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End-of-Life Care: Integrating Pain Management, Communication, and Ethical-Legal Decision Making

Tracking # 20-1352503

$20.00

4.7 (45 ratings)
CE Broker Reporting Reported automatically
Method Computer-Based Training

What you'll learn

At the conclusion of this course, participants will be able to:

  1. Analyze the role of interdisciplinary care teams in optimizing patient comfort and supporting families during the terminal phase of illness.
  2. Formulate an individualized, evidence-based pain and symptom management plan for terminally ill patients, including dose adjustments and routes of administration for opioids and adjuvant medications.
  3. Describe effective communication strategies for discussing prognosis, care goals, and navigating difficult conversations about withholding or withdrawing life-sustaining treatments with patients and families.
  4. Justify clinical decisions in end-of-life care by integrating ethical principles, relevant legal statutes (e.g., advance directives), and the whole-person approach that integrates physical symptoms with psychological, social, and spiritual needs.

Course overview

This activity provides a comprehensive, evidence-based review of end-of-life (EOL) and palliative care for healthcare professionals involved in the care of patients with serious or life-limiting illnesses. Participants will be guided through the critical clinical, ethical, and communication skills necessary for managing patients during the terminal phase of illness. The course begins by establishing a foundational understanding of the difference between palliative and hospice care, and the holistic mandate of the Interdisciplinary Team (IDT). It emphasizes evidence-based pharmacological formulation for complex symptoms (pain, dyspnea, delirium), introduces structured communication models (SPIKES, SICG) for prognosis discussions, and culminates in a detailed exploration of the ethical and legal justification for withholding or withdrawing life-sustaining treatment, reinforced by the core principles of whole-person, patient-centered care. The educational need for this course arises from recurring state requirements and the significant gap in clinician preparedness for managing the complex, non-physical dimensions of death and dying. Clinicians frequently lack the structured training necessary to approach conversations about prognosis, manage family conflict over treatment limitations, and confidently apply ethical principles (autonomy, proportionality) to LST decisions. This activity closes that gap by providing practical, evidence-based protocols in symptom management, detailed communication strategies to mitigate family distress, and a structured legal/ethical framework to justify care decisions that prioritize patient dignity and comfort over futile intervention.

Subject areas

This course counts toward the state boards and subject areas below.

Alabama Board of Dental Examiners

Dental Hygienist

3h General

Dentist

3h General

Special Teaching Permit

3h General

Teaching Permit

3h General

Alabama Board of Nursing

Certified Nurse Midwife

3h Pharmacology CE (specific to collaborative practice)

Certified Registered Nurse Anesthetist

3h Pharmacology

Certified Registered Nurse Practitioner

3h Pharmacology CE (specific to collaborative practice)

