Advanced Practice Palliative Nursing 2nd Edition

Second Edition

Constance Dahlin and Patrick Coyne

Written by APRNs in current practice, most of whom are certified ACHPNs, for fellow APRNs
Provides practical resources for clinical practice across all settings from pediatrics to geriatrics
Reflects the current environment of full scope of practice, diversity, and managing through crises
All references are current and reflect nursing as well as other disciplines

New Edition

Advanced Practice Palliative Nursing 2nd Edition

Second Edition

Constance Dahlin and Patrick Coyne

Description

Like the first edition, this is a seminal textbook for the advanced practice nursing care of the seriously ill and dying. This comprehensive work addresses all aspects of palliative care including physical, psychological, social, and spiritual needs. It brings to the forefront current issues of health equity, managing through crisis, and meeting the needs of diverse populations. Each chapter contains case examples and a strong evidence base to support the highest quality of care. The text is written by leaders in the field and includes authors who have pioneered the role of the advanced practice nurse in palliative care. This volume offers advanced practice content and practical resources for clinical practice across all settings of care and encompassing all ages, from pediatrics to geriatrics.
This newly revised edition has been reorganized to meet the needs of the APRN according to role delineation and practice issues. It offers foundation information on leadership, practice, and the various roles of the APRN as an administrator, educator, policy advocate, and researcher. The various settings of APRN work includes acute care settings (clinical care unit, intensive care unit, and emergency department), clinic (specialty care, primary care, and palliative care), community, rehabilitation, residential facilities, and telehealth. This edition also gives particular attention to special populations, including chapters on health disparities, economic disadvantages for urban dwellers, members of the LGBTQ+ community, Veterans, and Survivorship. There are sections wholly devoted to pediatric care, end of life communication, and the ethics APRNs have to navigate on a daily basis. Written by current APRNs for fellow APRNs, this text provides practical resources for clinical practice across a variety of topics.

