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

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)/Editor(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 ineligible companies (commercial interests) that could constitute a conflict of interest.
Further Author/Editor Information | Further CME Information

Meets Special CME Requirements in: California, Connecticut, District of Columbia, Iowa, Massachusetts, Michigan, Nevada, New Jersey, Oregon, Rhode Island, Texas, Vermont Learn More >>

Outcome Objectives:

As a result of completing this activity, the participant will be better able to:

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 Provider: University of Arizona College of Medicine - Tucson
Credit Designation and Accreditation Statements >>

Current CME Approval Period: November 1, 2022 - October 31, 2025

Original Release Date: November 1, 2010

Most Recent Review by Author: November 1, 2022

Most Recent Review by CME Provider: November 1, 2022

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 CME Approval Period: November 1, 2022 - October 31, 2025

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.

Relevant Financial Relationships Statement

University of Arizona Continuing Medical Education adheres to the ACCME's Standards for Integrity and Independence in Accredited Continuing Education. Any individuals in a position to control the content of a CME activity, including faculty, planners, reviewers or others, are required to disclose all financial relationships with ineligible entities (commercial interests). The CME office reviewers have nothing to disclose. All relevant financial relationships have been mitigated prior to the commencement of the activity.

All individuals in a position to control the content of this CME activity have disclosed that they have no relevant financial relationships with ineligible companies that would constitute a conflict of interest concerning this CME activity.

CME Office Contact Information

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

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 (987 responses)


How would you rate this program overall? Average Rating: 4.00/5.00

How well were the learning objectives of this program met? Average Rating: 4.21/5.00


User Comments


by Jennifer Wessels \| Jun 5, 2025 none

by yomi fayiga \| Nov 15, 2022 Good course

by Hidden \| Aug 9, 2022 NA

by Hidden \| Feb 15, 2021 Overall real good course. Please correct typos. The text is sometimes too verbose, might use some editing...

by Young Oliver \| Oct 7, 2019 The didactic portions seemed a bit too abstract, in parts, for application to my patients

by Charlotte Koenig \| May 18, 2019 well done

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.
	District of Columbia Public Health Topics CME
	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 CME
	Nevada Cultural Competency / Diversity, Equity and Inclusion CME
	New Jersey End of Life Care CME
	Oregon Cultural Competency Education CME
	Rhode Island Cultural Awareness CME
	Texas Medical Ethics / Professional Responsibility CME
	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 Edge, Chrome, Safari, and Firefox. 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.