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Medical and Legal Issues at the End of Life Mediterranean Cruise

Rome Port * | Rome , ITALY
From 450 to 695 USD
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Title: Medical and Legal Issues at the End of Life Mediterranean Cruise
Specialty: , Geriatrics, Internal Medicine
Dates: From Jun, 28, 2014 to Jul, 5, 2014
Location: Rome , ITALY
Type: Course
Registration Cost: From 450 to 695 USD
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General Info
Event Venue:

Rome Port *

ROME , ITALY Visit the Venue to read more
Currency:
USD
Accreditation:

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Accredited Continuing Medical EducationAccreditation: Continuing Education, Inc is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Designation: Continuing Education, Inc designates this live activity for a maximum of 14 AMA PRA Category 1 Creditstm. Each physician should claim only the credit commensurate with the extent of their participation in the activity.

ANCC Accredited Continuing Nursing EducationContinuing Education, Inc. is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.

Accredited status does not imply endorsement by Continuing Education, Inc/University at Sea or ANCC of any commercial products displayed or used with an activity.

Event Overview
Welcome message:
The purpose of this CME activity is to review current trends in pain management, adult and pediatric palliative care, and socio-medical issues at the end of life, and to adopt these into clinical practice.

Topics:

 

  • Pediatric Palliative Care Overview
  • Palliative Care vs. Hospice
  • Psychosocial Considerations in Palliative Care
  • Nausea, Vomiting, and Constipation
  • Care of the actively Dying
  • Decision Making Capacity
  • Ethics and Palliative Care
  • Basic Communication and Delivering Bad News
  • Depression
  • Pain 101—The Principles of Pain Management
  • Pain 201—Applications and Cases in Pain Management
  • How to Run a Family Meeting
  • Denial and Coping Mechanisms
  • Age Appropriate Strategies for Talking With Children About Critically Ill/dying Parent
  • Self-care and Compassion Fatigue

 

 

Objectives:

 

  • Describe pediatric palliative care.
  • Assess when pediatric palliative care services can be involved with a patient.
  • Explain the difference between pediatric palliative care and adult palliative care.
  • Differentiate between palliative care and Hospice care.
  • Determine when to refer a patient to palliative care or Hospice care
  • Identify benefits to patients with early referral to these services
  • Describe how to obtain a psychosocial history (PEACE tool).
  • Explain how a patient/family’s spirituality may impact the patient’s illness.
  • Describe how to take a spiritual assessment.
  • Explain how cultural issues may impact the care of your patient, i.e. amount of information, the medical decision-maker, etc.
  • Describe the pathophysiology of nausea and vomiting.
  • Based on a clinical scenario, determine which therapy is most appropriate for a specific patient with nausea and vomiting.
  • Describe causes of constipation and how different treatment options act in the GI tract.
  • Recognize the physical signs associated with the actively dying phase Review the symptoms that need treated at this stage
  • Identify the best medications to use for a dying patient
  • Explore the meaning of decision making capacity
  • Identify the minimum criteria needed for a patient to have capacity
  • Differentiate decision making capacity from competence
  • Describe the broad legal consensus that has developed around issues of end-of-life care in the United States.
  • Assess the principles for withholding or withdrawing therapy
  • Discuss the concept of futility.
  • Illustrate these principles by using case based examples.
  • Explore barriers to good communication and potential pitfalls of misunderstood information.
  • Define ways to show empathy to patients
  • Discuss the importance of delivering difficult news well.
  • Demonstrate the 6-step SPIKES protocol for delivering bad news.
  • Apply these skills with case examples.
  • Determine how to diagnosis depression in a palliative care patient
  • Differentiate depression from anticipatory grief
  • Describe treatment options for depression in a palliative care patient
  • Describe the various methods to assess pain in patients.
  • Assess the appropriate pharmacologic management for an adult patient, including non-opioids, opioids, and adjuvant analgesics.
  • Differentiate the ways pediatric patients differ in pain management from adult patients, i.e. assessment, medications, routes.
  • Calculate equianalgesic doses of 2 different opioids
  • Explain how to treat a pain crisis effectively
  • Choose which opioid is most appropriate for a patient given a clinical scenario
  • List the critical steps involved in running a family meeting;
  • Formulate key phrases to use during sensitive discussions; and
  • Determine how to discuss prognosis.
  • Define denial in the context of an illness
  • Identify other coping mechanisms
  • Determine how to work with your patient when a coping mechanism is identified
  • Describe the development of a child’s understanding of death and dying.
  • Review age appropriate communication with children about a parent’s critical illness or death.
  • Describe other strategies and resources that can help a healthcare provider support a child during a parent’s illness or death.
  • Recognize that stress impacts clinicians providing end of life care.
  • Define burnout and recognize associated signs, symptoms and risk factors.
  • Identify techniques to decrease burnout.
Speakers/Faculty:

