Withholding and Withdrawing Treatments

Withholding and Withdrawing Treatments 

Withholding and withdrawing treatments has become a prominent issue in healthcare as the numbers of interventions for advanced disease have increased. Tension may exist between the autonomy of an individual and the autonomous medical practice of their provider. Medical futility and the individual’s desire for a quality of life that is consistent with their values are frequent themes in advanced disease. In this course, you will explore the ethical principles guiding decision-making to withhold or withdraw treatments. You will also review aspects of culture and spiritual practices that may influence an individual to elect or refuse treatments. Finally, you will consider issues surrounding withholding or withdrawing specific interventions and how to help manage symptoms to improve quality of life once a specific treatment is eliminated. 

$20.00

Hours: 1.00
REL-PAL-0-ESWWT

Certificates

Certificates provided by accrediting body (10 Match)

California Board of Registered Nursing

1.0 HOURS


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

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

American Nurses Credentialing Center

1.0 HOURS


Relias, LLC is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

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

District of Columbia Board of Nursing

1.0 HOURS


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

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

Florida Board of Clinical Social Work, Marriage and Family Therapy and Mental Health Counseling

1.0 HOURS


Provider #50-290 This activity is approved for 1.00 contact hours.

Florida Board of Nursing

1.0 HOURS


Florida Board of Nursing CE Provider #: 50-290

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

Georgia Board of Nursing

1.0 HOURS


Georgia Board of Nursing CE Provider #: 50-290

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

South Carolina Board of Nursing

1.0 HOURS


This program was approved by the South Carolina Board of Nursing Approved Continuing Education Program (CE provider #50-290) CE Broker Course # 20-[Custom_Code]

Association of Social Work Boards

1.0 HOURS


Relias, LLC, #1273, is approved as a provider for social work continuing education by the Association of Social Work Boards (ASWB) www.aswb.org, through the Approved Continuing Education (ACE) program. Relias, LLC maintains responsibility for the program. ASWB Approval Period: 2/10/2018-2/10/2021. Social workers should contact their regulatory board to determine course approval for continuing education credits.

Course Delivery Format: Asynchronous Distance Learning-interaction includes quizzes with questions and answers, posttests. This module is Reading-Based.

Social workers participating in this course will receive 1.00 Clinical continuing education clock hours.

New York State Education Department, Office of the Professions, Division of Professional Licensing Services, Social Work Unit

1.0 HOURS


Relias, LLC is recognized by the New York State Education Department's State Board for Social Work as an approved provider of continuing education for licensed social workers #SW-0009.

Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of licensed master social work and licensed clinical social work in New York. As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice for an LMSW and LCSW. A licensee who practices beyond the authorized scope of practice could be charged with unprofessional conduct under the Education Law and Regents Rules.

As a provider of online, asynchronous education, some courses offered by Relias Learning are considered “self-study” under section 74.10(c)(2)(ii)(b)(4) of the Commissioner’s Regulations. The regulations limit self-study activities taken from a provider approved by the Education Department to no more than 12 hours in the 36-month registration period or one-third of the hours in a registration period other than 36 months.

Social workers will receive 1.00 continuing education hours for participating in this course. This activity is approved for 1.00 contact hours.

West Virginia Board of Registered Nursing

1.0 HOURS


Course Details

Course Code: REL-PAL-0-ESWWT
Hours: 1
Type: Online Course
Content Expiration Date: 6/30/2021
Learning Objectives:
Differentiate between withholding and withdrawing a medical treatment.
Discuss personal, cultural, and spiritual considerations pertaining to this decision.
Identify strategies you can use when responding to these requests.

Outline:

Section 1: Introduction



A. About This Course



B. Learning Objectives



Section 2: Serving Individuals with Advanced Disease



A. Historical Perspectives



B. Medical Futility



C. Withholding Treatment



D. Who Decides?



E. Concerns



F. Withdrawing Treatment 



G. Time-limited trials



H. Legal requirements



I. Review



J. Summary



Section 3: Effective Communicaton: Identifying Values and Goals



A. Laying the Foundation



B. Meet Jim



C. ACP



D. Autonomy 



E. Cultural and Spiritual Considerations 



F. Review 



G. Summary



Section 4: Specific Interventions and Related Comfort Measures



A. Cardiopulmonary Resusitation (CPR)



B. Mechanical Ventilation 



C. Artificial Hydration 



D. Artificial Nutrition



E. Dialysis



F. Antibiotics



G. Hospitalization



H. Review 



I. Summary



Section 5: Conclusion



A. Summary



B. Course Contributor



C. Resources



D. References



E. Congratulations!


Instructor: Susan Heinzerling, RN, CHPN
Susan Heinzerling began her nursing career as a Med/Surg nurse. Renal patients in acute care, with multiple chronic conditions and repeated hospitalizations inspired her practice of hospice nursing where she began as Hospice Admissions Nurse and later became a Hospice RN Case Manager. Susan has practiced hospice nursing in both a large, urban area and in a rural setting. Susan earned a B.S. in Biology and B.S. in Nursing from the University of North Carolina at Chapel Hill and a Master's degree in Physiology from North Carolina State University. She became a Ph.D. Candidate in Immunology at the University of South Alabama. Her research experiences in the biomedical sciences led to an interest in evidenced-based practices. Disclosure: Susan Heinzerling, RN, CHPN 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, Palliative Care.
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.