14 AMA PRA Category 1 Credit(s)TM
14 Contact Hours
Course Fees:$895 for Physicians, Attorneys, Psychologists, Doctors of Pharmacy, & Dentists
$695 for Physician Assistants
$695 for Nurse Practitioners
$495 for Nurses, Residents, Students & Others
BIAS FREE CME - No Commercial Support was provided for this CME activity.
- End of Life Care and Refusal of Treatment
- Discuss ethically and legal appropriate end-of-life treatment choices with patients.
- Explain the lines the line draws between appropriate and inappropriate end-of-life treatment choices for patients.
- Dying and the Patient With Decisionmaking Capacity
- Differentiate between instructional and proxy advance directives.
- Explain the difference between advance directives and physicians orders regarding end-of-life treatment options.
- Discuss these differences with patients with decisionmaking capacity so that their wishes are memorialized in case of loss of that capacity.
- Identify the gaps that arise between advance directives and orders in patient charts.
- Assess the utility of POLST as a way to fill in those gaps.
- When the Patient Lacks Decisionmaking Capacity (With or Without An Advance Directive)
- Explain state laws that permit family members or others acting on behalf of patients lacking capacity to speak on their behalf.
- Analyze decisionmaking approaches under the three possibly applicable legal standards: substituted judgment, best interests, and the legally disfavored subjective test.
- Palliative Care and Hospice
- Explain the difference between palliative care and hospice.
- Explain Medicare requirements for the coverage of hospice care.
- Evaluate suggestions of hospice care made by other members of the care team or by hospice providers themselves
- Futility: When Family Members Want It All
- Explain legal recognition of death by neurological criteria and differentiate between issues involving patients satisfying that criteria and patients who do not, under the law.
- Explain the concept of medical futility.
- Distinguish between quantitative and qualitative futility.
- Compare state laws specifically describing procedures to be followed when clinicians view a patientÂs treatment as futile with state laws that are less procedurally specific.
- Beyond Withholding and Withdrawing
- Differentiate between aid in dying and euthanasia.
- Explain the statutory requirements in the states imposing strict procedures and reporting requirements regarding aid in dying.
- Evaluate the practice of aid in dying as it proceeds without strict requirements in some states.
- Assess the clinical practice guidelines for the practice.
- Case Discussions and Debriefing
- Apply what was learned about patient capacity, brain death, and withholding and withdrawing life-sustaining treatment.
- Relate principles to case scenarios.
- Evaluate the relevance of principles discussed to attendee's own practice.
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