PoET

A La Carte Activities

The PoET Team is pleased to offer our new catalogue of A La Carte Activities.

 

A La Carte Activities are online and interactive 90-minute sessions designed to help Ontario long-term care homes anticipate, plan for, and respond to decision making situations that can occur there. 

Each A La Carte Activity

*role-playing sessions are limited to 8 participants

Pricing

Single Activity

$ 595
00
  • Single activity of home's choice
  • Can be scheduled within six months from payment

Bundle of 3 activities

$ 1485
00
  • Bundle of any three activities of home's choice
  • Chosen activities can be scheduled separately over six months from payment, or together for a single one-day session (4.5 hours divided into three 90 minute sessions)
  • Savings of $300 over single activity pricing

Types of A La Carte Activities

PoET A La Carte Activities vary from traditional education activities, to more interactive coaching activities, and they can focus on developing individual skills and confidence, or on improving or organizational processes and systems – or a combination of all four of these domains!

The five types of A La Carte activities we offer across these four domains are: (1) Education, (2) Educational Coaching, (3) Role Clarity Mapping, (4) Skill Building, and (5) Analytical Coaching.

 

(1) Education Activities

Educational activities follow the traditional teacher – learner relationship where information is presented on a specific topic with opportunities for questions and answers and discussion.  These activities can focus on individuals, organizations, or both, depending on the topic.

SESSION DESCRIPTION:

This education session outlines the fundamentals of the Health Care Consent Act, including consent, capacity and substitute decision making. The presentation highlights how these elements are related to one another, and how they can be respected in the long-term care setting.

SESSION OUTCOMES:
Comprehensive understanding of
  • the elements of informed consent
  • the meaning of decision making capacity
  • the hierarchy of substitute decision makers
  • the principles of substitute decision making
SESSION DESCRIPTION:

This education session will help attendees to understand the relationship between consent to treatment obligations from the Health Care Consent Act (HCCA) and the requirements of offering a palliative care philosophy in the Fixing Long Term Care Act, as well as the foundational concepts related to these. 

SESSION OUTCOMES:
Greater understanding of the the requirement for consent before treatment, and the relationship between a palliative care philosophy and treatment.
SESSION DESCRIPTION:

This education session will outline the different professional roles that nurses (RNs, RPNs, and NPs) and physicians have in assessing, communicating, and responding to changes in condition with a focus on consent and capacity. 

SESSION OUTCOMES:
Greater understanding of the professional roles, obligations, and limitations that shape consent-related discussions when there is a change in condition.
SESSION DESCRIPTION:

This education session will help staff and physicians to identify the three different types of conversations (Goals of Care, Advance Care Planning and consent and compare and contrast the purposes, objectives, and requirements of each type.

SESSION OUTCOMES:
Greater clarity and confidence related to the different types of discussions, their purposes, and the professionals roles and obligations related to these.
SESSION DESCRIPTION:

This education session teaches staff about how to have conversations with residents about their wishes and how to document those wishes.

SESSION OUTCOMES:
An understanding of how and when it is appropriate to discuss a patient’s wishes and what should and should not be done once a wish has been shared.
SESSION DESCRIPTION:

This education session works with staff and physicians to plan and manage serious illness conversations with residents and substitute decision makers. 

SESSION OUTCOMES:
A better understanding of one’s one’s own and others’ roles in serious illness conversations, including an understanding of the relationship between these discussions and the Health Care Consent Act. 
SESSION DESCRIPTION:

This education session presents attendees with information related to discussions that can arise at end of life and how they relate to consent, so that these discussions can be effective, empathetic, and in line with the Health Care Consent Act. 

SESSION OUTCOMES:
Participants will have a good understanding of the practical steps they can take prior to an end of life discussions, including preparing a proposal.
SESSION DESCRIPTION:

This education session helps staff and physicians to understand how and when to approach the Consent and Capacity Board (CCB) of Ontario when specific issues related to consent, capacity, and substitute decision making arise. The session will address the various application forms to the CCB under the Health Care Consent Act.

