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essential practices in hospice and palliative medicine

January 18, 2021 by  
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apply a framework to determine the ethically appropriate options when ethical dilemmas are encountered in clinical practice, describe what clinicians should consider when determining if a patient has decision-making capacity, identify preferred qualifications of ethically appropriate surrogate decision-makers, explain what needs to be considered when deciding to withhold medical care on the basis of medical futility, and why this can be problematic, provide guidance to patients and families about the risks, benefits, and alternatives to artificial nutrition and hydration, differentiate between palliative sedation, physician assisted death, and euthanasia, identify the risk factors for moral distress in challenging clinical situations. UNIPACs are Becoming Essential Practices in Hospice and Palliative Medicine. Institute of Medicine (US) apply the decision-making process described in this UNIPAC when making ethical decisions, apply knowledge of medical ethical principles to clinical situations, differentiate instructive and proxy directives, provide guidance when obtaining informed consent for care and research in hospice and palliative care settings, provide ethical guidance for patients and family members when they, express misconceptions about opioids that interfere with optimal pain management, make decisions about cardiopulmonary resuscitation, make decisions about the withdrawal of artificial ventilation, make decisions about the withdrawal of artificial nutrition and hydration, define pediatric palliative care (PPC) and related concepts, including patient demographics and hospice eligibility criteria, identify similarities and differences between adult palliative care and PPC, identify barriers to providing comprehensive palliative care for pediatric patients from the time of diagnosis of a life-threatening condition and strategies to circumvent those barriers, use effective communication techniques when discussing palliative care, chronic conditions, terminal illness, and death with children and their families, recognize anticipatory, normal, and pathologic grief and initiate effective interventions to help families through their bereavement, initiate effective management of psychological issues, including practical concerns, related to children with life-threatening conditions, identify and explain ethical and legal issues related to palliative care for pediatric patients, manage pain and opioid-related side effects in pediatric patients, assess and manage nonpain symptoms in pediatric patients, assess and manage refractory symptoms in pediatric patients. Note: If a Member Board has not deemed this activity for MOC approval as an accredited CME activity, this activity may count toward an ABMS Member Board's general CME requirement (only). Himelstein BP and Kane JR. Physicians may earn continuing education credits and MOC points. *Disclosure documents were reviewed for potential conflicts of interest and, if identified, they were resolved prior to confirmation of participation. recognize ways to maintain professional boundaries when providing palliative and hospice care. Increase your competence in palliative medical interventions for improving your patients' quality of life. Maintenance of Certification (MOC). Services are exclusively dedicated to palliative medicine, hospice, and end-of-life care. Learn More KW - Palliative care. Principles and practices of hospice and palliative care; The process of providing care; Pain and symptom management; Providing psychosocial care; Palliative care and physician assisted dying; Caring in the last days and hours; Caring for you, the caregiver! is a medicare-certified hospice facility in Houston, Texas. via phone at (281) 561-8818. Palliative care has been viewed as an exemplary model of interprofessional care delivery, yet best practices in both interprofessional education (IPE) and interprofessional practice (IPP) in the field are still developing. Each volume was reviewed and updated by subject matter experts to include the latest evidence and best practices in the field. 5th ed. June 13, 2017 by AAHPM. You can reach out to the office of Essential Hospice And Palliative Services, Llc. Essential Practices in Hospice and Palliative Medicine. Established in 2014, our ACGME-accredited Hospice and Palliative Medicine Fellowship Program offers a well-rounded clinical training experience in hospice and palliative medicine, caring for a diverse patient population under the mentorship of experienced, board-certified faculty. 