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Culture & End of Life Care: Patients' Beliefs and Values


Culture & End of Life Care: Patients' Beliefs and Values

IMPORTANT for iPad Users: Please download and use the Free Puffin Browser from the app store if you want to complete this course on an iPad. This course requires Adobe Flash and will not work in the iPad Safari Browser.

CME Certificate Fee: $37.50 (USD) for certificate

1.50 AMA PRA Category 1 Credit(s)TM
Estimated time to complete this activity: 1.50 hours
Author(s): Eileen Van Schaik, PhD
DISCLOSURE STATEMENT: All author(s), contributor(s), editor(s), and CME Office Reviewer(s) state that they do not have any financial arrangements with commercial interests that could constitute a conflict of interest.
Further Author Information | Further CME Information
Meets Special CME Requirements in: California, Connecticut, Georgia, Iowa, Massachusetts, Michigan, Nevada, New Jersey, Oregon, Pennsylvania, Rhode Island, Texas, Vermont     Learn More >>

Course Learning Objectives:

  • Ask questions that will help you gather information on the patient's Explanatory Model, or understanding, of her illness experience.
  • Organize your approach to culture using the LEARN mnemonic: Listen, Explain, Acknowledge, Recommend, and Negotiate.
  • Elicit and respond to patients' faith-based values and goals for care.
  • Enable patients to anticipate and consider aspects of the dying process they might not have considered.
  • Facilitate communication with others who will be involved in patients' end-of-life care.
  • Incorporate patients' values and preferences in advance care planning.
  • Identify options for responding to requests from a patient's family that raise ethical questions.
  • Analyze how to offer truth in order to elicit your patients' preferences.
  • Negotiate solutions that respect patients' preferences as well as your ethical duty.
  • Evaluate evidence for and against complementary and alternative medicine (CAM) practices.
  • Advise patients on the basis of evidence.
  • Negotiate treatment plans with patients who incorporate CAM.
  • Build trust and promote open communication with patients.

Learning Format: Case-based, interactive online course, including mandatory assessment questions (number of questions varies by course or module). Please also read the Technical Requirements.

CME Sponsor: University of Arizona College of Medicine - Tucson
Credit Designation and Accreditation Statements >>
Current Approval Period: November 1, 2015 - October 31, 2017
Original Release Date: November 1, 2010
Most Recent Review by Author: November 1, 2015
Most Recent Review by CME Sponsor: November 1, 2015
Financial Support Received: Initial program development supported by a grant from the National Institute of Nursing Research (NINR) at the National Institutes of Health (NIH), 2R44NR008839-03
Culture & End of Life Care: Patients' Beliefs and Values
1.50 AMA PRA Category 1 Credit(s)TM
Current Approval Period: November 1, 2015 - October 31, 2017
Financial Support Received: Initial program development supported by a grant from the National Institute of Nursing Research (NINR) at the National Institutes of Health (NIH), 2R44NR008839-03

ACCME/AMA PRA Accreditation Statement

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of The University of Arizona College of Medicine - Tucson and Talaria, Inc.. The University of Arizona College of Medicine - Tucson is accredited by the ACCME to provide continuing medical education for physicians.

The University of Arizona College of Medicine - Tucson designates this enduring material for a maximum of 1.50 AMA PRA Category 1 Credit(s)TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.


CME Office Contact Information and CME Disclosure

The University of Arizona College of Medicine - Tucson
Office of Continuing Medical Education
520-626-7832
uofacme@email.arizona.edu

The following University of Arizona College of Medicine - Tucson CME Reviewers, Activity Directors, or Planning Committee Members have no relevant financial relationships with commercial interests that could constitute a conflict of interest with the proposed activity:

Robert Amend, M.Ed.
Randa Kutob, MD

Culture & End of Life Care: Patients' Beliefs and Values

About the Author

Eileen Van Schaik, Ph.D.
Senior Research Scientist
Talaria, Inc.
Clinical Assistant Faculty
Biobehavioral Nursing & Health Systems, University of Washington School of Nursing

Following an earlier career as a registered nurse, Dr. Van Schaik taught anthropology and conducted ethnographic evaluation research as a visiting lecturer and research assistant professor at the University of Alabama at Birmingham for six years. She joined Talaria in 2002, and is the principal investigator for five completed and three ongoing SBIR grants. Dr. Van Schaik enjoys translating her nursing experience and expertise in anthropology into multimedia resources for healthcare providers, patients, and families. Currently, Dr. Van Schaik is also a clinical assistant professor in Biobehavioral Nursing and Health Systems at the University of Washington.

