About End of Life: Communication

About End of Life: Communication 

Communication is a process of giving and receiving information. It is an important part of life, and it is a skill that can always be improved. Communication at end of life is crucial for quality end of life care. People who communicate their end-of-life wishes are more likely to find meaning and dignity in their final days than those who do not. In this course, we will explore the role of the interdisciplinary team in fostering opportunities for communication with individuals and their families.


Hours: 1.00 - 1.25


Certificates provided by accrediting body (11 Match)

Association of Social Work Boards

1.25 HOURS

Relias, LLC, #1273, is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved as ACE providers. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. Relias LLC maintains responsibility for this course. ACE provider approval period: 02/10/2018-02/10/2021.

Course Delivery Format: Asynchronous Distance Learning-interaction includes quizzes with questions and answers, post-tests. This module is Text with audio.

Social workers completing this course receive 1.25 Clinical continuing education clock hours.

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

1.25 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 1.25 continuing education hours for participating in this course. This activity is approved for 1.25 contact hours.

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


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

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

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

1.25 HOURS

Provider #50-290 This activity is approved for 1.25 contact hours.

Florida Board of Nursing


Florida Board of Nursing CE Provider #: 50-290

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

American Nurses Credentialing Center

1.25 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 1.25 contact hours for participating in this course.

Georgia Board of Nursing

1.25 HOURS

Georgia Board of Nursing CE 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 (CE provider #50-290) CE Broker Course # 20-[Custom_Code]

West Virginia Board of Registered Nursing

1.25 HOURS

New Mexico Board of Nursing

1.25 HOURS

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

This course awards 1.25 contact hours upon successful completion.

Course Details

Course Code: REL-SRC-0-AELCPC-V2
Hours: 1.25
Type: Online Course
Content Expiration Date: 8/31/2021
Learning Objectives:
List the goals of effective communication.
Describe how to pursue communications at the end of life.
Identify opportunities to discuss the end of life.
List key issues that need to be communicated at the end of life.

Section 1:Introduction

A.About This Course

B.Learning Objectives

Section 2:What Is Communication?


B.Communication Skills

C.Family Communication

D.Discussing End of Life Issues

E.End of Life Communication: Why is it Important for the Nurse?


Section 3:Effective Communication

A.Every Patient has Unique Needs

B.Identify Patient Needs

C.Communication Skills

D.Effective Communication

E.Barriers to Effective Communication

F.Become an Engaged Listener

G.Cultural Competency

H.Patient Admission

I.Admission Process

J.Clinical Assessment

K.Dietary Needs

L.Healthcare Support & Access

M.Communicate Healthcare Plan

N.Healthcare Terminology

O.Screening Questions

P.Clients Preference of Receiving Information

Q.Visual Models

R.Teach Back Method

S.Open-Ended Questions

T.Encourage Note-taking


Section 4:Changes in Communication Status

A.Communication Status

B.Monitoring Status

C.Changes in Status

D.Document Status

E.Patients Understanding

F.Patient Advocate

G.Patients’ Needs Change

H.End of Life Decisions

I.Preparing for Death

J.Meaningful Conversations

K.A Conversation about the End of Life

L.Never Assume Needs or Wants

M.End of Life Decisions


Section 5:Cues for Conversation

A.Starting End of Life Conversation

B.Family Conversation

C.Related Events & Discussions

D.Conversation Cues

E.Television Programs, Movies, and Documentaries

F.Death of a Public Figure

G.News Articles

H.A Family Communication: Janie and Rey

I.Families Communicate Differently

J.A Family Communication: Blake


L.Beginning End of Life Conversation


Section 6:Communication at End of Life


B.Successful Communication

C.End of Life Discussion Debate

D.Research Findings

E.Benefits to Patient

F.Starting the Conversation

G.End of Life Care Priority

H.Family Awareness

I.End of Life Discussion Survey


K.Discussion Alternatives

L.What Issues Should Be Discussed

M.Symptom Management

N.Advance Directives

O.Designated Medical Power of Attorney


Q.Funeral Arrangements

R.Communication at the End of Life: A Scenario

S.No Advance Directive


Section 7:Goal of Communication: A “Good Death”

A.A Good Death?

B.Meaning Varies for Everyone


D.Your Definition

E.Factors for Defining A Good Death

F.Patient Communication

G.Death Affects Several People

H.Benefits of a Companion

I.Patient Acceptance

J.Goal of Communication

K.Example of Communication

L.Discussing Future Plans

M.Expressing Hopes & Fears

N.Seek Appropriate Help

O.Patient Conversations


Section 8:Conclusion


B.Course Contributors



Instructor: Sandra S. Lentz, RN
Ms. Lentz has 25 years of experience in the home health and hospice industry in operations and consulting roles. She has been responsible for accreditation, regulatory compliance, performance improvement, disease management, clinical benchmarking, and service utilization for home health, hospice, and durable medical equipment organizations. She has also served as Director of Regulatory Services for the Association for Home Hospice Care of North Carolina. Disclosure: Sandra S. Lentz, RN has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.
Staff Writer: 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: entry level Social Workers; Nurses; in the following settings: Post-Acute Care.
F Tags:
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.
If you require special accommodations to complete this module, please contact Relias Customer Support here.