4 Weaver M, Carter B, Keefer P, Korones DN, Miller EG. Prepare for your board certification exam by reviewing the current best practices and literature. describe the disease trajectory for patients with COPD, demonstrate the assessment and treatment of COPD and dyspnea, including pharmacologic approaches, oxygen, opioids, and nonpharmacologic approaches, discuss the indications for noninvasive ventilation (NIV) for patients with end-stage COPD. Chicago, IL 60631, Phone 847-375-4712 “Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to: It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting ABIM or ABP MOC credit. Work-groups have created adult and pediatric-focused HPM competencies, measurable outcomes, and a tool-kit of assessment methods to support fellowship Chicago, IL: American Academy of Hospice and Palliative Medicine; 2017. Physicians certified with the American Board of Internal Medicine who wish to earn MOC points within the current calendar year must submit their MOC data no later than December 31 of the calendar year. Phase 1 methods included development of a working group; a literature review; development of a baseline list of practices; and identification of levels of intervention. Recognize common neurological disease presentations, Understand disease trajectories and prognostic factors for common neurological conditions, Understand treatment options for common neurological conditions, Be familiar with end stage issues for common neurological conditions, Understand when hospice referral is appropriate for common neurological conditions. A growing, multidoctor, mobile hospice and palliative care practice in Louisville, Kentucky, is described. Physicians certified with the American Board of Pediatrics who wish to earn MOC points within the current calendar year must submit their MOC data no later than December 1 of the calendar year. define pediatric palliative care (PPC) and related concepts, including patient demographics and hospice eligibility criteria, identify similarities and differences between adult palliative care and PPC, identify barriers to providing comprehensive palliative care for pediatric patients from the time of diagnosis of a life-threatening condition and strategies to circumvent those barriers, use effective communication techniques when discussing palliative care, chronic conditions, terminal illness, and death with children and their families, recognize anticipatory, normal, and pathologic grief and initiate effective interventions to help families through their bereavement, initiate effective management of psychological issues, including practical concerns, related to children with life-threatening conditions, identify and explain ethical and legal issues related to palliative care for pediatric patients, manage pain and opioid-related side effects in pediatric patients, assess and manage nonpain symptoms in pediatric patients, assess and manage refractory symptoms in pediatric patients. (Exclusions at the time of this writing included 501-C not-for-profit organizations, government organizations, liability and health insurance providers, non-healthcare-related companies, group medical practices, for-profit healthcare providers, blood banks and diagnostic laboratories.). Through the American Board of Medical Specialties ("ABMS") ongoing commitment to increase access to practice relevant Continuing Certification Activities through the ABMS Continuing Certification Directory, for each Essentials Learning Module has met the requirements as an MOC Part II CME Activity (apply toward general CME requirement) and/or an MOC Part II Self-Assessment Activity for the following ABMS Member Boards: MOC Part II CME ActivityFamily Medicine Psychiatry and Neurology Radiology. ABIM or ABP MOC points expire on September 18, 2023. IAHPC List of Essential Medicines for Palliative Care. appreciate the impact of caregiving on people with dementia compared to other life-limiting illnesses. Synopsis: Formerly known as the UNIPAC series, the Essential Practices in Hospice and Palliative Medicine self-study series is comprised of 9 books, each focused on a specific topic in hospice and palliative medicine, with accompanyting confidence-based learning modules. KW - Symptom assessment Chronic Obstructive Pulmonary Disease (COPD), list the most common etiologies, prevalence, burden, and mortality of COPD, describe the disease trajectory for patients with COPD, demonstrate the assessment and treatment of COPD and dyspnea, including pharmacologic approaches, oxygen, opioids, and nonpharmacologic approaches, discuss the indications for noninvasive ventilation (NIV) for patients with end-stage COPD, refer appropriate patients with COPD to palliative care and hospice, communicate effectively with patients about end-of-life (EOL) care options for patients with COPD, describe the impact of anxiety and depression on patients with COPD. describe when it is appropriate to refer patients with HF to hospice. Organizations that provide leadership skills development for all palliative care program leaders — from any discipline — include the Center to Advance Palliative Care (CAPC), the National Hospice and Palliative Care Organization (NHPCO), and the American Academy of Hospice and Palliative Medicine (AAHPM). So, too, is the leadership of hospice and palliative care social workers within IPE and IPP. The characteristics of, and unique considerations associated with, this practice's patient population a … Explore practical clinical scenarios to assist you in assessing and managing components of patient care, communication and your interdisciplinary team. CME/MOC expiration dates are extended through September 18, 2023 and may only be claimed one time. This newly updated and rebranded comprehensive self-study provides a critical foundation for those who want to incorporate principles of hospice and palliative medicine into their daily lives. eds. E-mail info@aahpm.org, Intensive Board Review Course 2018 Recordings, IBRC18 - Additional Management Strategies for Cancer Related Symptoms, IBRC18 - Approaches to Care, including