Clinical Nurse Specialist

3h Pharmacology

Licensed Practical Nurse

3h General CE

Registered Nurse

3h General CE

Alaska Board of Nursing

Advanced Practice Registered Nurse

3h General CE

Licensed Practical Nurse

3h General CE

Registered Nurse

3h General CE

Arizona Board of Nursing

Licensed Practical Nurse

3h General CE

Registered Nurse

3h General CE

Arkansas State Board of Nursing

Certified Nurse Midwife

3h Practice-Focused Continuing Education

Certified Nurse Practitioner

3h Practice-Focused Continuing Education

Certified Registered Nurse Anesthetist

3h Practice-Focused Continuing Education

Clinical Nurse Specialist

3h Practice-Focused Continuing Education

Licensed Practical Nurse

3h Practice-Focused Continuing Education

Licensed Psychiatric Technician Nurse

3h Practice-Focused Continuing Education

Registered Nurse

3h Practice-Focused Continuing Education

Arkansas State Medical Board - Physician Assistants

Physician Assistant

3h General CME

Bahamas Medical Council

Medical Practitioner

3h Continuing Medical Education

Specialty Medical Practitioner

3h Continuing Medical Education

California Board of Registered Nursing

Clinical Nurse Specialist

3h General

Nurse Anesthetist

3h General

Nurse Midwife

3h General

Nurse Midwife Furnisher

3h General

Nurse Practitioner

3h General

Nurse Practitioner Furnisher

3h General

Registered Nurse

3h General

California Board of Vocational Nursing

Licensed Vocational Nurse

3h General

Colorado Board of Nursing

Advanced Practice Registered Nurse

3h General CE

Advanced Practice Registered Nurse - Prescriptive Authority

3h General CE

Licensed Practical Nurse

3h General CE

Registered Nurse

3h General CE

Delaware Board of Nursing

Advanced Practice Registered Nurse

3h General CE

Licensed Practical Nurse

3h General CE

Registered Nurse

3h General CE

District of Columbia Board of Nursing

Certified Nurse Midwife

3h Pharmacology Component

Clinical Nurse Specialist

3h Pharmacology Component

Licensed Practical Nurse

3h Responsible opioid prescribing and effective pain management

Nurse Practitioner

3h Pharmacology Component

Registered Nurse

3h Responsible opioid prescribing and effective pain management (RN)

Registered Nurse Anesthetist

3h Pharmacology Component

Florida Board of Dentistry

Dental Hygienist

3h General

Dental Temporary Certificate

3h General

Dentist

3h General

Health Access Dentist

3h General

Florida Board of Medicine

Anesthesiologist Assistant

3h Pain Management (AMA Category I)

Area of Critical Need Medical Doctor

3h Pain Management (AMA Category I)

Medical Doctor

3h Pain Management (AMA Category I)

Medical Doctor Faculty Certificate

3h Pain Management (AMA Category I)

Medical Doctor Limited License

3h Pain Management (AMA Category I)

Medical Doctor Limited to Cleveland Clinic

3h Pain Management (AMA Category I)

Medical Doctor Limited to Mayo Clinic

3h Pain Management (AMA Category I)

Medical Doctor Public Health Certificate

3h Pain Management (AMA Category I)

Medical Doctor Public Psychiatry

3h Pain Management (AMA Category I)

Medical Doctor Visiting Faculty Certificate

3h Pain Management (AMA Category I)

Florida Board of Nursing

APRN Temporary Certificate for Practice in Areas of Critical Need

3h General

Advanced Practice Registered Nurse

3h General

Licensed Practical Nurse

3h General

Registered Nurse

3h General

Florida Board of Pharmacy

Pharmacist

3h General

Registered Pharmacy Technician

3h General

Florida Physician Assistants

Physician Assistant

3h General (AMA Category I)

Physician Assistant Temporary Certificate for Practice in Areas of Critical Need

3h General (AMA Category I)

Georgia Board of Dentistry

Dental Hygienist

3h Non-clinical/Non-scientific courses in the actual delivery of dental services

Dentist

3h General (Non-Clinically Related)

Volunteer Dentist

3h General (Non-Clinically Related)

