CONTACT HOURS: 19.00
AOTA CEUs: 1.90
End-of-life care presents health care professionals as well as patients and family members with many challenges and dilemmas. Education in the holistic and integrative care of individuals at the end of life builds on and expands professional competencies and brings healing and transformation. The Certificate in End-of-Life Issues represents a specialization in the field of caring for those who are experiencing a terminal illness. It is designed to enhance the knowledge and skills of individuals who work with dying patients by providing a multidisciplinary educational experience.
End-of-life care presents health care professionals with many ethical challenges and dilemmas. Understanding ethical theories and ethical principles can provide a foundation for decision making. This course provides health care professionals with the tools necessary to make ethical decisions when providing care for patients at the end of their lives. Key ethical issues related to end-of-life care, including advance directives, euthanasia, medical futility, do-not-resuscitate (DNR) orders, pain management, terminal hydration, organ donation, and considerations for the neonatal and pediatric patient are examined. In addition, guidelines for dealing with ethical dilemmas are also provided.
Using a multidisciplinary team approach, the primary goals of hospice and palliative care are to provide symptom control, psychosocial and spiritual care, and optimal quality of life. The role of hospice and palliative care is rapidly expanding due to a better understanding of end-of-life issues by health care professionals.
Pain assessment and management are especially important for high-quality end-of-life care. To provide quality care to individuals at this stage of their lives, health care practitioners must be particularly skilled at assessing pain, understanding misconceptions of pain management, addressing cultural issues in pain management, and providing effective pain therapies.
For health care professionals to provide compassionate, quality care to patients at the end of life, they must understand the many changes the patient undergoes. Holistic end-of-life care provides relief, comfort, and support whenever possible. It involves a comprehensive approach to the physical, emotional, psychological, and spiritual aspects of the individual. Guidelines for the care of specific physical symptoms at the end of life will also be presented.
What is grief? What are normal grief responses? What is involved in the final life transition – death? The dying experience is a profound, individual experience. The experience of loss and grief are as individual and unique as the persons involved. During this time, people often raise questions about the meaning of life. The role of culture, palliative and hospice care, advance directives, the role of spirituality in death and dying, healing strategies and rituals are all important aspects of effective end-of-life care.
At the end of life, attitudes about the loss of a loved one profoundly affect how both a dying person and his or her family and friends address the dying and the grieving processes. Diverse populations in the United States provide healthcare professionals with tremendous opportunities to bridge cultural gaps and learn about different values and religious and spiritual belief systems.
The death of a child is a devastating event with long-lasting effects on family, friends, and health care providers. While pediatric death rates in the United States have declined in the last century, pediatric death remains a critical health care issue. Often parents and children do not receive the care they deserve and require during this challenging time.
Caregivers are individuals who provide care to an individual who needs assistance. Caregivers can be professionals but are often unpaid individuals who support a loved one through an illness or the last phase of life. The experience can be immensely gratifying and rewarding as well as challenging and stressful. By anticipating the demands of end-of-life, caregiving can shift the journey to one in which support focuses on acceptance and healing.
The gift of organ donation is the gift of life. However, the gap between those who need an organ or tissue donation and the number of donations available is wide and growing. Healthcare providers need to understand the issues surrounding organ and tissue donation and recovery so they can effectively support the needs of donor families and donor recipients.
The outcome of this certificate is for the learner to explain key elements of end-of-life management for family members, caregivers, and those who are experiencing a terminal illness.
Certificate Objectives - Upon completion you will be able to do the following:
- Describe family and caregiver issues, patient's rights, ethical principles, and integrative health methods during end-of-life care.
- Identify specific cultural influences at the end of life.
- Discuss pain assessment and management for clients of all ages during end-of-life care.
- Examine the physiologic changes in body systems associated with the end of life.
- Describe the tools necessary to make ethical decisions for clients at the end of their lives.
- Examine the epidemiology of pediatric death and care of the dying child.
- Discuss issues related to organ donation and tissue procurement at the end of life.
Nurses, health care professionals, and interested individuals
Criteria for Successful Completion
Complete the course post exam (CE Test) with a score of 80% or greater. Complete all fields of the course Evaluation Form.
Certificate of Completion is provided for individual courses once the course post exam is passed per criteria above.
Certificate of Completion is provided for certificate programs once all of the courses within the certificate program have been successfully completed per criteria above.
