Prognostication in End of Life

Prognostication in End of Life 

This webinar defines and explores prognostication in the context of hospice and palliative care. The importance of prognostication in allowing for life planning and providing a framework is assessed, which the hospice and palliative nurse can use to assist the patient and family to make informed decisions about care. Disease trajectories and the prognostic indicators that signal disease progression are reviewed, both in general and disease-specific. The impact of co-morbid conditions on prognosis is also presented. Finally, prognostication tools and their appropriate use to improve prognostication skills and to serve in documentation to support prognosis is explored.

$20.00

Hours: 1.00
REL-PAL-0-PEL

Certificates

Certificates provided by accrediting body (7 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.

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 Nursing

1.0 HOURS


Florida Board of Nursing CE Provider #: 50-290

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.

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]

West Virginia Board of Registered Nursing

1.0 HOURS


Course Details

Course Code: REL-PAL-0-PEL
Hours: 1
Type: Online Course
Content Expiration Date: 10/31/2020
Learning Objectives:
Describe 3 common prognostic indicators of decline regardless of disease.
Identify and apply 3 disease-specific prognostication tools.
Describe the 4 common disease trajectories toward death.

Outline:
Section 1: Introduction A. Learning Objectives Section 2: The Importance of Prognostication A. Prognostication - A Process B. Challenges in Prognostication C. Consequences of Difficulty with Prognostication D. End-of-Life Trajectories E. Cancer F. Organ Failure G. Frailty/Dementia H. Sudden Death I. Knowledge Check Section 3: Prognostication Tools A. Local Coverage Determinations B. Performance Status Scales C. Disease Specific Tools - Cancer D. Disease Specific Tools - COPD E. Disease Specific Tools - Heart Failure F. Disease Specific Tools - Liver Disease G. Disease Specific Tools - Renal Disease H. Disease Specific Tools - Alzheimer's Dementia I. Knowledge Check Section 4: General Prognostic Indicators of Decline A. Disease Specific Prognosis- Cancer B. Disease Specific Prognosis- End Stage COPD C. Disease Specific Prognosis- Heart Failure D. Disease Specific Prognosis- Liver Disease E. Disease Specific Prognosis- End Stage Renal Disease Receiving Dialysis F. Knowledge Check G. Disease Specific Prognosis- Dementia H. Disease Specific Prognosis- HIV/AIDS I. Disease Specific Prognosis- Stroke J. Disease Specific Prognosis- Amyotrophic Lateral Sclerosis K. Prognosis for In-Hospital Cardiac Arrest L. Documentation M. The Surprise Question N. Knowledge Check Section 5: Conclusion A. Summary B. References C. Congratulations!

Expert Reviewer: Bernice Burkarth, MD
Dr. Burkarth has been working as a full-time hospice and palliative medicine physician at Health and Palliative Services of the Treasure Coast since 2005. During this time, she has served in various positions, including Chief Medical Officer, Hospice Medical Director, and currently serves as the Senior Medical Director of Palliative Care. She attended medical school at Temple University School of Medicine and trained in Neurosurgery at Albany Medical Center. After private practice in neurosurgery, she made a mid-career decision to devote herself to hospice and palliative medicine. She obtained her Hospice Medical Director Certification in May of 2014. She serves as clinical faculty at Florida State University College of Medicine Fort Pierce Campus. Dr. Burkarth has spoken nationally, and provides local education, on hospice and palliative care. Disclosure: Bernice Burkarth, MD 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.