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  • Evaluation
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When Life-Sustaining Treatment Is Medically Inappropriate: Practical Strategies for Responding to Family Demands

This course is available for purchase individually or as part of a package of courses:
PURCHASE THE PACKAGE
This compendium of hard-to-find state-required credits, common primary care clinical presentations, and business management topics provides 40 AMA PRA Category 1 CreditsTM  and 31 Nursing Contact Hours. It also offers 4 ABIM MOC points. Unlimited access available through Dec. 31, 2019.

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PURCHASE INDIVIDUALLY

Format

Monograph

Time to Complete

1 hour

Released

April 1, 2016

Expires

December 31, 2019

Date of Last Review

November 2017

Maximum Credits

1.00 / AMA PRA Category 1 CreditTM
1.00 / CE for Nurses

Program Description

When patients lack decision-making capacity, clinicians encounter surrogate decision makers who request aggressive treatments that clinicians might consider medically inappropriate or futile. A continued lack of agreement about diagnostic and prognostic information can lead to entrenched conflict between the team and the surrogate(s). The goals of this activity are to identify different definitions of the term "medical futility," to examine the difference between the terms "medical futility" and "medically inappropriate," to summarize areas of ethical consensus within the context of medical futility, and to describe practical management strategies for requests for medically inappropriate treatment.

This activity includes information necessary to meet the hard-to-get End-of-Life Care, Ethics, Geriatric Medicine, and Palliative Care state-required CME.

Accredited Provider



Provided by the Postgraduate Institute for Medicine

Target Audience

Primary care physicians, registered nurses, nurse practitioners, and physician assistants

Learning Objectives

After completing this activity, participants should be better able to:

  • Identify different definitions of the term "medical futility"
  • Examine the difference between the terms "medical futility" and "medically inappropriate"
  • Summarize areas of ethical consensus within the context of medical futility
  • Describe practical management strategies for requests for medically inappropriate treatment

Disclosure of Conflicts of Interest

Postgraduate Institute for Medicine (PIM) requires instructors, planners, managers and other individuals who are in a position to control the content of this activity to disclose any real or apparent conflict of interest (COI) they may have as related to the content of this activity. All identified COI are thoroughly vetted and resolved according to PIM policy. PIM is committed to providing its learners with high quality CME/CE activities and related materials that promote improvements or quality in healthcare and not a specific proprietary business interest of a commercial interest.

The faculty reported any financial relationships or relationships to products or devices they or their spouse/life partner have with commercial interests related to the content of this CME activity under the Faculty heading below.

Faculty

Adam M. Peña, MA
Center for Medical Ethics & Health Policy
Baylor College of Medicine
Houston Methodist Hospital System
Houston Methodist Hospital System Biomedical Ethics Program
Houston, TX

Mr. Peña has nothing to disclose.

Accredited Provider Disclosures

The planners, managers, and editors reported the following financial relationships or relationships to products or devices they or their spouse/life partner have with commercial interests related to the content of this CME activity:

Trace Hutchison, PharmD, Samantha Mattiucci, PharmD, CHCP, Judi Smelker-Mitchek, RN, BSN, and Jan Schultz, MSN, RN, CHCP have nothing to disclose.

Credit

1.00

Type

AMA PRA Category 1 Credit(s)TM

Accreditation Statement

In support of improving patient care, Postgraduate Institute for Medicine 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.

Designation Statement

The Postgraduate Institute for Medicine designates this enduring material for a maximum of 1.00 AMA PRA Category 1 CreditTM  . Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Credit

1.00

Type

CE for Nurses

Accreditation Statement

In support of improving patient care, Postgraduate Institute for Medicine 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.

Designation Statement

The maximum number of hours awarded for this Continuing Nursing Education activity is 1.00 contact hour.

Media

Internet

Disclosure of Unlabeled Use

This educational activity may contain discussion of published and/or investigational uses of agents that are not indicated by the FDA. The planners of this activity do not recommend the use of any agent outside of the labeled indications.

The opinions expressed in the educational activity are those of the faculty and do not necessarily represent the views of the planners. Please refer to the official prescribing information for each product for discussion of approved indications, contraindications, and warnings.

Disclaimer

Participants have an implied responsibility to use the newly acquired information to enhance patient outcomes and their own professional development. The information presented in this activity is not meant to serve as a guideline for patient management. Any procedures, medications, or other courses of diagnosis or treatment discussed or suggested in this activity should not be used by clinicians without evaluation of their patient's conditions and possible contraindications and/or dangers in use, review of any applicable manufacturer's product information, and comparison with recommendations of other authorities.

Instructions for Participation and Credit

There are no fees for participating and receiving credit for this activity. During the period April 1, 2016 through December 31, 2019, participants must 1) read the learning objectives and faculty disclosures; 2) study the educational activity; and 3) complete the post-test and the evaluation form.

To answer the questions, click on your selected choice for each answer then proceed to the next question. Once completed, click on "Get Results" at the bottom of the page. Your post-test will automatically be graded.

If you successfully complete the post-test (score of 75% or higher), your certificate will be made available immediately. Click on View Certificate and print the certificate for your records. If you receive a score of 74% or less, you will receive a message notifying you that you did not pass the post-test. You may retake the post-test until successful.

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SYSTEM REQUIREMENTS

Hardware and Software Requirements
  • A computer with an internet connection
  • Internet Browser: Internet Explorer 7.x or higher, Firefox 4.x or higher, Safari 2.x or higher, or any other W3C standards compliant browser
  • Additional Software: Adobe Flash Player and/or an HTML 5 capable browser maybe required for video or audio playback. PowerPoint or Adobe Acrobat Reader may occasionally be required
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