End of Life in Long-Term Care

December 12, 2018

These materials are intended ONLY for those that attended the live webcast on Wed., Dec. 12, 2018.

Activity description

End of life (EOL) is a frequent occurrence in the long-term care (LTC) setting as approximately one-third of nursing home residents die within one year of admission. Unfortunately, despite the frequency of death in LTC, there has been less focus on the EOL experience than in other sites of death.

This activity will focus on understanding what is important to individuals in LTC at the EOL such as pain and symptom management, alleviating burden placed on loved ones, spirituality, being treated as a whole person and avoiding prolongation of the dying process. The important need to discuss critical issues related to developing plans of care for these individuals will also be addressed.

Provided by
This activity is provided by OptumHealth Education.

Commercial support
This activity is supported by OptumCare – Care Services.

Hardware/Software requirements
To view this activity you will need Internet Explorer 7.0+ or Firefox 3.0+ with Windows Media Player 9+, RealPlayer 12+ or Adobe Flash Player 9+. Be sure to disable any pop-up blocking software prior to beginning this activity.

Target Audience

This activity is designed to meet the educational needs of case managers, counselors, nurses, nursing home administrators, pharmacists, pharmacy technicians, physicians, psychologists, social workers (all practice types), marriage and family therapists and other health care professionals (HCPs) who provide care for individuals near the EOL.

Learning Objectives

At the end of this educational activity, participants should be able to:

  • Recognize the main themes that are important to individuals at EOL in LTC facilities.
  • State ways in which the EOL experience can be improved for individuals in LTC.
  • Identify ways in which dying residents and their families can be best supported in LTC facilities.
  • List barriers to EOL care and strategies to overcome these barriers.
Activity summary
Available credit: 
  • 1.00 ACPE - Pharmacists
  • 1.00 ACPE - Pharmacy Technicians
  • 1.00 AMA - Physicians
  • 1.00 ANCC - Nurses
  • 1.00 APA - Psychologists
  • 1.00 Attendance - General Attendance
  • 1.00 CCMC - General - Case Managers
  • 1.00 NAB - Nursing Home Administers
  • 1.00 ASWB - Social Workers
Activity opens: 
Activity expires: 
Event starts: 
12/12/2018 - 1:00pm EST
Event ends: 
12/12/2018 - 2:00pm EST

Christopher A. Jones, MDChristopher A. Jones, MD, MBA, HMDC, FAAHPM
Assistant Professor of Clinical Medicine
Co-Director of the Palliative Care Inpatient Consultation Service
Perelman School of Medicine
University of Pennsylvania
Philadelphia, PA

About the Presenter
Christopher Jones, MD, MBA, attended the University of Scranton where he worked in a nursing home as a Certified Nursing Assistant during nights, weekends and summers. He attended medical school in Philadelphia as an aspiring geriatrician. Dr. Jones completed a residency in general internal medicine at Brown University/Rhode Island Hospital and fellowships in both geriatric medicine and hospice and palliative medicine at Duke University.

Professionally, Dr. Jones has focused on palliative and hospice care, working with adults of all ages with serious illnesses, especially at end of life. He serves as a consultant for hospice and palliative care organizations nationally, specializing in provider billing and coding, EPIC templates and launch and hospice level of care and eligibility determinations. In 2015, he was awarded the designation Fellow of the American Academy of Hospice and Palliative Medicine and chosen as one of Hospice and Palliative Medicine's Inspirational Leaders Under 40. He completed his Master of Business Administration degree at East Carolina University in 2017.

Dr. Jones currently serves on the faculty of the Perelman School of Medicine at the University of Pennsylvania and is the Co-Director of the Hospital of the University of Pennsylvania's Palliative Care Inpatient Consultation Service. His academic pursuits center on making the business of palliative care accessible to clinicians through writing and personally delivered education sessions as well as training medical and advance practice providers who will care for patients in the future.

Activity Planners
Sarah Chart, RN
Senior Director
OptumHealth Education
Eden Prairie, MN

Rebecca Gleason, RN, CCM
Activity Manager
OptumHealth Education
Eden Prairie, MN

Tina Rydland, PharmD
Crystal Clear Rx
Denver, CO

Disclosures of relevant financial relationships
In accordance with the ACCME Standards for Commercial SupportSM, OptumHealth Education requires all those in the control of activity content to disclose their relevant financial relationships. An individual has a relevant financial relationship if such person (or his/her spouse/partner) has a financial relationship in any amount occurring in the last 12 months with a commercial interest whose products or services relate to the activity content.

OptumHealth Education ensures that the content is independent of commercial bias.
Ms. Chart and Ms. Gleason have indicated that they are employees of and own stock in UnitedHealth Group.

The remaining activity faculty or planners have no financial relationships to disclose.

