End of Life Palliative Care CME Caribbean Cruise from Ft. Lauderdale - April 4-11, 2015
1-800-422-0711
1-727-526-1571
Join our mailing list
Cruise Conference Planning For Your Association

OUR OFFICE HOURS

Mon - Fri 8:30am - 6:00pm EST
Sat 9:00am - 5:00pm EST
Sun 1:00pm - 5:00pm EST

Continuing Education, Inc.
University at Sea®
5700 4th St. N.
St Petersburg, Florida 33703
E-Mail Us
Support Doctors Without Borders
Stress Free - Our Cruise Conferences provide a unique, relaxing learning environment.
Family Friendly - Our cruises are fun for the entire family. You will never run out of things to do!

Palliative Care and Medical-Legal Issues
at the End of Life

7-Night Eastern Caribbean Cruise Conference
from Ft. Lauderdale, Florida

Royal Caribbean's Oasis of the Seas
April 4 - 11, 2015

This conference has already sailed, but that doesn't mean you have to miss the boat! Click here to see our complete schedule of upcoming programs.

Royal Caribbean's Magnificent Oasis of the Seas
Royal Caribbean's Oasis of the Seas

14 AMA PRA Category 1 Credit(s)™
14 Contact Hours

Course Fees:
$795 for Physicians, Attorneys, Psychologists, Doctors of Pharmacy & Dentists
$550 for Physician Assistants, Nurse Practitioners, Nurses & Others

BIAS FREE CME - No Commercial Support was provided for this CME activity.
Course Fee Cancellation Policy:
30 days from sailing-None; 7-29 days-50%; Less than 7 days-100%

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
Primary Care Physicians, Nurses, Nurse Practitioners, Physician Assistants, Psychologists
Program Purpose / Objectives
Topics:
  1. Dying in America
  2. Breaking Bad News: And Then What?
  3. Refusal of Treatment
  4. Determination of Prognosis
  5. Dying and the Patient With Decision-making Capacity
  6. Care Options for Terminally Ill Adults
  7. Capacity and Competency: An inter-professional approach; case-based discussion
  8. When the Patient Cannot Speak
  9. Pain Management at the End of Life
  10. Laws Governing Futility: When Family Members Want It All
  11. Management of Non-Pain Related Symptoms at the End of Life
  12. Aid-in-Dying
  13. Death: The Caregiver’s Journey
  14. A Good Death: Narratives of patients and caregivers

Objectives:

1. A. Analyze regional and clinical differences within the United States in the provision of end-of-life care of varying intensity

B. Describe differing cultural approaches to end-of-life decision-making

C. 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

 

2. A. Inform patients and responsible parties about a terminal diagnosis in an empathic and individualized manner

B. Initiate a discussion about subsequent care options, prognosis, and preferences

 

3. A. Discuss ethically and legally appropriate end-of-life treatment choices with patients

B. Explain the lines the law draws between appropriate and inappropriate end- of-life treatment choices for patients with decision-making capacity

 

4. A. Apply evidence-based, accepted methods for determining prognosis

B. Analyze factors such as co-morbidity, lifestyle and nutritional status and their effect on prognostication

 

5. A. Differentiate between instructional and proxy advance directives

B. Explain the difference between advance directives and physician orders regarding end-of-life treatment choices

C. Discuss these differences with patients with decision-making capacity so that their wishes are memorialized in case of loss of such capacity

D. Identify the gaps that arise between advance directives and orders in patient charts E. Assess the utility of POLST as a way to fill in those gaps

 

6. A. Describe insurance coverage, and financial reimbursement for end-of-life care

B. Identify appropriate sites of care and specific needs for patients with terminal conditions

 

7. A. Explain the legal difference between a patient who has been declared incompetent to make decisions and a patient whom a clinician has determined to lack capacity to make decisions from time to time

B. Assess capacity to make medical decisions

 

8 A. Explain state laws that permit family members or others acting on behalf of patients lacking capacity to speak on their behalf

B. Analyze decision-making approaches under the three possibly applicable legal standards: substituted judgment, best interests, and the legally disfavored subjective test

 

9. A. Adopt a systematic approach to the treatment of mild, moderate and severe pain due to various etiologies

B. Prescribe opiates and non-opiod analgesics in a safe manner, while monitoring for adverse effects

 

