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End Stage Dementia and End-of-Life Care

Activity Details
  • Credit Amounts:
    • CME: 1.75
    • CNE: 1.50
    • Other: 1.75
    • KBSW: 1.80
  • Cost: Free
  • Release: Jun 19, 2013
  • Expires: Jun 18, 2019
  • Estimated Time to Complete:
    1 Hour(s)  45 Minutes
  • System Requirements:
  • Average User Rating:
    (8 Ratings)

Faculty

 This activity has 4 faculty members associated with it.
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Renee Chase Renee Chase, MDiv
Community Outreach Coordinator
Alzheimer's Association of Greater Kentucky and Southern Indiana
Lexington, Kentucky

Salli E.  Gallaher-Whisman Salli E. Gallaher-Whisman, MD
Senior Medical Director
Hospice of the Bluegrass
Lexington, Kentucky

Gregory A.  Jicha Gregory A. Jicha, MD, PhD
Professor of Neurology
Alzheimer's Disease Research Center
Sanders-Brown Center on Aging
University of Kentucky
College of Medicine
Lexington, Kentucky

Marie B.  Smart Marie B. Smart, SW, BA
Social Worker/Family Care Support Specialist
UK Alzheimer's Disease Center
Sanders-Brown Center on Aging
Lexington, Kentucky

Needs Statement

Many healthcare providers do not conceptualize degenerative dementia as a fatal, uncurable condition and do not take appropriate steps to ensure adequate end-of-life care. Current hospice mentality focuses on physical impairment related to systemic organ system failure. Ideally, end-of-life care should be prepared for and initiated with end-stage brain failure irrespective of the health of systemic organ systems.

Target Audience

Physicians, nurses and nurse practitioners, nursing home administrators, home health providers, allied health providers, social workers, and other health care professionals who work with persons with Alzheimer’s Disease.

Objectives

Upon completion of the educational activity, you will be able to:
  1. Describe the progression of signs and symptoms in end-stage dementia.
  2. Identify the different uses of pharmacological therapies to alleviate symptoms and ensure comfort in the end-stage of disease.
  3. Create an environment conducive to comfort care for persons in the end-stage of dementia.
  4. Discuss different types of spiritual expression and how to use them to provide end-of-life spiritual care and support to people with end-stage dementia.

Accreditation

CME
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 Kentucky College of Medicine, UK Sanders-Brown Center on Aging, Ohio Valley Appalachia Regional Geriatric Education Center, Kentucky and Appalachia Public Health Training Center, and Alzheimer's Association. The University of Kentucky College of Medicine is accredited by the ACCME to provide continuing medical education for physicians.

The University of Kentucky College of Medicine designates this enduring material for a maximum of 1.75 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

The University of Kentucky College of Medicine presents this activity for educational purposes only. Participants are expected to utilize their own expertise and judgment while engaged in the practice of medicine. The content of the presentations is provided solely by presenters who have been selected for presentations because of recognized expertise in their field.

ACGME Competencies

  • Patient care

CNE
The University of Kentucky, College of Nursing is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation (ANCC).

This educational activity is offered for a maximum of 1.50 ANCC contact hours.

The Kentucky Board of Nursing (KBN) approves The University of Kentucky, College of Nursing (UKCON) as a provider as well. ANCC and KBN approval of a continuing nursing education provider does not constitute endorsement of program content nor commercial sponsors. The University of Kentucky does not approve commercial products. This educational activity is offered for a maximum of 1.8 KBN contact hours.

Provider #: 3-0008-01-18-531. In order to receive credit, participants complete this CNE activity and submit a credit application and evaluation form online. Certificates may be printed once the evaluation is completed.

Other
UK Healthcare CECentral certifies this activity for 1.75 hours of participation.

KBSW
This activity has been approved by the Kentucky Board of Social Work for 1.80 hours.

Faculty Disclosure

Gregory Jicha, MD (planner and speaker) has relevant financial relationships with commercial interests as follows:
Lilly - Consultant - Receives Consulting Fee - No conflicts to resolve
Janssen - Contract Research - Receives Fee for Services - No conflicts to resolve
Baxter - Contract Research - Receives Fee for Services - No conflicts to resolve
Medivation - Contract Research - Receives Fee for Services - No conflicts to resolve
Pfizer - Contract Research - Receives Fee for Services - No conflicts to resolve

Dr. Jicha intends to discuss the off-label use of a product.

No other speakers or planners have any relevant financial relationships to disclose. No other speakers will discuss the off-label use of a product.

Acknowledgement

This activity is jointly provided by the University of Kentucky, UK Sanders-Brown Center on Aging, Ohio Valley Appalachia Regional Geriatric Education Center, Kentucky and Appalachia Public Health Training Center, and Alzheimer's Association.

In collaboration with UK College of Nursing Continuing Education Office.

Review Date

6/18/16

CE Content Concerns

Policy

Concerns or complaints related to ACPE or ACCME standards may be submitted in writing to the Director of UK HealthCare CECentral by fax to 859-323-2920, or by mail to 2365 Harrodsburg Road, Ste B475, Lexington, KY 40504

Procedures

  • The Director or his/her designee will review, investigate, forward and/or respond to complaints and will put forth a best effort to adjudicate the issue(s), along with CECentral staff members, within two (2) weeks of receipt of the grievance or complaint.
  • If needed, concerns, complaints, or grievances will be brought before the UK HealthCare CECentral Advisory Board.
  • Issues regarding activity content also will be reviewed and addressed by the Activity Director.
  • A written decision will be issued in a timely manner by the Director of UK HealthCare CECentral or his/herdesignee.
  • Grievances will be considered when planning future activities.

Appeal Procedure

  • Persons who wish to appeal a decision should address the appeal by email, fax or in writing to the Director of UK HealthCare CECentral within two (2) weeks of receipt of the response.
  • The Director will bring the appeal to the UK HealthCare CECentral Advisory Board.
  • The results of the appeal will be sent to the participant no later than two (2) weeks following the meeting of the board.