ELNEC Geriatric Module 6: Ethics and Goals of Care


The cornerstone of ensuring “a good death” for older adults is to provide care that is consistent with the older adult’s values and goals through identifying, communicating, and honoring these goals and values. Defining and supporting goals of care, along with advance directives, support ethical principles and help prevent ethical dilemmas. In this course, you will learn about ethical concepts and goals of care as well as how they relate to each other.


Hours: 1.50


Certificates provided by accrediting body (1 Match)

California Nursing Home Administrator Program - P type


This educational offering is approved by the California Nursing Home Administrator Program (NHAP) as a Patient Care/Aging ("P" credit) course. Provider # CEP 1701; Course Approval # 1701001-6282/P. This activity is approved for 1.00 contact hours.

Course Details

Hours: 1.5
Type: Online Course
Content Expiration Date: 2/28/2019
Learning Objectives:
Examine basic ethical concepts.

Explain the purpose and methods to identify goals of care for older adults.

Discuss the purpose of advance directives and common types of advance directives.

Relate the role of advance directives to ethical dilemmas.

Section 1: Introduction A. About This Course B. Learning Objectives Section 2: Basic Ethical Concepts A. Ethics, Morality, and Law B. Ethics of Care and Caring C. Ethical Principles D. Ethical Dilemmas E. Ethical Decision-Making F. Review G. Summary Section 3: Goals of Care and Advance Directives A. Meet Caroline B. Goals of Care C. The Role of the Healthcare Professional D. Exploring Values E. Outline Scenarios and Treatment Options F. Selecting the Right Words G. Advance Directives H. Pitfalls of Advance Directives I. Purposes of Advance Directives J. Types of Advance Directives K. Five Wishes® L. POLST M. Advocacy N. Understanding Decisional Capacity O. Determining Decisional Capacity P. Maximizing Capacity Q. Surrogate Decision-Makers R. Addressing Disagreements S. Review T. Summary Section 4: Ethical Decision-Making A. Ethical Dilemmas in Palliative Care B. Ethical Dilemmas: Your Role C. When Ethical Dilemmas Occur D. Meet Mrs. Hanson E. Step Two F. The Four Box Method G. Step Three H. Step Four I. Step Five J. Review K. Summary Section 5: Conclusion A. Summary B. Course Contributors C. Resources D. References E. Congratulations

Instructor: Connie Dahlin
Connie Dahlin, APRN-BC, ACHPN®, FPCN, FAAN is an advanced practice nurse with extensive administrative, clinical, and academic experience in hospice and palliative care across the health continuum. Ms. Dahlin is educated and prepared as an oncology clinical nurse specialist and a nurse practitioner in palliative care and adult primary care. She has been involved with end-of-life care for over 20 years. Her roles include administration of urban and community hospices as well as inpatient and outpatient palliative care. She co-founded one of the pioneer palliative care services at Massachusetts General Hospital where she was also Co-Director of the outpatient palliative care service. Currently, Ms. Dahlin is the Director of Professional Practice at the Hospice and Palliative Nurses Association (HPNA), a consultant to the Center to Advance Palliative Care, and Co-PI for a grant to educate rural and community APRNs on primary palliative care. She practices as a palliative nurse practitioner at the North Shore Medical Center in Massachusetts. She serves on the national ELNEC faculty and was consultant to APRN and critical care ELNEC. Ms. Dahlin is the palliative care content expert on the Measurement Applications Partnership (MAP) Clinical Workgroup as well as the Patient and Family Care Workgroup, and is on the American Hospital Association Circle of Life Award Selection Committee. She was the editor for 2nd and 3rd edition of National Consensus Project Clinical Practice Guidelines for Palliative Care, Past President and board member of the Hospice and Palliative Care Nurses Association, and past board member of the Hospice and Palliative Care Federation of MA. She is a clinical associate professor at the MGH Institute of Health Professions, and serves as faculty of the Harvard Medical School Center for Palliative Care. Ms. Dahlin is a Fellow of Hospice and Palliative Nursing and a Fellow of the American Academy of Nursing. Disclosure: Connie Dahlin has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.
Instructor: Judith Paice, PhD, RN, FAAN
Judith Paice, RN, PhD, FAAN is currently the Director of the Cancer Pain Program in the Division of Hematology-Oncology and a Research Professor of Medicine, Northwestern University, Feinberg School of Medicine. She is also a full member of the Robert H. Lurie Comprehensive Cancer Center. Dr. Paice is a past President of the American Pain Society, served as Secretary of the International Association for the Study of Pain. Much of Dr. Paice’s clinical work has been in the relief of pain associated with cancer and HIV disease. Her research interests include: chemotherapy-induced peripheral neuropathy; quality improvement measures to foster pain relief; and adverse effects associated with analgesics. In 2002, the American Pain Society honored Dr. Paice with the Narcessian Award for Excellence in Teaching. She has traveled extensively internationally to educate healthcare professionals regarding cancer pain relief. Dr. Paice serves on the editorial board of Clinical Journal of Pain, Journal of Pain, and Journal of Pain and Symptom Management and has published numerous articles, alone and collaboratively, in the areas of pain management and research. Dr. Paice is also a co-editor for the 2015 Oxford Textbook of Palliative Nursing. She earned an MS in oncology nursing from Rush University in Chicago and a PhD from the University of Illinois at Chicago, studying pain modulation pathways in an animal model. Disclosure: Judith Paice, PhD, RN, FAAN has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.
Instructor: The National ELNEC Project
 Disclosure: The National ELNEC Project 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: entry, intermediate, and advanced level Nurses; intermediate level Social Workers; in the following settings: Hospice, Palliative Care.
F Tags:
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Course Delivery Method and Format
Asynchronous/Online Distance Learning; please see certificate details for specifics on delivery format.
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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.
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