10 A. Explain the concept of medical futility

B. Distinguish between quantitative and qualitative futility

C. Compare state laws specifically describing procedures to be followed when clinicians view a patient’s treatment as futile with state laws that are less specific

D. Assess the impact of the two different types of state futility laws on clinical practices

 

11. A. Analyze causes of fatigue, depression, shortness of breath, and nausea in terminal patients

B. Select accepted pharmacological treatment options and use non- pharmacological means also to improve quality of life

 

12. A. Differentiate between aid-in-dying and euthanasia

B. Explain the statutory requirements in the states imposing strict procedural and reporting requirements regarding aid-in-dying there

C. Describe the ways that courts in other states that have determined aid-in- dying is legal there

D. Assess the clinical practice guidelines being developed regarding aid-in- dying

 

13. A. Appreciate the physical, psychological and financial burden of caring for individuals with terminal illness

B. Anticipate the needs of bereaved caregivers and provide access to supporting services

 

14. Utilize stories, poems, and videos to generate discussion about optimal end- of-life care and discuss what could constitute a good death

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.
Questions? Call us at 800-422-0711.
We can assist you with all your travel arrangements. We'd be happy to help you plan your flights, hotels or tours before and/or after your cruise conference.
Faculty
Kathy L. Cerminara, J.D., LL.M., J.S.D.,

Professor Kathy Cerminara bridges the medical and legal professions with her work on patients' rights in the end-of-life decision-making arena. She co-authors the nationally known treatise, The Right to Die: The Law of End-of-Life Decisionmaking, and is a reviewer for several medical and medical-legal journals. Her scholarship most recently has focused on the intersection between end-of-life care, palliative care, and health care coverage policy. At the Nova Southeastern University Shepard Broad Law Center, she is a full professor and serves as Director of Faculty Development.

Professor Cerminara teaches Torts, Health Policy, Bioethics & Quality of Care, Administrative Law, Civil Procedure, and other health-law-related courses. She also created and was the initial director of the online Master of Science in Health Law program for non-lawyers.

Prior to joining the Law Center faculty, Professor Cerminara taught at St. Thomas University School of Law and the University of Miami School of Law, clerked in the Western District of Pennsylvania and the United States Court of Appeals for the Third Circuit, and practiced law with Reed Smith Shaw & McClay in Pittsburgh, Pennsylvania.

Professor Cerminara received her J.D. magna cum laude from the University of Pittsburgh and her LL.M. and J.S.D. from Columbia University. She is an affiliate member of the Health Law and Tort Trial and Insurance sections of The Florida Bar, a retired member of the Pennsylvania Bar, and a member of organizations such as the American Bar Association, the American Society of Law, Medicine & Ethics and the American Health Lawyers Association.

Naushira Pandya, M.D., CMD, FACP

Dr. Naushira Pandya is a Professor and the Chair of the Department of Geriatrics at Nova Southeastern College of Osteopathic Medicine in Ft. Lauderdale, FL., and the Principal Investigator and Project Director of the federally funded Geriatrics Education Center. She is the medical director of Covenant Village, a CCRC, and of Avante at Boca, a 120-bed teaching facility with a ventilator unit. In addition to overseeing the Nova's geriatrics fellowship, she trains medical students and residents, and is the course director for the geriatrics and endocrinology courses. Dr. Pandya has the distinction of being a Fulbright Senior Specialist Scholar in Slovakia in 2009. She is an AMDA board member, a member of the Governor's Cancer Control Committee, a board member of, and AMDA liaison to the Florida Medical Director's Association and a board member of the Broward County Area Agency on Aging.

She is a reviewer for JAMDA and other geriatrics journals and has published 3 book chapters and over 10 journal articles in the areas of long-term medicine, diabetes, osteoporosis, venous thromboembolism, and anemia in the elderly. Her principal research interest is the management of diabetes in frail elders. She has received over $ 3 million in grant funding from the Health Resources Services Administration.

She earned her medical degree at the University of London, England, where she completed her internship in medicine and surgery and trained as a senior house officer in hematology and emergency medicine. In the United States, she completed her Internal Medicine residency in Phoenix, and concurrent fellowships in Geriatrics and Endocrinology at the University of Michigan. She is board-certified in Internal Medicine, Geriatrics, and Endocrinology.

