Management of Comorbid Behavioral and Physical Illness Near the End of Life

Comorbid mental and physical diseases constitute a major challenge for HCPs and the health care system, particularly when caring for individuals near the end of life. Understanding the causes may aid in the prevention and management of comorbid behavioral and physical illness near the end of life.

This activity will discuss the comorbidities associated with mental and physical illness, strategies and practice models for optimal management of these comorbidities and address end-of-life support for older adults with behavioral and physical illness. The importance of integrating psychiatry and medicine when managing end-of-life care for individuals who are affected by comorbid mental and physical disorders will also be explored.

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

  • Identify comorbidities associated with mental illness and potential end-of-life concerns associated with this population.
  • Describe the importance of integrating psychiatry and medicine when managing end-of-life care for individuals who are affected by comorbid mental and physical disorders.
  • List strategies and practice models for optimal management and end-of-life support for older adults with mental illness and associated comorbidities.

Scott A. Irwin, MD, PhDScott A. Irwin, MD, PhD, FAPM, FAPA
Director of Supportive Care Services
Professor of Psychiatry and Behavioral Neurosciences
Samuel Oschin Comprehensive Cancer Institute
Department of Psychiatry and Behavioral Neurosciences
Cedars-Sinai Health System
Los Angeles, CA

About the Presenter
Scott A. Irwin, MD, PhD strives to improve outcomes for those with cancer or other progressive, potentially life-limiting illnesses and their families through leading-edge clinical services; ongoing research; and program development, improvement and implementation. Dr. Irwin has received research funding from the National Institute of Mental Health, the National Palliative Care Research Center, the Archstone Foundation and the John A. Hartford Center of Excellence in Geriatric Psychiatry at UC San Diego. He is the author/co-author of over 100 articles, chapters and abstracts; is frequently quoted in the media; and has been recognized at many levels for his innovative research, teaching and clinical endeavors. In 2014, he was named a fellow of the Academy of Psychosomatic Medicine, and in 2015, he was named a fellow of the American Psychiatric Association. He is also an active member of the American College of Psychiatrists, the American Academy of Hospice and Palliative Medicine, the National Palliative Care Research Center, the American Psychosocial Oncology Society and the National Hospice and Palliative Care Organization.

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.

Method of participation
There are no fees for participating in or receiving credit for this activity.
For information on applicability and acceptance of continuing education credit for this activity, please consult your professional licensing board.

Participants will receive a certificate upon successful completion of the activity, which includes the following:

  • Completing the entire activity
  • Completing the pre- and post-activity assessments, activity evaluation, and application for certificate of credit forms

You must be logged into your account to participate in this activity. Get started by clicking “Begin” 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. The Area of Practice you indicated in your profile corresponds with your certificate type. A complete listing of all of your activities can be found under “My Account”, “My Activities.”

Method for calculating CE credit
CE credit was calculated by the complexity of content.

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 hour by NAB/NCERS—approval #20190523-1-A42826-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): JA0007123-0000-18-061-H04-P/T

OptumHealth Education designates this enduring 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.

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

Psychologists 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.

Counselors and/or marriage and family therapists
CA: The Board of Behavioral Sciences has deferred CE course approvals to APA for its licensees. See those approvals under Psychologists.
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.

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, marriage and family therapists and other health care professionals (HCPs) who provide care for individuals near the end of life.

Activity summary
Available credit: 
  • 1.00 ACPE - Pharmacist
  • 1.00 ACPE - Pharmacy Technician
  • 1.00 AMA
  • 1.00 ANCC
  • 1.00 APA
  • 1.00 Attendance
  • 1.00 CCMC - General
Activity opens: 
Activity expires: 

Available Credit

  • 1.00 ACPE - Pharmacist
  • 1.00 ACPE - Pharmacy Technician
  • 1.00 AMA
  • 1.00 ANCC
  • 1.00 APA
  • 1.00 Attendance
  • 1.00 CCMC - General
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