New Edition

Advanced Practice Palliative Nursing 2nd Edition

Second Edition

Constance Dahlin and Patrick Coyne

Preface
Acknowledgments
List of Contributors
Section I The Palliative APRN
1 Palliative APRN Practice and Leadership: Past, Present, and Future
Constance Dahlin and Patrick J. Coyne
2 Fundamental Skills and Education for the Generalist and Specialist Palliative APRN
Dorothy Wholihan, Charles Tilley, and Adrienne Rudden
3 Credentialing, Certification, and Scope of Practice Issues for the Palliative APRN
Kerstin Lea Lappen, Matthew McGraw, and Kate Meyer
Section II Palliative APRN Roles
4 The Palliative APRN in Administration
Karen Mulvihill
5 The Palliative APRN in Nursing Education
Carrie L. Cormack and Kathleen O. Lindell
6 The Palliative APRN in Policy and Payment Models
Marian Grant
7 The Palliative APRN in Research and Evidence-Based Practice
Janice Linton and Joan G. Carpenter
Section III Clinical Settings of Palliative APRNs
8 The Palliative APRN in the Medical, Surgical, and Geriatrics Patient Care Unit
Phyllis B. Whitehead and Carolyn White
9 The Palliative APRN in the Intensive Care Setting
Clareen Wiencek
10 The Palliative APRN in the Emergency Department
Sarah Loschiavo and Angela Starkweather
11 The Palliative APRN in the Palliative Care Clinic
Brooke Smith and Lisa A. Stephens
12 The Palliative APRN in Primary Care
Rosemary Gorman, Dorothy Wholihan, and Sarah Bender
13 The Palliative APRN in Specialty Cardiology
Beth Fahlberg, Ann Laramee, and Erin Donaho
14 The Palliative APRN in the Community Setting
Nicole DePace
15 The Palliative and Hospice APRN in Hospice and Home Health Programs
Rikki N. Hooper, Chari Price, and Jamie Lee Rouse
16 The Palliative APRN in Rehabilitation
Lorie Resendes Trainor
17 The Palliative APRN in Telehealth
Katherine Kyle and Constance Dahlin
18 The Palliative APRN in the Rural Community
Traci Sickich
19 The Palliative APRN in Residential Facilities
Melissa McClean and Victoria Nalls
Section IV Populations at Risk
20 Health Disparities in Palliative Care and Social Determinants of Health
Alma Y. Dixon and Cecilia R. Motschenbacher
21 Economically Disadvantaged Urban Dwellers
Natasha Curry
22 Inclusive Palliative Care within the LGBTQ+ Community
Jessica Nymeyer
23 Care of Veterans with Palliative Care Needs
Alice C. Foy, Robert David Rice, and Joseph Albert Melocoton
24 Recurrent Disease and Long-Term Survivorship
Denice Economou and Brittany Bradford
Section V Pediatric Palliative Care
25 The Pediatric Palliative APRN
Cheryl Ann Thaxton and Nicole Sartor
26 The Pediatric Palliative APRN in the Acute Care Setting
Faith Kinnear and Gina Santucci
27 The Pediatric Palliative APRN in Perinatal and Neonatal Palliative Care
Maggie C. Root and Mallory Fossa
28 The Pediatric Palliative APRN in the Clinic
Alice Bass and Vanessa Battista
29 The Pediatric Palliative APRN in Oncology
Amy Corey Haskamp and Joanne M. Greene
30 The Pediatric Palliative APRN in the Community
Joan "Jody" Chrastek and Jaime Hensel
31 Communication in Pediatric Palliative Care
Mallory Fossa, Julia McBee, and Rachel Rusch
Section VI Communication in Palliative Care
32 Advance Care Planning: Advance Directives, Medical Order Sets, and Surrogate Decision-Making
Hannah N. Farfour
33 Family Meetings
Jennifer Gentry, Kerrith McDowell, and Paula McKinzie
34 Communication at the End of Life
Marlene E. McHugh, Penelope R. Buschman, and Susan M. Delisle
Section VII Psychosocial, Cultural, and Spiritual Aspects of Care
35 Culturally Respectful Palliative Care
Helen Foley and Polly Mazanec
36 Ensuring Quality Spiritual Care
Betty Ferrell
37 Life Review
Jamil Davis, Mimi Jenko, and James C. Pace
38 Grief and Bereavement
Katharine Adelstein and Elizabeth Archer-Nanda
Section VIII Symptoms
39 Anorexia and Cachexia
Robert Smeltz and Renata Shabin
40 Bowel Symptoms
Kimberly Chow and Lauren Koranteng
41 Fatigue
Shila Pandey
42 Nausea and Vomiting
Katherine E. DeMarco
43 Pain
Judith A. Paice
44 Respiratory Symptoms
Ember S. Moore and Kathleen Broglio
45 Cognitive Impairment
Abraham A. Brody and Donna E. McCabe
46 Serious Mental Illness
Kristyn Pellecchia and Ryan Murphy
47 Patients with Substance Use Disorders and Dual Diagnoses
Jeannine M. Brant and Tonya Edwards
48 Anxiety
Kira Stalhandske
49 Delirium
Bonnie D. Evans and Erica J. Hickey
50 Depression and Suicide
John Chovan
51 Palliative Emergencies
Ann Quinn Syrett, Marcia J. Buckley, and Beth Carlson
52 Challenging Symptoms: Pruritus, Hiccups, Dry Mouth, Fevers, and Sleep Disorders
Barton T. Bobb and Devon S. Wojcikewych
Section IX Ethical Considerations
53 Navigating Ethical Dilemmas
Nessa Coyle and Timothy W. Kirk
54 Discontinuation of Cardiac Therapies
Patricia Maani Fogelman and Janine A. Gerringer
55 Discontinuation of Respiratory Therapies
Brenna Winn
56 Discontinuation of Other Life-Sustaining Therapies
Kathy Plakovic and Jennifer Donoghue
57 Palliative Sedation
David Collett and Kelly Baxter
Appendix I Palliative APRN Billing and Coding
Constance Dahlin
Appendix II Perinatal and Pediatric Pain and Symptom Tables
Constance Dahlin, Amy Corey Haskamp, Joanne Greene, Maggie Root, Mallory Fossa, Faith Kinnear, Alice Bass, Nicole Sarter, Gina Santucci, Cheryl Thaxton, Jaime Hensel, Jody Chrastek, and Vanessa Battista
Index

