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Leading the Way in Research, Education & Quality

On-Demand Webinars:
Ethical and Legal Issues in Palliative Care–Package #1

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

logos-webinar-collaboration2

Topic-related package of three webinars are available at the discounted price of $65, or individually at $25. Institutional group rates are available upon request.

To register and for more information, please click on your profession for the bundle or individual webinar.

Bundle:  Physicians  |  Non-Physicians and Social Workers  |  Nurses  |  NYS Social Workers

Consent to Care: The Why, When, and What – 1.0 Credit

Physicians  |  Non-Physicians and Social Workers  |  Nurses  |  NYS Social Workers

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

Speaker
Speaker Name and Title:
Pauline Lesage, MD, LLM
Physician Educator
MJHS Institute for Innovation in Palliative Care

Purpose: To illustrate the complexity of obtaining an informed consent, especially in the context of the patient lacking capacity.

Objectives:

    1. Discuss the context of informed consent
      1. Barriers to communication: physician, patient, family
      2. Decision-making models: paternalistic, informed choice, shared decision-making
    2. Define the elements of informed consent:
      1. Information
      2. Authorization
    3. Examine the decision-making process for patients lacking capacity:
      1. Legal principles
      2. Advance directives:
        1. Health Care Proxy
        2. Instructional directives
          1. Living will
          2. MOLST

Why Do I Need to Know This?
  1. It is an intrinsic topic to hospice and palliative care
  2. It is the most common reason for ethics committee review
  3. It is one of the most complex issues in medicine, ethics, and law

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 
    2. Submission of completed evaluation form 
    3. Successful completion of a posttest

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: 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.

Certificate of Participation for Non-Physician Healthcare Professionals: For participants* whose disciplines are other than nurse, social worker (in New York State), and physician, you may request a Certificate of Participation for Non-Physician Healthcare Professionals to submit to your accrediting bodies/licensing boards for continuing education credit. This certificate will indicate the webinar was certified for AMA PRA Category 1 Credit(s)TM. It is the responsibility of participants to submit the certificate to their accrediting bodies/licensing boards for approval. Unfortunately, NHPCO cannot guarantee its acceptance. To receive this certificate, you must complete all CE/CME requirements and indicate your desire to receive this certificate on the evaluation form.

*including finance professionals, physician assistants, social workers outside of New York State, etc.

Disclosures
Pauline Lesage, MD, LLM, has 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.

Russell K. Portenoy, MD, Moderator, has indicated a relationship with AstraZeneca Pharmaceuticals LP and Tabula Rasa for research support. 

No other Planning Committee Member has any disclosures.

Planning Committee Members
Barbara Bouton, MA, FT
Colleen Fleming-Damon, PhDc, ANP-BC, ACHPN, FT
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

“Futility” and goals in the illness trajectory: setting boundaries – 1.0 credit

Physicians  |  Non-Physicians and Social Workers  |  Nurses  |  NYS Social Workers

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

Speaker
Speaker Name and Title:
Pauline Lesage, MD, LLM
Physician Educator 
MJHS Institute for Innovation in Palliative Care

Purpose: The purpose of this webinar is to explore a broad spectrum of definitions of the futility concept, contextualize futility in relation to various goals of care, address the underlying motives of parties involved in decision-making, and propose an alternative concept to futility.

Objectives:

  1. Define the concept of futility, and recognize possible alternative concepts
  2. Identify the parties and motives involved in decision-making, and contextualize futility in relation to goals of care
  3. Discuss guidelines to resolve difficult futility issues
Why Do I Need to Know This?
Futility of treatment is the main ethical healthcare-related challenge faced by the public today.

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 
    2. Submission of completed evaluation form 
    3. Successful completion of a posttest

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:  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.

Certificate of Participation for Non-Physician Healthcare Professionals: For participants* whose disciplines are other than nurse, social worker (in New York State), and physician, you may request a Certificate of Participation for Non-Physician Healthcare Professionals to submit to your accrediting bodies/licensing boards for continuing education credit. This certificate will indicate the webinar was certified for AMA PRA Category 1 Credit(s)TM. It is the responsibility of participants to submit the certificate to their accrediting bodies/licensing boards for approval. Unfortunately, NHPCO cannot guarantee its acceptance. To receive this certificate, you must complete all CE/CME requirements and indicate your desire to receive this certificate on the evaluation form.

*including finance professionals, physician assistants, social workers outside of New York State, etc.

Disclosures:
Pauline Lesage, MD, LLM, has 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.

Russell K. Portenoy, MD, Moderator, has indicated a relationship with AstraZeneca Pharmaceuticals LP and Tabula Rasa for research support. 

No other Planning Committee Member has any disclosures.

Planning Committee Members
Barbara Bouton, MA, FT
Colleen Fleming-Damon, PhDc, ANP-BC, ACHPN, FT
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

Tube Feedings: Medical and ethical perspectives – 1.0 credit

Physicians  |  Non-Physicians and Social Workers  |  Nurses  |  NYS Social Workers

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

Speaker
Speaker Name and Title:
Mona Patel, DO
Associate Program Director of Hospice and Palliative Medicine Fellowship
MJHS Hospice & Palliative Care

Purpose: This webinar will review the best available evidence and provide recommendations for the appropriate use of enteral feeding tubes in patients with chronic illness, taking into account both medical and ethical considerations.

Objectives:

  1. Discuss the clinical indications and contraindications for enteral feeding tube placement, including associated risks, benefits, and burdens
  2. Evaluate the evidence-based literature regarding enteral feeding tube placement while dispelling myths and conceptions
  3. Recognize a framework for discussing these difficult treatment choices with patients and families using shared and informed decision-making
Why Do I Need to Know This?
Enteral feeding tubes continue to be placed in patients with eating difficulties and weight loss, despite widespread consensus that this therapy offers questionable benefits and significant potential risks. This webinar will explore medical and ethical perspectives of enteral feeding tube placement in the palliative care population. A review of the current literature will be conducted including an examination of the indications for appropriate use of enteral feeding tubes as well as its drawbacks. Clinicians will also be provided with guidelines on how to discuss these treatment options with patients and families.

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
    2. Submission of completed evaluation form
    3. Successful completion of a posttest

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: 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.

Certificate of Participation for Non-Physician Healthcare Professionals: For participants* whose disciplines are other than nurse, social worker (in New York State), and physician, you may request a Certificate of Participation for Non-Physician Healthcare Professionals to submit to your accrediting bodies/licensing boards for continuing education credit. This certificate will indicate the webinar was certified for AMA PRA Category 1 Credit(s)TM. It is the responsibility of participants to submit the certificate to their accrediting bodies/licensing boards for approval. Unfortunately, NHPCO cannot guarantee its acceptance. To receive this certificate, you must complete all CE/CME requirements and indicate your desire to receive this certificate on the evaluation form.

*including finance professionals, physician assistants, social workers outside of New York State, etc.

Disclosures
Mona S. Patel, DO, has 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.

Russell K. Portenoy, MD, Moderator, has indicated a relationship with AstraZeneca Pharmaceuticals LP and Tabula Rasa for research support. 

No other Planning Committee Member has any disclosures.

Planning Committee Members
Barbara Bouton, MA, FT
Colleen Fleming-Damon, PhDc, ANP-BC, ACHPN, FT
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