Journal of pain and symptom management最新文献

{"title":"We've Got Your Back: Pearls for Interdisciplinary Psychological and Psychiatric Palliative Care","authors":"William Rosa PhD MBE APRN FPCN, Keri Brenner MD MPA, Gregg Alan Robbins-Welty MD MS HEC-C, Mike Polisso LCSW APHSW-C, Emily Linderman BCC (Board Certified Chaplain), Daniel Shalev MD, Danielle Chammas MD","doi":"10.1016/j.jpainsymman.2025.02.041","DOIUrl":"10.1016/j.jpainsymman.2025.02.041","url":null,"abstract":"<div><h3>Outcomes</h3><div>1. Using a case-based approach based rooted in the best available evidence, participants will self-report the ability to assess, manage, and alleviate psychiatric and psychological suffering in the serious illness context.</div><div>2. Using an interprofessional and practical clinical application approach, participants will self-report the ability to identify and leverage the skills, competencies, and approaches of all members of the interdisciplinary team to confidently address the psychiatric and psychological domain in palliative care.</div></div><div><h3>Key Message</h3><div>Despite the high prevalence of psychological and psychiatric suffering in serious illness, palliative specialists continue to feel unprepared to deliver high-quality psychological and psychiatric care. Our multidisciplinary team synthesizes the best tips and practices to prepare and equip clinicians with evidence-based approaches to psychological and psychiatric care in alignment with national palliative care guidelines.</div></div><div><h3>Abstract</h3><div>Psychological and psychiatric care is a core palliative care domain that includes meeting the normative psychosocial needs of patients with serious illnesses and managing common mental health disorders in serious illness. This domain encapsulates skills from across disciplines including psychotherapeutic skills, psychiatric assessment, and psychopharmacology (1-3). All interdisciplinary team (IDT) members contribute to this domain of care. However, many clinicians lack opportunities to advance relevant mental health training (4,5).</div></div><div><h3>Objectives</h3><div>To provide expert-level clinical pearls in the psychological and psychiatric components of palliative care.</div></div><div><h3>Methods</h3><div>Through literature synthesis and expert consensus, our IDT will present six “clinical pearls” on advanced topics at the interface of mental health and palliative care. Content will advance from normative psychosocial needs of people with serious illnesses to assessment of mental health symptoms to psychopharmacologic and psychotherapeutic interventions in the palliative care context. Each topic will be presented through a brief case and utilize audience response polling. Speakers will highlight the unique expertise of core IDT members, including social workers, nurses, physicians, chaplains, and pharmacists within the topics.</div></div><div><h3>Results</h3><div>In addition to sharing key implications for the IDT team at generalist and specialist levels, we will feature six skill-oriented mini-sessions: 1. Holding is doing: Reconceptualizing holding as an active intervention that impacts processing 2. What we can't say, we act: Identifying and responding to countertransference-based practice patterns 3. Mind, meaning, or spirit: Distinguishing depression, demoralization, and existential-spiritual distress 4. Embodied distress: Recognizing medical causes of psychiatric symptoms and p","PeriodicalId":16634,"journal":{"name":"Journal of pain and symptom management","volume":"69 5","pages":"Pages e432-e433"},"PeriodicalIF":3.2,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143807475","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Weaning Heated High Flow Nasal Cannula at End of Life","authors":"Rachna Goswami MD MPH, Gina Biddle MA BCC-PCHAC, Stacy Sayre LCSW APHSW-C, Joscylene Dracca MSN APRN GNP-BC, Ghewa Sbaiti BS, Eden Mae Rodriguez PharmD, Alexis Barina MD","doi":"10.1016/j.jpainsymman.2025.02.057","DOIUrl":"10.1016/j.jpainsymman.2025.02.057","url":null,"abstract":"<div><h3>Outcomes</h3><div>1. Identify and manage common symptoms when patients on heated high flow nasal cannula approach end of life.</div><div>2. Develop strategies to create a culturally competent patient-centered interdisciplinary care plan for patients on heated high flow nasal cannula at end of life.</div></div><div><h3>Key Message</h3><div>Patients who elect to wean heated high flow nasal cannula at end of life often require intensive management of distressing symptoms including dyspnea and anxiety. We will review a stepwise approach to weaning heated high flow nasal cannula at end of life, including symptom management and implementation of culturally competent patient-centered interdisciplinary care plan.