Dr. Pandya has been an active member and advocate of the American Medical Directors Association (AMDA) since 1999, and became a certified medical director in 2003. She is the past chair of the American Medical Director's Clinical Practice Guideline Steering Committee (5 years), and past chair of the Clinical Practice Committee (2 years). She was elected as one of the AMDA Board State President's Council representatives in 2011. Additionally, she has been instrumental in writing clinical practice guidelines on the Management of Diabetes in the Long-term Setting, Osteoporosis, Falls, and the Pharmacological Treatment Guideline for Depression. She is a regular contributor to the AMDA annual meeting, a frequent speaker at national and international meetings, and has trained many practitioners to implement AMDA's clinical practice guidelines. Dr. Pandya has helped to forge international alliances between AMDA and Central Europe through the European Expertise in Long-term Care Association (ELTCA).
Accreditation

Accredited Continuing Medical Education Accreditation: Continuing Education, Inc. is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Designation: Continuing Education, Inc. designates this live activity for a maximum of 14 AMA PRA Category 1 Credits™. Each physician should claim only the credit commensurate with the extent of their participation in the activity.


ANCC Accredited Continuing Nursing Education
Continuing Education, Inc. is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.

Accredited status does not imply endorsement by Continuing Education, Inc./University at Sea or ANCC of any commercial products displayed or used with an activity.

Nurse Practitioners: can claim either ANCC Contact Hours or AMA PRA Category 1 Credits™ as needed.
Pharmacology credits are identified on individual activities.

Physician Assistants: AAPA accepts certificates of participation for educational activities certified for AMA PRA Category 1 Credit™ from organizations accredited by ACCME.

Canadian Physicians: This activity is eligible for Section 1 credits in the Royal College’s Maintenance of Certification (MOC) Program . Participants must log into MAINPORT to claim this activity.

Osteopathic Physicians: This program is eligible for Category 2 credit with the American Osteopathic Association (AOA) .

US or Canadian Family Physicians: Please let us know if you require AAFP Prescribed Credits.

Approval: Continuing Education, Inc. is approved by the American Psychological Association to sponsor continuing education for psychologists. Continuing Education, Inc. maintains responsibility for this program and its content.

Designation: As an organization approved by the American Psychological Association, Continuing Education, Inc. is offering this activity for a maximum of 14 hours of continuing education credit. Full attendance is required; no partial credit will be given for partial attendance.

Questions? Call us at 800-422-0711.
We can assist you with all your travel arrangements. We'd be happy to help you plan your flights, hotels or tours before and/or after your cruise conference.
Cruise Itinerary
DATE PORT OF CALL ARRIVE DEPART
Sat Apr 4 Ft. Lauderdale, Florida
  5:00pm
Sun Apr 5 Nassau, Bahamas 7:00am 2:00pm
Mon Apr 6 At Sea Cruising
Lectures 8:00am-12 Noon
- -
Tue Apr 7 Charlotte Amalie, St. Thomas 10:00am 7:00pm
Wed Apr 8 Philipsburg, St. Maarten 8:00am 5:00pm
Thu Apr 9 At Sea Cruising
Lectures : 9:00am-12 Noon
Lectures: 1:00pm-4:00pm
- -
Fri Apr 10 At Sea Cruising
Lectures: 8:00am-12 Noon
- -
Sat Apr 11 Ft. Lauderdale, Florida 6:15am -

Ports of Call
Charlotte Amalie, St. Thomas, U.S.V.I. - Named after a Danish Queen, Charlotte Amalie has one of the most breathtaking deepwater harbors in the world. The key sights of Charlotte Amalie are located within the town centre, making it easy to combine sightseeing with St. Thomas’ fantastic shopping opportunities. Eighteenth century architecture provides the perfect backdrop for walking tours and shopping here in the "Duty Free Capital of the World." For a dose of history, visit Emancipation Park, the American-Caribbean History Museum, or Bluebeard the pirate's castle at Magen’s Bay. If tropical bliss is what you're after, head to any of Charlotte Amalie’s pristine beaches, where the warm water, white sands and palm trees will lull you into deep relaxation!
Ft. Lauderdale, Florida - There is an abundance of things to see and do in the Ft. Lauderdale area: visit the newly redesigned Ft. Lauderdale Beach and cafes, stroll the historic Riverwalk, shop the luxurious stores on Las Olas Boulevard or adventure to the Everglades for an intriguing air boat excursion.
Nassau, Bahamas - The captivating capital of the 700 Bahamian islands. Attractions include forts to explore, coral reefs to snorkel and a fascinating straw market to shop
Philipsburg, St. Maarten - An island under two flags. Sample the Dutch treats of Philipsburg: chocolate, cheese, delftware. On the French side linger over bouillabaisse, shop for Parisian perfumes.

