keynote Speaker: Harry R. Moody, PhD, Ethicist and
Acting Director of the Brookdale Center,
Hunter College, New York, NY
Following the keynote address two sessions of concurrent workshops will be offered which will examine:
SESSION 1
Workshop A: How to Reach Consensus among Family Members in Conflict
Moderator: * The Rev. William Purdy, STM
Workshop B: How to Reach Consensus among Interdisciplinary Team Members in Conflict
Moderator: * Ellen Bartoldus, CSW
SESSION 2
Workshop C: How to Reach Consensus among Ethics Committee and Family in Conflict
Moderator: * Rabbi Lowell S. Kronick
Workshop D: How to Reach Consensus among Institution and Resident in Conflict
https://www.angelfire.com/on/NYCLTCethicsnetwork/conferences.html
last revised 7/12/99.
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