</div></div><div><h3>Abstract</h3><div>Heated high flow nasal cannula (HHFNC) allows patients to receive a high level of oxygen support while still being able to remain interactive (1). However, some patients don't recover enough lung function to leave an acute care setting and may elect withdrawal of oxygen support. Best practices for weaning HHFNC and managing symptoms in this setting have not been well studied (2).</div></div><div><h3>Methods</h3><div>We conducted a single-center retrospective chart review on 44 deceased patients who were weaned from HHFNC at a tertiary care medical center. All patients included received care by the inpatient palliative care team between January 2021 and May 2024. The primary objective of this study was to determine the median dosage of opioids and benzodiazepines used during HHFNC wean. Baseline characteristics, maximum HHFNC settings (flow rate and fraction of inspired oxygen) within 48 hours of the wean, opioid and benzodiazepine usage in the two days prior to the wean, time of wean initiation and termination, and cumulative amount of symptom management medications used to prevent and treat escalating dyspnea and anxiety were collected.</div></div><div><h3>Results</h3><div>Patients who elect to wean HHFNC at end-of-life often require intensive management of distressing symptoms including dyspnea and anxiety. We hypothesize that patients who have HHFNC weaned in a stepwise manner experience better symptom control than patients who have HHFNC stopped without a wean. We will share our stepwise approach to weaning HHFNC and the median doses of opioid and benzodiazepine medications used during HHFNC wean.</div></div><div><h3>Conclusion</h3><div>Patients who elect to wean HHFNC at end of life often require intensive management of distressing symptoms. We predict that a stepwise approach to weaning heated high flow nasal cannula and implementation of a culturally competent patient-centered interdisciplinary care plan are fundamental to ensuring high quality care.</div></div><div><h3>References</h3><div>1. Spoletini G, Alotaibi M, Blasi F, Hill NS. Heated humidified high-flow nasal oxygen in adults. Chest. 2015 Jul 1;148(1):253-61. 2. Kim MC, Lee YJ, Park JS, et al. Simultaneous reduction of flow and fract","PeriodicalId":16634,"journal":{"name":"Journal of pain and symptom management","volume":"69 5","pages":"Pages e444-e445"},"PeriodicalIF":3.2,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143807049","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Best Practices and Beyond: Updates in Fellowship Education","authors":"Stephen Berns MD FAAHPM,&nbsp;Laura Dingfield MD MSEd,&nbsp;Adam Marks MD MPH FAAHPM HEC-C,&nbsp;Corey Tapper MD MS,&nbsp;Carolyn Kezar MD MS FACP,&nbsp;Shireen Heidari MD FAAHPM,&nbsp;Jonathan Yeh MD,&nbsp;Ethan Silverman MD,&nbsp;Toluwalasé Ajayi MD FAAP FAAHPM","doi":"10.1016/j.jpainsymman.2025.02.087","DOIUrl":"10.1016/j.jpainsymman.2025.02.087","url":null,"abstract":"<div><h3>Outcomes</h3><div>1. Describe the work from the AAHHPM Assessment Work Group from the last year.</div><div>2. Commit to one-way participants can get involved in improving assessment at their local institution.</div></div><div><h3>Abstract</h3><div>This preconference workshop is designed to equip fellowship program directors and other interested educators with the tools and knowledge to lead innovative improvements in their training programs. Participants will learn about best practices in fellowship administration and curriculum design, as identified by the Fellowship Training Committee, and will have the chance to share key successes from their own programs. The session will also include a review and discussion of the proposed updates to the ACGME Hospice and Palliative Medicine Program Requirements. Additionally, the AAHPM Assessment Workgroup will present updates on faculty development materials being created in partnership with the ACGME.</div></div>","PeriodicalId":16634,"journal":{"name":"Journal of pain and symptom management","volume":"69 5","pages":"Page e461"},"PeriodicalIF":3.2,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143807060","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"ACHPN Certification Review Course","authors":"Kate Stackhouse DNP RN FNP-C ACHPN,&nbsp;Cara Dials APRN FNP0C ACHPN","doi":"10.1016/j.jpainsymman.2025.02.077","DOIUrl":"10.1016/j.jpainsymman.2025.02.077","url":null,"abstract":"<div><h3>Abstract</h3><div>This instructor-led certification review course is designed to help prepare you for your upcoming Hospice and Palliative Credentialing Center (HPCC) ACHPN certification exam. HPNA Certification Review Courses provide a framework to prepare, and a process to assess strengths and weaknesses of content prior to sitting for an HPCC certification exam. These courses are facilitated by nationally recognized subject matter experts.