8:30 AM – 4:00 PM
Gadbois Hall, Saint Anselm College
Jointly provided by:
C O N T I N U I N G N U R S I N G E D U C AT I O N
Committed to Advancing the Practice of Nursing
and
HOSP-PAL2016
www.facebook.com/cne.saintanselm
visit us online:
www.anselm.edu/cne
www.facebook.com/cne.saintanselm
Friday, March 4, 2016
Change Service Requested
Additional program information is available on our website:
WWW.ANSELM.EDU/CNE
3rd Annual
Hospice & Palliative
Care Conference
Better Understanding
the Needs of Our Diverse
Populations to Improve
Quality End of Life Care
C O N T I N U I N G N U R S I N G E D U C AT I O N
100 Saint Anselm Drive
Manchester, NH 03102-1310
8:00 am–8:30 am
Registration and Coffee
8:30 am–9:00 am
Setting the Stage: Openness and
Understanding of Diversity
Rev. Mary Francis Drake
9:00 am–10:00 am Caring for the Underserved:
What we are Learning
Stephen Rust
10:15 am–11:15 am Disparities in EOL Care: Current
Landscape & Implications for
Delivering Quality Care in an
Increasingly Diverse NH
Trinidad Tellez
11:15 am–12:30 pm Who Falls through the Cracks at End of
Life? Two Nursing Perspectives
Michelle McMurray; Joanne Goodrich
12:30 pm–1:15 pm Lunch (Provided)
1:15 pm–2:30 pm
Enhancing Interdisciplinary
Cultural Competence
Laurie Farmer; Charles Johnson;
Nathali Ahyi
2:15 pm–2:30 pmBreak
2:45 pm–3:15 pm
One Person’s Story: An Experience
at End of Life
3:15 pm–3:45 pm
Appreciating Uniqueness
Rev. Mary Francis Drake
3 :45 pm–4:00 pm Evaluation and Closing
Non-Profit Org.
US POSTAGE
PAID
Manchester, NH
Permit #6035
Schedule
DISTINGUISHED FACULT Y
GENER AL INFORMATION
REGISTR ATION FORM
NATHALI AHYI, Director, Health and Equity Partnership,
Foundation for Healthy Communities, Concord, NH
TARGET AUDIENCE: This conference is ideal for all nurses
and other health care professionals who care for patients
toward the end of life.
Better Understanding the Needs of Our Diverse
Populations to Improve Quality End of Life Care
REV. MARY FRANCIS DRAKE, MA, MSW, LICSW, AHPC-SW
CERTIFIED, Hospice Chaplain and Bereavement Counselor,
Pemi-Baker Community Health, Plymouth, NH
LAURIE FARMER, LICSW, ACHP-SW, Vice President of
Hospice at Concord Regional VNA, Concord, NH
FEE: $119. Fee includes morning coffee, breaks and lunch
and conference handouts.
JOANNE GOODRICH, APRN, Concord Hospital Palliative
Medicine and Hospice Program, Concord, NH
GROUP DISCOUNT: If five or more people from the same
agency register at the same time for the same conference,
you may deduct 10%. Mailed registrations must
arrive in the same envelope. Faxed registrations must
arrive together.
CHARLES JOHNSON, Spiritual/Bereavement Coordinator,
VNA of Manchester & S.N.H, Manchester, NH
MICHELLE MCMURRAY, APRN, Emergency Services,
Boston Medical Center, Boston, MA
STEPHEN RUST,
MD, FACP, FAAHPM,
Executive Medical
Director, Capital
Region Palliative
Care and Hospice,
Concord, NH
TRINIDAD TELLEZ,
MD, Director, Office
of Minority Health
& Refugee Affairs,
Department of Health & Human Services, Concord, NH
PL ANNING COMMIT TEE
MAIL: Saint Anselm College
Continuing Ed #1745
100 Saint Anselm Drive
Manchester, NH 03102-1310
PHONE: 603-641-7086,
credit card required
CONTACT HOURS: This conference provides 6.25
contact hours.
PLEASE PRINT CLEARLY OR TYPE.
Name________________________________________
Credentials_____________________________________
CANCELLATION/REFUND POLICY: Registrants who are not
able to attend or send a substitute can obtain a refund of
registration fees, minus a $25 processing fee. A request
must be received by February 18, 2016. REFUNDS WILL
NOT BE ISSUED AFTER THIS DATE- NO EXCEPTIONS.
Home Address___________________________________
City___________________State______Zip___________
___________________________________________
CONFIRMATIONS: Your confirmation will be emailed
to you.
Home Phone ( _______ )___________________________
TAPING IS NOT ALLOWED.
Work Phone ( _______ )___________________________
PROGRAM CHANGES AND CANCELLATIONS: We reserve
the right to make changes in content or speakers, or to
cancel programs if enrollment criteria are not met or when
conditions beyond our control prevail.
Email________________________________________
REQUIRED FOR CONFIRMATION
Employing Agency________________________________
INCLEMENT WEATHER: In the event of severe inclement
weather, the program may be cancelled. Call our voice mail
at 603-641-7086. We will have the latest information at the
number after 6:30am.
Address_______________________________________
City___________________State______Zip___________
CONFERENCE FEE
QUESTIONS: contact 603-641-7086 or anselm.edu/cne.
Registration Fee: $119
Fee includes morning coffee, breaks, lunch and handouts.
AMY GUTHRIE, MS, RN, Director, Continuing Nursing
Education, Saint Anselm College, Manchester, NH
RITA ANGER, MS, RN, CHPN, Faculty, St. Joseph School
of Nursing, Nashua, NH
REV. MARY FRANCIS DRAKE, MA, MSW, LICSW, APPC-SW
CERTIFIED, Hospice Chaplain and Bereavement Counselor,
Pemi-Baker Community Health, Plymouth, NH
METHOD OF PAYMENT
Accreditation
Saint Anselm College is an approved provider of
continuing nursing education by the Northeast Multistate
Division, an accredited approver by the American Nurses
Credentialing Center’s Commission on Accreditation.
Check enclosed made payable to Saint Anselm College
in the amount of $___________________
I authorize the use of my credit card:
ANNE MARIE HEBERT, BSN, RN, CCM, NH Hospice and
Palliative Care Organization, Amherst, NH
VISA MasterCard
Account #____________________________Exp_______
Amount Authorized: $_________________Date__________
WWW.ANSELM.EDU/CNE
Cut along here
JANICE MCDERMOTT, Executive Director, NH Hospice and
Palliative Care Organization, Concord, NH
FAX: 603-641-7089
credit card required
ONLINE: www.anselm.edu/cne
credit card required
Signature______________________________________