Katie Neuendorf, M.D., Assistance Professor of Medicine, Cleveland Clinic Lerner College of Medicine, Case Western Reserve University, Associate Fellowship Director and Associate Staff, Section of Palliative Medicine and Supportive Oncology, Director of Resident Communication Education, Center for Excellence in Healthcare Communication, The Cleveland Clinic Foundation, Cleveland, Ohio 

Dr. Neuendorf earned her medical degree from The Medical College of Ohio in Toledo, OH and completed her residency training in Internal Medicine at Riverside Methodist Hospital in Columbus, OH. She then pursued Hospice and Palliative Medicine fellowship training at the Medical College of Wisconsin to learn from one of the oldest palliative medicine programs in the country. She joined the Cleveland Clinic’s Palliative Medicine and Supportive Oncology Section directly out of fellowship and is appointed as Assistant Professor of Medicine through the Cleveland Clinic Lerner School of Medicine, Case Western Reserve University in Cleveland, Ohio. Additionally, she is the Associate Director for the Palliative Medicine Fellowship and the Director for Resident Communication Education through the Center for Excellence in Healthcare Communication. She is board certified in Internal Medicine and Hospice and Palliative Medicine.

Dr. Neuendorf’s interest in teaching palliative care to clinicians began early in her career, as evidenced by the palliative care curriculum she developed for her residency program. Since that time, she has given numerous presentations to a variety of audiences on many topics related to palliative care. The area of communication has been her main interest and the subject she enjoys teaching the most. Through the Cleveland Clinic’s Center for Excellence in Healthcare Communication, she is teaching foundational communication skills as well as advanced skills such as breaking bad news, running a family meeting and code status discussions. She was appointed director of resident communication education to bring this teaching to residents and fellows in addition to staff physicians.


Christine Traul, M.D., FAAP, Director, Pediatric Palliative Care, Pediatric Hospitalist, Pediatric Hospital Medicine, Cleveland Clinic, Cleveland, Ohio

Dr. Traul is a graduate of Ohio University, Athens, Ohio (1993-1997) and received her Bachelor of Science in Biological Sciences. She graduated from the Medical College of Ohio in 2003 (now University of Toledo College of Medicine) with a degree in Doctor of Medicine. She completed her pediatrics residency in 2006 at the University of Virginia in Charlottesville, Virginia. Currently, she is Board Certified in Pediatrics and Hospice and Palliative Medicine.

Dr. Traul began her pediatric hospitalist career in Virginia in 2007, and continued at Cleveland Clinic Children’s Hospital in 2010. She was named Director of the Pediatric Palliative Care Program in January 2011. Under her leadership, the program has seen a huge rise in inpatient, prenatal, and outpatient consults. In addition to her responsibilities on the pediatric palliative care inpatient consult service, Dr. Traul also cares for children with medical complexity and inpatient rehabilitation needs and the Cleveland Clinic Children’s Hospital for Rehabilitation. Dr. Traul enjoys teaching second year medical students during their communications course. She also teaches pediatric palliative care to the pediatric residents, pediatric hematology-oncology fellows, and adult palliative medicine fellows throughout the year.

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Accommodation
Accommodation:
STATEROOMSDETAILS
Royal Suite (RS) - Call 800-422-0711 for Pricing 
Veranda with lounge seating. Floor-to-ceiling panoramic windows. Separate living room with dining and sitting area. Two entertainment centers with plasma-screen televisions and VCR or DVD player. Music center. Walk-in closet with vanity table. Bath, including tub with whirlpool jets. Glass enclosed sitting area (connecting door to adjacent suite). Butler at your service. Complimentary 24-hour room service. Priority check-in. Priority tender service. Welcome bottle of sparkling wine and fresh fruit. Assistance with packing and unpacking. Full in-suite breakfast, lunch & dinner service. In-suite afternoon tea service. Complimentary espresso & cappuccino (in suite). Evening hors d'oeuvres, daily. Main & specialty restaurant seating preferences. 100% Egyptian cotton oversized bath towels. Plush Frette® bathrobes. Complimentary shoeshine service, use of golf umbrella, & binoculars. Bathroom accessories & hair dryer. Complimentary beach towel service. Plentiful storage space in your bathroom & wardrobe.

