palliative care cruise

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June 8, 2024

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June 29, 2024

July 2, 2024, july 5, 2024.

July 12, 2024

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July 18, 2024

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August 3, 2024

August 9, 2024, august 10, 2024, august 11, 2024, august 16, 2024, august 17, 2024, august 24, 2024, august 25, 2024, august 30, 2024, september 7, 2024, september 12, 2024, september 13, 2024, september 19, 2024, september 21, 2024.

October 5, 2024

October 6, 2024, october 11, 2024, october 13, 2024, october 14, 2024, october 18, 2024, october 27, 2024, november 2, 2024, november 3, 2024, november 8, 2024, november 15, 2024, november 16, 2024, november 30, 2024, december 1, 2024, december 7, 2024, december 14, 2024, december 21, 2024, december 28, 2024, january 4, 2025.

January 12, 2025

January 18, 2025, january 26, 2025, february 7, 2025, february 8, 2025, february 16, 2025, february 19, 2025, february 22, 2025, march 1, 2025, march 9, 2025, march 15, 2025, march 17, 2025, march 22, 2025, march 23, 2025, april 6, 2025, april 13, 2025, april 20, 2025, april 24, 2025, april 28, 2025, may 4, 2025, may 8, 2025, may 11, 2025, may 14, 2025, may 15, 2025, may 17, 2025, may 22, 2025, may 24, 2025, may 25, 2025.

May 29, 2025

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October 13, 2025

October 17, 2025, october 19, 2025, november 1, 2025, november 4, 2025, november 6, 2025, november 13, 2025, november 16, 2025, november 22, 2025, november 29, 2025, november 30, 2025, december 6, 2025, december 14, 2025, december 21, 2025, december 28, 2025, january 18, 2026, february 1, 2026, february 8, 2026, february 28, 2026, march 6, 2026, april 25, 2026.

Greek Isles – August 11-18, 2024

On board odyssey of the seas, topics: emergency medicine palliative care.

Departing August 11th, 2024 - August 18th, 2024

7-Nights, 6 Ports, 2 Sea Days

– Rome (Civitavecchia), Italy –

Santorini, Greece –

Ephesus (Kusadasi), Turkey –

Mykonos, Greece –

Naples (Capri), Italy –

Faculty & Conference Details

Dr. darren cargill.

Palliative Medicine

About The Speaker

Dr. Cargill is a family physician and Royal College specialist in Windsor, ON with a full-time focused practice in Palliative Medicine.  He currently practices at the Hospice of Windsor and Essex County, where he was Medical Director from 2006-2022. He is an Adjunct Professor at the Schulich School of Medicine – University of Western Ontario, where he completed his medical school and residency training.  It is the only medical school in Ontario without a division of Palliative Medicine. Dr. Cargill is the past Section Chair for Palliative Medicine at the Ontario Medical Association (OMA) and previous committee work has included the 2017 Negotiations Committee and 2019 Appropriateness Working Group.  He is also an external physician advisor for the Ministry of Health.

Dr. Cargill has fellowship in the CFPC, Royal College and AAHPM.   He is a certified Pallium LEAP (Learning Essential Approaches to Palliative Care) facilitator.  He is one of only two Certified Hospice Medical Directors (HMDC) in Canada.  Dr. Cargill completed the CMA-OMA Physician Leadership Program (PLDP) and has his designation as a Certified Canadian Physician Executive (CCPE).

He received an OCFP and OMA Award of Excellence for his work on “Dan’s Law,” which aimed to remove the 3 month OHIP waiting period for patients requiring palliative care.  He also won the 2017 Larry Librach Award from HPCO for community leadership.  In 2017, he was awarded the Schulich School of Medicine “Subspecialist of the Year” for the Windsor Campus. He also received the OMA’s Section Service Award in 2022.

Dr. Cargill is a candidate for his Master’s Degree in Palliative Care beginning September 2025 at the Cicely Saunders Institute at King’s College in London, England.

Darren enjoys spending time with my wife and family as well as travel, time at the cottage and driving his 11 year old son to hockey and lacrosse. Growing up in the GTA but now living in Windsor has left him conflicted as a sports fans…

Dr. Joe Nemeth

Emergency Medicine

Dr. Nemeth completed his emergency medicine training in the US and Europe. He has been working at the McGill University Health Centre since 2001. He is an Associate Professor/Member in the Departments of Emergency Medicine/Pediatrics/Critical Care at McGill University. He is also the creator and director of the Trauma Fellowship for Emergency Medicine physicians, the Resuscitation Fellowship and the General Emergency Medicine Fellowship.