SESSION OUTCOMES:
Participants will have familiarity with: 
  • (1) a number of applications that can be made to the CCB, 
  • (2) how each can benefit residents of the home, and 
  • (3) how to access, complete, and submit the forms.
SESSION DESCRIPTION:

This 90-minute education session is designed to deliver foundational information about key concepts from Ontario’s Health Care Consent Act to residents of Ontario long-term care homes, and family members.  The information is tailored to address common questions and concerns that residents and family members have.

SESSION OUTCOMES:
Participants will have familiarity with: 
  • (1) Ontario’s Health Care Consent Act and its key concepts of consent, capacity, and substitute decision making 
  • (2) the ways that the Health Care Consent Act affects residents’ care and treatment in the home
  • (3) where to find and access more information

(2) Educational Coaching

Educational Coaching activities include elements of the traditional teacher – learner relationship (information is presented and discussed with the group), but also include elements that will help the participants integrate the material and apply it in their work in the long-term care home, such as scripting, mapping, and troubleshooting.  These activities can focus on individuals, organizations, or both, depending on the topic.

SESSION DESCRIPTION:

These session will engage participants in addressing issues related to informed consent that have arise in their home.  In preparation for this session, the home should bring questions or cases relating to the topic to the session to ensure the session is interactive and relevant to the home.

SESSION OUTCOMES:
Session participants will leave the session with an comprehensive understanding of informed consent and how to operationalize it in their daily practices and interactions with residents.  
SESSION DESCRIPTION:

These session will engage participants in addressing common issues that can arise related to evaluating decision making capacity in long-term care homes.  In preparation for this session, the home should bring questions or cases relating to the topic to the session to ensure the session is interactive and relevant to the home.

SESSION OUTCOMES:
Session participants will leave the session with a foundational understanding of capacity, capacity evaluations for treatment decisions, and how this knowledge can be practically applied.
SESSION DESCRIPTION:

These session will engage participants in addressing common issues that can arise related to substitute decision making in long-term care homes and reviewing how they arise in the home.  In preparation for this session, the home should bring questions or cases relating to the topic to the session to ensure the session is interactive and relevant to the home.

SESSION OUTCOMES:
Session participants will walk away with direction and strategies for substitute decision making discussions, including the ability to identify when these issues are occuring.
SESSION DESCRIPTION:

Staff and physicians can encounter very challenging situations when they are required to communicate changes in condition, which can sometimes include presenting a new treatment plan proposal.  This session identifies the different roles related to these discussions, and helps participants to identify opportunities and barriers related to them.  

SESSION OUTCOMES:
This sessional will help participants to understand their own and others’ obligations under the Health Care Consent Act, how these are or are not being met in the home, and strategies for improvement and collaboration.
SESSION DESCRIPTION:

Talking to others about their wishes can be intimidating and uncomfortable.  This session provides participants with information about the role that wishes can and cannot play in decision making, and provides them with an opportunity to test and practice different ways to engage in these discussions.

SESSION OUTCOMES:
Participants will have a better understanding of the effects and limitations of wishes on decision making and increased confidence in participating in discussions related to them.  The ACES tool will be used to guide activities in this session.

(3) Role Clarity Mapping

Role Clarity Mapping activities focus on understanding and revealing a home’s current practices related to a particular event or decision making point, and identifying the changes the home would like to make and the methods of achieving these goals.  These activities can focus on individuals, organizations, or both, depending on the topic.

SESSION DESCRIPTION:

This coaching session focuses on role clarity mapping on admission to support staff in understanding role clarity within this context and how it relates to obligations under the Health Care Consent Act.

SESSION OUTCOMES:
Participants of these sessions will be able to identify the types of decision making that can be expected to occur on admission and the different roles related to these.  Through reflection on current processes, participants will also be in position to identify opportunities for change. 
SESSION DESCRIPTION:

This coaching session focuses on role clarity mapping at care conferences to improve understanding of how it relates to obligations under the Health Care Consent Act.

SESSION OUTCOMES:
Participants of these sessions will be able to identify the types of decision making that can be expected to occur at care conferences and the different roles related to these.  Through reflection on current processes, participants will also be in position to identify opportunities for change. 
SESSION DESCRIPTION:

This coaching session focuses on role clarity mapping for changes in condition so that staff can understand role clarity within this particular context and how it relates to obligations under the Health Care Consent Act.

