In-Service

In-Service for Professionals

ProCare Hospice provides hospice care in-service training for healthcare professionals interested in learning more about this important type of care. 

Hospice in-service training is available for healthcare professionals and includes clinical, bereavement and other topics. ProCare Hospice’s in-service program helps healthcare professionals understand all aspects of the end-of-life process and focuses on the physical and emotional needs of the hospice patient. 

Below are some of the in-service topics we are available to present.

Clinical in-service and Bereavement Training 

Our clinical in-service programs provide information on common issues around caring for patients with life-limiting illnesses. 

Pain Management

Attendees will learn ways to identify a step-wise approach to pain management. They will be able to define the WHO pain ladder, identify non-pharmacological pain control methods and adjuvant treatment measures, and describe common myths and truths, as well as common side effects and treatment options.

Infection Control In The Healthcare Setting

Attendees will learn about infection control regulations, risk factors and how infections are caused and spread. They will also learn how to identify risk factors and signs and symptoms of infections, as well as how to contain infections by utilizing proper hand-washing procedures and personal preventive equipment.

Terminal Hydration

Attendees will learn about different types of dehydration, and how to identify the nurse’s role as a patient advocate. Attendees will also be able to define the benefits of treating versus not treating terminal dehydrations and the appropriate interventions to ensure comfort.

Opioid-Induced Neurotoxicity

Attendees will learn how to identify signs and symptoms of Opioid-Induced Neurotoxicity; the differences between OIN and pain; and the information needed to effectively assist patients, caregivers and healthcare providers to recognize and respond to signs and symptoms of Opioid-Induced Neurotoxicity.

Advanced Care Planning

Attendees will learn advanced care planning conversations with patients, caregivers and loved ones. They learn what options are available for the patient, how to complete the POLST form, where to keep a POLST form and how to register it with the Nevada Lock Box.

Bereavement In-service Training

Simply defined, grief is the normal and natural reaction to significant emotional loss of any kind. The range of emotions associated with grief is as varied as the person experiencing it. Our in-service bereavement training offers tips and experience on dealing with death and dying for patients and families. 

Some of ProCare Hospice Bereavement Training includes tips for being present with those who are dying. This in-service provides attendees with information and tips on how to offer presence at the time of death. Attendees will also learn ways to offer simple gestures of compassion and how to identify nonverbal cues sometimes exhibited by an individual that could cue the healthcare professional to know when to avoid physical touch.

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Dr. Iryna Kobita, MD

Iryna Kobita recently completed her Internal Medicine Residency at The Valley Health System in Las Vegas and is pleased to continue her medical training in Hospice and Palliative Medicine. Prior to relocating to the United States, she practiced medicine in Ukraine, bringing valuable international clinical experience to her work. Iryna looks forward to contributing to the program, building strong professional relationships, and continuing to grow as a physician. Outside of medicine, she enjoys traveling, spending time outdoors, and being with family and friends.

Dr. Diana Lee, MD

Dr. Diana Lee graduated from Capital Medical University in Beijing, China, in 1991. Following graduation, she completed five years of pediatric residency training at Beijing Children's Hospital, one of the largest and most prestigious pediatric hospitals in China.

After relocating to the United States, she completed her second residency training program in Internal Medicine at Greater Baltimore Medical Center in 2004. She then worked as a hospitalist with Mercy Medical Group in Sacramento, California, for 10 years, before moving to Las Vegas to join Platinum Hospitalist Group, where she currently practices.

After earning her ABIM board certification in Hospice and Palliative Medicine in 2012, Dr. Lee focused her career on this specialty. In 2017, she established the first hospital-based inpatient palliative care consultation service in Las Vegas at St. Rose Dominican Siena Hospital. Under her leadership, this initiative expanded from a single-physician service into a multidisciplinary team of four palliative care physicians and 12 nurse practitioners, providing consultations across eight hospitals in Las Vegas. She has also served as the program director for the OPTI-West Hospice and Palliative Medicine Fellowship since 2021.

Dr. Lee is dedicated to advancing patient-centered palliative care through clinical excellence, program development, education, and collaboration. As the founder of one of the region's largest inpatient palliative care programs, she continues to expand access to specialty services and improve care for patients with serious illnesses throughout Southern Nevada.

Dr. Dan Miulli, DO, MS, FACOS

Graduate of Midwestern University-CCOM and completed Neurosurgical Residency Training at Allegheny General Hospitals receiving diploma from Philadelphia College of Osteopathic Medicine. Board certified in Neurological Surgery and Neurocritical Care. Practices Neurosurgery in Southern California. Is the Designated Institutional Official, Chief Academic Officer, and CEO of OPTI-West Educational Consortium and Sponsoring Institution.