Applying Palliative Care Skills to Nephrology Care

This activity will discuss common symptoms associated with dialysis and will take the learner from the path of burden of disease to increased awareness of patient’s day-to-day issues living with chronic illness.  The idea of how a “one-size fits all” approach for the management of dialysis patients is not something that can be continued, and a brief history of how the demographics of patients on dialysis has changed over time. This historical approach of advanced care planning will be reviewed as well as. Opportunities for clinicians to implement advanced care planning with their patient’s routine care will be reviewed. 

Learning Objectives: 

After participation in this activity, learners will be better able to:

  • Describe the relevant palliative care skills to evaluate and treat physical and psychological symptoms in patients with kidney disease
  • Apply a palliative approach to the care of dialysis care incorporating patient-centered goals into the treatment plan, determining meaningful patient outcomes and recognizing opportunities for quality end of life care
  • Discuss the aspects of advance care planning important to patients and families, identify cultural barriers to timely discussions and ways to better prepare patients for future setbacks and end of life
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Target Audience

  • Physicians
  • Physician Assistants
  • Nurse Practitioners
  • Nurses
  • Dialysis Technicians
Accreditation/Designation of Credit Statements:

Physician

The National Kidney Foundation is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The National Kidney Foundation designates this enduring for a maximum of 1.5 AMA PRA Category 1 Credit(s)™  Physicians should claim only the credit commensurate with the extent of their participation in the activity.  

Physician Assistant 

AAPA accepts certificates of participation for educational activities certified for AMA PRA Category 1 Credit(s)™ from organizations accredited by ACCME or a recognized state medical society. Physician assistants may receive a maximum of 1.5 hours of Category I credit for completing this program.

Nurse Practitioner 

This activity is approved for 1.5 contact hours of continuing education (which includes 0.0 hours of pharmacology) by the American Association of Nurse Practitioners. Activity ID 16102390.

This activity was planned in accordance with AANP CE Standards and Policies. 

Nurse and Dialysis Technician

The National Kidney Foundation is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

Awarded 1.5 contact hours of continuing nursing education (includes 0.0 contact hours in the area of pharmacology). 

Method of Participation:

Learners will review the materials on accreditation information, target audience, learning objectives, and disclosure information; participate in the entire self-study consisting of slides and audio; and complete the post-test (minimum score of 70% required; learners will only have 3 attempts to pass the post-test) and evaluation to successfully earn credit.  The estimated time for completion is 1.5 hours.    

Declaration of Disclosure:

It is the policy of the National Kidney Foundation (NKF) to ensure balance, independence, objectivity, and scientific rigor in all CME/CE activities. Any individual who has control over CME/CE content is required to disclose to learners prior to the activity any relevant financial relationship(s) they may have with commercial interests supporting this activity or whose products or devices are discussed in this activity.  

If, on the basis of information disclosed, a perceived conflict exists, resolution will be achieved based on NKF's Disclosure and Conflict of Interest Policy.

Unlabeled/Investigational Use:

During their presentations, faculty may discuss an unlabeled use or an investigational use not approved for a commercial product. Each faculty member is required to disclose this information to the audience when referring to an unlabeled or investigational use.

Disclaimer:

The faculty and National Kidney Foundation (NKF) do not recommend the use of any pharmaceutical, diagnostic test, or device outside of the labeled indications as approved by the FDA. Please refer to the official prescribing information for each product for approved indications, contraindications, and warnings.

Information contained in this NKF educational resource is based upon current data available at the time of publication. Information is intended to help clinicians become aware of new scientific findings and developments.  This NKF educational resource is not intended to set out a preferred standard of care and should not be construed as one. Neither should the information be interpreted as prescribing an exclusive course of management.

Variations in practice will inevitably and appropriately occur when clinicians take into account the needs of individual patients, available resources, and limitations unique to an institution or type of practice. Every healthcare professional making use of information in this NKF educational resource is responsible for interpreting the data as it pertains to clinical decision making in each individual patient.

Course summary
Available credit: 
  • 1.50 AANP Contact Hours
  • 1.50 AMA PRA Category 1 Credit™
  • 1.50 ANCC Dialysis Technician Contact Hours
  • 1.50 ANCC Nurse Contact Hours
  • 1.50 Attendance
  • 1.50 Category I Credit for Physician Assistants
Course opens: 
11/16/2016
Course expires: 
11/16/2018
Cost:
$35.00
Rating: 
0
Faculty Disclosures:

Jennifer Scherer, MD
Assistant Professor
NYU
New York, NY
Disclosure: Has no financial relationships with commercial interest(s).

Nwamaka Eneanya, MD, MPH
Nephrologist
Massachusetts General Hospital
Boston, MA
Disclosure: Has no financial relationships with commercial interest(s).

Vanessa Grubbs, MD
Assistant Professor
UCSF    
San Francisco, CA
Disclosure: Has no financial relationships with commercial interest(s).

Planning Committee Disclosures:

Katharine Cheung, MD, MSc, FRCPC
Clinical Instructor
University of Vermont
Burlington, VT
Disclosure: Has no financial relationships with commercial interest(s).

Daniel Weiner, MD, MS, FNKF
Nephrologist
Tufts Medical Center
Boston, MA
Disclosure: Research Grants: Dialysis Clinic, Inc. (DCI), Nephrogenex,Inc., JANNX Medical Systems, Inc.
    
Dena Rifkin, MD, MS, FNKF

Nephrologist & Clinical Epidemiologist
VA San Diego
La Jolla, CA
Disclosure: Has no financial relationships with commercial interest(s).

Darlene Dobkowski, PA-C, RN
Physician Assistant
Advanced Interventional Radiology Services
Wayne, NJ
Disclosure: Has no financial relationships with commercial interest(s).

Beth Evans, RN, MSN, DNP
Nephrology Nurse Practitioner
Renal Medicine Associates
Albuquerque, NM
Disclosure: Has no financial relationships with commercial interest(s).

Nathalie Harden 
Director, CME
National Kidney Foundation
New York, NY
Disclosure: Has no financial relationships with commercial interest(s).

Danielle Nathan
Professional Education Director
National Kidney Foundation
New York, NY
Disclosure: Has no financial relationships with commercial interest(s).
 
Anna Okoniewski

CME/CE Activities Manager
National Kidney Foundation    
New York, NY
Disclosure: Has no financial relationships with commercial interest(s).

James Simon, MD
Staff Nephrologist; Assistant Professor; Program Director, Nephrology Fellowship
Lerner College of Medicine
Cleveland Clinic
Cleveland, OH
Disclosure: Received a consulting fee from Regulus Therapeutics in the area of Alport Syndrome; Received honoraria from Alexion for his role as a speaker in the area of Atypical HUS; Received a consulting fee from Novelmed in the area of C3 Glomerulopathy.

Available Credit

  • 1.50 AANP Contact Hours
  • 1.50 AMA PRA Category 1 Credit™
  • 1.50 ANCC Dialysis Technician Contact Hours
  • 1.50 ANCC Nurse Contact Hours
  • 1.50 Attendance
  • 1.50 Category I Credit for Physician Assistants

Accreditation Period

Course opens: 
11/16/2016
Course expires: 
11/16/2018

Price

Cost:
$35.00
Please login or register for a PERC account to take this course.

Required Hardware/software

System requirements can be found here.

Contact Information:

For any questions concerning this activity, please send an email to CMEinfo@kidney.org or call NKF at 1-800-622-9010.

To view NKF privacy and confidentiality policy as it relates to CME/CE activity, please visit http://www.kidney.org/

For additional professional education resources, contact NKF at 1-800-622-9010 or visit https://www.kidney.org/professionals