</div><div>Each module in the review course addresses sections of the detailed content outline from the 2022 HPCC Candidate Handbook. HPCC is not able to conduct or recommend specific review courses. The use of HPNA exam preparation materials does not imply successful performance on HPCC certification exams. The use of HPNA exam preparation materials does not give an advantage over candidates who do not choose to use them.</div><div>Continuing Education: Attendees can earn a maximum of 8.75 NCPD hours and 4.0 Category 1 Pharm credits upon successful completion of this course. Successful completion includes attending the activity in its entirety, attesting to attendance, and completing/submitting the postactivity evaluation within the timeframe specified.</div><div>The faculty/planners of this accredited continuing professional development activity have disclosed no relevant financial, professional, or personal relationship with ineligible companies pertaining to faculty selection, delivery, and evaluation of this conference. The Hospice and Palliative Nurses Association is an accredited provider of nursing continuing professional development by the American Nurses Credentialing Center's Commission on Accreditation (ANCC). Provider number P0284.</div></div>","PeriodicalId":16634,"journal":{"name":"Journal of pain and symptom management","volume":"69 5","pages":"Pages e458-e459"},"PeriodicalIF":3.2,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143807068","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Parents, Social Media, and End of Life Care in Pediatric Rare Disease","authors":"Claire Fanning BS,&nbsp;Alangoya Tezel MD HEC-C,&nbsp;Elizabeth Gregory (Goudie) LMSW APHSW-C,&nbsp;Marin Arnolds MD,&nbsp;Adam Marks MD MPH FAAHPM HEC-C","doi":"10.1016/j.jpainsymman.2025.02.094","DOIUrl":"10.1016/j.jpainsymman.2025.02.094","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Outcomes&lt;/h3&gt;&lt;div&gt;1. Participants will be able to evaluate and apply strategies for supporting families of children with rare diseases, focusing on end-of-life care goals and the evolving usefulness of social media groups throughout the course of a child's rare disease.&lt;/div&gt;&lt;div&gt;2. Participants will integrate new knowledge of the benefits and risks associated with social media engagement into their counseling for families of children with rare disease, particularly in mitigating misinformation, polarization, and the challenge of groups’ lack of support for different goals of care and end-of-life decisions.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Key Message&lt;/h3&gt;&lt;div&gt;This session explores the unique challenges encountered by families of children with rare diseases, emphasizing social media's role in connecting these families. We will discuss the benefits and potential harms of parental social media engagement throughout the trajectory of their child's disease, highlighting the lack of support for differing end-of-life care goals, and strategies to enhance support for these families.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Abstract&lt;/h3&gt;&lt;div&gt;Families of children with rare disease encounter unique barriers, including feelings of isolation, limited clinical trials, and medical teams’ unfamiliarity with diagnoses (1). Social media (SM) has become an important tool for families to connect and share resources (2) but may risk polarization and misinformation (3). Our presentation will include a clinical case, literature review, and our study's data.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objectives&lt;/h3&gt;&lt;div&gt;Determine how parents of children with rare disease engage with SM throughout their child's life and death, and if groups are welcoming toward different end-of-life care goals.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;Our mixed-methods study includes surveys of parents of children with rare disease who died at one institution between 7/1/2019 and 7/1/2022 and open-ended interviews with a subset of these parents. The survey collected demographics, parents’ end-of-life goals for their child, and assessed SM group engagement. Interviews were audiotaped, transcribed, and thematically analyzed using qualitative research software.