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Palliative Care Skills for COVID-19

Essential Skills for Front Line Clinicians and Leaders

ON-DEMAND CME/CE WEBINARS

These on-demand webinars are designed for physicians, physician assistants, nurses, social workers, chaplains and students in these professions who are seeking brief, self-directed learning on issues affected by COVID-19.  To access them, viewers will be redirected to the website for the University of Chicago Center for Continuing Medical Education, and will be required to create an account, regardless of CE/CME need.

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For those seeking a virtual and interactive learning experience, please explore the Professional Development in Communication and Supportive Care program, running September 7, 2022 – February 24, 2023. For full-time professionals. 36-42 CME/CE credits are available.  Registration opens mid-summer 2022.

Making Hard Decisions on Resource Allocation in an Era of Pandemics and Uncertainty

This webinar discusses ethical difficulties in medical decision-making during COVID-19. Topics discussed include the ethics of allocation of scarce resources such as mechanical ventilation, the duty of medical staff to provide care which could put them at risk of harm, and visitor restrictions impacting patient autonomy.

Length: 40 minutes
CME/CE:  .78 credits

Learning objectives:

  1. Discuss ethical principles of resource allocation.
  2. Discuss the ethics of balancing protection of healthcare workers with caring for patients
  3. Review ethical principles for providing care in a pandemic

To view, you will be redirected to the University of Chicago Center for Continuing Medical Center to create an account.

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Gina Piscitello, MD

Assistant Professor, Section of Palliative Care, Rush University Medical Center, Chicago, IL

Symptom Management for COVID Patients

This webinar discusses how to care for symptoms that patients with COVID-19 may experience and include the management of: anxiety, delirium, dyspnea, respiratory secretions, and care for patients at the end of life.

Length: 40 minutes
CME/CE:  .75 credits

Learning objectives:

  1. Discuss the management of anxiety and delirium in patients with COVID-19
  2. Evaluate treatment options for dyspnea and respiratory secretions in patients with COVID-19
  3. Evaluate caring for patients with COVID-19 at the end of life

To view, you will be redirected to the University of Chicago Center for Continuing Medical Center to create an account.

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Gina Piscitello, MD

Assistant Professor, Section of Palliative Care, Rush University Medical Center, Chicago, IL

Advance Care Planning in the Setting of Pandemics

In this 28 minute webinar, palliative social worker AJ Fairgrieve and nurse practitioner Laura Fosler review different types of advance care planning documents, and discuss some of the challenges they have encountered with existing advance care planning documents in hospitalized COVID-19 patients.  They offer insight and advice pertinent to all healthcare providers navigating advance care planning with their patients.

Length: 28 minutes
CME/CE:  .5 credits

Learning objectives:

  1. Understand the importance of Advance Directives in the setting of a global pandemic.
  2. Review documentation and guides for advance care planning
  3. Develop communication skills for discussing Advance Directives with patients and families in the setting of a global pandemic

To view, you will be redirected to the University of Chicago Center for Continuing Medical Center to create an account.

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Laura Fosler, RN, MS, FNP-BC, ACHPN

Section of Palliative Care, Rush University Medical Center, Chicago, IL, Core Faculty, Coleman Palliative Medicine Training Program

Amanda (AJ) Fairgreive, LCSW

Licensed Clinical Social Worker, Section of Palliative Care, Rush University Medical Center, Chicago, IL

Goals of Care Discussions During COVID-19: Talking About What Everyone is Finally Talking About

The current pandemic has heightened public awareness about ventilators, end of life care, and mortality. It has also given us an opportunity to have earlier, more informed discussions with our patients and their families. We all share the responsibly to engage our patients in these discussions, though sometimes may feel we lack the skills to have these conversations. This webinar highlights current outcomes and provides adaptable frameworks that can be utilized to hold these difficult conversations.

Length: 15 minutes
CME/CE:  .5 credits

Learning objectives:

  1. Define goals of care
  2. Understand why goals of care and code status discussions are perhaps more important now than ever before
  3. The conversations don’t have to be long or difficult
  4. Ensure comfort and control
  5. Develop scripts for discussions with patients and families
  6. Utilize R.E.M.A.P., an adaptable framework for having difficult discussions with patients and their family members
  7. Identify appropriate patients to target for these conversations

To view, you will be redirected to the University of Chicago Center for Continuing Medical Center to create an account.

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Carter Neugarten, MD

Assistant Professor, Palliative Care and Emergency Medicine, Rush University Medical Center

Team Morale in the Setting of a Pandemic

In this engaging 37 minute webinar, experienced palliative care nurse practitioners Ellen Norton and Laura Fosler discuss common reactions among team members caring for patients during COVID-19. They highlight practical ways to improve team morale, and process and reframe the challenges around caring for people in this new and foreign COVID-world. Suggestions for further reading and listening are also included.

Length: 37 minutes
CME/CE:  .75 credits

Learning objectives:

  1. Discuss team communication and resources to support resilience
  2. Identify operations and workflow considerations in supporting team function
  3. List respectful behaviors to maximize team cohesion
  4. Discuss impact on morale of ethical dilemmas facing front line staff

To view, you will be redirected to the University of Chicago Center for Continuing Medical Center to create an account.

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Laura Fosler, RN, MS, FNP-BC, ACHPN

Section of Palliative Care, Rush University Medical Center, Chicago, IL, Core Faculty, Coleman Palliative Medicine Training Program

Ellen Norton, ACHPN, APRN

Core Faculty, Coleman Palliative Medicine Training Program

Emotional Trauma, Moral Distress, Compassion Fatigue

The current COVID19 pandemic has the potential to create mass trauma in communities. This webinar explores definitions of stress and trauma. The program discusses the essential needs for psychological safety during mass trauma situations. These concepts can be informative for understanding how individuals and groups manage stress and threats posed by the pandemic.