He divides his clinical work as an emergency medicine physician and trauma team leader between the Montreal General, Royal Victoria and Montreal Children’s Hospitals. He has extensive experience in international level teaching and lecturing and has been invited as keynote/plenary speaker to many international events. His academic interests include trauma, resuscitation medicine, education locally and globally.

Detailed Itinerary

Dr. cargill.

• History of Palliative Care/Identification/Common Tools
• Advanced Care Planning/Goals of Care/Serious Illness Conversations
• Symptom Management Part 1
• Symptom Management Part 2
• Last Days and Hours/End of Life Care
• Current Topics/Issues in Palliative Care
•  Pulmonary Embolus-Updates and Misconceptions
• Chest Pain Killers- Not Always Easy to Recognize
• The Work-Up of the Febrile Infant-Easier than you Thought
•  Anaphylaxis-The Key is Early Recognition, the Treatment is Simple
• Geriatric Patient in the ED-Not Always a UTI
• Common Pediatric Ortho Bubu’s

Venue Information

Additional noteworthy features, onboard experience.

• Full service Vitality at Sea Spa and state-of-the-art Fitness Center
• FlowRider Surf Simulator
• North Star Observation Capsule
• Sports Court
• 17 dining options & multiple bars and lounges
• SeaPlex Activity Center
• RipCord by iFLY Skidiving Simulator

Luxurious and Upscale on Every Level

An escape within an escape, on board world-class cuisine, an experience above the rest, outstanding service.

• Knowledgeable, personalized, genuine service
• Suite class butlers
• Certified sommeliers in every restaurant
• Twice daily makeup and turn down service
• Nearly 2:1 guest to crew ratio
• Crew from over 50 diverse cultures dedicated to creating a world class experience for each guest, every time

Itinerary & Schedule

Day 1 | august 11, 2024 | rome (civitavecchia), italy, day 2 | august 12, 2024 | at sea, day 3 | august 13, 2024 | santorini, greece, day 4 | august 14, 2024 | ephesus (kusadasi), turkey, day 5 | august 15, 2024 | mykonos, greece, day 6 | august 16, 2024 | at sea, day 7 | august 17, 2024 | naples (capri), italy, day 8 | august 18, 2024 | rome (civitavecchia), italy, pre-and-post conference information.

Cruise, Land, Resort must be booked through CME AWAY®.

This course is designed for family physicians, specialists, and allied health care professionals. The aim is to provide evidence-based material, as well as practical and relevant clinical pearls that will be easy to implement into one’s own medical practice. Conference attendees will be invited to complete a pre-course Needs Assessment to assist the faculty with the development of their presentations.

Sailing August 11th, 2024 - August 18th, 2024

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• Writing Instructional Objectives

Leadership Forum: Ascend

Annual assembly.

• State of the Science
• Intensive Review Course
• Advanced Course in Pain
• Intensive Board Review Course 2018 Recordings
• IBRC18 - Taking the Test Like a Pro
• Advanced Clinical Course
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Earn Continuing Medical Education

AAHPM is committed to providing continuing medical education (CME) that supports and advances the practice of physicians in hospice and palliative medicine. We strive to offer a range of opportunities to earn CME, including live events; online, on-demand products; and virtual live events such as webinars. Review the AAHPM CME Mission Statement .

The Academy's new online learning platform, AAHPM Learn, offers the ability to track your credits from AAHPM and external organizations. Head to learn.aahpm.org , login with your AAHPM credentials, and visit My Account. Select the My Activities tab and select External Credits to start tracking your credits. 

AAHPM Live Events

The   Annual Assembly  is the premier educational event for all hospice and palliative care providers, including physicians, nurses, and others interested in acquiring, maintaining, or expanding the skills needed to function effectively in the field. Continuing education credit is typically offered for physicians, nurses, pharmacists, social workers, and physician assistants who complete an Assembly evaluation.

The Ascend program helps hospice and palliative care professionals develop the capabilities required to lead their organization in implementing new directions. Continuing education credit is typically offered for those who complete an evaluation.

Intensive Board Review Course

This board review course provides attendees with a learning experience designed to prepare for the Hospice and Palliative Medicine certification examination.

Dynamic Online Education

Video and audio recordings.

These popular evidence-based courses are available to enhance the care you provide. These AAHPM sessions, hosted by Relias, offer continuing education credits for physicians, nurses, and social workers.

Choose from these hot topics and begin your online learning:

• Requests for Physician-Assisted Death
• Palliative Wound Care
• Speed Dating with Pharmacists: 50 Practical Med Tips
• Management of Cardiac Devices in Hospice and Palliative Care Patients

Starting at $20, these interactive courses offer varying continuing education credits. Select from the topics above to learn more. 

These courses were updated in October 2018.

