Palliative Sedation in Patients With Terminal Illness

Overview

4.7 out of 5 (54 Reviews)

Credits

1.50

Post Assessment Questions

8

Start Date

1 Sep 2023

Last Review Date

19 Jan 2024

Expiration Date

31 Aug 2026

Estimated Time To Finish

90 Minutes


 
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Activity Description

Palliative sedation is indicated when there is intractable distress in patients who are terminally ill or dying. It is a palliative practice geared toward providing relief from pain, anxiety, and agitation in patients who otherwise have a short lifespan. The purpose of palliative sedation is to prevent unnecessary suffering and to favor a smooth transition to death. This activity reviews the role of palliative sedation for terminal patients and highlights the ethical and legal dynamics involved with this therapy.


Target Audience

This activity has been designed to meet the educational needs of physicians, physician associates, nurses, pharmacists, nurse practitioners, and dentists.

Learning Objectives

At the conclusion of this activity, the learner will be better able to:

  • Identify the indications for palliative sedation.

  • Describe the associated ethical and legal challenges associated with palliative sedation.

  • Select the appropriate pharmacological agents to provide palliative sedation.

  • Implement interprofessional team strategies for improving care coordination and communication to advance the utilization of palliative sedation and improve the quality of life in terminally ill patients.

Disclosures

StatPearls, LLC requires everyone who influences the content of an educational activity to disclose relevant financial relationships with ineligible companies that have occurred within the past 24 months. Ineligible companies are organizations whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients. All relevant conflict(s) of interest have been mitigated. Hover over contributor names for financial disclosures. Others involved in planning this educational activity have no relevant financial relationships to disclose.

Commercial Support: This activity has received NO commercial support.

Continuing Education Accreditation Information

In support of improving patient care, StatPearls, LLC 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 healthcare team.

 

Physicians and Physician Associates: StatPearls, LLC designates this enduring material for a maximum of 1.50 AMA PRA Category 1 Credit(s)TM. Physicians and PAs should only claim credit commensurate with the extent of their participation in the activity.

American Board of Anesthesiology: This activity contributes to the CME component of the American Board of Anesthesiology’s redesigned Maintenance of Certification in AnesthesiologyTM (MOCA®) program, known as MOCA 2.0®. Please consult the ABA website, www.theABA.org, for a list of all MOCA 2.0 requirements.

American Board of Internal Medicine: Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 1.50 MOC points in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

American Board of Orthopaedic Surgery: Successful completion of this CME activity, which includes participation in the evaluation component, enables the learner to earn credit toward the CME and Self-Assessment Examination requirements of the American Board of Orthopaedic Surgery’s (ABOS) Maintenance of Certification program. It is the CME activity provider's responsibility to submit learner completion information to ACCME for the purpose of granting ABOS credit.

American Board of Pathology: Successful completion of this Continuing Certification activity, which includes participation in the evaluation component, enables the participant to earn up to 1.50 Lifelong Learning (CME) credits in the American Board of Pathology’s Continuing Certification Program.

American Board of Pediatrics: Successful completion of this CME activity, which includes participation in the evaluation component, enables the learner to earn up to 1.50 MOC points in the American Board of Pediatrics’ (ABP) Maintenance of Certification (MOC) program. It is the CME activity provider’s responsibility to submit learner completion information to ACCME for the purpose of granting ABP MOC credit.

American Board of Surgery: Successful completion of this CME activity, which includes participation in the evaluation component, enables the learner to earn credit toward the CME and Self-Assessment requirement(s) of the American Board of Surgery’s Continuous Certification program. It is the CME activity provider's responsibility to submit learner completion information to ACCME for the purpose of granting ABS credit.

American Board of Thoracic Surgery: Successful completion of this CME activity, which includes participation in the evaluation component, enables the learner to earn credit toward the CME and Self-Assessment in Practice requirements of the American Board of Thoracic Surgery’s Maintenance of Certification program. It is the CME activity provider's responsibility to submit learner completion information to ACCME for the purpose of granting ABTS credit.