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;One hundred and fifty-nine families met criteria and were invited to participate. Twenty-nine of 46 families who consented completed the survey (63% response rate). Twelve families completed interviews. Participants who engaged with SM (65%) found it generally helpful, though less supportive around and following their child's death. Thematic analysis revealed a temporality to families’ SM engagement throughout their child's life: initially beneficial for connections and resources, less helpful and potentially harmful near end-of-life when personal connections were paramount, and helpful during healing and reflections albeit with important gaps. All families of children with cardiac diagnoses (&lt;em&gt;n&lt;/em&gt; = 7) joined SM groups compared to 50% with g","PeriodicalId":16634,"journal":{"name":"Journal of pain and symptom management","volume":"69 5","pages":"Pages e466-e467"},"PeriodicalIF":3.2,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143807069","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"When Patients Express Anger","authors":"Danielle Chammas MD,&nbsp;Teddy Scheel LCSW MPH,&nbsp;Mike Polisso LCSW APHSW-C,&nbsp;Keri Brenner MD MPA","doi":"10.1016/j.jpainsymman.2025.02.069","DOIUrl":"10.1016/j.jpainsymman.2025.02.069","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Outcomes&lt;/h3&gt;&lt;div&gt;1. Participants will be able to reflect on their reactions (e.g. countertransference) to various clinical examples of anger and utilize that self-awareness to better inform their understanding of a case.&lt;/div&gt;&lt;div&gt;2. Participants will be able to practice creating a formulation or differential diagnosis of a patient's anger and using that explanatory model to guide a nuanced therapeutic approach to the anger.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Key Message&lt;/h3&gt;&lt;div&gt;Anger frequently emerges among patients and families facing serious illness. Hospice and palliative care (HPM) clinicians report feeling ill-equipped and under-trained to assess and respond to intense, disruptive anger. This presentation introduces high-yield principles from psychotherapy and psychology, offering effective and nuanced strategies for HPM clinicians to manage and address anger during clinical encounters, thus enhancing skills and sustainability.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Abstract&lt;/h3&gt;&lt;div&gt;HPM clinicians are routinely prepared to attend to common emotions such as sadness, fear, and disbelief. However, many report inadequate training on how to respond to anger–a prevalent and often normative emotion among patients [1]. Clinician discomfort and insufficient skills on ways to respond to anger can impact patient coping, the therapeutic relationship, and clinician sustainability.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objectives&lt;/h3&gt;&lt;div&gt;Designed by two HPM social workers and two psychiatrists, all experienced in psychotherapy and practicing general palliative medicine, this session offers high-yield psychotherapeutic insights for managing anger in palliative care settings. The content will be presented through an interdisciplinary lens, incorporating essential DEI concepts, such as the roles of identity and cultural expressions of affective states [2]. This session aims to provide actionable strategies that clinicians can integrate seamlessly into one's daily practice, thereby enhancing therapeutic effectiveness at the interface of anger.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Engagement&lt;/h3&gt;&lt;div&gt;Participants will partake in interactive exercises aimed at fostering greater introspective reflection on their reactions to various forms of anger. These activities will illuminate how clinicians’ own emotions, identities, and unconscious biases may affect interactions with patients [3]. Attendees will also develop skills in formulating an expansive differential diagnosis for anger, which will inform a personalized therapeutic approach tailored to each patient's unique needs and coping mechanisms [4, 5].&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion&lt;/h3&gt;&lt;div&gt;Anger is a common emotion experienced and expressed by patients and families facing serious illness, yet many palliative care providers receive minimal training on effective assessments and therapeutic responses. This session will utilize high-yield psychotherapeutic principles to equip clinicians with a nuanced understanding and management of anger [6]. By moving beyond stand","PeriodicalId":16634,"journal":{"name":"Journal of pain and symptom management","volume":"69 5","pages":"Pages e453-e454"},"PeriodicalIF":3.2,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143807019","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Improving Outreach With New Insights: How Patients and Providers See Palliative Care","authors":"Marian Grant DNP ACNP-BC ACHPN FPCN FAAN,&nbsp;Anthony Back MD","doi":"10.1016/j.jpainsymman.2025.02.036","DOIUrl":"10.1016/j.jpainsymman.2025.02.036","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Outcomes&lt;/h3&gt;&lt;div&gt;1. Discuss the deep metaphors patients, caregivers, and referring providers used when describing palliative care.