Essential Practices in Hospice and Palliative Medicine Learning Module

Essential Practices in Hospice and Palliative Medicine (formerly UNIPAC ) is in its 5th edition. Each book has a corresponding online confidence-based learning module, delivered using an application that analyzes learning confidence to efficiently pinpoint knowledge gaps and areas of misinformation. Earn 3 CME credits. MOC available for some Boards. 

HMD PREP  is an online practice test with 75 multiple-choice practice questions designed to assess your knowledge, identify topics for which additional study may be useful, and help prepare you for the HMD certification examination . Earn 5 CME credits. MOC available for some Boards.

The  HPM FAST modules are quick, effective, targeted educational tools to enhance your clinical practice. Each of the four modules include 25 multiple-choice practice test questions to focus your study in Pediatric, Psychiatry and Cognition, Prognostication, and Hospice Regulatory. Earn 2 CME credits. MOC available for some Boards.

NOTE: Physicians - please review the deadlines to submit your MOC data.

Accredited Medical Education

AAHPM endorses the ACCME Standards for Integrity and Independence in Accredited Continuing Education. The Standards for Integrity and Independence in Accredited Continuing Education are designed to ensure that accredited continuing education serves the needs of patients and the public, is based on valid content, and is free from commercial influence. The ACCME defines ineligible companies as those whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients. Prior to assuming a role in the accredited continuing education offering, AAHPM is responsible for identifying and mitigating relevant financial relationships between individuals in control of educational content and ineligible companies to ensure they do not introduce commercial bias into our accredited continuing education content. Only those who had no conflict of interest or who agreed to an identified mitigation process prior to their participation were involved in these accredited activities. For more information on the Standards for Integrity and Independence in Accredited Continuing Education, please visit https://www.accme.org/standards-resources.

CME Mission Statement

The American Academy of Hospice and Palliative Medicine strives to educate physicians and other members of the care team on valid and independent content that is relevant to their practice and that contributes to improvements to their strategies, skills, performance and coordination as healthcare teams. AAHPM will promote professional development that supports the organization’s vision and values.

Reviewed and updated, Education and Learning Strategic Coordinating Committee, August 2020 Reviewed and updated, Education and Training Committee, September 2012 Reviewed and updated, Education and Training Committee, January 2010 Reviewed and updated, Education and Training Committee, May 2009 Reviewed and updated, Education and Training Committee, June 2008 Reviewed and updated, CME Committee, April 2007 Reviewed, CME Committee, January 2006 Reviewed, CME Committee, February 2005, Reviewed and updated, CME Committee, August 2004

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Mayo Clinic School of Continuous Professional Development

You are here, updates in palliative care online cme course.

• Accreditation

Online Course Available until June 10, 2024

Updates in Palliative Care is a multidisciplinary CME course designed to build and enhance your palliative care knowledge. Experts from the Mayo Clinic Center for Palliative Care provide clinically relevant pearls for palliative care providers and clinicians from primary care, hematology/oncology, hospital medicine, critical care and related specialties. If you care for patients with serious illness and are looking to broaden your skills beyond the basics, this is the course for you. Content in this course is repurposed from the 2021 livestream event.

• Dynamic, case-based presentations
• Timely palliative care content such as management of refractory symptoms when usual therapies fail, strategies for complex communication scenarios, adaptive coping, spiritual distress and pain management strategies for seriously ill patients with high opioid risk

Target Audience

Targeted clinician specialties (MD, NP, PA-C) include clinicians from general internal medicine, family medicine, hospital medicine, oncology, critical care, geriatrics, nephrology and cardiology. This is also great educational content for social workers. 

Learning Objectives

Upon completion of the Updates in Palliative Care course, learner should be able to:

• Formulate an approach to address complex communication scenarios such as requests for hastened death, miracles and perceived futility.
• Develop treatment strategies for refractory symptoms.
• Define adaptive coping and apply specific interventions to improve patient and family coping.
• Utilization of this Mayo Clinic online (enduring materials) course does not indicate nor guarantee competence or proficiency in the performance of any procedures which may be in this course.

Attendance at any Mayo Clinic course does not indicate or guarantee competence or proficiency in the skills, knowledge or performance of any care or procedure(s) which may be discussed or taught in this course.

Additional Information

• 9.25 AMA PRA Category 1 Credit ™
• 9.25 Attendance

Course Directors

Mayo Faculty

Guest Faculty

Credit Statement(s): AMA Mayo Clinic College of Medicine and Science designates this enduring material for a maximum of 9.25  AMA PRA Category 1 Credits™ . Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Other Healthcare Professionals A record of attendance will be provided to all registrants for requesting credits in accordance with state nursing boards, specialty societies or other professional associations.

For disclosure information regarding Mayo Clinic School of Continuous Professional Development accreditation review committee member(s) and staff, please go here to review disclosures .