Our staff can assist you with all your travel arrangements.

Questions? Call us at 800-422-0711.
We can assist you with all your travel arrangements. We'd be happy to help you plan your flights, hotels or tours before and/or after your cruise conference.

Oasis of the Seas

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.
Cruise Pricing

Prices below are for the full cruise including meals and evening entertainment

STATEROOM
ACCOMMODATIONS
PER PERSON
Owner's Suite (OS) - Two twin beds (can convert to Queen). Private bathroom with tub, shower and two sinks, marble entry, large closets, living area with table and sofa. Private balcony with table and chairs. (569 sq. ft., balcony 246 sq. ft.) Each stateroom also has its own flat-screen television, thermostat controlled air-conditioning, internet access, direct-dial telephone, radio, mini bar, individual safe, and 24 hour room service.
Call
800-422-0711
for Pricing
Grand Suite (GS) - Two twin beds (can convert to Queen). Private bathroom with tub and two sinks, marble entry, large closets, sitting area with table and sofa. (371 sq. ft., balcony 114 sq. ft.) Each stateroom also has its own flat-screen television, thermostat controlled air-conditioning, internet access, direct-dial telephone, radio, mini bar, individual safe, and 24 hour room service.
Call
800-422-0711
for Pricing
Junior Suite with Balcony (JS) - Two twin beds (can convert to Queen). Private bathroom with tub, sitting area with table and sofa. (287 sq. ft., balcony 78 sq. ft.) Each stateroom also has its own flat-screen television, thermostat controlled air-conditioning, internet access, direct-dial telephone, radio, mini bar, individual safe, and 24 hour room service.
Call
800-422-0711
for Pricing
Superior OceanView Stateroom with Balcony (D8) - Two twin beds (can convert into queen-size), private balcony, sitting area, and a private bathroom. 182 sq. ft., balcony 53 sq. ft.)
Call
800-422-0711
for Pricing
OceanView Stateroom (I) -Two twin beds (can convert Queen), private bathroom and sitting area. (178.7 sq. ft.)
Call
800-422-0711
for Pricing
Central Park View Stateroom (CV) -Two twin beds (can convert into queen-size), sitting area, and a private bathroom. Central Park view bay window. (194 sq. ft.)
Call
800-422-0711
for Pricing
Large Interior Stateroom (M) - Two twin beds (can convert Queen), private bathroom and sitting area. (150.7 sq. ft.)
Call
800-422-0711
for Pricing
Prices are Per Person, Double Occupancy, Subject to change
Cancellation Policies vary by cruise line, destination and sailing date.
Please check with one of our cruise consultant for policies applicable to this cruise.
PRICING SUBJECT TO CHANGE: Although subject to change at any time, the listed prices are generally available up to about 90 days before sailing; at that time they convert to typically higher, market rates. Rates offered directly by the cruise line and quoted by our agents are also subject to change at any time, can be withdrawn at any time and are capacity controlled.
CANCELLATION PENALTY POLICY WILL APPLY: Cancellation policies vary by cruise line, itinerary and length of cruise. When reserving your stateroom, please review the policy applicable to this cruise with our staff. We strongly recommend Travel Insurance to cover the unexpected.
FUEL SUPPLEMENT: Cruiselines may implement a fuel surcharge depending on the price of crude oil.
Questions? Call us at 800-422-0711.
We can assist you with all your travel arrangements. We'd be happy to help you plan your flights, hotels or tours before and/or after your cruise conference.

TravelSafe.comPlease visit TravelSafe.com for travel insurance information.

Cruise Line cancellation policies are strictly enforced. For that reason, we urge all of our travelers to carefully consider whether travel insurance is a good value for them.

Certainly, if you have reason to think that "something might come up" that might force you to cancel, travel insurance is worth the cost of the premium. Examples we've seen in the past include ill or frail family members and changes in employment causing relocation.

If travel insurance is the right choice for you, we recommend TravelSafe. To visit their site and explore your options click here or on the link above. The cruise lines also offer travel insurance and we'd be happy to help you go that route if you'd prefer.