&lt;/div&gt;&lt;div&gt;2. List ways to improve outreach to these groups using these metaphors.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Key Message&lt;/h3&gt;&lt;div&gt;Palliative care continues to face barriers engaging the public and referring providers. One that the palliative care field can address now is in the language they use for outreach to these target audiences. New research findings on how patients and referring providers view palliative care could improve their interest and engagement in it and increase acceptance and referrals.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Abstract&lt;/h3&gt;&lt;div&gt;Palliative care (PC) continues to face barriers engaging the public, our clinical colleagues, and referring providers. The empirical literature relevant to public (1) and clinician awareness demonstrate persistent inaccuracies in perceptions that block PC access. These misperceptions have not been overcome by using current communication strategies in public or collegial outreach (2). At the patient level, many who could benefit from PC do not receive it because of misconceptions that result in declining referrals. At the referring clinician level, the way that other specialists talk about PC may further discourage patients. Research demonstrates that outreach to the public and to referring clinicians should be seen as distinct challenges that require their own approach. To improve our field's ability to create persuasive outreach, we collaborated with market researchers to uncover the ‘deep metaphors’ held by patients and caregivers (3), and in a separate study, specialists who refer patients to PC. In this session we will review these rich findings that establish a novel empirical foundation for more effective outreach. The patient and referring provider participants were specifically sampled to provide a diverse range of perspectives in culture, gender, age, racial, and ethnicity. They shared images of the metaphors along with their feelings about palliative care. The session will then discuss how PC outreach can draw upon these novel findings so as to be more credible and compelling to patients, caregivers, and referring providers. We will show ‘before-and-after’ examples of successful outreach, discuss principles for effective outreach and messaging, and describe how PC clinical and administrative leaders can use this work. Attendees will leave knowing what effective PC outreach requires, how to leverage the deep metaphors held by patients and referring providers, and how their outreach to these audiences can be most effective. Opportunities for discussion and questions will be included.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;References&lt;/h3&gt;&lt;div&gt;1. Grant MS, Back AL, Dettmar NS. Public Perceptions of Advance Care Planning, Palliative Care, and Hospice: A Scoping Review. J Palliat Med. 2021 Jan;24(1):46-52. doi: 10.1089/jpm.2020.0111. Epub 2020 Jul 2. PMID: 32614634. 2.Back AL, Rotella JD, Dash","PeriodicalId":16634,"journal":{"name":"Journal of pain and symptom management","volume":"69 5","pages":"Page e429"},"PeriodicalIF":3.2,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143807317","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Deep Dive into Medical Aid in Dying: Clinical Practice Applications","authors":"Joel Policzer MD MS,&nbsp;Tara Friedman MD FAAHPM,&nbsp;Cleanne Cass DO FAAHPM FAAFP HMDC CAQ Geriatrics,&nbsp;Erin Collins MN RN CHPN,&nbsp;Sarah Payne DO HMDC,&nbsp;Kasey Malotte PharmD","doi":"10.1016/j.jpainsymman.2025.02.024","DOIUrl":"10.1016/j.jpainsymman.2025.02.024","url":null,"abstract":"<div><h3>Outcomes</h3><div>1. Understand what brings patients to the choice of when and where to end their lives and explore strategies for counseling and supporting patients, families, staff, colleagues and hospice agencies.</div><div>2. Describe the physician's role in this process, the process the patient will go through, and details of the intervention itself.</div></div><div><h3>Abstract</h3><div>Medical Aid in Dying was first passed into law in Oregon in 1997. Since then, the ability of terminally ill people to control the end of their lives has become legal in 10 states and the District of Columbia. It is also legal in all Canadian provinces. While most clinicians are aware of this intervention, many may not understand it in detail. This 2-hour presentation will focus on the history of MAID in the U.S., the current state of MAID practice, what it is and is not, and how to support patients, families, and clinicians, including their organizations, through the decision-making process. The faculty includes both clinicians who practice in states where it is legal and provide this intervention, and those who have had personal experience with MAID.