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Planning for a Good Death: A Neglected but Essential Part of ESRD Care
(Vol 35/No. 5. On-line test expires: 10/20/2010)
To receive continuing education credit, you must read the information in this article and take an on-line post test and fill out an on-line program evaluation form. The certificate will then be generated for you as a .pdf file which you can print out locally on your computer.

CE Certification by ANNA requires a handling charge that must be paid by credit card. Pricing information is available by clicking on the "Post-Test Evaluation" link below.
  DOWNLOAD TEST ARTICLE
Please download and print the PDF file below:
  AUTHOR
Mary S. Haras, MS, MBA, APN, NP-C, CNN
 Mary S. Haras, MS, MBA, APN, NP-C, CNN, is an Assistant Professorial Lecturer, Saint Xavier University School of Nursing, Chicago, IL, and a Member of ANNA’s Windy City Chapter.
  OUTLINE

Planning a “good death” is a neglected, but essential, part of the care of patients with end stage renal disease and their families. Many of these patients do not have advance directives and few utilize palliative care. Guidelines from medical and specialty nursing organizations regarding end-of-life (EOL) issues and palliative care have been developed, but they are not consistently used by the nephrology community. Nephrology nurses are frequently positioned to begin EOL discussions with patients and families, and advanced practice nurses are in a unique position to coordinate and facilitate a patient’s transition from chronic to terminal illness and to increase the likelihood that the patient and family experience a “good death.” This article reviews the need for practice improvement in EOL care and a review of the current literature.
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  CE RELATED INFORMATION
This offering for 1.5 contact hours is being provided by the American Nephrology Nurses’ Association (ANNA), This offering for 1.5 contact hours is being provided by the American Nephrology Nurses’ Association (ANNA). ANNA is accredited as a provider of continuing nursing education (CNE) by the American Nurses Credentialing Center’s Commission on Accreditation. ANNA is a provider approved by the California Board of Registered Nursing, provider number CEP 00910. This CNE article meets the Nephrology Nursing Certification Commission’s (NNCC’s) continuing nursing education requirements for certification and recertification.

  EDUCATIONAL OBJECTIVES

Goal: To provide information about end-of-life issues and palliative care for patients with end stage renal disease.

Objectives:
1. Define palliative/end-of-life care.
2. Identify the “lived” experiences of survivors with ESRD.
3. Explain the role of the advanced practice nurse in the end-of-life care of patients with ESRD.
4. List three standards, guidelines, recommendations, and/or resources of end-of-life care.
AUTHOR DISCLOSURE STATEMENT

Mary S. Haras has no conflicts of interest to disclose.

 ANNA and HDCN CE POLICY STATEMENTS

The CE policy and disclosure statements of the American Nephrology Nurses' Association are given in detail on the Symposium Home Page. The CE policy statements of HDCN are listed on this page.