Additional Contributors

Amy Baernstein, MD
Associate Professor, Medicine / General Internal Medicine
University of Washington

Laurie Fronek
Writer

Diane Timberlake, MD
Clinical Associate Professor, Family Medicine
Harborview Medical Center


Disclosure: The author and contributors state that they do not have any financial arrangements that could constitute a conflict of interest.

Culture & End of Life Care: Patients' Beliefs and Values
Ratings (525 responses)
How would you rate this program overall?
Average Rating: 4.35/5.00
How well were the learning objectives of this program met?
Average Rating: 4.41/5.00
How relevant was the information in this program to your clinical practice?
Average Rating: 4.07/5.00
Likelihood you will make a change in practice behavior based on your participation in this activity.
Average Rating: 4.00/5.00
User Comments
by Hidden | Sep 28, 2016
This was an excellent course with case-based learning supported by specific training to help patients accomplish their goals in their end of life care. The training about complementary alternative medicine was also very helpful. I feel more prepared to have discussions with patients about these topics in end-of-life care and about CAM discussions with patients after this course.
by David Archer | Jul 28, 2016
well done, tactful approach to patient care
by Malcolm Yeh | Mar 28, 2016
This is an excellent course to review the major issues and information that one needs to make clinical decisions in situations of having patient-centric care.
by amir manoutchehri | Mar 21, 2016
place the answer "block" away from the question so that the reader can look at the questions again while the "answer block" is still on.
by Hidden | Feb 21, 2016
This was an extremely informative and useful course.
by Hidden | Sep 27, 2015
Excellent course. I thought the videos did a very good job of allowing us to see how to address culturally sensitive issues and topics.
Culture & End of Life Care: Patients' Beliefs and Values
This course meets general AMA PRA Category 1 CME Credit(s)TM requirements in states that have a CME requirement.

Based on information from state licensing authorities, this program meets special CME requirements in these states:

California End of Life / Palliative Care CME
California Geriatric CME
From the CA Board of Medicine: "General internists and family physicians who have a patient population of which over 25 percent of the patients are at least 65 years of age, are required to complete at least 20 percent of their mandatory CME in the field of geriatric medicine. All other physicians are encouraged to take a course in geriatric medicine, including geriatric pharmacology, as part of their mandatory CME."
Connecticut Cultural Competence CME
Started with licensing periods of October 1, 2010.
Georgia Pain Management CME / Palliative Medicine
Iowa End of Life Care CME
Massachusetts End of Life Care CME
May be counted as risk management credits.
Massachusetts Risk Management CME
Michigan Medical Ethics
Nevada Ethics CME
New Jersey End of Life Care CME
Oregon Pain Management / Terminally Ill / End of Life CME
Pennsylvania Risk Management / Patient Safety CME
Rhode Island End of Life / Palliative Care CME
Texas Medical Ethics / Professional Responsibility CME (all physicians)
Vermont Hospice / Palliative Care / Pain Management CME

View other courses meeting Special State Requirements
Culture & End of Life Care: Patients' Beliefs and Values
Technical Requirements

This web-based activity is offered online and requires an always-on connection to the Internet (the activity cannot be downloaded). The activity works on PC or Mac computers and most tablet computers. The activity should work with the newer versions of major Internet browsers, including Internet Explorer, Firefox, Google Chrome, and Safari. JavaScript should be enabled in all browsers, and Popups and first party cookies need to be accepted from www.VLH.com. You should also have the latest, free Adobe Reader installed for reading documents.

For additional information, read the Technical Assistance FAQ.

This program also requires that you have the latest free Flash Player.

IMPORTANT for iPad Users: Please download and use the Free Puffin Browser from the app store if you want to complete this course on an iPad. This course requires Adobe Flash and will not work in the iPad Safari Browser.

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