Length: 35 minutes
CME/CE:  .75 credits

Learning objectives:

  1. Define psychological stress
  2. Describe and normalize common responses to extreme stress
  3. Identify psychological needs in mass trauma situations
  4. Consider cognitive and community-based models of trauma

To view, you will be redirected to the University of Chicago Center for Continuing Medical Center to create an account.

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James Gerhart, PhD

Assistant Professor of Psychology, Central Michigan University

Conflict Resolution in the Setting of Pain and Trauma

Amid intersectional epidemics of substance use disorders, traumatic stress responses and mental health problems clinicians often have to have challenging conversations with patients with chronic medical illnesses and problematic pain medication use. Medical providers often encounter conflict with patients who don’t agree with their medical opinion that the patient has an opioid use disorder. This talk will address how different styles of conflict resolution and trauma informed care can help mitigate the impact of trauma and conflict.

Length: 34 minutes, presented in 2 parts
CME/CE:  .75 credits

Learning objectives:

  1. Understand how the principles of conflict resolution can help conserve therapeutic relationships with patients.
  2. Understand how providers’ experience of vicarious trauma and response to conflict can threaten our abilities to be effective providers.
  3. Understand the importance of shared decision making in trauma informed care.

To view, you will be redirected to the University of Chicago Center for Continuing Medical Center to create an account.

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James Gerhart, PhD

Assistant Professor of Psychology, Central Michigan University

Sean O’Mahony MB, BCh, BAO, MS, FAAHPM

Director, Section of Palliative Medicine, Rush University Medical Center, Chicago, IL, Co-Director, Coleman Palliative Medicine Training Program

Melanie F. Midkiff, M.S.

Doctoral Candidate, Central Michigan University

COVID-19 in the Nursing Home: Advance Care Planning/End of Life Care

This webinar discusses how to conduct pre-emptive goals of care conversations in the context of COVID-19 and nursing homes, including a review on advanced care planning, when to refer to hospice, and the use of comfort medications for palliative treatment for patients with COVID-19.

Length: 35 minutes
CME/CE:  .75 credits

Learning objectives:

  1. Discuss how to conduct pre-emptive goals of care conversations and documentation in the context of COVID-19 and SNFs.
  2. Review updates on Advance Care Planning and documentation in the context of social distancing and COVID-19.
  3. Outline when to refer to hospice for COVID-19
  4. Discuss strategies to ensure adequate comfort medication supply

To view, you will be redirected to the University of Chicago Center for Continuing Medical Center to create an account.

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Stacie K. Levine, MD, FAAHPM

Professor and Chief, Section of Geriatrics and Palliative Medicine, University of Chicago Medicine, Co-Director, Coleman Palliative Medicine Training Program

Kim Beiting, MD

Geriatrics Fellow, University of Chicago Medicine

Assessing and Managing Pain for COVID Patients

This webinar discusses ways to mitigate the impact of COVID stress on exacerbations of chronic pain in patients with chronic pain and chronic medical illnesses. It describes approaches to management of underlying chronic and acute pain in patients with COVID infections across the spectrum of health care settings as well as approaches to safely manage pain medications in patients in institutional settings for patients with COVID infections. It will also address ways to taper sedation medications in patients who are approaching readiness for extubation.

Length: 28 minutes
CME/CE:  .5 credits

Learning objectives:

  1. Learn how to assess and manage pain in COVID infected patients across health care settings.
  2. Develop toolkits of resources to promote wellbeing in patients with chronic pain during the pandemic.
  3. Learn strategies to promote communication with patients and families with chronic pain during the pandemic.

To view, you will be redirected to the University of Chicago Center for Continuing Medical Center to create an account.

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Sean O’Mahony MB, BCh, BAO, MS, FAAHPM

Director, Section of Palliative Medicine, Rush University Medical Center, Chicago, IL, Co-Director, Coleman Palliative Medicine Training Program

Using Telehealth to Provide Care to Isolated Older Adults During the COVID-19 Pandemic

In this engaging 25 minute webinar, Drs. Magdalena Bednarczyk and Sasha Alexander Rackman discuss the consequences of social isolation on an older adult’s health and functional status, offer best practices for delivering care to older adults at home via telehealth, and approaches for home health care teams providing high quality care remotely.

Length: 25 minutes
CME/CE:  TBD

Learning objectives:

  1. Recognize the consequences of social isolation on an older adult’s health and functional status
  2. Discuss the best practices for delivering care to older adults at home via telehealth
  3. Identify opportunities for home health teams to provide high quality care remotely

To view, you will be redirected to the University of Chicago Center for Continuing Medical Center to create an account.

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Magdalena Bednarczyk, M.D.

Section Chief of Geriatric Medicine, Rush University Medical Center, Chicago, IL

Sasha Alexander Rackman, MD

Geriatric Medicine, Assistant Professor, Rush University Medical Center, Chicago, IL

Emotional Intelligence and Emotional Contagion: Real-time Coping Skills

The current COVID19 pandemic has drawn attention to the shared nature of illness, stress, and loss. In addition to the highly contagious nature of the pandemic, rates of anxiety and depression are exceptionally high, and strong emotions may spread through social circles. This webinar discusses several strategies for attending to the psychological needs of patients, providers, and communities.

Length: 45 minutes
CME/CE:  .75 credits

Learning objectives:

  1. Awaiting Content

To view, you will be redirected to the University of Chicago Center for Continuing Medical Center to create an account.

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James Gerhart, PhD

Assistant Professor of Psychology, Central Michigan University