Practice Level (For Occupational Therapy Only): Intermediate
Content Focus (For Occupational Therapy Only): Occupational Therapy Process
Commercial Support No commercial support has been received for this activity.
Complementary and Alternative Health
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American Board of Managed Care Nursing - The American Board of Managed Care Nursing recognizes all of ALLEGRA Learning Solutions' ANCC accredited courses for continuing education credit for Certified Managed Care Nurses (CMCNs).
ANCC—American Nurses Credentialing Center - ALLEGRA Learning Solutions, LLC is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center’s Commission on Accreditation.
AOTA - American Occupational Therapy Association - ALLEGRA Learning Solutions, LLC, is an approved provider of continuing education for occupational therapists by the American Occupational Therapy Association (Approved Provider # 3166).
California Board of Registered Nurses - Provider approved by the California Board of Registered Nursing, Provider # CEP 14693 for the number of hours stated.
California Department of Health, Aid, and Technician Certification Section - The California Department of Health, Aid, and Technician Certification Section accepts continuing education offered by CA-BRN approved providers.
District of Columbia Board of Nursing - ALLEGRA Learning Solutions (CE Provider # 50-12076) submits all continuing education records to CE BROKER after successful completion.
Florida Board of Nursing - ALLEGRA Learning Solutions, LLC is accredited as a provider of continuing education by the Florida Board of nursing (CE Provider # 50-12076).
Courses are automatically submitted to CE Broker.
Florida Board of Nursing — Certified Nursing Assistants - ALLEGRA Learning Solutions (CE Broker Provider # 50-12076) submits all continuing education records to CE Broker after successful completion.
Florida Board of Respiratory Care - ALLEGRA Learning Solutions (CE Broker Provider # 50-12076) submits all continuing education records to CE Broker after successful completion.
Florida Council of Dietetics and Nutrition - ALLEGRA Learning Solutions (CE Broker Provider # 50-12076) submits all continuing education records to CE Broker after successful completion.
Florida Council of Licensed Midwifery - ALLEGRA Learning Solutions (CE Broker Provider # 50-12076) submits all continuing education records to CE Broker after successful completion.
NAADAC - The National Association of Alcohol and Drug Abuse Counselors - ALLEGRA Learning is an approved provider with the National Association of Alcohol and Drug Abuse Counselors (NAADAC) (Provider #813).
ALLEGRA Learning Solutions courses are acceptable for continuing education in...
Accommodations for Disabilities
Continuing education (CE) licensing requirements vary by jurisdiction, are not well defined, and may change. These CE requirements may vary in terms of the number of hours required to the types of courses that must be taken. ALLEGRA Learning Solutions recommends you contact your licensing board or accrediting organization for the latest continuing education requirements of your state or territory. Compliance with CE requirements is the responsibility of the individual health care provider. Health care providers must understand the CE requirements in their jurisdictions, and be sure they are up-to-date on any rule changes that affect their license. For further information, please see our Accreditation information page.
Conflicts of Interest and Relevant Financial Relationships
Every effort will be made to accommodate your special needs. To request accommodations, please contact ALLEGRA Learning Solutions at Contact Us.
The authors/planning committee members have no conflicts of interests or relevant financial relationships to declare relevant to this activity.
Non-endorsement of Products
Accreditation refers to recognition of continuing nursing education only and does not imply ALLEGRA approval or endorsement of any commercial product.
Off-label Use of Products
None of the authors intend to discuss off-label uses of drugs, mechanical devices, biologics, or diagnostics not approved by the FDA for use in the United States.
Cyndie Koopsen, RN, BSN, MBA, HNB-BC, RN-BC, HWNC-BC
Caroline Young, MPH
May 30, 2019
ALLEGRA Learning Solutions, LLC is committed to the development of education programs with the highest quality content. We have a financial interest in the courses we provide. We adhere to strict quality processes in our course creation and delivery. Each course is rigorously researched, peer-reviewed by an external entity, unbiased, and developed to provide current, professionally-relevant, evidence-based materials. We comply with all applicable local, regional, state, and/or national laws and regulations. Integrity, maintaining and exceeding accreditation standards, and the use of ethical, sound business principles are also basic tenets of our philosophy. Images are for illustrative purposes only. Persons depicted are models. The stock photography company retains all model releases.
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