End-of-Life and Symptom Management in the Older ED Patient

A Geri-EM.com E-learning Module

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Course Summary

Issues relating to the end of life are often a part of caring for older patients in the ED. While there seems like a gulf between the skills of the palliative physician and the emergency physician, working in the ED frequently requires knowledge of the basics of high-quality palliative care. Palliative care is a patient-centered approach that optimizes quality of life by anticipating, preventing and treating suffering associated with serious, life-threatening, or terminal illness.

This module looks at several ED patients to illustrate the basics. An awareness of disease trajectories and how to use it in addressing prognosis. The essentials of having a goals of care discussion in the ED. A review of the best practices in symptom management that are relevant to the ED.

Learning Objectives

Upon conclusion of this activity, participants should be able to:

Describe disease trajectories, recognizing their link to prognosis and end-of-life decision making.
Use disease trajectories to inform discussion of goals of care and advance care planning in the ED.
Name the key components of an effective goals of care discussion.
Describe ED-appropriate management for pain, nausea, constipation, dyspnea, and anxiety.

Attendance at this Mayo Clinic accredited course does not indicate nor guarantee competence or proficiency in the performance of any procedures which may be discussed or taught in this course.

Accreditation Statement

In support of improving patient care, Mayo Clinic College of Medicine and Science, and the Geriatric Emergency Department Collaborative. Mayo Clinic College of Medicine and Science is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC) to provide continuing education for the healthcare team.

Credit Statements

AMA

Mayo Clinic College of Medicine and Science designates this live activity for a maximum of 1.00 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
ANCC

Mayo Clinic College of Medicine and Science designates this activity for a maximum of 1.00 ANCC contact hours. Nurses should claim only the credit commensurate with the extent of their participation in the activity.

Activity Description

The Online Learning offerings from GEDC include modules developed from the Geri-EM.com e-learning program, modules from the National Collaboratory to Address Elder Mistreatment, and modules developed by GEDC’s clinical experts on Falls and Mobility clinical training. Through practical text and interactive exercises, including opportunities to apply key content to realistic emergency department-based scenarios, users will build knowledge and skills in Geriatric ED care.
Each course provides downloadable resources and a reference list of essential reading in the topic area. Each module may stand alone to reinforce learning in a particular area of interest, or the modules can be completed in succession to cover all areas in Geriatric ED care. Users access the modules via a course catalog at gedcollaborative.com/online-learning/ and can participate any time from a computer, tablet, or smartphone.

Target Audience

Allied Health Professional, Healthcare Executive, Nurse, Nurse Practitioner, Pharmacist, Physician, Physician Assistant, Resident Fellow, Social Worker, Student

Method of Participation

Participation in this activity consists of reviewing the educational material, and completing the learner assessment and evaluation.

How to Obtain Credit

To obtain credit, users must complete the course material (progress is tracked), and complete the evaluation with a score of 80% or more within two attempts. After this is completed, learners will obtain their credit certificate.

Release and Expiration Dates

Release Date:
Expiration Date: 12/31/2024

Disclosure Summary

As a provider accredited by Joint Accreditation for Interprofessional Continuing Education, Mayo Clinic College of Medicine and Science must ensure balance, independence, objectivity and scientific rigor in its educational activities. All who are in a position to control the content are required to disclose all financial relationships with any ineligible company. Faculty will also identify any off-label and/or investigational use of pharmaceuticals or instruments discussed in their content for FDA compliance.

Listed below are individuals with control of the content of this program who have disclosed…

Relevant financial relationship(s) with ineligible companies:
Kevin Biese – Owner/employee – Third Eye Tele Health

All relevant financial relationships listed for these individuals have been mitigated.

No relevant financial relationship(s) with ineligible companies:
Don Melady, Aaron Malsch, Marie-Pier Lanoue

References to off-label and/or investigational usage(s) of pharmaceuticals or instruments in their presentation:
None

For disclosure information regarding Mayo Clinic School of Continuous Professional Development accreditation review committee member(s) please visit: https://ce.mayo.edu/content/disclosures.

Acknowledgement of Commercial Support

No commercial support was received in the production of this activity.

Bibliographic References

Bibliographic resources are provided within the activity.

Disclaimer & Copyright

Participation in this Mayo Clinic accredited educational activity does not indicate nor guarantee competence or proficiency in the performance of any procedures which may be discussed or taught in this course. You should be aware that substantive developments in the medical field covered by this recording may have occurred since the date of the original release.