Georgia Board of Nursing

Licensed Practical Nurse

3h General

Registered Professional Nurse

3h General

Georgia Composite Medical Board - Physician Assistants

Physician Assistant

3h Physician Assistant General CME

Georgia Composite Medical Board - Physicians & Telemedicine

Institutional Physician

3h CME pertaining to pain management or palliative medicine

Physician

3h CME pertaining to pain management or palliative medicine

Telemedicine

3h CME pertaining to pain management or palliative medicine

Hawaii Board of Nursing

Advanced Practice Registered Nurse Practitioner

3h Pharmacology

Licensed Practical Nurse

3h General

Registered Nurse

3h General

Idaho Board of Nursing

Certified Nurse Midwife

3h General CE

Certified Nurse Practitioner

3h General CE

Certified Registered Nurse Anesthetist

3h General CE

Clinical Nurse Specialist

3h General CE

Licensed Practical Nurse

3h General CE

Registered Nurse

3h General CE

Illinois Board of Nursing

APRN Controlled Substance

3h Pharmacotherapeutics

APRN Full Practice Authority

3h Pharmacotherapeutics

APRN-FPA Controlled Substance

3h Pharmacotherapeutics

Advanced Practice Registered Nurse

3h Pharmacotherapeutics

Licensed Practical Nurse

3h General

Registered Nurse

3h General

Indiana State Board of Nursing

APRN - Compact Registered Nurse

3h Pharmacology

APRN - Prescriptive Authority

3h Pharmacology

Licensed Practical Nurse

3h General

Registered Nurse

3h General

Iowa Board of Nursing

Advanced Registered Nurse Practitioner

3h General

Licensed Practical Nurse

3h General

Registered Nurse

3h General

Kansas State Board of Nursing

Clinical Nurse Specialist

3h Approved CNE Related to the Advanced Practice Registered Nurse

Licensed Mental Health Technician

3h Continuing Nursing Education (CNE)

Licensed Practical Nurse

3h Continuing Nursing Education (CNE)

Nurse Midwife

3h Approved CNE Related to the Advanced Practice Registered Nurse

Nurse Practitioner

3h Approved CNE Related to the Advanced Practice Registered Nurse

Registered Nurse

3h Continuing Nursing Education (CNE)

Registered Nurse Anesthetist

3h Approved CNE Related to the Advanced Practice Registered Nurse

Kentucky Board of Dentistry

Dental Hygienist

3h Continuing Dental Education

Dentist

3h Continuing Dental Education

Kentucky Board of Nursing

Advanced Practice Registered Nurse

3h Continuing education related to pharmacology

Licensed Practical Nurse

3h Continuing education related to nursing

Registered Nurse

3h Continuing education related to nursing

Louisiana Board of Dentistry

Dental Hygienist

3h Clinical (pertaining to the actual delivery of dental hygiene services to patients)

Dentist

3h Clinical (pertaining to the actual delivery of dental services to patients)

Louisiana State Board of Medical Examiners - Physicians & Surgeons

Physician & Surgeon

3h Category I CME

Physician and Surgeon Compact License

3h Category I CME

Louisiana State Board of Nursing

Certified Nurse Midwife

3h Pharmacotherapeutics

Certified Nurse Practitioner

3h Pharmacotherapeutics

Certified Registered Nurse Anesthetist

3h Pharmacotherapeutics

Clinical Nurse Specialist

3h Pharmacotherapeutics

Registered Nurse

3h General CE

Maine State Board of Nursing

Licensed Practical Nurse

3h General CE

Registered Nurse

3h General CE

Maryland Board of Nursing

Licensed Practical Nurse

3h General CE

Registered Nurse

3h General CE

Massachusetts Board of Registration in Nursing

Advanced Practice Registered Nurse

3h General

License Practical Nurse

3h General

Registered Nurse

3h General

Michigan Board of Dentistry

Dental Assistant

3h Pain & Symptom Management

Dental Hygienist

3h Pain & Symptom Management

Dental Therapist

3h Pain & Symptom Management

Dentist

3h Pain & Symptom Management

Michigan Board of Medicine

Medical Doctor

3h Pain & Symptom Management (Category 1)

Medical Doctor Compact License

3h Pain & Symptom Management (Category 1)

