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Judith Suraski is a registered nurse with more than 40 years of clinical experience in intensive care, coronary and post-coronary care, ambulatory urology services, and maternity care. Judith has extensive experience working both with pediatric and adult patients and has worked in case management since Judith joined the Rehabilitation Planning team in She has 26 years of experience in assessing and treating children and adult clients with birth injuries including cerebral palsy and brachial plexus injuries , head injuries, spinal cord injuries, and orthopedic injuries, multiple trauma, amputations and chronic pain.

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Her clinical experience includes treatment of children with cerebral palsy using a variety of techniques including neuro-developmental treatment approaches, MEDEK, Bobath, Constraint Therapy. Colleen also serves as a Legal Nurse Consultant, providing assistance to lawyers and legal professionals, with expert legal nurse consultation and opinions on medical malpractice cases. The health system developed advance care planning education for patients and their families, for healthcare providers, and for the Frederick community.

Pediatric Life Care Planning and Case Management

Two years ago, Dinterman began to look at what they could do in the community to provide advance care planning education so medical terms and forms would be understood prior to admission. The first step was to form a multidisciplinary advance care planning committee, including community partners, to discuss how to move advance care planning education out into the community.

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The advance care planning initiative working group consisted of Dinterman as chair, and 21 additional members. Another goal was to improve the understanding of palliative vs.

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See table with definition of advance directives in this issue. The advance care planning work group decided to provide community education through outreach to nursing homes, assisted living centers, and independent living locations, as well as through community events, civic organizations, and the media.

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These round table discussions at skilled nursing facilities and assisted living homes include talk of different issues, including readmissions rates and how to reduce them. The following are some other questions to jump-start the advance care planning discussion:. The outreach appears to be working.

Nursing facility staff has offered positive feedback, as well as constructive suggestions. As a result, they saw an increase in patient satisfaction surrounding their choices, and a reduction in the readmission rate with this population of patients, she adds. Discussing advance care planning issues helps patients engage with care planning sooner than they would without the conversations. The educational program includes advance directive packets of information distributed to people and used at meetings.