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Course # 9737 • Palliative Care and Pain Management at the End of Life

Overview:

This course will provide an overview of the history of palliative care and hospice in the United States, focusing on the components integral to providing optimum care. The course draws from the Clinical Practice Guidelines for Quality Palliative Care, published by the National Consensus Project, a consortium of five palliative care organizations. The structure of the course has been developed to be consistent with those guidelines, which are organized according to eight domains (structure and process of care; physical; psychologic and psychiatric; social; spiritual, religious, and existential; cultural; the imminently dying patient; and ethics and law). A comprehensive discussion of these topics will provide the knowledge base necessary for all members of the interdisciplinary team to better understand the varied needs of their patients during the end-of-life period and to be better equipped to address those needs.

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Education Category: Ethics - Human Rights
Release Date: 03/01/2009
Expiration Date: 02/29/2012

Attention:

This course fulfills the requirement for California-licensed physicians who must complete 12 hours of pain management and the appropriate care and treatment of the terminally ill.

This course fulfills 6 of the 7 hours of continuing education in pain management required by the state of Oregon.

This course fulfills the West Virginia requirement for 2 hours of continuing education in end-of-life care and pain management.

This course fulfills the Michigan requirement for 1 hour of continuing education in pain and pain symptom management.

Audience:

This course is designed for all members of the interdisciplinary team, including physicians, physician assistants, nurse practitioners, nurses, social workers, marriage and family therapists, and other members seeking to enhance their knowledge of palliative care.

Accreditations/Approvals:

CME Resource is an NBCC-Approved Continuing Education Provider (ACEP™) and may offer NBCC-approved clock hours for programs that meet NBCC requirements. Programs for which NBCC-approved clock hours will be awarded are identified on the course material and website. CME Resource is solely responsible for all aspects of the program. Provider number 6361. CME Resource is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. CME Resource is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. CME Resource is approved to offer continuing education through the Florida Board of Nursing Home Administrators. Provider Number FNHAP-17. CME Resource is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation. CME Resource, #1092, is approved as a provider for continuing education by the Association of Social Work Boards 400 South Ridge Parkway, Suite B, Culpeper, VA 22701. www.aswb.org. ASWB Approval Period: 03/13/2010 to 03/13/2013. Social workers should contact their regulatory board to determine course approval. This program is verified by the National Association of Social Workers (Approval #886531582) for Aging, Case Management, and Health continuing education contact hours. CME Resource is approved as a provider of continuing education by the Florida Board of Clinical Social Work, Marriage and Family Therapy and Mental Health Counseling, Provider #50-2405. CME Resource is approved by the Texas State Board of Social Worker Examiners as a provider of continuing education. Approval number CS3011. CME Resource is approved by the Texas State Board of Examiners of Professional Counselors as a provider of continuing education. Approval number 1121. CME Resource is approved by the Texas State Board of Examiners of Marriage and Family Therapists as a provider of continuing education. Approval number 425. CME Resource is approved by the Illinois Division of Professional Regulation as a sponsor of continuing education for marriage and family therapists. License number 168.000190. CME Resource is approved by the California Nursing Home Administrator Program as a provider of continuing education. Provider number 1622. CME Resource is accredited by the State of California Board of Behavioral Sciences as a provider of continuing education. Approval number PCE 1632. CME Resource is approved by the Illinois Division of Professional Regulation as a sponsor of continuing education for social workers. License number 159.001094. CME Resource is approved by the Illinois Division of Professional Regulation as a sponsor of continuing education for licensed professional and clinical counselors. License number 197.000185.

Designations of Credit:

CME Resource designates this educational activity for a maximum of 15 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity. CME Resource designates this continuing education activity for 15 ANCC contact hour(s). CME Resource designates this continuing education activity for 2.5 pharmacology contact hours. CME Resource designates this continuing education activity for 18 hours for Alabama nurses. CME Resource designates this continuing education activity for 6 NBCC clock hour(s). Social workers will receive 15 Clinical continuing education clock hour(s) in participating in this intermediate to advanced course. This course is approved by the California Nursing Home Administrator Program for 10 hour(s) of continuing education credit - NHAP#1622010-7839/P. California NHAs may only obtain a maximum of 10 hours per course. This course meets the qualifications for 15 hour(s) of continuing education credit for MFTs and/or LCSWs as required by the California Board of Behavioral Sciences. AACN Synergy CERP Category A. This home study course is approved by the Florida Board of Nursing Home Administrators for 5 credit hour(s). This course meets the requirements for 15 Clinical hours as required by the New Jersey Board of Social Work Examiners.