Royal College of Physicians and Surgeons of Canada: Through an agreement between the Accreditation Council for Continuing Medical Education and the Royal College of Physicians and Surgeons of Canada, medical practitioners participating in the Royal College MOC Program may record completion of accredited activities registered under the ACCME’s “CME in Support of MOC” program in Section 3 of the Royal College’s MOC Program.

Please consult your professional licensing board for information on the applicability and acceptance of continuing education credit for this activity.

Method of Participation and Credit

  1. Register for the activity.    
  2. Review the target audience, learning objectives, and disclosure information.
  3. Study the educational content of the enduring material.
  4. Choose the best answer to each activity test question. To receive credit and a certificate, you must pass the test questions with a minimum score of 100%.
  5. Complete the post-activity assessment survey.

If you have concerns regarding the CE/CME system, please contact support@statpearls.com.

Disclaimer

This educational activity was planned and produced in accordance with the ACCME Standards for Integrity and Independence in Accredited Continuing Education. Faculty may discuss investigational products or off-label uses of products regulated by the FDA. Readers should verify all information before employing any therapies described in this educational activity.

The information provided for this activity is for continuing education purposes only and is not meant to substitute for the independent medical/clinical judgment of a healthcare provider relative to diagnostic and treatment options of a specific patient’s medical condition. The information presented does not necessarily reflect the views of StatPearls or any commercial supporters of educational activities on statpearls.com. StatPearls expressly disclaims responsibility for any adverse consequences resulting directly or indirectly from information in the course, for undetected error, or through a participant's misunderstanding of the content.

Unapproved Uses of Drugs/Devices: In accordance with FDA requirements, the audience is advised that information presented in this continuing education activity may contain references to unlabeled or unapproved uses of drugs or devices. Please refer to the FDA-approved package insert for each drug/device for full prescribing/utilization information.

Cancellation Policy: Please see the cancellation policy. StatPearls, LLC reserves the right to cancel any course due to unforeseen circumstances.

 

 
 

Reviews

John L. on 10/3/2021

Mary C. on 11/14/2021

Suzanne P. on 2/24/2022

Eric G. on 4/25/2022

Pamela D. on 6/6/2022

Tiffany R. on 8/12/2022

Lorenzo H. on 9/7/2022

Sourabh M. on 9/17/2022

Tamatha J. on 10/4/2022

Kimberly H. on 12/1/2022

Brian G. on 12/13/2022

David H. on 12/29/2022

None

Blessing O. on 1/26/2023

Sharon B. on 2/6/2023

Julie E. on 2/18/2023

Lesly P. on 3/3/2023

Melanie P. on 3/22/2023

James S. on 3/25/2023

Helen M. on 4/10/2023

Vincent9507 G. on 5/24/2023

Eli L. on 6/9/2023

Aditya S. on 6/22/2023

Noah R. on 6/19/2023

Dat N. on 6/19/2023

Joseph F. on 6/25/2023

CHARLES R. on 7/27/2023

Byron L. on 8/11/2023

Michael Y. on 8/19/2023

Nicolas B. on 8/22/2023

Stephanie R. on 9/22/2023

Humayun Z. on 10/2/2023

Gursimar S. on 10/4/2023

Donna P. on 10/4/2023

Kira M. on 10/28/2023

David c. on 10/30/2023

Jeffrey S. on 11/11/2023

Tonda B. on 12/9/2023

Robert H. on 12/17/2023

Richard M. on 1/1/2024

Dr K. on 2/5/2024

Ameena A. on 2/10/2024

Theresa J. on 3/21/2024

jeffrey m. on 3/27/2024

Cong V. on 3/28/2024

Thank you, good topic. I would love a more in-depth discussion of the synergistic effects of palliative sedation medications, starting doses and plans for titration. Would also be interested in how this could occur in the home setting vs hospital setting, the challenges of palliative sedation at home, different routes of administration, etc.

Nellyda A. on 4/8/2024

John P. on 4/21/2024

Allen M. on 4/22/2024

Lee C. on 5/11/2024

Rex C. on 6/30/2024

Jennifer C. on 7/13/2024

Cristian Z. on 7/16/2024

Mikeanne M. on 8/11/2024

Sara L. on 9/8/2024

hector L. on 10/3/2024

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