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Continuing Education, Inc

Women's Health, Domestic Violence, and Sexual Assault & Legal and Ethical Aspects of End-of-Life Care Greece & Croatia Cruise

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Overview / Abstract:

1.End of Life Care and Refusal of Treatment ◦ Discuss ethically and legal appropriate end-of-life treatment choices with patients.
◦ Explain the lines the line draws between appropriate and inappropriate end-of-life treatment choices for patients.

2.Dying and the Patient With Decisionmaking Capacity ◦Differentiate between instructional and proxy advance directives.
◦ Explain the difference between advance directives and physicians orders regarding end-of-life treatment options.
◦Discuss these differences with patients with decisionmaking capacity so that their wishes are memorialized in case of loss of that capacity.
◦ Identify the gaps that arise between advance directives and orders in patient charts.
◦ Assess the utility of POLST as a way to fill in those gaps.

3.When the Patient Lacks Decisionmaking Capacity (With or Without An Advance Directive) ◦Explain state laws that permit family members or others acting on behalf of patients lacking capacity to speak on their behalf.
◦ Analyze decisionmaking approaches under the three possibly applicable legal standards: substituted judgment, best interests, and the legally disfavored subjective test.

4.Palliative Care and Hospice ◦Explain the difference between palliative care and hospice.
◦ Explain Medicare requirements for the coverage of hospice care.
◦Evaluate suggestions of hospice care made by other members of the care team or by hospice providers themselves

5.Futility: When Family Members Want It All ◦Explain legal recognition of death by neurological criteria and differentiate between issues involving patients satisfying that criteria and patients who do not, under the law.
◦ Explain the concept of medical futility.
◦Distinguish between quantitative and qualitative futility.
◦ Compare state laws specifically describing procedures to be followed when clinicians view a patient’s treatment as futile with state laws that are less procedurally specific.

6.Beyond Withholding and Withdrawing ◦Differentiate between aid in dying and euthanasia.
◦ Explain the statutory requirements in the states imposing strict procedures and reporting requirements regarding aid in dying.
◦Evaluate the practice of aid in dying as it proceeds without strict requirements in some states.
◦ Assess the clinical practice guidelines for the practice.

7.Case Discussions and Debriefing ◦Apply what was learned about patient capacity, brain death, and withholding and withdrawing life-sustaining treatment.
◦ Relate principles to case scenarios.
◦ Evaluate the relevance of principles discussed to attendee's own practice.


May 18, 2019


Nurse Practitioner , Nursing CNE, Physician CME, Physician Assistant CME, Psychology CE


Live / Seminar



Credits / Hours




Is This Activity Certified for "Live" Credit?


Presenters / Authors / Faculty

Kathy L. Cerminara, JD, LLM, JSD

Laraine T. Zappert, PhD

Sponsors / Supporters / Grant Providers

Continuing Education, Inc

Keywords / Search Terms

Continuing Education, Inc cruise Resort CE CME Live CE CME Seminar CE CME

LIVE Activity Location Details

05-18-2019 - 05-25-2019

Aboard Royal Caribbean's Rhapsody of the Seas

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