Interprofessional Case presentation - On His Own Terms: Outpatient Palliative Care for the Patient Who Is a “Fighter”


Presented by Dr. Francine Arneson, Erin Gard, and Maren Dorn

Learning Objectives:

1. Describe collaboration and care coordination across disciplines and specialties to support patient aligned goals of care. 

2. Understand the importance of practical and emotional support for family members of patients who may refuse services such as hospice. 

3. Demonstrate effective team debriefing practices to address team distress and to promote healthy team function. 

Frannie Arneson, MD completed her medical degree at Vanderbilt University Medical School in Nashville, TN. While at Vanderbilt, she also completed a Neurology Residency, a Vascular Neurology Fellowship and a Hospice and Palliative Medicine Fellowship. She worked as a Neurologist and a Hospice Physician while in Nashville. 

Dr. Arneson and her family moved to Sioux Falls where she is currently the medical director of the Palliative Medicine program at Avera McKennan Hospital and University Health System and serves as the Sanford School of Medicine Division Chief of Ethics and Palliative Medicine. In her role, her professional time is devoted to diverse responsibilities including teaching students of all disciplines on service, mentoring clinicians in other regions of the hospital system in palliative practice and program development to help promote excellent care and delivery of Palliative Care services throughout the health care system, extensive lecturing to colleagues, team members, hospital staff and the community, and local program development and advocacy.  

Erin Gard, MSW received her Bachelor of Science degree in Social Work with a minor in Addiction Studies from the University of South Dakota. She later returned to graduate school and obtained a Master’s degree in Social Work, also from the University of South Dakota. She is licensed as a Certified Social Worker, as well as a Certified Addiction Counselor. She previously worked as a counselor/case manager in an adolescent treatment program before becoming a Family Program counselor working with individuals and families affected by addiction. Following her time working in the chemical dependency field Erin worked as a Home Health and Hospice Social Worker. During this time she was tasked with writing the policy for Home Health Social Work for the agency. Erin transitioned in to a role with the Palliative Medicine team with Avera Medical Group in June 2017.

Outside of work Erin enjoys spending time with her husband and two young sons. They enjoy camping in the summer and stay busy attending the boys’ activities.

Maren Dorn, RN has a Bachelor’s degree in nursing from South Dakota State University. She has been an RN since 2007 with a background in oncology, hospice, and palliative care. She has worked in an inpatient oncology unit followed by time doing case management for home hospice and most recently working in outpatient palliative care clinic.

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Supportive Care Coalition