New Edition

Advanced Practice Palliative Nursing 2nd Edition

Second Edition

Constance Dahlin and Patrick Coyne

Author Information

Constance Dahlin, Palliative Nurse Practitioner, North Shore Medical Center, and Patrick Coyne, Director of Palliative Care Service, Medical University of South Carolina.

Constance Dahlin, MSN, ANP-BC, ACHPN®, FPCN, FAAN is a palliative care clinician, educator, author, consultant, and leader. She received her Master in the Science of Nursing in Oncology Nursing and her Post- Master's Certificate in Adult Primary Care at the MGH Institute of Health Professions. Ms. Dahlin is a Fellow of the American Academy of Nursing, and a Fellow of Hospice and Palliative Nursing. She was the 2011 NBCHPN - Certified ACHPN of the Year, a 2016 recipient of a Cambia Health Foundation Sojourns Scholar Award and the 2020 HPNA Distinguished Nursing Practice Award. She was named a 2018 Visionary in Hospice and Palliative Medicine. She has served on various national committees and workgroups, authored peer reviewed articles, chapters, and curricula as well as presented nationally and internationally. Patrick J. Coyne, MSN, ACNS-BC, ACHPN, FAAN, FPCN is Clinical Nurse Specialist, Assistant Professor, and Director for Palliative Care at the Medical University of South Carolina in

Charleston, SC, a Circle of Life awarded program. He developed and oversees an interdisciplinary team of health care professionals in providing exceptional palliative care. Mr. Coyne serves as a member of institution's Medical and Nursing faculty. Previously, he was clinical director of the Virginia Commonwealth University Massey Cancer Palliative Care Service where he developed an inpatient unit and worked on state-wide initiatives to improve palliative care. Mr. Coyne served on the National Board for Certification of Hospice and Palliative Nurses and the Hospice and Palliative Nurses Association. He is Co-PI for several grants to educate rural and community APRNs and health providers on primary palliative care. Mr. Coyne serves on the national and international faculty of the End-of-Life Nursing Education Curriculum (ELNEC). He has published over a hundred articles related to pain management, symptom control, and issues in end-stage disease as well as conducting research studies. Mr. Coyne has

received the Peaceful Death in American and Mayday Pain and Society Scholarships and has been awarded the Oncology Nursing Society's Excellence in Pain Management and a Schering Lectureship Recipient. He was named one of the 30 Visionaries in the field by the American Academy of Hospice and Palliative Medicine in 2013. Mr. Coyne has worked diligently to improve pain management and palliative care nationally and internationally.

Contributors:

Katharine Adelstein, PhD, ANP-BC, PMHNP-BC
Assistant Professor of Nursing
University of Louisville
Louisville, KY, USA

Elizabeth Archer-Nanda, DNP, APRN, PMHCNS-BC
Manager
Behavioral Oncology Program
Norton Healthcare
Louisville, KY, USA

Alice Bass, MSN, APRN, CPNP-PC
Pediatric Nurse Practitioner
Nationwide Children's Hospital
Columbus, OH, USA

Vanessa Battista, DNP, MBA, MS, CPNP-PC, CHPPN
Pediatric Nurse Practitioner
The Children's Hospital of Philadelphia
Philadelphia, PA, USA

Kelly Baxter, DNP, FNP-BC, ACHPN
Founder & CEO
Baxter Palliative Consulting, LLC
Wakefield, RI, USA;
Adjunct Faculty
Salve Regina University
Newport, RI, USA

Sarah Bender, MPH, MS, AGPCNP-BC, ACHPN
Nurse Practitioner
Mount Sinai
Brookdale Dept of Geriatric and Palliative Medicine
New York, NY, USA

