16 ACPE Credits
CLE Credit may be available.
16.0 Contact Hours
Course Fees:
$995 for Physicians, Attorneys, Psychologists, Pharmacists, & Dentists$750 for Physician Assistants
$750 for Nurse Practitioners
$595 for Nurses, Students & Others
BIAS FREE CME - No Commercial Support was provided for this CME activity.
IMPORTANT NOTE: All conferees, their families, and guests must book their cruise within the CEI meeting group through Continuing Education, Inc./University at Sea® at 800-422-0711 or by registering online. This ensures our company can provide conference services and complimentary social amenities to all meeting participants and their guests. Thank you for your cooperation.
Target Audience
Physicians, Physician Assistants, Nurses, Nurse Practitioners, Pharmacists, Attorneys,
Program Purpose
The purpose of this course is to provide members of the health care team with the ethical and legal principles underlying advance care planning,
thus enabling the team to collaborate in enhancing patient care through shared understanding of the ethical and legal issues encountered in patient care near the end of life.
Topics:
Topics:
- End of Life Care and Refusal of Treatment
- Discuss ethically and legally appropriate end-of-life treatment choices with patients.
- Explain the lines the law draws between appropriate and inappropriate end-of-life treatment choices for patients.
- Dying and the Patient With Decisionmaking Capacity
- Explain the term "advance directive" and the purposes of advance directives.
- Differentiate between instructional and proxy advance directives.
- Explain the difference between advance directives and physicians&apost; orders regarding end-of-life treatment options.
- 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.
- Death by Neurological Criteria
- Explain legal recognition of death by neurological criteria.
- Differentiate between issues involving patients satisfying that criteria and patients who do not, under the law.
- Explain the multiple types of objections patients' families are raising to diagnoses of brain death.
- Futility: When Family Members Want It All
- 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 patients 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 medical aid in dying.
- Evaluate the practice of medical aid in dying as it proceeds pursuant to clinical practice guidelines.
- 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 attendees own practice
Conference Sessions generally take place on days at sea (as itinerary allows), giving you plenty of time to enjoy your meals, evenings and ports of call with your companion, family and friends.
