What’s My Prognosis? How to Approach the Question

Effective Date: May 5, 2020
Expiration Date: December 31, 2021
Instructions to Receive CME credit: Once you have watched the entire presentation, click on the post-activity evaluation. Complete and return via email to Victoria.Reynolds@rwjbh.org or fax to 732-557-8935.
In order to receive CME credit you must return the evaluation form.
A Certificate of Completion will be emailed to you.
FACULTY: Shira Goldberg, MD FAAHPM, VNA Health Group
Overview: New Jersey ranks the highest in the nation in healthcare dollars spent on Medicare beneficiaries. The amount of time spent in the hospital and the intensity of physician services delivered in the hospital to the elderly are higher in NJ than any other state. According to the Dartmouth Atlas, health outcomes for New Jersey seniors are no better, and perhaps worse, than those for other states. This high level of service can have a negative impact on older citizen’s quality of life. Without a discussion of “GOALS OF CARE”, physicians often deliver unwanted services to older patients or withhold wanted services.
Objectives:

  • Develop strategies to better assess pain in palliative Care/Hospice setting
  • Incorporate the WHO Ladder of Pain Control and knowledge of equianalgesic opioid options
  • Define the multi-dimensional role of morphine in Palliative Care/Hospice settings

Disclosure: Shira Goldberg, MD – No disclosures
All relevant financial relationships have been mitigated.
Accreditation Statement: Community Medical Center is accredited by the Medical Society of New Jersey to provide continuing medical education for physicians.
Designation Statement: Community Medical Center designates this enduring material for a maximum of 0.5 AMA PRA Category I Credits™.
Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Estimated completion time: 30 minutes of instruction
Target Audience: This program has been designed for Physicians, Physician Assistants, Nurse Practitioners, and other healthcare professionals who are involved with End of Life care.
Computer System Requirements: Internet Explorer, Google, FireFox (version 9.0 and above) is the minimum supported browser for CME activities. Your Internet settings should be set to accept cookies and JavaScript. If cookies and/or JavaScript are disabled, the site may not function properly. A high-speed Internet connection (DSL, cable modem, or LAN-based) is not required; however, it is recommended for faster download times.
References: Anderson R, Bloch S, Armstrong M, Stone P, Low J. Communication between healthcare professional and relatives of patients approaching end-of-life: A systematic review of qualitative evidence. Palliat Med. Sep. 2019
El-Rouby D, MD, McNaughton N, PhD, Piquette D, MD MSc Med PhD. Painting a Rational Picture During
a Highly Emotional End-of-Life Discussions: a Qualitative Study of Internal Medicine Trainees and Faculty. J Gen Intern Med. Apr. 2020
More J, MS, Lang-Brown S, BS, Romo R, PhD RN PHN, Lee S, MD MAS, Sudore R, MD, Smith A, MD MS
MPH. “Planting the Seed”: Perceived Benefits and Strategies for Discussing Long-Term Prognosis with Older Adults. J Am Geriat Soc. Dec. 2019

CME Post-Activity Evaluation (pdf)