Barton T. Bobb, MSN, FNP-BC, ACHPN
Palliative Nurse Practitioner
Virginia Commonwealth University Health System
Richmond, VA, USA

Brittany Bradford, MSN, ACNP-BC
Nurse Practitioner
Department of Women's Health-Breast Cancer Survivorship
City of Hope National Medical Center
Duarte, CA, USA

Jeannine M. Brant, PhD, APRN, AOCN, FAAN
Executive Director of Nursing Science & Innovation
City of Hope Medical Center
Duarte, CA, USA

Abraham A. Brody, PhD, GNP-BC, ACHPN, FAAN, FPCN
Associate Director
Hartford Institute for Geriatric Nursing
Associate Professor
New York University Rory Meyers College of Nursing
New York, NY, USA

Kathleen Broglio, DNP, ANP-BC, ACHPN, CPE, FPCN, FAANP
Nurse Practitioner, Section of Palliative Medicine
Associate Professor, Geisel School of Medicine at Dartmouth
Dartmouth-Hitchcock Medical Center
Lebanon, NH, USA

Marcia J. Buckley, MSN, ANP-BC, OCNS, ACHPN
Senior Nurse Practitioner
Palliative Care Consultation Service
University of Rochester Medical Center - Strong Memorial Hospital
Associate Professor of Clinical Nursing
University of Rochester School of Nursing
Adjunct Faculty
St. John Fisher College
Rochester, NY, USA

Penelope R. Buschman, MS, PMHCNS-BC, FAAN
Assistant Professor of Clinical Nursing
Columbia University
New York, NY, USA

Beth Carlson, MS, PA-C
Ventricular Assist Device Coordinator
Facilitator for Advanced Communications
University of Rochester Medical Center - Strong Memorial Hospital
Rochester, NY, USA

Joan G. Carpenter, PhD, NP-C, GNP-BC, CRNP, ACHPN, FPCN
Assistant Professor
University of Maryland School of Nursing
Baltimore, MD, USA;
Palliative Nurse Practitioner
Coastal Hospice and Palliative Care
Salisbury, MD, USA;
Health Scientist
Corporal Michael J. Crescenz VAMC
Philadelphia, PA, USA

John Chovan, PhD, DNP, CNP, PMHNP-BC, ACHPN
Associate Professor of Nursing
Chair, Department of Nursing
Chief Nurse Administrator
Otterbein University
Westerville, OH, USA

Kimberly Chow, DNP, MBA, ANP-BC, ACHPN
Nurse Practitioner
Supportive Care Service at Memorial Sloan Kettering Cancer Center
New York, NY, USA

Joan “Jody” Chrastek, DNP, RN, FPCN, CHPN
Coordinator
Pediatric Advanced Complex Care
Fairview Home Care and Hospice
Minneapolis, MN, USA

David Collett, MSN, AGACNP-BC, ACHPN
Nurse Practitioner
Brookdale Department of Geriatrics and Palliative Medicine at Mount Sinai Hospital
New York, NY, USA

Carrie L. Cormack, DNP, APRN, CPNP, CHPPN
Assistant Professor
Lead Palliative Care Faculty
College of Nursing
Medical University of South Carolina
Charleston, SC, USA

Nessa Coyle, PhD, APRN, FAAN
Palliative Care and Ethics Consultant
New York, NY, USA

Patrick J. Coyne, MSN, ACNS-BC, ACHPN, FCPN, FAAN
Program Director, Palliative Care
Medical University of South Carolina
Charleston, SC, USA

Natasha Curry, MS, ANP-C, ACHPN
Nurse Practitioner
Palliative Care Services
UCSF at San Francisco General Hospital and Trauma Center
San Francisco, CA, USA

Constance Dahlin, MSN, ANP-BC, ACHPN, FPCN, FAAN
Palliative Nurse Practitioner
Mass General Brigham - Salem Hospital
Salem, MA, USA;
Co-Director
Palliative Care APP Externship
Charleston, SC, USA