Individual State Nursing Accreditations:

Alabama Provider #ABNP0353, (Valid through December 12, 2013). California BRN Provider #CEP9784. California BVNPT Provider #V10662. Florida Provider #50-2405. Iowa Provider #295. A copy of the evaluation for this activity may be submitted directly to the Iowa Board of Nursing. Kentucky Provider #7-0054 through 12/31/2012. Kentucky Board of Nursing approval of an individual nursing continuing education provider does not constitute endorsement of program content. Texas ANCC/Type I.

Special Approvals:

This activity is designed to comply with the requirements of California Assembly Bill 1195, Cultural and Linguistic Competency.

Attention:

Licensed social workers should contact their individual state jurisdiction to review current continuing education requirements for licensure renewal.

Course Objective:

The purpose of this course is to bridge the gap in knowledge of palliative care by providing an overview of the concept of palliative care and a discussion of the benefits and barriers to optimum palliative care at the end of life.

Learning Objectives:

Upon completion of this course, you should be able to:
  1. Describe how the definition of palliative care has evolved.
  2. Define the structure of palliative care delivery, including models of care and the interdisciplinary healthcare team.
  3. List the benefits of palliative care at the end of life.
  4. Describe the barriers to optimum delivery of palliative care through hospice.
  5. Describe the components of decision making for end-of-life care.
  6. Identify the most common symptoms at the end of life for patients with life-limiting diseases.
  7. Discuss the barriers to effective relief of pain at the end of life.
  8. Assess pain accurately through use of clinical tools and other strategies.
  9. Select appropriate pharmacologic and/or nonpharmacologic therapies to manage pain in patients during the end-of-life period.
  10. Assess and manage the most common symptoms (other than pain) experienced by patients during the end-of-life period.
  11. Evaluate the psychosocial needs of patients at the end of life and of their families and provide appropriate treatment or referral.
  12. Address the spiritual needs of patients at the end of life and provide appropriate treatment or referral.
  13. Describe the components of care for patients and their families over the last days and hours of life.
  14. Recognize appropriate grief and mourning.
  15. Explain the specific challenges in delivering optimum palliative care to older Patients, children, and patients in critical care settings.

Faculty:

Lori L. Alexander, MTPW, ELS, is President of Editorial Rx, Inc., which provides medical writing and editing services on a wide variety of clinical topics and in a range of media. A medical writer and editor for nearly 25 years, Ms. Alexander has written for both professional and lay audiences, with a focus on continuing education materials, medical meeting coverage, peer-review articles and guidelines for healthcare professionals, and educational materials for patients. She is the Editor of the American Medical Writers Association (AMWA) Journal, providing oversight for all aspects of this quarterly peer-review journal that represents the largest association of medical communicators in the United States. Ms. Alexander earned a Master's degree in professional and technical writing, with a concentration in medical writing, at Northeastern University, Boston, has completed the AMWA core and advanced curriculum programs, and is certified by the Board of Editors in the Life Sciences.

Division Planner(s):

John V. Jurica, MD, MPH

Jane C. Norman, RN, MSN, CNE, PhD

Alice Yick Flanagan, PhD, MSW

Faculty Disclosure

Contributing faculty, Lori L. Alexander, MTPW, ELS, has disclosed no relevant financial relationship with any product manufacturer or service provider mentioned.

Division Planners Disclosure

The division planners have disclosed no relevant financial relationship with any product manufacturer or service provider mentioned.

About the Sponsor

The purpose of CME Resource is to provide challenging curricula to assist healthcare professionals to raise their levels of expertise while fulfilling their continuing education requirements, thereby improving the quality of healthcare.

Our contributing faculty members have taken care to ensure that the information and recommendations are accurate and compatible with the standards generally accepted at the time of publication. The publisher disclaims any liability, loss or damage incurred as a consequence, directly or indirectly, of the use and application of any of the contents. Participants are cautioned about the potential risk of using limited knowledge when integrating new techniques into practice.

Disclosure Statement

It is the policy of CME Resource not to accept commercial support.

Content:

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