End of Life: Hospice and Advanced Directives

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A significant proportion (60-80%) of people prefer to die in their home, however few Americans (24%) have the opportunity to die at home. Participate in this module to learn the key elements and services of hospice and palliative care, and management of end of life symptoms. This module is designed to help multidisciplinary learners acquire communication skills to effectively deliver bad news, and discuss advance directives, including end of life decisions, using a shared decision making process.

Author Information

Gurveen Malhotra, MD
Division of Internal Medicine and Geriatrics
University of Illinois at Chicago

Udai Jayakumar, MD, MBA
Palliative Care Physician
Kaiser Permanente South Bay

Tanjeev Kaur, MD
Associate Professor of Clinical Medicine
Program Director, Geriatric Fellowship
Clinical Physician, Palliative Care
Division of Internal Medicine and Geriatrics
Co-Investigator, ENGAGE-IL
University of Illinois at Chicago

Authors’ Bios:
Dr Gurveen Malhotra is currently a pulmonary disease fellow at Rosalind Franklin University of Medicine and Science and is expected to graduate in July 2018. He has been active academically in presenting posters at various conferences including American Geriatric Society as well as American Thoracic Society. He strives to continue to improve the quality of life of his patients by utilizing his knowledge of geriatrics in his pulmonary disease fellowship as well. He went to medical school in the state of Punjab in India and completed his residency in Internal medicine at Mt Sinai Hospital in Chicago before graduating in Geriatrics from University of Illinois at Chicago.

Dr. Udai Jayakumar is a palliative care physician. He provides palliative care to terminally ill patients at Kaiser Permanente Hospital in Harbor City, California, where he leads the multidisciplinary in-patient palliative care team. Previously, he was the Director of the palliative care team at University of Illinois Hospital where he helped launch the team and taught medical students and medical residents. Earlier in his career, he worked as a hospice team physician for three years and practiced primary care at the Jesse Brown VA Medical Center in Chicago, Il. During his internal medicine residency, he was voted humanistic resident of the year and was awarded the Alpha Omega Alpha clinical teaching award. He earned his BA in Economics, UCLA in 2001, his MD at the University of Maryland, Baltimore in 2005, his MBA in Finance & Entrepreneurship at the University of Illinois at Chicago in 2012. He is board certified in both Internal Medicine and Palliative Medicine.

Dr. Tanjeev Kaur practices both Palliative Care and Geriatrics, serving as the Director of the Geriatric Fellowship Program at University of Illinois at Chicago and Medical Director of Symphony at Aria, Post-Acute Care & Rehabilitation Center. She specializes in the care of elderly patients with the goal of promoting personal well-being and functional independence. She also helps patients and families make decisions for palliative or hospice care when transition needed and provides palliative care to the vulnerable and frail when needed. She is actively engaged in teaching fellows, residents and students, enhancing their knowledge not only of primary care, but also palliative care & advance care planning. She completed her Internal Medicine Residency at St. Elizabeth Health Center, Youngstown, OH in 2004 and Geriatric Fellowship at University of Illinois at Chicago 2005. During her residency, she was awarded the All Star Award for demonstrating the core values of compassion, excellence, human dignity, justice, sacredness of life & service. Earlier in her career, she worked as a hospice & palliative care physician for about 4 years in various settings. Dr. Kaur is Board Certified in Geriatric Medicine & Hospice & Palliative Medicine besides being certified in Hospice Medical Director Certification Boards.

Valerie Gruss PhD, APN, CNP-BC
Associate Professor
College of Nursing
Director, ENGAGE-IL
University of Illinois at Chicago

Memoona Hasnain MD, MHPE, PhD
Professor and Associate Department Head, Faculty Development & Research
College of Medicine
Department of Family Medicine
Co-Director, ENGAGE-IL
University of Illinois at Chicago

Expert Interviewee (bio as author above):
Tanjeev Kaur, MD
Associate Professor of Clinical Medicine
Program Director, Geriatric Fellowship
Clinical Physician, Palliative Care
Division of Internal Medicine and Geriatrics
Co-Investigator, ENGAGE-IL
University of Illinois at Chicago

Module Information

Duration: 30 minutes
Format: Video Stream & pdfs

Module Guide and Handout
Resources & References
Continuing Education Credit Information

In support of patient care, Rush University Medical Center is accredited by the American Nurses Credentialing Center (ANCC), the Accreditation Council for Pharmacy Education (ACPE), and the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing education for the healthcare team.

Rush University Medical Center designates this live activity for a maximum of (0.50) AMA PRA Category 1 Credit(s)™. Physicians should claim only credit commensurate with the extent of their participation in the activity.

This activity is being presented without bias and without commercial support.

ANCC Credit Designation – Nurses
The maximum number of hours awarded for this CE activity is 0.50 contact hours.

Rush University is an approved provider for physical therapy (216.000272), occupational therapy, respiratory therapy, social work (159.001203), nutrition, speech-audiology, and psychology by the Illinois Department of Professional Regulation. Rush University designates this live activity for (0.50) Continuing Education credit(s).

Rush University Medical Center designates this knowledge based CPE activity for 0.50 contact hours for pharmacists.

Learning Objectives

Upon completion of this module, learners will be able to:

Differentiate between key elements and services of hospice and palliative care
Discuss the effective management of common end-of-life symptoms
Identify criteria that qualify a patient for hospice care
Use effective communication skills to deliver bad news
Discuss advanced directives, end-of-life decisions, and the use of the shared decision making process

Technical Support / Contact Info

For technical support, please notify engage@engageil.com.

To report a complaint, please contact the ENGAGE-IL Program Help Desk at engageIL@engageil.com.

This ENGAGE-IL learning activity fully complies with the legal requirements of the ADA and the rules and regulations thereof. Learners with special needs can make requests for accommodation at any time by sending e-mail to engageIL@engageil.com.

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