Jamil Davis, DNP, MSN-Ed, FNP-C, PMHNP-BC, MAC
Program Coordinator of PMHNP Program
PhD Candidate
Valdosta State University College of Nursing and Health Sciences
Valdosta, GA, USA

Susan M. Delisle, DNP, ANP-BC, PMHNP-BC, ACHPN
Nurse Practitioner
Columbia University Medical Center/Harkness Pavilion
New York, NY, USA

Katherine E. DeMarco, DNP, MSHS, APN, FNP-BC, ACHPN
Palliative Care Consultant
Mountain Lakes, NJ, USA

Nicole DePace, MS, GNP-BC, APRN, ACHPN
Director Palliative Care Services
NVNA and Hospice
Norwell, MA, USA

Alma Y. Dixon, EdD, MSN, MPH, RN
President
Volusia Flagler Putnam Chapter, Inc.
National Black Nurses Association
Silver Spring, MD, USA

Erin Donaho, MS, ANP-C, CHFN, CHPN
National Cardiac Care Specialist
Seasons Hospice & Palliative Care
Houston, TX, USA

Jennifer Donoghue, MS, ARNP, AGNP-BC, ACHPN
Nurse Practitioner
Palliative Care
Advocate Illinois Masonic Medical Center
Chicago, IL, USA

Denice Economou, PhD, CNS, CHPN
Senior Research Specialist
City of Hope
Duarte, CA, USA

Tonya Edwards, MS, MSN, FNP-C
Nurse Practitioner
Palliative Care & Rehabilitation Medicine
UT MD Anderson Cancer Center
Houston, TX, USA

Bonnie D. Evans, MS, GNP-BC, ACHPN
End of Life Doula, LLC
Bristol, RI, USA;
Adjunct Faculty
Rhode Island College School of Nursing
Providence, RI, USA

Beth Fahlberg, PhD, MN, RN
Founder and Creative Director
Palliative Nursing Network
Monona, WI, USA

Hannah N. Farfour, DNP, APRN, AGNP-C, ACHPN
Palliative Nurse Practitioner
Mayo Clinic School of Medicine
Rochester, MN, USA

Betty Ferrell, PhD, MA, RN, FAAN, FPCN, CHPN
Director and Professor
Division of Nursing Research & Education
City of Hope Comprehensive Cancer Center and Beckman Research Institute
Duarte, CA, USA

Patricia Maani Fogelman, DNP, MSN, FNP-C, ACHPN
System Medical Director
Palliative Medicine
Guthrie Clinic
Sayre, PA, USA

Helen Foley, MSN, AOCNS, ACHPN />Senior Clinical Nurse Specialist
Seidman Cancer Center
University Hospitals Cleveland Medical Center
Cleveland, OH, USA

Mallory Fossa, MSN, CPNP-PC, CCRN, CHPPN
Nurse Practitioner
Connecticut Children's
Division of Pain and Palliative Medicine
Hartford, CT, USA

Alice C. Foy, MSN, GNP-C
Nurse Practitioner
Palliative Care and Hospice Service, Geriatrics and Extended Care Service
VA Puget Sound Health Care System
Seattle, WA, USA

Jennifer Gentry, DNP, ANP-BC, ACHPN, FPCN
Nurse Practitioner
Palliative Care Consult Service
Duke University Hospital
Clinical Associate Professor
Duke School of Nursing
Durham, NC, USA

Janine A. Gerringer, MSN, CRNP, FNP-C
Nurse Practitioner
Geisinger Health
Danville, PA, USA

Rosemary Gorman, MS, AGPCNP-BC, ACHPN
Advanced Practice Nurse
Monmouth Medical Center
Long Branch, NJ, USA

Marian Grant, DNP, APRN, ACNP-BC, ACHPN, FPCN
Senior Regulatory Advisor
The Coalition to Transform Advanced Care
Washington, DC, USA