</div></div><div><h3>References</h3><div>Medical Aid in Dying: Ethical and Practical Issues Treem, Jonathan J Adv Pract Oncol. 2023 Apr: 14(3): 207-211 Medical Aid in Dying. [pubmed.ncbi.nlm.nih.gov] Nowels D, VandeKieft G, Ballentine JM. Am Fam Physician. 2018 Mar 1;97(5):339-343. PMID: 29671510 No abstract available. Rethinking Medical Aid in Dying: What Does It Mean to 'Do No Harm?' Dallas R Lawry J Adv Pract Oncol . 2023 May;14(4):307-316. doi: 10.6004/jadpro.2023.14.4.5. Epub 2023 May 1. Trends in Medical Aid in Dying in Oregon and Washington. [pubmed.ncbi.nlm.nih.gov] Al Rabadi L, LeBlanc M, Bucy T, Ellis LM, Hershman DL, Meyskens FL Jr, Taylor L, Blanke CD. JAMA Netw Open. 2019 Aug 2;2(8):e198648. doi: 10.1001/jamanetworkopen.2019.8648. PMID: 31397857 Free PMC article.</div></div>","PeriodicalId":16634,"journal":{"name":"Journal of pain and symptom management","volume":"69 5","pages":"Pages e420-e421"},"PeriodicalIF":3.2,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143807042","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"HPNA Clinical Lecture Series: “I am Better Because You Are Here” Advances and Gaps in Hospice and Palliative Pain Management – Past, Present and Future","authors":"Masako Mayahara PhD RN CHPN FPCN FAAN","doi":"10.1016/j.jpainsymman.2025.02.081","DOIUrl":"10.1016/j.jpainsymman.2025.02.081","url":null,"abstract":"<div><h3>Outcomes</h3><div>1. Evaluate the key advancements in hospice and palliative pain management, understanding their impact on patient outcomes and the role of interdisciplinary collaboration in transforming the field.</div><div>2. Identify persistent gaps in hospice and palliative pain management practices and explore emerging research and innovations that could enhance patient-centered care and improve pain management in the future.</div><div>Join us as we explore the evolution of pain management in hospice and palliative care. This session will highlight key advancements that have transformed the field, examine persistent gaps in practice, and envision future innovations to enhance patient outcomes. Through a collaborative and reflective lens, attendees will gain insights into the importance of interdisciplinary teamwork, patient-centered approaches, and emerging research shaping the journey of managing pain with compassion and precision.</div></div>","PeriodicalId":16634,"journal":{"name":"Journal of pain and symptom management","volume":"69 5","pages":"Pages e459-e460"},"PeriodicalIF":3.2,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143807054","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"HMD Certification Review Course and Update","authors":"Bethany Snider MD HMDC FACP FAAHPM,&nbsp;Bethany Calkins MD MMM HMDC FAAHPM,&nbsp;Balakrishnan Natarajan MD HMDC","doi":"10.1016/j.jpainsymman.2025.02.076","DOIUrl":"10.1016/j.jpainsymman.2025.02.076","url":null,"abstract":"<div><h3>Outcomes</h3><div>1. Analyze regulatory issues affecting the hospice medical director and find strategies to fulfill these requirements.</div><div>2. Employ the clinical, regulatory, leadership, and administrative skills and ethical knowledge required in the role of hospice medical director.</div></div><div><h3>Abstract</h3><div>This intensive full-day workshop led by national hospice medicine faculty leaders is designed to explore and further develop the skills needed to successfully navigate today's hospice environment. This immersive review will serve as part of your preparation for the Hospice Medical Director Certification Board (HMDCB) exam and is based on the exam blueprint (www.hmdcb.org). The workshop also serves as a great orientation for those new to the hospice field or as a critical update for all hospice practitioners and managers. Faculty will address systems-based practice implications of: 1. Eligibility, Certification, F2F, Narratives 2. Medical Leadership, Communication &amp; Professionalism 3. Prognostication and Relatedness 4. Hospice Regulation, Regulatory and Compliance Issues: ADRs, QI, COPs, physician billing, etc. 5. Ethics 6. Test Prep Questions and Knowledge Checks.</div></div>","PeriodicalId":16634,"journal":{"name":"Journal of pain and symptom management","volume":"69 5","pages":"Page e458"},"PeriodicalIF":3.2,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143807067","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}