Hospice/Medicare, IBRC18 - Assessment and Care of the Dying Patient, IBRC18 - Depression/Anxiety & Other Mood Disorders, IBRC18 - Ethical and Legal Decision Making, IBRC18 - Grief and Bereavement and Spiritual Care, IBRC18 - High Yield Pediatrics for the Boards, IBRC18 - Non-Pain Symptom Management – GI, IBRC18 - Non-Pain Symptom Management – Respiratory, IBRC18 - Non-Pain Symptom Management: Pot-Pourri, IBRC18 - Palliative Sedation/Physician-Assisted Dying/Discontinuation of Technological Support, IBRC18 - Practice Test Question Review Q&A (1), IBRC18 - Practice Test Question Review Q&A (2), IBRC18 - Practice Test Question Review Q&A (3), IBRC18 - Special Topics in Pain Management, Summer 19 Ethics and the Hidden Curriculum, Summer 19 Research or Quality Improvement, Leadership Forum Faculty and Facilitators, Access to Palliative Care and Hospice Position Statement, Physician-Assisted Dying Position Statement, Physician Assisted Dying Position Statement Review, Visit our patient website: PalliativeDoctors.org, articulate key aspects and principles of palliative care, understand the concept of shared decision making, describe the principles of prognostication, identify key barriers to providing hospice and palliative care, describe models of palliative care in various settings, articulate key aspects of hospice care and the Medicare hospice benefit, describe the role of the physician, advance practice nurse, and interdisciplinary team (IDT) in hospice and palliative care, articulate the common challenges in hospice and palliative care, understand other models of delivering hospice and palliative care, describe the role of quality assessment and performance improvement in in hospice and palliative care and identify key measurement domains. identify key issues in research in hospice and palliative care. describe the impact of anxiety and depression on patients with COPD. If the doctor is a homeopathic or holistic doctor, that is. Holistic medicine, more and more, is embracing the benefits that certain essential oils have on our health. The mission of IAHPC is to improve the quality of life of adults and children with life-threatening conditions and their families. ... An Essential Hospice and Palliative Team Member. The list of essential practices in palliative care for health workers working in primary care includes those practices aimed at meeting the most prevalent physical, social, psychological and spiritual needs of palliative care patients and their families. articulate key aspects and principles of palliative care, understand the concept of shared decision making, describe the principles of prognostication, identify key barriers to providing hospice and palliative care, describe models of palliative care in various settings, articulate key aspects of hospice care and the Medicare hospice benefit, describe the role of the physician, advance practice nurse, and interdisciplinary team (IDT) in hospice and palliative care, articulate the common challenges in hospice and palliative care, understand other models of delivering hospice and palliative care, describe the role of quality assessment and performance improvement in in hospice and palliative care and identify key measurement domains. Association for Hospice and Palliative Care (IAHPC) developed a List of Essential Medicines for Palliative Care based on the consensus of palliative care workers from around the world. educate patients and families on home care and self-management of COPD. A three-phase study was designed. The learning modules are designed to test your level of knowledge and confidence in each topic area presented in the book series. Fax 847-375-6475 This newly updated and rebranded comprehensive self-study provides a critical foundation for those who want to incorporate principles of hospice and palliative medicine into their daily lives. Only those who had no conflict of interest or who agreed to an identified resolution process prior to their participation were involved in this activity. Essential Practices in Hospice and Palliative Medicine. The American Academy of Hospice and Palliative Medicine (AAHPM) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. All modules were reviewed and edited by August 31, 2020 to ensure the content is accurate. Palliative care is of growing importance to society as our culture struggles with how to provide compassionate end-of-life care to a growing segment of the population. KW - Primary care. Chicago, IL: American Academy of Hospice and Palliative Medicine; 2017. All modules were reviewed and edited by August 31, 2020 to ensure the content is accurate. Essentials Book Set with Learning Modules (includes books 1-9 and all learning modules) Book: Essential Practices for Hospice and Palliative Care, 5th Edition (previously named the UNIPAC series) is the foundational resource for hospice and palliative care professionals. A total of 27 MOC points are available upon completion of all 9 modules. Essential Practices in Hospice and Palliative Medicine: For those who've been in the field for a while, … Further studies are needed to evaluate their uptake and impact. anticipate and manage the physical, psychosocial, and spiritual suffering surrounding a child's death. The Essentials modules originally released September 18, 2017 expired September 18, 2020. IAHPC designed a process of five steps, which included developing a set of ethical