Joanne M. Greene, MSN, MA, APRN, CPNP-BC, ACHPN
Pediatric Nurse Practitioner
Pediatric Palliative Care
The University of Texas MD Anderson Cancer Center
Houston, TX, USA

Amy Corey Haskamp, MSN, PCNS-BC, CPON, CHPPN
APRN
Pediatric Palliative Care
Riley Hospital for Children at Indiana University Health
Indianapolis, IN, USA

Jaime Hensel, MSN, APRN, FNP-BC, ACHPN
Nurse Practitioner
Department of Pain Medicine, Palliative Care & Integrative Medicine
Children's Hospitals and Clinics of Minnesota
Minneapolis, MN, USA

Erica J. Hickey, MSN, FNP-C, ACHPN
Clinical Instructor
University of Colorado School of Medicine
Denver, CO, USA

Rikki N. Hooper, MBA, MSN, FNP-BC, ACHPN
Chief Clinical Officer
Four Seasons Palliative Care
Flat Rock, NC, USA

Mimi Jenko, DNP, APRN, PMHCNS-BC, CHPN
Faculty
Greenville Technical College School of Nursing
Greenville, SC, USA

Faith Kinnear, MSN, APRN, CPNP-AC
Nurse Practitioner
Palliative Care Team and Critical Care Medicine
Baylor College of Medicine/Texas Children's Hospital
Houston, TX, USA

Timothy W. Kirk, PhD
Professor of Philosophy
City University of New York, York College
New York, NY, USA;
Ethics Consultant
MJHS Hospice and Palliative Care
New York, NY, USA

Lauren Koranteng, PharmD, BCPS
Clinical Pharmacy Specialist
Memorial Sloan Kettering Cancer Center
New York, NY, USA

Katherine Kyle, DNP, AGNP-C, CHPN
Nurse Practitioner
Palliative Care/General Internal Medicine
Medical University of South Carolina
Charleston, SC, USA

Kerstin Lea Lappen, MS, ACNS-BC, ACHPN, FPCN
Clinical Nurse Specialist
Palliative Care
Livio Helath Group
Minneapolis, MN, USA

Ann Laramee, MS, ANP-BC, ACNS, CHFN, ACHPN, FHFSA
Nurse Practitioner
Departments of Palliative Medicine and Cardiology
University of Vermont Medical Center
Burlington, VT, USA

Kathleen O. Lindell, PhD, RN, ATSF, FAAN
Associate Professor
Mary Swain Endowed Chair in Palliative Care
College of Nursing
Medical University of South Carolina
Charleston, SC, USA

Janice Linton, DNP, APRN, ANP-BC, CCRN, ACHPN
Assistant Professor
Palliative Nurse Practitioner
Ron and Kathy Assaf College of Nursing Nova Southeastern University
West Palm Beach, FL, USA

Sarah Loschiavo, MSN, APRN, FNP-C, ACHPN
Program Director
Oncology Supportive Care
Carole and Ray Neag Comprehensive Cancer Center
UConn Health
Farmington, CT, USA

Polly Mazanec, PhD, ACNP-BC, AOCN, ACHPN, FPCN, FAAN
Visiting Associate Professor
Francis Payne Bolton School of Nursing
Case Western Reserve University
Cleveland, OH, USA

Julia McBee, MSN, CPNP-PC
Nurse Practitioner
Hassenfeld Children's Hospital at NYU Langone
Pediatric Advance Care Team
New York City, NY, USA

Donna E. McCabe, DNP, GNP-BC, PMHNP-BC
Hartford Institute for Geriatric Nursing
New York University Rory Meyers College of Nursing
New York, NY, USA

Melissa McClean, MSN, ANP-BC, ACHPN
Medical Director
Community-Based Palliative Care
Capital Caring Health
Falls Church, VA, USA

Kerrith McDowell, MSN, AGPCNP-BC
Nurse Practitioner
Palliative Care
Duke University Health System
Durham, NC, USA

Matthew McGraw, DNP, ANP-BC, CNP, ACHPN
Nurse Practitioner
Community Palliative Care
Allina Health
Minneapolis, MN, USA