Michigan Board of Nursing

Licensed Practical Nurse

3h Pain & Symptom Management

Licensed Practical Nurse Special Volunteer

3h Pain & Symptom Management

Registered Nurse

3h Pain & Symptom Management

Registered Nurse Special Volunteer

3h Pain & Symptom Management

Michigan Board of Pharmacy

Pharmacist

3h Pain & Symptom Management

Pharmacist Special Volunteer

3h Pain & Symptom Management

Pharmacy Technician

3h Pain & Symptom Management

Pharmacy Technician Special Volunteer

3h Pain & Symptom Management

Minnesota Board of Nursing

Certified Nurse Midwife

3h General

Certified Nurse Practitioner

3h General

Certified Nurse Specialist

3h General

Certified Registered Nurse Anesthetist

3h General

Licensed Practical Nurse

3h General CE

Registered Nurse

3h General CE

Mississippi Board of Nursing

Licensed Practical Nurse

3h Continuing education related to nursing

Registered Nurse

3h Continuing education related to nursing

Missouri Board of Nursing

Advanced Practice Registered Nurse

3h General CE

Licensed Practical Nurse

3h General CE

Registered Nurse

3h General CE

Montana Board of Nursing

Advanced Practice Registered Nurse

3h General CE

Licensed Practical Nurse

3h General CE

Registered Nurse

3h General CE

Nebraska Board of Nursing

Certified Registered Nurse Anesthetist

3h General

Clinical Nurse Specialist

3h General

Licensed Practical Nurse

3h General CE

Registered Nurse

3h General CE

Nevada State Board of Nursing

Advanced Practice Registered Nurse

3h General

Certified Registered Nurse Anesthetist

3h General

Licensed Practical Nurse

3h General

Registered Nurse

3h General

New Hampshire Board of Dental Examiners

Dental Hygienist

3h General (Non-Clinically Related)

Dentist

3h General (Non-Clinically Related)

New Hampshire Board of Medicine

Physician

3h Pain Management or Addiction Disorders (Category 1)

