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End-of-Life Modules

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Goal: This series was designed to provide the nephrology nurse with education and tools to discuss end-of-life issues with patients and their families. This first module aids nurses in developing skills and initiating discussions with patients regarding Do Not Resuscitate (DNR) orders and advanced care planning. Future modules will tackle: cultural diversity in end-of-life decision-making; ethical and legal issues surrounding end-of-life decision-making; how to break bad news to patients; and learning advanced skills and techniques in discussing advanced care planning with patients.

For contact hour credit, review the PDF thoroughly and then complete the CNE exam.
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Module 01 - Techniques to Facilitate Discussion for Advanced Care Planning (ACP) 

CNE credit for this article has expired.

This module seeks to develop practical skills that will help you to initiate conversations with patients at times that are easier for you as well as the patient. Please remember that advance care planning skills need practice just like any other technical skill you have become so proficient in. Practicing these skills with a colleague may be a good place to start.

At the completion of this module the learner will be able to:
  1. Identify ESRD patients at risk to die in the next 6 -12 months.
  2. List 4 core skills for initiating advance care planning discussions.
  3. Provide 5 examples of how to implement advanced care planning.


Contact Hours available through: 2/15/2013

 
Module 02 - Ethical and Legal Aspects of Advanced Care Planning (ACP) 

CNE credit for this article has expired.

As nephrology nurses, we can develop long term relationships with our patients and their families which are meaningful for all involved. Sometimes these familiar relationship patterns seem routine, but also gratifying, and it is difficult when a new or recurring medical complication changes the prognosis for a valued patient's life. This module seeks to help you develop practical skills to help you prepare a patient and family for difficult decisions that lie ahead. Although we cannot often impact the progression of a patient's physical deterioration, we can help in this area.

At the completion of this module the learner will be able to:
  1. Identify ethical and legal principles underlying ACP decisions in the U.S.
  2. Describe the factors which influence patients as they make ACP decisions.
  3. Identify ethical nurse behaviors to assist patients and families as they make ACP decisions.
  4. List 2 resources available to assist patients in making and documenting ACP decisions.


Contact Hours available through: 2/15/2013

 
Module 03 - Cultural Diversity: Different Cultures, Different Solutions 

CNE credit for this article has expired.

Goal: To provide the nephrology nurse with education and tools to discuss end-of-life issues with patients and their families.

As you prepare to review this module, it will be important to look at the community in which you live and the various ethnic or religious groups that are predominant in your area.

At the completion of this module the learner will be able to:
  1. Define the terms pertinent to the discussion of cultural influences on end of life care.
  2. Examine one's own cultural profile and thie profile's influence on attitudes about end of life care.
  3. Describe the cultural make up of your current work environment (including staff and patients) and how it impacts the care provided.
  4. Identify communication skills to enhance culturally sensitive interactions between care givers, patients and families.
  5. Identify cultural responses to illness, death and grief.


Contact Hours available through: 2/15/2013

 
Module 04 - Coordination of Hospice and Palliative Care in ESRD 

CNE credit for this article has expired.

At the completion of this module the learner will be able to:
  • List three (3) factors associated with the need for providing hospice care to kidney patients.
  • Describe the Medicare Hospice Benefit, including the requirements for ESRD patients to receive hospice care.
  • Identify three (3) barriers to providing hospice care for kidney patients.

Please download handout for additional information that can be found in the author's notes.

The presence of any product, company, or corporation at this conference in no way signifies an endorsement of the product, company of corporation by ANCC Commission on Accreditation, ANNA, or the Kidney End-of-Life Coalition.

No off-label use of any product is presented in this session.

 
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