Managing Difficult Patients in Hospice

Managing Difficult Patients in Hospice 

This course will describe how to work with hospice patients who present with clinically challenging conditions. Specifically, this course will discuss managing agitated behaviors in delirium and dementia, depression, and management of heart failure with inotropic medications. The goal of this course is to provide nurses in hospice and palliative care with knowledge of nursing considerations for challenging patients.

$15.00

Hours: 1.00 - 1.25
REL-PAC-WB-MDPH

Certificates

Certificates provided by accrediting body (9 Match)

California Board of Registered Nursing

1.25 HOURS


Provider approved by the California Board of Registered Nursing, CEP# 13791

Nurses will receive 1.25 contact hours for participating in this course.

District of Columbia Board of Nursing

1.2 HOURS


District of Columbia Board of Nursing Approved Continuing Education program (CEBroker Provider #50-290).


Nurses will receive 1.20 contact hours for participating in this course.

Florida Board of Nursing

1.0 HOURS


Florida Board of Nursing (CEBroker Provider #50-290).


Nurses will receive 1.00 contact hours for participating in this course.

American Nurses Credentialing Center

1.25 HOURS


In support of improving patient care, Relias LLC is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.



Georgia Board of Nursing

1.25 HOURS


Georgia Board of Nursing (CEBroker Provider #50-290).


Nurses will receive 1.25 contact hours for participating in this course.

South Carolina Board of Nursing

1.25 HOURS


This program was approved by the South Carolina Board of Nursing Approved Continuing Education Program (CEBroker Provider #50-290).


Nurses will receive 1.25 contact hours for participating in this course.

West Virginia Board of Registered Nursing

1.25 HOURS


West Virginia Board of Registered Nursing (CEBroker Provider #50-290).


Nurses will receive 1.25 contact hours for participating in this course.

New Mexico Board of Nursing

1.25 HOURS


New Mexico Board of Nursing (CEBroker Provider #50-290).


Nurses will receive 1.25 contact hours for participating in this course.

Arkansas State Board of Nursing

1.25 HOURS


Arkansas State Board Of Nursing Approved Continuing Education program (CEBroker Provider #50-290).


Nurses will receive 1.25 contact hours for participating in this course.

Course Details

Course Code: REL-PAC-WB-MDPH
Hours: 1.25
Type: Online Course
Content Expiration Date: 9/30/2023
Learning Objectives:
Describe delirium management with a focus on dementia.
Identify how to manage depression.
Describe nursing considerations for heart failure patients on inotropes.

Outline:
Objectives

Delirium

Delirium – Common Causes

Delirium – Assessment

Alzheimer’s Disease

Vascular Dementia

Lewy Bodies Disease

Goals of Medication Management

Delirium – Treatment

Reverse Use of Antipsychotics

Delirium Medications

Overused?

Decision algorithm

The Eight Tips

The Eight Tips, continued

Depression

Depression & Mortality

Prevalence of Depressive Disorders

Depressive Risk Factors

Depression Diagnosis

Depression Diagnosis, continued

Depression Screening Tools

Diagnostic Challenges

Grief vs. Depression

Treatment Options

Antidepressant Selection

Mirtazapine Advantage

Notable Adverse Effects

Notable Adverse Effects, continued

Off-Label psychostimulant

Ketamine (off-label) One Dose Wonder!?!

Ketamine (off-label) One Dose Wonder!?! continued

Ketamine’s Abuse Potential

Antidepressant Discontinuation Syndromes

Suicide

Suicide and IDG

Heart Failure

Case Scenario

Heart Failure

Etiology of HF

Heart Failure

Drug Treatment of HFPEF

Drug Treatment of HFREF

Drugs Can Cause HF Decompensation

Disease Trajectories

Heart Failure Prognosis

Heart Failure

Inotropic Agents in Heart Failure

Inotropes

Inotrope MOA

Milrinone

Dobutamine

Inotropic Weaning

Case Scenario

Summary Discussion

References

Instructor: Clevis T. Parker, Sr., M.D.

Dr. Clevis T. Parker, Sr., currently serves as Chief Medical Officer for a for-profit hospice and palliative care organization based in southern Nevada.

Early in his practice, Dr. Parker recognized his passion for palliative and end-of-life care. Since then, he has devoted his practice to serving this population. His commitment to the hospice and palliative care community is based on a strong belief in the philosophy of care, and the substantial need for education and support in achieving best outcomes for those experiencing a life-limiting condition. This can be achieved by ensuring patients and families are properly educated about their disease process in order to make informed decisions based on their culture, values, and beliefs.

Dr. Parker has developed and implemented various family medicine practices, and hospice and palliative care programs including the first in-patient palliative care Joint Commission Accredited program in Indiana. His efforts have produced quality outcomes, refined work flow, and momentous process improvement projects. As a strong advocate of hospice and palliative care, he continues to support hospices by providing education on the role of the hospice medical director from a regulatory and clinical perspective across the country.

Dr. Parker completed his undergraduate studies at Xavier University of Louisiana and received his MD from Louisiana State University. He completed his residency in 1999 at East Jefferson General Hospital in Metairie, Louisiana where he served as co-chief resident during his third year of residency. He received his master’s degree in Health Administration with an emphasis in Health Care Ethics at St. Joseph’s University in Philadelphia, Pennsylvania in 2014. He is board certified in Family Medicine and Hospice & Palliative Care.

Disclosure: Clevis T. Parker, Sr., M.D. has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.
Target Audience:
The target audience for this course is: Nurses; in the following settings: Hospice.
Relias will be transparent in disclosing if any commercial support, sponsorship or co-providership is present prior to the learner completing the course.
Course Delivery Method and Format
Asynchronous/Online Distance Learning; please see certificate details for specifics on delivery format.
Relias has a grievance policy in place to facilitate reports of dissatisfaction. Relias will make every effort to resolve each grievance in a mutually satisfactory manner. In order to report a complaint or grievance please contact Relias.
If you require special accommodations to complete this module, please contact Relias Support by completing the web form (https://www.relias.com/help) or by using the chat functionality.
All courses offered by Relias, LLC are developed from a foundation of diversity, inclusiveness, and a multicultural perspective. Knowledge, values and awareness related to cultural competency are infused throughout the course content.
Reference herein to any specific commercial product, process, or service by trade name, trademark, service mark, manufacturer or otherwise does not constitute or imply any endorsement, recommendation, or favoring of, or affiliation with, Relias, LLC.
All characteristics and organizations referenced in the following training are fictional. Any resemblance to any actual organizations or persons living or dead, is purely coincidental.
To earn continuing education credit for this course you must achieve a passing score of 80% on the post-test and complete the course evaluation.
Accommodations
If you require special accommodations to complete this module, please contact Relias Customer Support here.