Patients with pain require a careful evaluation and a treatment. This learning module helps improve basic palliative care assessment and treatment skills for clinicians. Aspects of pain and suffering including psychological, social, and spiritual pain are not covered. These educational materials are a guide. ALWAYS seek assistance as needed to provide optimal and appropriate care. Links (noted in pink and underlined) are incorporated throughout the training program.
At the conclusion of this module, participants will be able to:
- Examine appropriate treatment for edema, fatigue, cachexia, depression, and dyspnea
- Evaluate regimens for inappropriate medications and treatments at end-of-life
- Identify when and how to deactivate Automatic Internal Cardiac Defibrillator (AICD) or Permanent Pacemaker (PPM) devices
- Identify appropriate use of inotropes in end-stage CHF patients
- Review hospice guidelines for end-stage CHF patients
- Distinguish between hospice and palliative care
Physicians and surgeons, residents, fellows, nurses, physician assistants and medical students.
Original Release: July 1, 2012
Accreditation Expires: June 30, 2014
Re-Accreditation valid through: December 31, 2017
Commercial Support Acknowledgement
Winthrop-University Hospital gratefully acknowledges funding support in part from generous unrestricted medical educational grants from Pfizer.
Method of Participation
To complete this activity and obtain CME-CE credit, you must do the following:
- Read this Course Introduction section in its entirety
- Read the course material
- Complete the Post Test with a score of 70% or more
Note: To participate in this module, you should have:
- a calculator
- pencil or pen
- paper to complete calculations
- A conversion tool, such as the Winthrop Opiate Equianalgesic Dosing Table (available on Clinical Resources on the Winthrop Intranet or in the Pharmacy)
- For future reference, you can also find some of the educational material from this module on the Winthrop Intranet: “Clinical Resources”, then click “Pain Management Resources”.
- Additional pain management CME-CE modules are available. You are strongly encouraged to successfully complete this module before proceeding to the specialty-focused modules.
Winthrop-University Hospital is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
AMA Credit Designation
Winthrop-University Hospital designates this Internet point of care activity for a maximum of 1.5 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity.
Nurse Contact Hours
Winthrop-University Hospital is an approved provider of continuing nursing education by the New Jersey State Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation.
Provider Number: NYP259-10/4/14.
1.5 contact hours will be awarded.
Accredited status does not imply endorsement by NJSNA, Winthrop-University Hospital, or ANCC of any commercial products or services.
It is the policy of Winthrop-University Hospital to adhere to ACCME, NJSNA and ANCC accreditation requirements, policies and Standards for Commercial Support in order to ensure content validity, fair balance, independence, objectivity and scientific rigor in all its sponsored programs. All faculty, planners and authors of educational content, who participate in sponsored programs, must disclose to the audience any potential, apparent or real conflicts of interest related to their contribution to the activity, as well as any discussions of off-label or investigational uses of any commercial products or devices not yet approved in the United States. All faculty disclosures will be made at the time of the activity. Please call Robert D’Antuono, MHA, Director of CME at 516-663-2521 to express any concerns.
All content planners and faculty for this activity have disclosed that they DO NOT have a personal financial relationship, and/or received or anticipate any form of remuneration, in the last 12 months with any entity producing, marketing, re-selling, or distributing health care goods or services consumed by, or used on, patients.
As in all educational activities, we encourage the practitioners to use their own judgment in treating and addressing the needs of each individual patient, taking into account the patient’s unique clinical situation. Winthrop-University Hospital disclaims and liability and/or loss resulting from the information contained in this activity. The learner specifically agrees to indemnify and hold Winthrop-University Hospital, the creators, producers, and distributors of this activity harmless against any and all claims or liabilities arising out of the use of any information provided in this activity by the learner, or by anyone directly or indirectly obtaining such information through the learner.
Winthrop University Hospital CME Office protects the privacy of personal and other information regarding participants and educational collaborators. Winthrop University Hospital will not release personally identifiable information to a third party without the individual’s consent, except such information as is required for reporting purposes to the ACCME. Winthrop maintains physical, electronic and procedural safeguards that comply with federal regulations to protect against the loss, misuse or alteration of information that we have collected from you.
Copyright © 2012 Winthrop University Hospital. You may view, copy and download information from this site solely for educational purposes. These materials may not be used for any commercial reason. Materials may not be published, uploaded, posted, transmitted (other than as set forth herein) without prior written permission.
If you have questions about this educational resource please contact the Director, CME Office at 516-663-2521.
Hardware and Software Requirements
In order to participate in this activity, you will need a sound card and speakers, and an up-to-date internet browser (ie, Internet Explorer, Firefox, Chrome, or Safari). Depending on your computer/mobile device, you will need one of the following players: Microsoft Silverlight (preferred), a Flash Player Plugin, or Windows Media Player. The system will prompt you to download or select the appropriate player upon launch of the activity.