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Rural Rounds: Conversations With Families About End-Of-Life in Late Frailty and Dementia
Dr. Janz will talk about how to prepare families and patients with late frailty or dementia as they approach their natural death, and how to provide best possible quality of life on this journey. Goals of Care conversations will be modelled around CPR, ICU, feeding tubes, hip fracture, pneumonia, and avoiding potentially burdensome medical interventions, including major surgery and hospitalization. Providing meticulous pain and symptom management at end-of-life will be reviewed, with plenty of time for questions.
Rural Rounds presentations are tailored specifically for the unique practice context of rural healthcare providers. Sessions feature relevant topics, exemplative case studies and an opportunity to connect with fellow rural providers. If you practice in or support rural communities in British Columbia, we would love to have you join the Rural Rounds community!
Rural Provider Social Time: Grab your coffee and join the session link at 7:45 a.m. (PT) to connect with your fellow rural healthcare colleagues before the presentation. This is a great opportunity to introduce yourself, chat, and build community before we begin!
Can’t Join Live? The webinar will be recorded and the link will be shared with all registered participants to watch on-demand after the event.
The session will be led by Dr. Trevor Janz. Dr. Janz is a family doctor who has practiced emergency and long-term care medicine in Nelson, BC for 30 years. He is house physician for 132 residents in Mountain Lake Seniors Community and Nelson Jubilee Manor and works as long term care medical director for the Interior Health Authority. He is a co-chair of the regional clinical ethics committee and serves as a palliative care instructor in the Pallium LEAP course and Significant Illness Conversation Guide.
He has worked provincially on a number of quality improvement initiatives for seniors, including advance care planning and MOST, appropriate use of antipsychotics, management of behavioural and psychological symptoms of dementia, least restraint and falls prevention strategies, and polypharmacy reduction.
Dr. Janz created the “Dementia Roadmap for Families” which has been translated into Punjabi, Mandarin, and Farsi, and a “Frailty Roadmap for Families” in collaboration with Fraser Health.
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This project was developed and is operated by the UBC Faculty of Medicine’s Division of Continuing Professional Development (CPD) in partnership with the Rural Coordination Centre of BC. Funding for Rural Rounds was provided by the Joint Standing Committee on Rural Issues, a joint committee of the Doctors of BC and BC Ministry of Health.
