Racial and Ethnic Inequities in End-of-Life Pain Management
Quality of pain management at the end of life may vary in sociodemographic groups that are often underrepresented. Barriers to care in interracial settings include lack of trust in the health care system, cultural factors including spirituality and the concept of hope, lack of knowledge about services offered, lack of a diverse hospice staff, and access issues. Pharmacotherapy remains the mainstay of treatment for pain at the end of life; however, cultural and social barriers, such as beliefs about death and dying, misconceptions and fears about pain medications and their side effects and lack of access and resources may be a major factor affecting Black Americans. This activity will examine pharmacotherapy for pain management for end-of-life care, describe disparities in pain management in underserved communities and identify barriers for those providing treatment for pain in hospice care.
This activity is jointly provided by Optum Health Education and Optum Hospice Pharmacy Services.
There was no commercial support received for this activity.
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This activity is designed to meet the educational needs of dietitians, nurses, nurse practitioners, pharmacists, pharmacy technicians, physicians, PAs, psychologists, social workers and other health care professionals that have an interest in learning about racial and ethnic inequities in end-of-life pain management.
At the end of this educational activity, participants should be able to:
- Identify known differences or potential inequities in hospice/end-of-life pain management for Black Americans.
- Discuss barriers that may interfere with the pain management process for both the patient and provider.
- Explore ways to create an environment in which equitable care is provided to all at end of life.
Rashmi Sharma, MD, MHS
Department of Medicine
Director of Equity, Diversity and Inclusion, University of Washington Medicine
Cambia Palliative Care Center of Excellence
Rebecca Gleason, RN
Clinical Activity Manager
Optum Health Education
Disclosures of relevant financial relationships
In accordance with the Accreditation Council for Continuing Medical Education's (ACCME) Standards for Integrity and Independence in Accredited Continuing Education, Optum Health Education (OHE) requires all those in control of educational content to disclose their financial relationships with ineligible companies within the prior 24 months. Ineligible companies are defined by the ACCME as companies whose primary business is producing, marketing, selling, re-selling, or distributing health care products used by or on patients. Individuals must disclose all financial relationships, regardless of the amount, with ineligible companies and regardless of their view of the relevance of the relationship to the education. OHE ensures that the content is independent of commercial bias.
The activity faculty or planners have no financial relationships to disclose.
Method for calculating CE credit
CE credit was calculated by the complexity of content.
In support of improving patient care, this activity has been planned and implemented by Optum Health Education and Optum Hospice Pharmacy Services. Optum Health 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
Completion of this RD/DTR profession-specific or IPCE activity awards CPEUs (One IPCE credit=One CPEU).
If the activity is dietetics-related but not targeted to RDs or DTRs, CPEUs may be claimed which are commensurate with participation in contact hours (One 60 minute hour=1 CPEU).
RD's and DTRs are to select activity type 102 in their Activity Log. Performance indicator selection is at the learner's discretion.
The participant will be awarded up to 1.00 contact hour(s) of credit for attendance and completion of supplemental materials.
The American Academy of Nurse Practitioners Certification Program (AANPCP) accepts credit from organizations accredited by the ACCME and ANCC.
This activity is approved for 1.00 contact hours ([0.10] CEU) in states that recognize ACPE.
Attending the full program will earn 1.00 contact hours.
Unique Activity Number(s): JA0007123-9999-22-013-H04-P/T
Optum Health 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.
Optum Health Education is approved by the American Psychological Association (APA) to offer continuing education for psychologists. Optum Health Education maintains responsibility for this program. 1.00 CE hour.
As a Jointly Accredited Organization, Optum Health Education is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved under this program. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. Optum Health Education maintains responsibility for this course. Social workers completing this course receive 1.00 enduring continuing education credits.
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.
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. Check with your board to be sure.
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.
- 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 CDR - Dietitians
You must be logged into your account to participate in this activity. Get started by clicking the down arrow under “Racial and Ethnic Inequities in End-of-Life Pain Management” and viewing the content; 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.”