Introduction to Palliative Care for Rural and Remote Health Care Providers

Program Overview

A Distance Education Course for Health Professionals Caring for Older Adults in Remote and Rural Palliative Care Settings.


This online webinar series will introduce the latest evidence-based practice in palliative care through lectures and case studies, and interactive discussions of specific challenges in rural and remote care.


Why Attend this Workshop?

The course will be delivered in a convenient 2-hour online sessions over six weeks to provide an introductory level of support for health providers with patients who require palliative care. The overview will focus on current challenges in such areas as assessment, pain management, physical, and emotional supports of palliative care patients and families - from diagnosis to last days and hours of life – from a rural and remote care lens.

This interactive course is  designed for healthcare providers who need training with older adults and their families in palliative and/or end of life settings.

This course will focus on:

  • drawing out some of the most compelling challenges that you may experience in providing care, using evidence, discussion and case studies;
  • updating and refreshing your knowledge and methods, to assist you in your day to day provision of care;
  • providing practical and applied knowledge that can be used as soon as you return to your role

What Will You Learn?

Through lectures, discussion, and case-based learning using real-life scenarios in palliative care, participants will understand

  • the palliative care definition, philosophy, and approach to palliative care management across the continuum
  • gain up-to-date knowledge on current issues in palliative care such as debate and legislation around the use of medical marijuana and medical assistance in death
  • the role of adjuvant therapies in palliative care, risk benefit ratios and decision-making that supports quality of life
  • complex pain assessment and management
  • how to support a ‘good death’ through specialized symptom management.  Participants will learn to support patients, families, and caregivers by understanding total suffering and anticipatory grief
  • the needs of the healthcare provider in their own feelings while caring for elderly/palliative/end-of-life patients.

Who Would Benefit from this Workshop?

  • RNs including RPN and healthcare leadership teams (NP, APN, managers)
  • New Care Coordinators – who triage and refer patients
  • Recent graduates from nursing programs planning to work in palliative care

All materials presented are patient-centered, focused on what and how patients wish to receive palliative care, and in the setting of their choice.

This course will cover Palliative Care Core Competencies.  Background knowledge of palliative care or experience is not required to take this course.

Program Content

Course Schedule

The course will be delivered through six weekly webinar sessions, 2-hours each in duration. The webinar format will be delivered through presentations but participants are encouraged to engage in on-line discussion via live chat or audio.

Session 1: Introduction to Palliative Care

  • Definition and practice of palliative Care: World Health Organization
  • Palliative care approaches: working with family/spouse/caregivers
  • Medical assistance in death: legislation and discussion

Session 2: Communication/Support

  • Psychosocial, communication, and support to the caregivers

Session 3: Palliative Care Wound Management

  • Types of wounds in palliative care patients
  • Targeted interventions based on the assessment will be discussed using case-based learning and interactive format

Session 4: Symptom Management - Pain/Dyspnea/Delirium

  • Treatment options/goals to support comfort, symptom management and pain relief.
  • Pain assessment - multiple domains including physical, functional, psychosocial, & cultural factors
  • Pharmacological/Non-Pharmacological Treatment of Pain

Session 5: Last Hours/Days of Life

  • Patients at end-of-life experience a range of symptoms and needs that require specialized knowledge and care
  • Recognizing the signs of impending death
  • Symptom management, total suffering and anticipatory grief will be explored to promote a ‘good death’

Session 6: Grieving & Care for the Palliative Team

  • Family/caregiver support to deal with grieving process
  • Communication strategies (verbal/non-verbal)
  • Stages of grief and “closure”



Rosemary Kohr - BA, BScN, MScN, PhD, RN

Tertiary Care Nurse Practitioner Certificate

Dr. Rosemary Kohr, PhD worked for nearly two decades as an Acute Care Nurse Practitioner and wound care specialist at the London Health Sciences Centre. She is an Adjunct Associate Professor, Faculty of Health Sciences, University of Western Ontario; teaches in the graduate program, Centre of Nursing and Health Studies at Athabasca University; and developed (in collaboration with Dr. Lori Teeple, MD) the Advanced Wound Life Saving (AWLS) MainProC program for physicians. She is a registered nurse in both Ontario and New Brunswick.

She has published and presented her work in international, national and local publications and conferences as well as providing educational and consultative support across Canada. For five years, she provided monthly "Wound Care Rounds" through the Ontario Telemedicine Network. She is the Canadian editor/author of the chapter on Skin and Wound Management in the Fundamentals of Nursing (Potter & Perry Canadian Edition). Her work appears in Lives in the balance: Nurses' stories from the ICU, edited by Tilda Shalof (Kaplan Press, 2009), as well as other international journals. She has a keen interest in Seniors' healthy aging, pain management, in the dynamics of relationships, especially communication, and in the prevention and management of chronic wounds. Dissemination of information, knowledge transfer and uptake in the clinical environment using innovative approaches and electronic technology are fundamental to her work.

Dr. Kohr's clinical research includes evaluation of implementation of best practice guidelines, pain management, wound care and collaborative practice. She has received research grants as well as academic scholarships, and has collaborated on writing a number of successful government grant applications.

For over a decade, Dr. Kohr has provided education and consultation focused in the clinical reality of today’s healthcare environment,  through her company, Kohr Consulting ( She is the former President of the Canadian Association of Advanced Practice Nurses (CAAPN), and a founding member of the Ontario Wound Interest Group (OntWIG). She manages a research grant on Healthy Aging through the University of New Brunswick, and teaches workshops with the HLLN program at York University.