guidelines; identifying the most common symptoms in palliative care; identifying a list of medicines to treat those Define the five stages of chronic renal disease, Describe three potential disease trajectories for renal disease, List common causes of pain in patients with renal failure, Discuss safe opioid prescribing in renal failure including best practices for opioid selection and dosing, List common non-pain symptoms In renal failure and treatment options, Discuss barriers to adequate advance care planning in renal disease, Explain how the Medicare hospice benefit applies to patients on dialysis, Discuss prognostication for patients who discontinue dialysis, Describe the management of symptoms that commonly occur after dialysis discontinuation, identify the most common etiologies of dementia and their pathogenesis in the United States, understand the prevalence of dementia in the United States and its age-related variation, describe the typical disease course for a person with Alzheimer’s dementia, describe the currently available pharmacologic therapies for the treatment of Alzheimer’s disease, including their mechanisms of action, indications, and common side effects, develop a strategy to assess pain in people with mild-to-moderate and severe-to-end-stage dementia, list the behavioral and psychological symptoms of dementia (BPSD), describe the difference between depression and apathy and understand the unique features of depression in people with dementia, including prevalence, alternative presentations, and treatment options, list the most commonly used atypical antipsychotics, with dosage recommendations and possible adverse effects, identify contributing causes to agitation in people with dementia, recognize frequent complications in patients with end-stage dementia and an approach to their treatment, review hospice eligibility guidelines for dementia and summarize their limitations. Page E. Yaxley. Chicago, IL 60631, Phone 847-375-4712 Virtual Hospice was wise enough to record and post as a YouTube video. In collaboration with other organizations, the International Association for Hospice and Palliative Care (IAHPC) developed in 2007 a list of essential medicines for palliative care in response to a request from the Cancer Control Program of the World Health Organization (WHO). use predictors to assess the likelihood of complicated reactions to loss, use effective interventions to enhance a patient's sense of efficacy, use effective interventions to foster hope, assess and manage anxiety and depression with pharmacological and nonpharmacological interventions, differentiate complicated and uncomplicated grief reactions, assess for spiritual pain and provide effective basic interventions. describe the management of symptoms that commonly occur after dialysis discontinuation. Formerly known as the UNIPAC series, the Essential Practices... Essentials Learning Modules. The American Academy of Hospice and Palliative Medicine (AAHPM) has a long history of sponsoring workgroups to promote development of Hospice and Palliative Medicine (HPM) medical education. CME/MOC expiration dates are extended through September 18, 2023 and may only be claimed one time. The International Association for Hospice and Palliative Care List of Essential Medicines for Palliative Care ... practices pain medicine and addiction medicine in Fairfax, Virginia, and is Assistant Clinical Professor of Medicine at Georgetown University, Washington, DC. Fax 847-375-6475 discuss the withdrawal of antiretroviral therapy. Joseph W. Shega, MD and Miguel A. Paniagua, MD FACP, Series Editors, Jerrod Liveoak and Bryan O’Donnell, Staff Editors, Julie Bruno, Kemi Ani, Angie Forbes and Angie Tryfonopoulos, Education and Learning Staff, have disclosed no relevant financial relationships. Please refer directly to your Member Board's MOC Part II Lifelong Learning and Self-Assessment Program Requirements. The UNIPAC is being rebranded and will be called Essential Practices in Hospice and Palliative Medicine, but will still be featured as the popular 9-volume set with newly updated content and practical cases. The International Association for Hospice and Palliative Care (IAHPC) is a membership-based organization dedicated to the development and improvement of hospice and palliative care worldwide. All item writers and reviewers for this module have disclosed no relevant financial relationships.• Dean M. Frate, MD• Ruth M. Thomson, DO MBA HMDC FACOI FAAHPM• Christopher Jones, MD FAAHPM HMDC. UNIPAC 7: Pediatric palliative care and hospice. Essential Practices in Hospice and Palliative Medicine is here and available for pre-orders*! CME and MOC credits are available for each amplifire™ module you complete. The resulting list will serve as a guide to advance palliative care in primary care where the largest number of patients in the world access care. The objective of this study was to identify, through a consensus process, the essential practices in primary palliative care. describe recommendations for caring for HIV patients safely. KW - Supportive care. It is located at 12303 Vanderheath Drive in Houston, Texas. 5th ed. These learning modules are delivered using an application that analyzes learner confidence to efficiently pinpoint knowledge gaps and areas of misinformation. Upon completion of this online module the learner should be better able to: All item writers and reviewers of this module have disclosed no relevant financial relationships.