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Interprofessional Webinar Series:
A 76-Year-Old Man with Progressive Renal Insufficiency

This webinar is presented in collaboration with the
National Hospice and Palliative Care Organization.

Funding Disclosure: No commercial funding has been accepted for the activity.

Date and Time: April 06, 2017, 12:30 PM – 1:30 PM ET (Live)

Location: Online at

Speaker Name and Title:
Russell K. Portenoy, MD 
Moderator, Executive Director, MJHS Institute for Innovation in Palliative Care;
Chief Medical Officer, MJHS Hospice & Palliative Care

Mara Lugassy, MD
Hospice Medical Director

Linda Stertz, LCSW
Social Work Manager

Joyce Palmieri, RN
Vice President, Clinical Services
MJHS Hospice & Palliative Care

Purpose: The purpose of this webinar is to describe both evidence-based practice and collaborative practice undertaken by a professional team–physician, nurse and social worker–who are providing ongoing care for the patient with severe and progressive renal dysfunction. The case will be described in terms of the history, physical findings and key laboratory values, and the interdisciplinary panel will respond to a moderator’s questions, and to questions from each other, so that the learning objectives of the case will be fulfilled in terms of information provided about symptom management, goal setting discussions, and collaborative interdisciplinary practice.


  1. Discuss the knowledge and skills necessary in the assessment and management of symptoms that commonly occur in patients with severe renal dysfunction.
  2. Recognize knowledge and skills necessary in having goals discussions concerning the start of dialysis in patients with chronic kidney disease.
  3. Describe the knowledge and skills necessary to the collaborative interdisciplinary practice of palliative care in populations with severe renal dysfunction.

Why Do I Need to Know This?
Progressive renal dysfunction is common in an aging population with high rates of predisposing illnesses such as hypertension and diabetes. Physicians, nurses and social workers who are not specialists in palliative care manage the problems associated with chronic kidney disease in many venues, including the hospital, nursing home, and ambulatory setting. These professionals address symptoms common in renal failure, such as itch and restless legs, as well as problems that are associated with chronic illness, including depression. All clinicians may become engaged in the discussion about the appropriateness and timing of renal replacement therapy. An interdisciplinary discussion of best practices will provide important foundational information for each professional and model the type of collaboration that can improve outcomes.

Target Audience: palliative care specialists, pain specialists, primary care providers, nurse practitioners, registered nurses, advanced practice nurses, registered nurses with a specialty in palliative care/hospice, pharmacists, allied health professionals, fellows, residents, and medical students.

Criteria for Successful Completion:

    1. Attendance at entire session (mandatory for nurses and social workers)
    2. Submission of completed evaluation form (mandatory to receive CE/CME credit for MDs, nurses, social workers)
    3. Successful completion of a posttest; 80% passing grade (mandatory to receive CE credit for social workers)

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 National Hospice and Palliative Care Organization (NHPCO) and MJHS. NHPCO is accredited by the ACCME to provide continuing medical education for physicians.

NHPCO designates this live activity 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: NHPCO is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s (ANCC) Commission on Accreditation.

NHPCO designates this live activity for a maximum of 1.0 contact hour. Nurses should claim only the contact hours commensurate with the extent of their participation in the activity. Accredited status by ANCC refers only to continuing nursing education and does not imply endorsement of any commercial product discussed in conjunction with this activity.


Social Workers: NHPCO is an approved provider of continuing education contact hours by the National Association of Social Workers (Provider #886414158).

This program is Approved by the National Association of Social Workers (Approval #886414158-0317) for 1.0 [Pain/Symptom Management] continuing education contact hours.

MJHS Institute for Innovation in Palliative Care SW CPE is recognized by the New York State Education Department’s State Board for Social Work as an approved provider of continuing education for licensed social workers #0242.

Individual: $25 (includes CME/CE certificate)
Group: $95 + $5 per CME/CE certificate

Registration fees for webinars are not refundable.

System Requirements for Computers and Mobile Devices:

Russell K. Portenoy, MD, Moderator and Planner, has indicated a relationship with Pfizer Inc. and with AstraZeneca Pharmaceuticals LP for research grant support.

Mara Lugassy, MD, Joyce Palmieri, RN, and Linda Stertz, LCSW, have no financial arrangements or affiliations with any commercial entities whose products, research or services may be discussed in these materials. Any discussion of investigational or unlabeled uses of a product will be identified.

No other Planning Committee Member has any disclosures.

Planning Committee Members
Barbara Bouton, MA, FT
Colleen Fleming-Damon, PhDc, APRN-BC, ACHPN-BC, C.T.
Steven R. Gardner, MPA, PAHM
Myra Glajchen, DSW
Jennifer Kennedy, RN, MA, BSN, CHC
Russell K. Portenoy, MD
Karen Richards, PhD, EdS
Judith A. Skretny