Marlene E. McHugh, DNP, FNP-BC, AGACNP-BC, ACHPN, DCC, FPCN
Associate Professor
School of Nursing
Columbia University
Nurse Practitioner
Montefiore Medical Center
New York, NY, USA

Paula McKinzie, MSN, ANP-BC />Associate Clinical Director
Duke Regional Palliative Care
Nurse Practitioner
Duke Regional Hospital
Durham, NC, USA

Joseph Albert Melocoton, MSN, NP-C, AOCNS
Nurse Practitioner
Division of Palliative Medicine
VA Greater Los Angeles Healthcare System
Los Angeles, CA, USA

Kate Meyer, MSN, AGNP-BC, CNP
Nurse Practitioner
Allina Health
St. Paul, MN, USA

Ember S. Moore, MSN, AG-ACNP-BC, ACHPN
Nurse Practitioner
Section of Palliative Medicine
Dartmouth Hitchcock Medical Center
Lebanon, NH, USA

Cecilia R. Motschenbacher, DNP, APRN, FNP-C, ACHPN
Nurse Practitioner
Hematology Oncology
Kaiser Permanente
Olympia, WA, USA

Karen Mulvihill, DNP, APRN, FNP-BC, ACHPN
Network Director
Palliative Care Services
Nuvance Health System
Danbury, CT, USA

Ryan Murphy, MSN, AGNP-C, ACHPN
Palliative Nurse Practitioner
St. Joseph's Health
Paterson, NJ, USA

Victoria Nalls, PhD, GNP-BC, ACHPN, CWS
Director of Education
Capital Caring Health
Falls Church, VA, USA

Jessica Nymeyer, MBA, MSN, AGACNP-BC, ACHPN, CCRN
Palliative Nurse Practitioner
Calvary Hospital
Bronx, NY, USA

James C. Pace, PhD, MDiv, APRN, FAANP, FAAN
Dean and Professor
Valdosta State University College of Nursing and Health Sciences
Valdosta, GA, USA

Judith A. Paice, PhD, ACHPN, FAAN
Director, Cancer Pain Program
Division of Hematology-Oncology
Northwestern University, Feinberg School of Medicine
Chicago, IL, USA

Shila Pandey, MSN, AGPCNP-BC, ACHPN
Nurse Practitioner
Supportive Care Service
Memorial Sloan Kettering Cancer Center
New York, NY, USA

Kristyn Pellecchia, MSN, PMHNP-BC
Clinical Director
Advanced Practice Nursing
Psychiatric Nurse Practitioner
Senior Medical Associates
San Diego, CA, USA

Kathy Plakovic, MSN, ARNP, FNP-BC, ACHPN, AOCNP
Palliative Nurse Practitioner
Seattle Cancer Care Alliance
Teaching Associate
Department of Medicine, Division on Oncology
University of Washington
Seattle, WA, USA

Chari Price, MSN, AGNP-BC, ACHPN
Director of Community Palliative Care
Four Seasons Hospice
Flat Rock, NC, USA

Robert David Rice, PhD, MSN, RN, NEA-BC
Chief Nurse - Research, Innovation, and Development
Designated Learning Officer - Workforce Development
VA Greater Los Angeles Healthcare System
Los Angeles, CA, USA

Maggie C. Root, MSN, CPNP-AC, RN, CHPPN
PhD Student
School of Nursing/Graduate School
Vanderbilt University
Nashville, TN, USA

Jamie Lee Rouse, DNP, AGNP-BC
Nurse Practitioner
Four Seasons
Flat Rock, NC, USA

Adrienne Rudden, DNP, ACACNP-BC
Palliative Nurse Practitioner
Brookdale Department of Geriatrics and Palliative Medicine at Mount Sinai
New York, NY, USA

Rachel Rusch, MSW, MA, LCSW
Clinical Social Worker
Division of Comfort and Palliative Care
Children's Hospital Los Angeles
Los Angeles, CA, USA