Accreditation statement

Joint Accreditation LogoIn support of improving patient care, OptumHealth Education is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC) to provide continuing education for the health care team.

Credit designation statements
IPCE Credit LogoThis activity was planned by and for the health care team, and learners will receive 1.00 Interprofessional Continuing Education (IPCE) credits for learning and change.
Participants will be awarded up to 1.00 contact hour of credit for attendance and completion of supplemental materials.

Nurse practitioners
The American Academy of Nurse Practitioners Certification Program (AANPCP) accepts credit from organizations accredited by the ACCME and ANCC.

Nursing home administrators
This program has been approved for Continuing Education for 1.00 total participant hours by NAB/NCERS—approval 20191211-1-A49855-DL.

Pharmacists/Pharmacy technicians
This activity is approved for 1.00 contact hour ([0.10] CEU) in states that recognize ACPE.
Attending the full program will earn 1.00 contact hour.
Unique Activity Number(s): JA0007123-0000-18-016-L04-P/T

OptumHealth Education designates this live activity for a maximum of 1.00 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

The American Academy of Physician Assistants (AAPA) accepts credit from organizations accredited by the ACCME.

AAPC-Certified coders
AAPC will honor 1-for-1 CEUs for any live event offering CME credit or AMA PRA Category 1 Credit™. A certificate of attendance or completion is necessary to show participation. The certificate will give the total CMEs possible for the offering. Physicians are advised to claim only the actual hours that they were present during the education. We ask that AAPC-certified members abide by this request also. One hour of instruction is worth 1 CEU.

Case managers
The Commission for Case Manager Certification has approved this program for a maximum of 1.00 clock hour for Certified Case Managers (CCM).

Psychologists, social workers and counselors and/or marriage and family therapists
This event is co-sponsored by R. Cassidy Seminars.

Satisfactory completion
Participants must have attended the entire web-based activity and completed an evaluation to receive a certificate. Partial credit is not available.

R. Cassidy Seminars is approved by the American Psychological Association (APA) to offer continuing education for psychologists.  R. Cassidy Seminars maintains responsibility for this program. 1.00 CE hour.

Social workers
R. Cassidy Seminars, ACE provider #1082, is approved as a provider for social work continuing education by the Association of Social Work Boards (ASWB) www.aswb.org, through the Approved Continuing Education (ACE) Program. Approval Period: April 15, 2018–April 15, 2021. R. Cassidy Seminars maintains responsibility for the program. Social workers should contact their regulatory board to determine course approval. Social workers will receive 1.00 continuing education clock hour for participating in this course.

Counselors and/or marriage and family therapists
CA: The Board of Behavioral Sciences has deferred CE course approvals to APA and ASWB for its licensees. See those approvals under Psychologists and Social Workers.
IL: Illinois Dept. of Professional Regulation, Approved Continuing Education Sponsor, #168-000141. One (1) hour.
OH: Provider approved by the Ohio Counselor, Social Worker and Marriage and Family Therapist Board for one (1) clock hour, #RCST110701
TX: Approved CE Sponsor through the Texas State Board of Examiners of Marriage & Family Therapists. Provider #151. One (1) CE hour.
Other States: If your state is not specifically listed, nearly all state Counselor and MFT boards accept either APA or ASWB approval, or are reciprocal with other state licensing board approvals, such as those listed below. Check with your board to be sure. The Ohio Board includes Counselors and MFTs.

Disability access
If you require ADA accommodations, please contact our office 14 days or more before the event. We cannot ensure accommodations without adequate prior notification.

Please note: Licensing Boards change regulations often and while we attempt to stay abreast of their most recent changes, if you have questions or concerns about this course meeting your specific board’s approval, we recommend you contact your board directly to obtain a ruling.

A certificate of attendance will be provided to learners upon completion of activity requirements, enabling participants to register with licensing boards or associations that have not been pre-approved for credits. To apply for credit types not listed above, participants should use the procedure established by the specific organization with which they wish to obtain credit.

Available Credit

  • 1.00 ACPE - Pharmacists
  • 1.00 ACPE - Pharmacy Technicians
  • 1.00 AMA - Physicians
  • 1.00 ANCC - Nurses
  • 1.00 APA - Psychologists
  • 1.00 Attendance - General Attendance
  • 1.00 CCMC - General - Case Managers
  • 1.00 NAB - Nursing Home Administers
  • 1.00 ASWB - Social Workers
Please log in to register.

These materials are intended ONLY for those that attended the live webcast on Wed., Dec. 12, 2018.

You must be logged into your account to participate in this activity. Get started by clicking “Begin/Continue” and viewing the “CE Info”; then follow the prompts at the bottom of the screen. At the end of the activity, you will be able to view, save or print your certificate of participation. A complete listing of all of your activities can be found under “My Account”, “My Activities.”