 

Stateroom : 538 sq. ft. Veranda: 195 sq. ft.
Celebrity Suite (CS) - Call 800-422-0711 for Pricing 
Veranda with lounge seating. Floor-to-ceiling panoramic windows. Separate living room with dining and sitting area. Two entertainment centers with plasma-screen televisions and VCR or DVD player. Music center. Walk-in closet with vanity table. Bath, including tub with whirlpool jets. Glass enclosed sitting area (connecting door to adjacent suite). Butler at your service. Complimentary 24-hour room service. Priority check-in. Priority tender service. Welcome bottle of sparkling wine and fresh fruit. Assistance with packing and unpacking. Full in-suite breakfast, lunch & dinner service. In-suite afternoon tea service. Complimentary espresso & cappuccino (in suite). Evening hors d'oeuvres, daily. Main & specialty restaurant seating preferences. 100% Egyptian cotton oversized bath towels. Plush Frette® bathrobes. Complimentary shoeshine service, use of golf umbrella, & binoculars. Bathroom accessories & hair dryer. Complimentary beach towel service. Plentiful storage space in your bathroom & wardrobe.

 

Stateroom : 467 sq. ft. Veranda: 79 sq. ft.
Sky Suite (S2) – Call 800-422-0711 for Pricing 
Veranda with lounge seating. Floor-to-ceiling sliding glass doors. Two lower beds convertible to queen-size. Sitting area, some with sofa bed and lounge chair. Entertainment center with television VCR and DVD player. Bath with shower/tub combination and washbasin. Complimentary 24-hour room service. Priority check-in. Priority tender service. Welcome bottle of sparkling wine and fresh fruit. Assistance with packing and unpacking. Full in-suite breakfast, lunch & dinner service. In-suite afternoon tea service. Complimentary espresso & cappuccino (in suite). Evening hors d'oeuvres, daily. Main & specialty restaurant seating preferences. 100% Egyptian cotton oversized bath towels. Plush Frette® bathrobes. Complimentary shoeshine service, use of golf umbrella, & binoculars. Bathroom accessories & hair dryer. Complimentary beach towel service. Plentiful storage space in your bathroom & wardrobe. Stateroom : 251 sq. ft. Veranda: 57 sq. ft.
Concierge Class Stateroom (C3) – Call 800-422-0711 for Pricing 
Veranda with lounge seating. Floor-to-ceiling sliding glass doors. Sitting area with sofa. Two lower beds convertible to queen. 20" LCD TV. Vanity. Some staterooms may have a trundle bed . Early embarkation and debarkation. Priority check-in. Sparkling wine, fresh fruit and flowers upon arrival. Main and specialty restaurant seating preferences. Expanded room service breakfast menu. Early embarkation and debarkation. Priority check-in. Sparkling wine, fresh fruit and flowers upon arrival. Main and specialty restaurant seating preferences. Expanded room service breakfast menu Evening hors d'oeuvres, daily. Pillow menu, Plush Frette® bathrobes Hansgrohe® massaging showerhead. Extra handheld hair dryer. 100% cotton oversized bath towels. Complimentary shoeshine service, use of golf umbrella, & high-quality binoculars. Complimentary beach towel service. Stateroom: 194 sq. ft. Veranda: 42 sq. ft.
Deluxe OceanView Stateroom with Veranda (2B) - $1,364
Floor-to-ceiling sliding glass doors. Veranda with lounge seating. Two beds convertible to queen-size. Sitting area with sofa. 32" LCD TV. Vanity. Some staterooms may have a trundle bed. Complimentary 24-hour room service. Four pillows in every stateroom. Complimentary use of bathrobes. 100% cotton towels. Bathroom accessories & hair dryer. Complimentary beach towel service. Plentiful storage space in your bathroom & wardrobe. Stateroom: 194 sq. ft. Veranda: 54 sq. ft.
OceanView Stateroom (08) –$1,124
Large ocean view window. Two twin beds that can be converted to a queen-sized bed. Considerable closet space. Private bathroom with shower stall. Sitting area with desk, drawer space, vanity, and sofa. 32 inch interactive LCD television. Direct-dial telephone. Hair dryer. Mini bar. Individual safe. 100% cotton towels and linens. 24 hour room service. Stateroom : 177 sq. ft.
Inside Stateroom (10) –$934
Two twin beds that can be converted to a queen-sized bed. Considerable closet space. Private bathroom with shower stall. Sitting area with desk, drawer space, vanity, and sofa. 32 inch interactive LCD television. Direct-dial telephone. Hair dryer. Mini bar. Individual safe. 100% cotton towels and linens. 24 hour room service. Stateroom : 183 - 200 sq. ft.
Prices are Per Person, Double Occupancy, Subject to change
3rd/4th in Stateroom - Please Call for Pricing
Port Charges, Taxes & Fees $236.52
Deposit $250.00 per person
PRICING: Although subject to change at any time, prices quoted above are generally available until 90 days prior to sailing but convert to the typically higher market rate after that date.
FUEL SUPPLEMENT: Cruiselines may implement a fuel surcharge depending on the price of crude oil.
CANCELLATION PENALTIES: Cancellation policies vary by cruise line, itinerary and length of cruise. When reserving your stateroom, please review the policy applicable to this cruise with our staff.
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