Hospice & Palliative Care
ONLINE CONTINUING EDUCATION
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ON-DEMAND WEBINAR SERIES:
“I CAN’T SWALLOW”: REVIEW OF THE MANAGEMENT OF MUCOSITIS AND CANDIDIASIS
Ebtesam Ahmed, PharmD, MS
Director of Pharmacy Internship
MJHS Institute for Innovation in Palliative Care
Clinical Professor, St. John’s University
Michael Mencias, MD
Senior Hospice Physician
MJHS Hospice and Palliative Care
Purpose: Oral mucositis is a significant complication in patients undergoing chemotherapeutic, and/or radiation therapy for cancer treatment. Oral candidiasis is a common fungal infection observed in immunocompromised patients. These conditions are often very painful and compromise nutrition and oral hygiene, as well as an increased risk for local and systemic infection. Symptom burden is significant that it can limit cancer treatments, hence influence prognosis, and require specialist palliative care support and management. Unfortunately, palliative care clinicians are consulted after symptoms are unmanageable. One thing that has been consistent from the initial descriptions of its clinical manifestations has been the frustration on the part of clinicians and patients with the scarcity of therapeutic options to prevent or treat the condition or effectively ameliorate the symptoms. Preventive and treatment options are complex and include nonpharmacologic and pharmacologic methods; these range from basic oral care, analgesics and anesthetics, to antimicrobials, coating agents and, recently, growth factors and cytokines. This session will discuss the pathophysiology of oral mucositis and candidiasis and review current preventive and treatment options, as well as symptom mitigation.
- Describe the causes and pathophysiology of oral mucositis and candidiasis and the secondary effects on metabolism
- Discuss risk factors for oral mucositis and candidiasis
- Review the current pharmacotherapy recommendations for the management of oral mucositis and candidiasis
Target Audience: Primary care providers, nurse practitioners, palliative care specialists, pain specialists, registered nurses, advanced practice nurses, registered nurses with a specialty in palliative care/hospice
Criteria for Successful Completion:
- Attendance at entire session
- Submission of completed evaluation form
- Successful completion of a posttest; 70% passing grade
Continuing Education Credits: 1.0
Continuing Education Accreditation
Physicians: This activity has been planned and implemented in accordance with the Accreditation Requirements and Policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the Medical Society of the State of New York (MSSNY) and the MJHS Institute for Innovation in Palliative Care. MSSNY is accredited by the ACCME to provide continuing medical education for physicians.
The Medical Society of the State of New York designates this enduring material for a maximum of 1.0 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Nurses: MJHS Institute for Innovation in Palliative Care is approved as a provider of nursing continuing professional development by the Northeast Multistate Division Education Unit, an accredited approver of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.
Individual: Free (includes CME/CE certificate)
Release Date: January 27, 2020
Expiration Date: September 19, 2022 (for physicians and non-physicians); April 17, 2024 (for nurses)
Michael Mencias, MD, and Ebtesam Ahmed, PharmD, MS, have no disclosures. Any discussion of investigational or unlabeled uses of a product will be identified.
Russell K. Portenoy, MD, has indicated a relationship with Tabula Rasa for research support.
No other Planning Committee Member has any disclosures.
Planning Committee Members
Lara Dhingra, PhD
Myra Glajchen, DSW
Helena Knotkova, PhD
Joyce Palmieri, MS, RN, CHPN
Russell K. Portenoy, MD
Karen Richards, PhD, EdS
Wini Schein, BA
Funding Disclosure: No commercial funding has been accepted for the activity.
Location: Online at https://www.mjhspalliativeinstitute.org/e-learning/
The MJHS Institute for Innovation in Palliative Care is pleased to offer our free interdisciplinary webinar series, live and on demand, delivered by frontline experts, typically offering 1.0 AMA PRA Category 1 Credit™ for Continuing Medical Education (CME), Nursing continuing education (CE), Social Work CE credits, and Music Therapy CE edits.
Our free interactive multimedia modules on Community-Based Palliative Care Program Development and Caring for Holocaust Survivors With Sensitivity at End of Life offers up to 9.75 CE credits.