New Hampshire Board of Medicine - Physician Assistants

Physician Assistant

3h Category 1 Hours

New Hampshire Board of Nursing

Advanced Practice Registered Nurse

3h Pharmacology

Licensed Practical Nurse

3h General CE

Registered Nurse

3h General CE

New Hampshire Board of Pharmacy

Pharmacist

3h Contact Hours

New Jersey Board of Nursing

Advance Practice Nurse - Non Resident

3h General CE

Advance Practice Nurse - Resident

3h General CE

Licensed Practical Nurse - Single State

3h General CE

Registered Professional Nurse - Single State

3h General CE

New York State Board for Nursing

Clinical Nurse Specialist

3h General

Licensed Practical Nurse

3h General

Nurse Practitioner

3h General

Registered Nurse

3h General

North Carolina Board of Nursing

Certified Nurse Midwife

3h General

Certified Registered Nurse Anesthetist

3h General

Clinical Nurse Specialist

3h General

Licensed Practical Nurse

3h CE Relevant to the Practice of Nursing

Nurse Practitioner

3h General

Registered Nurse

3h CE Relevant to the Practice of Nursing

North Dakota Board of Nursing

Advanced Practice Registered Nurse

3h General

Licensed Practical Nurse

3h General

Registered Nurse

3h General

Ohio Board of Nursing

Certified Nurse Midwife

3h Advanced Pharmacology

Certified Nurse Practitioner

3h Advanced Pharmacology

Certified Registered Nurse Anesthetist

3h Advanced Pharmacology

Clinical Nurse Specialist

3h Advanced Pharmacology

Licensed Practical Nurse

3h General CE

Registered Nurse

3h General CE

Ohio State Dental Board

Dental Hygienist

3h Clinical Dental Practice Education

Dentist

3h Clinical Dental Practice Education

Volunteer Certificate

3h Clinical Dental Practice Education

Oklahoma Board of Dentistry

Dental Hygienist

3h General CE

Dentist

3h General CE

Oral Maxillofacial Surgery Assistant

3h General CE

Oklahoma Board of Medical Licensure and Supervision - Medical Doctors

Medical Doctor

3h Category I CME

Oklahoma Board of Medical Licensure and Supervision - Physician Assistants

Physician Assistant

3h Category I CME

Oklahoma Board of Nursing

Certified Nurse Midwife

3h Pain Management

Certified Nurse Practitioner

3h Pain Management

Clinical Nurse Specialist

3h Pain Management

Licensed Practical Nurse

3h General

Oregon Board of Nursing

Licensed Practical Nurse

3h General CE

Registered Nurse

3h General CE

Rhode Island Board of Nursing

Certified Nurse Practitioner

3h CE Related to Nursing Practice

Certified Registered Nurse Anesthetist

3h CE Related to Nursing Practice

Clinical Nurse Specialist

3h CE Related to Nursing Practice

Licensed Practical Nurse Single State

3h CE Related to Nursing Practice

Registered Nurse Single State

3h CE Related to Nursing Practice

South Carolina Board of Dentistry

Dental Hygienist

3h medical and scientific subjects

Dental Instructor

3h medical and scientific subjects

Dental Instructor Specialist

3h medical and scientific subjects

Dental Technician

3h medical and scientific subjects

General Dentist

3h medical and scientific subjects

Hygienist Instructor

3h medical and scientific subjects

Orthodontic Technician

3h medical and scientific subjects

Volunteer Dentists

3h medical and scientific subjects

Volunteer Hygienists

3h medical and scientific subjects

Volunteer Specialist

3h medical and scientific subjects

South Carolina Board of Nursing

Advanced Practice Registered Nurse

3h Pharmacotherapeutics

Licensed Practical Nurse

3h Pharmacotherapeutics

Registered Nurse

3h Pharmacotherapeutics

South Dakota Board of Nursing

Certified Nurse Midwife

3h General CE

Certified Nurse Practitioner

3h General CE

Certified Registered Nurse Anesthetist

3h General CE

Clinical Nurse Specialist

3h General CE

Licensed Practical Nurse

3h General CE

Registered Nurse

3h General CE

Tennessee Board of Dentistry

Dental Assistant

3h Dental Assistant Continuing Education

Dental Hygienist

3h Dental Hygienist Continuing Education

Dentist

3h Dentist Continuing Education

Tennessee Board of Medical Examiners

Medical Doctor

3h AMA Category I CME

Tennessee Board of Nursing

Advanced Practice Registered Nurse

3h General

Licensed Practical Nurse

3h General

Registered Nurse

3h General

Tennessee Board of Physician Assistants

Orthopedic Physician Assistant

3h General

Physician Assistant

3h Category I CME

Texas Board of Nursing

Certified Nurse Midwife

3h Pharmacotherapeutics

Certified Nurse Practitioner

3h Pharmacotherapeutics

Certified Registered Nurse Anesthetist

3h Pharmacotherapeutics

Clinical Nurse Specialist

3h Pharmacotherapeutics

Licensed Vocational Nurse

3h Continuing Nursing Education (CNE)

Registered Nurse

3h Continuing Nursing Education (CNE)

Texas Medical Board - Physician Assistants

Physician Assistant

3h Category I

Texas Medical Board - Physicians

Physician

3h CME Related to Pain Management (Category 1 or 1A)

Utah Board of Nursing

Advanced Practice Registered Nurse

3h General

Licensed Practical Nurse

3h General

Registered Nurse

3h General

Vermont Board of Nursing

Advanced Practice Registered Nurses

3h General

Licensed Practical Nurse

3h General CE

Registered Nurse

3h General CE

Virginia Board of Dentistry

Dental Hygienist

3h General

Dentist

3h General

Virginia Board of Nursing

Licensed Practical Nurse

3h CE Relevant to the Practice of Nursing

Registered Nurse

3h CE Relevant to the Practice of Nursing

Washington State Board of Nursing

Advanced Registered Nurse Practitioner

3h Pharmacology

Licensed Practical Nurse

3h General

Registered Nurse

3h General

West Virginia Board of Registered Nurses

Advanced Practice Registered Nurse

3h Clinical Management of Patients

Registered Nurse

3h Clinical Management of Patients

Wisconsin Board of Nursing

Advanced Practice Nurse Prescriber

3h General CE

Licensed Practical Nurse

3h General CE

Registered Nurse

3h General CE

Wisconsin Medical Examining Board

Physician

3h Category I CME

Wyoming Board of Nursing

Certified Nurse Midwife

3h General

Certified Nurse Practitioner

3h General

Certified Nurse Specialist

3h General

Certified Nursing Assistant

3h General

Certified Registered Nurse Anesthetist

3h General

Licensed Practical Nurse

3h General

Registered Nurse

3h General

Disclosure statements

This activity was developed by AchieveCE free of any commercial support. The following individuals have indicated that they have no financial relationships with an ineligible company that may impact upon this activity:

  • Al J. Ventzek, DO, FAAEM – Faculty/Presenter, Planner
  • Patricia Dunn, DNP, APRN, FNP-BC – Faculty/Presenter, Content Reviewer
  • Peter A. Kreckel, RPh - Planner

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