Caring Through the End:
Palliative Care Along the Continuum of CKD

Based on a symposium sponsored by the Mid-Atlantic Renal Coalition
(ESRD Network 5), December, 2004, Orlando, FL.

Access to this activity is free but requires a login (username) and password. The activity is hosted by HDCN, and for current HDCN users, your existing login and password should be given. If you are not an HDCN user, please register at this link and select a username and password.
Completing the Care Continuum
Ira Byock, MD
Hospice and Bereavement
Carla Braveman, RN, BSN, MEd, CHCE
Pain and Symptom Burden
Sara Davison, MD, MHSc, FRCPC
Ira Byock, MD
Carla Braveman, RN, BSN, MEd, CHCE
Sara Davison, MD, MHSc, FRCPC
For Physicians, this learning activity is accredited for up to 2.8 CME credist hours by the School of Medicine, Virginia Commonwealth University, Medical College of Virginia Campus (VCU).

For nurses and dialysis technicians, this learning activity is accredited for 2.8 CE credit hours by ANNA.
Part 1

Date of Release: May, 2005
CME Credit Eligible Through: May 1, 2006
CE Credit Eligible Through: August 1, 2006
Target Audience: CME: Nephrologists, nephrology fellows, internists
CE: Nurses and dialysis technicians
Method of participation: Listen to the talk, read the PubMed abstracts linked to data slides and talk references, complete the post-test and evaluation.

Note: There are two different certificates, make sure that you click on the button that corresponds to the certificate you are eligible for.

Keynote: Completing the Caring Continuum
  • Identify challenges presented by the current social context.
  • Specify ethical principles applicable to caring for patients at the end of life
  • Define palliative care and distinction with hospice care
  • Identify typical services provided by hospice and palliative care to patients and families.
  • Recognize that communication and advance care planning as essential elements of the continuum of care.
  • Describe an organized, on-going approach to symptom management
  • Review extra-ordinary symptom management, including palliative sedation and the critical distinction between such treatment and euthanasia
  • Recognize the nature of suffering associated with progressive illness and dying
  • Recognize the nature of opportunity during the phase of life termed “dying.”
  • Describe a life-cycle, developmental approach to supportive counseling and anticipatory-guidance for ESRD patients and their families that can assist with issues of life completion and closure
  • Identify leadership that clinicians and health care givers can provide society by caring in a manner that is not only competent and comprehensive, but also honors people in their dying
  • Review hospice and the Medicare Benefit
  • Describe the appropriate use of the Medicare Hospice Benefit with ESRD Patients
  • Describe the benefits to the family with Hospice bereavement services after the death
  • Discuss the magnitude and scope of chronic pain and (0) symptoms in the ESRD population.
  • Discuss the impact of chronic pain in ESRD patients.
  • Discuss the potential barrier to adequate pain and symptom RX.
  • Outline potential strategies to enhance pain and symptom management
Click on the Speaker Bio link below each speaker photograph for disclosure information.

The CME and CE accreditation statements for this program are given in detail on the Symposium Home Page.

Instructions for burning CDs

If you wish to burn these audiofiles to the CD, make sure you select "AUDIO CD" format. Both mp3 and wma files can be recorded as audio CD files. The CD burner software automatically converts these files to CDA format, which is a standard used by all CD players. Most CD burning software accepts both WMA and MP3 files, although some software will not accept WMA files. For this reason, as of March, 2004, we are providing audiofiles in both WMA and MP3 format . For earlier files, please download the WMA to MP3 converter specified in the HDCN Audio FAQ list .

If you record wma or mp3 files directly to the CD without choosing "AUDIO CD", your CD will be recorded as a Data CD, and only players capable of decoding those files will be able to play your talks, and the CD that you make will not be playable in a standard CD player.

Audio CD Burning steps:
  1. Please download the WMA or MP3 file to your PC in whatever folder you wish to store it.
  2. Open your CD burning software (Nero, Roxio Easy CD or other)
  3. Choose the "Audio CD" option (NOT the DATA CD option!
  4. Browse to the place where you stored the downloaded files to load them into the recording program (You can drag & drop from Windows Explorer)
  5. Click "Burn CD" or "Record" button
  6. If in doubt, ask someone under 17 years of age to help you!

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