SESSION OUTCOMES:
Participants of these sessions will be able to identify the types of decision making that can be expected to occur when there is a change in a resident’s condition, and the different roles related to these.  Through reflection on current processes, participants will also be in position to identify opportunities for change. 

(4) Skill Building Activities

Skill Building activities help individuals to fulfill their specific role in consent-related discussions through building confidence and gaining experience.  These activities focus on individuals.

SESSION DESCRIPTION:

In this highly-interactive session, participants will have the opportunity to participate in mock consent discussion that can occur in different contexts in long term care.  Participants are limited for this session in order to encourage participation.  

SESSION OUTCOMES:
After this session, participants will know what it is like to participate in a consent discussion from an understanding of their role and the role of others, and an understanding of what approaches and methods they are most comfortable with.
SESSION DESCRIPTION:

Residents are invited to learn about their role in treatment decision making, and build their confidence and skills related to consent and capacity.

SESSION OUTCOMES:
After this session, residents should feel more comfortable with consent-related discussions and their rights.  Residents will be provided with tools, resources, and strategies that will help them to be active participants in treatment decision making.

(5) Analytical Coaching Activities

Analytical Coaching activities help organizational groups to understand current processes related to decision making points, and identify organizational opportunities for improvement.  These activities focus on organizations.

SESSION DESCRIPTION:

In this session participants will have the opportunity to reflect on the decision making processes that exist in their home, and the current roles that different people are taking on and/or are expected to take on.  The session will then help participants to categorize different types of decision making in order to understand the different roles related to each and identify opportunities for improvement. 

SESSION OUTCOMES:
Participants of these sessions will receive tools and strategies appropriate to the issues and barriers identified in the  coaching session. 
SESSION DESCRIPTION:

Changes in condition can be a key decision making point in long term care and they include many variables that affect who can be involved, and what role they have.  This coaching session helps staff to explore their current practices related to changes in condition, and reveal opportunities and strategies for improvement related to role clarity.

SESSION OUTCOMES:
Participants will receive an information page outlining different types of conversations that can occur when there is a change in condition, as well as the roles different people have in decision making.  Staff will be able identify how their current practices might lack alignment, and/or where  there are opportunities for improvement, and have strategies for implementation.
SESSION DESCRIPTION:

End of life discussions can be challenging for everyone involved.  This coaching session helps staff and physicians to explore and reflect on their current practices related to end of life discussions, with the goal of identifying opportunities for improvement to ensure that each resident receives the care that they want and can benefit from and that the people caring for, and possibly making decisions for them, know and understand their roles and obligations.

SESSION OUTCOMES:
A brief report will be provided at the end of the session that summarizes current practices, opportunities for improvement identified in the session, suggested changes, and further resources.
SESSION DESCRIPTION:

A resident who has been found incapable of making a treatment decision has the right to appeal this finding.  This coaching session helps staff to reflect on their current practices related to capacity assessments in order to identify opportunities for improvement so that each residents’ right to appeal a finding of incapacity is respected.

SESSION OUTCOMES:
A brief report will be provided at the end of the session that summarizes current practices, opportunities for improvement identified in the session, suggested changes, and further resources.
SESSION DESCRIPTION:

Creating and presenting treatment plan proposals are key steps in the informed consent process.  This coaching session helps staff and physicians to reflect on their current practices related to treatment plan proposals so that the home can identify where there are opportunities for improvement. 

SESSION OUTCOMES:
A brief report will be provided at the end of the session that summarizes current practices, opportunities for improvement identified in the session, suggested changes, and further resources.
SESSION DESCRIPTION:

Changes in condition can be a key decision making point in long term care.   This coaching session will help the home to identify the current areas of variability in reponse to changes in condition, and the beliefs and structures that might be supporting that variability.

SESSION OUTCOMES:
A brief report will be provided at the end of the session that summarizes current practices, opportunities for improvement identified in the session, suggested changes, and further resources.

Not sure which sessions might be right for your home?  Reach out to arrange a 15-minute discovery call with one of our Program Coordinators to find out what might best suit your needs.

To arrange for one or more A La Carte Activities for your home, 

please send an email with your selection(s) to: 

[email protected]


If you are looking to make longer-lasting, more widespread change at your home, please look into our

Provincial PoET Program.