• Jeremy Hirst, MD• Jane Loitman, MD MS MBA FAAHPM • Britni Lookabaugh, MD• Ayesha Shaikh, MD• Janine Siegel, PhD MA, All item writers and reviewers for this module have disclosed no relevant financial relationships.• Mel Davis, MD FCCP FAAHPM• Paul Sloan, MD, All item writers and reviewers for this module have disclosed no relevant financial relationships with the following exception:• Patrick White, MD FAAHPM FACP HMDC who served as a principal investigator for Delta Care Rx and received a research grant.• Catherine Adams, MD PhD• Aleksander Shalshin, MD, All item writers and reviewers for this module have disclosed no relevant financial relationships.• Yuya Hagiwara, MD• Susan Nathan, MD• Katie Stowers, DO, All item writers and reviewers for this module have disclosed no relevant financial relationships.• Christina Bell, MD• Britni Lookabaugh, MD• Beth Popp, MD FACP FAAHPM HMDC, All item writers and reviewers for this module have disclosed no relevant financial relationships.• David Korones, MD FAAHPM• Glen Medellin, MD FAAP FAAHPM• Christy Ullrich, MD MPH FAAHPM, All item writers and reviewers for this module have disclosed no relevant financial relationships.• Catherine Deamant, MD FAAHPM• Susan Nathan, MD• Colin Raitiere, MD, All item writers and reviewers for this module have disclosed no relevant financial relationships.• Jennifer Gabbard, MD• Sonia Malhotra, MD• Susan Nelson, MD FACP FAAHPM. The IAHPC List of Essential Practices in Palliative care may help define appropriate primary palliative care and improve the quality of care delivered globally. AAHPM’s top selling self-study series, UNIPAC, will be receiving a face lift in 2017. In: Shega JW, Paniagua MA, eds. demonstrate effective strategies when communicating with patients, families, and other healthcare professionals, identify the positive impacts of effective communication, identify patient, family and provider barriers to effective communication, demonstrate effective techniques when communicating serious news, demonstrate effective techniques for eliciting patient goals for medical care and achieving a shared decision, utilize a framework for discussing prognosis and assessing prognostic awareness, describe family systems theory and counseling techniques to facilitate family conferences, describe the roles and functions of team members to interact more effectively as a team member, employ conflict-resolution skills to promote effective teamwork, utilize a framework to guide decisions about respecting confidentiality. Develop your knowledge in hospice and palliative care by using each revised and peer reviewed volume as a reference or training tool. appropriately treat cancer pain in someone with an addiction disorder. anticipate and manage the physical, psychosocial, and spiritual suffering surrounding a child's death. discuss when to initiate palliative care for HF, discuss the prognosis for a patient with HF, including the differences in prognosis and therapies for patients with preserved ejection fraction, describe medical and invasive therapies for HF and how they translate to the palliative care setting. For that reason, aromatherapy in hospice and palliative care environments is just what the doctor ordered. It is the CME activity provider's responsibility to submit … appreciate the impact of caregiving on people with dementia compared to other life-limiting illnesses. This book provides professionals with a comprehensive overview of the hospice practice, as well as the challenges faced by and the future direction of the hospice movement. Formerly known as the UNIPAC series, the Essential Practices in Hospice and Palliative Medicine self-study series is comprised of 9 books, each focused on a specific topic in hospice and palliative medicine, with accompanying confidence-based learning modules. A total of 27 credits are available upon completion of all 9 modules.. CME credits expire September 18, 2023. describe when it is appropriate to refer patients with HF to hospice. KW - Essential practices. involve other team members in alleviating psychological and spiritual pain. recognize common neurological disease presentations, understand disease trajectories and prognostic factors for common neurological conditions, understand treatment options for common neurological conditions, be familiar with end stage issues for common neurological conditions. All who are in a position to control or influence the content of an educational activity must disclose any relevant financial relationships with commercial interests. This popular, comprehensive 9-volume self-study tool provides a critical foundation for healthcare providers who want to incorporate the principles of hospice and palliative medicine into their practice. Vanderheath Drive in Houston, Texas ) Integrating a palliative approach ; Preparing to care ; using standardized tools Enhancing! Shega JW, Paniagua MA, eds embracing the benefits that certain oils. As the UNIPAC series, UNIPAC, will be receiving a face lift in 2017 frequently asked questions book... Improving your patients ' quality of care delivered globally ways to maintain boundaries..., Miller EG essential practices in hospice and palliative medicine to the content is accurate, 2017 expired on September 18, 2023 and may be... 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