ELNEC Geriatric Module 4: Ethics and Goals of Care
Hours: 1.25
Ethics is a branch of philosophy that has important applications to the work that nurses do. Understanding ethics and applying ethical principles in palliative care is fundamental in our work and aligns with practices that support the older adult in their final journey. The cornerstone of ensuring “a good death” for older adults is to provide care that is consistent with the older adult’s or family’s values and goals through identifying, communicating, and honoring these goals and values. The goal of this course is to provide nurses with knowledge of ethics in palliative care for older adults.
Ethics is a branch of philosophy that has important applications to the work that nurses do. Understanding ethics and applying ethical principles in palliative care is fundamental in our work and aligns with practices that support the older adult in their final journey. The cornerstone of ensuring “a good death” for older adults is to provide care that is consistent with the older adult’s or family’s values and goals through identifying, communicating, and honoring these goals and values. The goal of this course is to provide nurses with knowledge of ethics in palliative care for older adults.
California Board of Registered Nursing
Provider approved by the California Board of Registered Nursing, CEP# 13791
Nurses will receive 1.25 contact hours for participating in this course.
American Nurses Credentialing Center
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.
Nurses will receive 1.25 Nursing Contact Hours after successfully completing this course.
District of Columbia Board of Nursing
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
Florida Board of Nursing (CEBroker Provider #50-290)
Nurses will receive 1.00 contact hours for participating in this course.
Georgia Board of Nursing
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
South Carolina Board of Nursing (CEBroker Provider #50-290)
Nurses will receive 1.25 contact hours for participating in this course.
West Virginia Board of Registered Nursing
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
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
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.
Kentucky Board of Nursing
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.
Mississippi Board of Nursing
Mississippi Board of Nursing (CEBroker Provider #50-290)
Nurses will receive 1.25 contact hours for participating in this course.
North Dakota Board of Nursing
North Dakota Board of Nursing (CEBroker Provider #50-290)
Nurses will receive 1.25 contact hours for participating in this course.
Discuss the purpose of advance directives and common types of advance directives.
Describe the use of ethical decision-making in regard to goals of care and advance directives.
Describe basic ethical concepts and principles when identifying goals of care for older adults.
Outline:
Section 1: Introduction
About This Course
Learning Objectives
Section 2: Basic Ethical Concepts
Ethics, Morality, and the Law
Ethics and the Moral World
Ethical Principles
Ethical Dilemmas
Review
Summary
Section 3: Goals of Care and Advance Directives
Ascertain the Goals of Care
Historical Developments
Key Roles for Nurses
Explore Values, Beliefs, and Priorities
Discuss Possible Scenarios and Treatment Options
Advance Directives
Types of Advance Directives
Five Wishes®
POLST/MOLST
The Status of Advance Directives
Advocacy and Advance Directives
Review
Summary
Section 4: Decision-Making and Capacity
Decisional Capacity
Decision-Making in the Absence of Capacity
Establishing Capacity
Maximizing Capacity
Standards for Surrogate Decision-Making
It’s a Process
Review
Summary
Section 5: Ethical Decision-Making
Ethical Dilemmas and Advance Directives
Ethical Dilemmas: Your Role
When Ethical Dilemmas Occur
Medically Administered Nutrition and Hydration
Review
Summary
Section 6: Conclusion
Course Summary
Course Contributors
Resources
References
The content for this course was revised by Carol O. Long, PhD, RN, FPCN, FAAN.
Dr. Carol O. Long is a national expert in community-based healthcare and has assumed varied nursing and consulting positions in research and education. Dr. Long has numerous articles, monographs, book chapters, and books related to community-based care, end-of-life care, hospice, and pain management. She has presented end-of-life and palliative care for advanced dementia training nationally and internationally. Her research centers on outcome indicators in advanced dementia care and staff knowledge and attitudes relative to palliative care interventions. Dr. Long has been an ELNEC (End-of-Life Nursing Education Consortium) trainer since the course’s inception. She is a Fellow in the Hospice and Palliative Nurses Association and the American Academy of Nursing. Dr. Long is a Transcultural Nursing Scholar with the Transcultural Nursing Society of America. She holds a BSN from Marquette University, an MS from the University of Michigan and PhD at Arizona State University.The content for this course was created by The ELNEC Project Team.
Disclosure: ELNEC Geriatric 2021 has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.
The ELNEC Project, which began in 2000, is a collaboration between the American Association of Colleges of Nursing (AACN), Washington, DC and the City of Hope, Duarte, CA.
The target audience for this course is: Nurses; in the following settings: Hospice, Palliative Care.
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.
If you require special accommodations to complete this module, please contact Relias Customer Support here.
