Accreditation The American Medical Directors Association (AMDA) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. Designation Statement: The American Medical Directors Association designates this educational activity for a maximum of 1.0 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity.
AMDCP Credit Designation: This session has been approved for a total of clinical 1.0 credit hours toward certification as a Certified Medical Director in Long Term Care (CMD).
Session Description: This session will review perceived difficulties in incorporating palliative care concepts into care for patients with advanced heart failure and identify opportunities to overcome these barriers. Best practice approach for symptom intervention will also be discussed by addressing the top five most frequently encountered symptoms. The presenter will review data on strength of evidence available for each recommended symptom intervention. The final portion of the talk will address special devices/therapies for which primary care providers may need to counsel patients. These include defibrillators, left ventricular assist devices, cardiac resynchronization therapy and inotrope therapy.
Identify barriers to successful integration of palliative care concepts into care of patients with advanced heart failure.
Identify three ways to overcome barriers to palliative care integration for heart failure patients.
Implement best practice approach for symptom management in patients with heart failure.
Initiate practice change for patients with cardiac devices at the end of life: evaluating risks and benefits.
Speaker(s): Tanya L. Stewart, MD; James Mudd, MD
Disclosure(s): James Mudd, MD: Investigator Roadmap Trial, Thoratec Corporation
Reference(s): Goldfinger et al. Curr Heart Fail Reports. 2010 Goodlin. JACC 2009 Sullivan. Am Heart J. 2009 Martin. Critical Care Nursing. 2011 Pittler. Cochrane Rev 2008 Cotter. Lancet. 1998 Johnson. J Palliative Care. 2011 Tanner. Ethical Adv HF Care 2011 Swetz. Mayo Clinic Proc 2011 Matlock. J Palliative Medicine 2010 Green. J Palliative Care 2011 ACC/AHA Guidelines 2005