Gina Santucci, MSN, APRN, FNP-BC
Nurse Practitioner
Palliative Care Team
Texas Children's Hospital
Houston, TX, USA

Nicole Sartor, MSN, APRN, CPNP-PC, CHPPN
Children's Supportive Care Team Coordinator
Department of Palliative Care
University of North Carolina Children's Hospital
Chapel Hill, NC, USA

Renata Shabin, MSN, APRN, AGPCNP-BC, ACHPN
Nurse Practitioner
Palliative Care Team
NYU Langone Medical Center
New York, NY USA

Traci Sickich, MSN, APRN, FNP-BC, ACHPN
Palliative Care Practitioner
Providence Medical Center
Anchorage, AK, USA

Robert Smeltz, MA, NP, ACHPN, FPCN
Assistant Director and Nurse Practitioner
Palliative Care Program
Bellevue Hospital
New York, NY, USA

Brooke Smith, MSN, APRN, FNP-BC, ACHPN
Nurse Practitioner
Department of Palliative Care
Medical University of South Carolina
Charleston, SC, USA

Kira Stalhandske, DNP, FNP-C, ACHPN
Adult Palliative Nurse Practitioner
Michigan Medicine
University of Michigan School of Nursing
Ann Arbor, MI, USA

Angela Starkweather, PhD, ACNP-BC, CNRN, FAAN, FAANP
Professor & Associate Dean for Academic Affairs
University of Connecticut School of Nursing
Storrs, CT, USA

Lisa A. Stephens, MSN, APRN, ANP-BC, ACHPN, FPCN
Lead Nurse Practitioner
Associate Program Director, Interprofessional Fellowship
Section of Palliative Medicine
Dartmouth-Hitchcock Medical Center
Lebanon, NH, USA

Ann Quinn Syrett, MSN, FNP-C, ACHPN
Lead Nurse Practitioner
Adult Palliative Care Consultation Service
University of Rochester Medical Center - Strong Memorial Hospital
Associate Professor of Clinical Nursing
University of Rochester School of Nursing
Rochester, NY, USA

Cheryl Ann Thaxton, DNP, APRN, CPNP-BC, FNP-BC, CHPPN, ACHPN, FPCN
Associate Clinical Professor
DNP Program Director - College of Nursing
Texas Woman's University
Denton, TX, USA

Charles Tilley, MS, ANP-BC, ACHPN, CWOCN
Hospice and Palliative Nurse Practitioner
Calvary Hospital and Hospice
New York, NY, USA;
Assistant Director of Simulation
NYU Rory Meyers College of Nursing
New York, NY, USA

Lorie Resendes Trainor, MSN, ANP-BC, CNP, ACHPN
Nurse Practitioner
Commonwealth Care Alliance
Boston, MA, USA

Carolyn White, MSN, NP-C, FNP-BC, GNP-BC, ACHPN
Lead Nurse Practitioner
Palliative Medicine
Centra Health Palliative Care
Lynchburg, VA, USA

Phyllis B. Whitehead, PhD, MSN, CNS, ACHPN, PMGT-BC, FNAP, FAAN
Clinical Nurse Specialist
Clinical Ethicist
Carilion Health System
Associate Professor
Virginia Tech Carilion School of Medicine
Roanoke, VA, USA

Dorothy Wholihan, DNP, AGPCNP-BC, ACHPN, FPCN, FAAN
Clinical Professor and Director
Palliative Care Specialty Program
NYU Meyers College of Nursing
New York, NY, USA

Clareen Wiencek, PhD, ACNP-BC, ACHPN, FAAN
Professor and Director of Advanced Practice for MSN Program
School of Nursing
University of Virginia
Charlottesville, VA, USA

Brenna Winn, MSN, APRN, FNP, NP-C
Nurse Practitioner
GraceMed Health Clinic
McPherson, KS, USA

Devon S. Wojcikewych, MD
Associate Professor
Department of Internal Medicine
Virginia Commonwealth University Health System
Richmond, VA, USA