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AMSA End of Life Fellowship Horizon Hospice Chicago, IL Summer 2005 Lauren M. Wasson, OMSII Ohio University College of O

AMSA End of Life Fellowship Horizon Hospice Chicago, IL Summer 2005 Lauren M. Wasson, OMSII Ohio University College of Osteopathic Medicine (OUCOM) Athens, OH. Current organization of 1 st and 2 nd year at OUCOM. 1 st Year Blocks Blood & Immunity Dermatology Cardiovascular

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AMSA End of Life Fellowship Horizon Hospice Chicago, IL Summer 2005 Lauren M. Wasson, OMSII Ohio University College of O

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  1. AMSA End of Life Fellowship Horizon Hospice Chicago, IL Summer 2005 Lauren M. Wasson, OMSII Ohio University College of Osteopathic Medicine (OUCOM) Athens, OH

  2. Current organization of 1st and 2nd year at OUCOM 1st Year Blocks Blood & Immunity Dermatology Cardiovascular Respiratory GI Musculoskeletal 2nd Year Blocks Neurology EENT Psychiatry Urinary Endocrine & Metabolism Reproductive

  3. Current EOL Curriculum and Exposure @ OUCOM • Year 2 • Pain Management Block • - Geriatrics Block • Year 1 • -Empathy simulation lab • “Giving Bad News” simulation lab • Cultural Competency lecture Year 3 -Geriatrics rotation 2-4 weeks

  4. Supplemental Lecture Topics Year 1 Dermatology Decubitus Ulcers Cardiovascular Cardiac vs. Brain Death and DNR Orders/Advanced Directives Edema and Fluid overload Respiratory Dyspnea and the use of anxiolytics, narcotics, scopolamine, and nonpharmacologic interventions at the EOL

  5. Year 1, cont’d. GI Clinical application of antiemetics Constipation Nutrition/Hydration Musculoskeletal Weakness/Fatigue and Fall Risk assessment

  6. Supplemental Lecture Topics Year 2 Neurology Consciousness and Communication in the final hours Dementia and Delirium Psychiatry Pharmacologic and Nonpharmacologic treatment of depression

  7. In conjunction with other OUCOM organizations. . . Pediatric Hospice Discussion Medicare/Medicaid, Hospice Benefit Lecture (Business of Medicine series) Improve Cultural Death and Dying Panel OMM in Geriatrics

  8. Thanks to . . . All the patients and their families/caregivers who welcomed me into their homes and lives and taught me more than they will ever realize about suffering, hope, expectations, loss, healing, and meaning. Horizon Hospice Staff and Dr. Preodor- for demonstrating compassionate, dedicated, and wise healing everyday and touching the lives of so many people in so many ways. My Family Jason Mazzurco Dr. Tracy Marx, D.O. OUCOM AMSA and all of the other sponsors of this fellowship Brittany Bettendorf All of the other lecturers Heartland Hospice CTA The other fellows-for offering perspective, and for showing interest in and dedication to learning and sharing with others the importance of caring for patients at the end of life.

  9. The way we deal with loss shapes our capacity to be present to life more than anything else. The way we protect ourselves from loss may be the way in which we distance ourselves from life. -Rachel Naomi Remen You must be Present to win. -sign on a Bingo Hall wall-

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