Available Credit

Access to online streaming course is available from the date of purchase until the course expires on July 18, 2024. Credit must be claimed within that time period.

Cancellation and Refund Policy

View Cancellation and Refund Policy

All requests must be submitted in writing using the Contact Us Form .

Any use of this site constitutes your agreement to the Terms and Conditions of Registration.

• Patient Care & Health Information
• Tests & Procedures
• Palliative care

Palliative care is specialized medical care that focuses on providing relief from pain and other symptoms of a serious illness. It also can help you cope with side effects from medical treatments. The availability of palliative care does not depend on whether your condition can be cured.

Palliative care teams aim to provide comfort and improve quality of life for people and their families. This form of care is offered alongside other treatments a person may be receiving.

Palliative care is provided by a team of health care providers, including doctors, nurses, social workers, chaplains and other trained specialists. The team works with you, your family and your other providers to add an extra layer of support and relief that complements your ongoing care.

Mayo Clinic's approach

Products & Services

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Why it's done

Palliative care may be offered to people of any age who have a serious or life-threatening illness. It can help adults and children living with illnesses such as:

• Blood and bone marrow disorders requiring stem cell transplant.
• Heart disease.
• Cystic fibrosis.
• End-stage liver disease.
• Kidney failure.
• Lung disease.
• Parkinson's disease.
• Stroke and other serious illnesses.

Symptoms that may be improved by palliative care include:

• Nausea or vomiting.
• Anxiety or nervousness.
• Depression or sadness.
• Constipation.
• Difficulty breathing.
• Loss of appetite.
• Trouble sleeping.

How you prepare

Here's some information to help you get ready for your first consultation appointment.

• Bring a list of symptoms you're experiencing. Write down what makes the symptoms better or worse and whether they affect your ability to go about your daily activities.
• Bring a list of medicines and supplements you use. Write down how often you use the medicines and the doses you take. For example, one pill every four hours for five days. If you can, write what you used that helped with your symptoms or what you used that did not help.
• Consider bringing a family member or friend with you to the appointment.
• Bring any advance directives and living wills you've completed.

What you can expect

Palliative care can be part of your treatment plan at any stage of a serious illness. You may consider palliative care when you have questions about:

• What programs and resources are available to support you throughout your illness.
• Your treatment options and their reasons for and against.
• Making decisions in line with your personal values and goals.

Your first meeting may take place while you're in the hospital or in an outpatient clinic. Research suggests that early use of palliative care services can:

• Improve the quality of life for people with serious illness.
• Decrease depression and anxiety.
• Increase patient and family satisfaction with care.
• In some cases, extend survival.

During the consultation

Your palliative care team will talk with you about your symptoms and current treatments. The team may discuss how this illness is affecting you and your family. You and your palliative care team make a plan to prevent and ease suffering and improve your daily life. This plan will be carried out in coordination with your primary care team in a way that works well with any other treatment you're receiving.

After the consultation

Your palliative care plan is designed to fit your life and needs. It may include elements such as:

• Symptom management. Your palliative care plan will include steps to address your symptoms and improve your comfort and well-being. The care team will answer questions you may have, such as whether your pain medicines will affect treatments you're receiving from your primary health care provider.

Support and advice. Palliative care services include support for the many difficult situations and decisions you and your family make when you're facing a serious illness.

You and your family may talk with a palliative care social worker, chaplain or other team member about stress, spiritual questions, financial concerns or how your family will cope if a loved one dies. The palliative care specialists may offer guidance or connect you with community resources.

• Care techniques that improve your comfort and sense of well-being. These may include breathing techniques, healing touch, meditation, visualization or simply listening to music with headphones.
• Referrals. Your palliative care specialist may refer you to other care providers, for example, specialists in psychiatry, pain medicine or integrative medicine.
• Advance care planning. A palliative care team member can talk with you about goals and wishes for your care. This information could then be used to help you develop a living will, advance directive and a health care power of attorney.

Your palliative care team collaborates with your health care providers to ensure your care is well coordinated.

Clinical trials

Explore Mayo Clinic studies of tests and procedures to help prevent, detect, treat or manage conditions.

Palliative care care at Mayo Clinic

• What is palliative care? National Institute of Nursing Research. https://www.ninr.nih.gov/news-and-information/what-is-palliative-care#.VjJ0rberRph. Accessed Nov. 22, 2022.
• What is palliative care? Center to Advance Palliative Care. https://getpalliativecare.org/whatis/. Accessed Nov. 22, 2022.
• Helgeson SA, et al. Early versus usual palliative care consultation in the intensive care unit. American Journal of Hospice and Palliative Medicine. 2022; doi:10.1177/10499091221115732.
• Tomasz RO. Overview of comprehensive patient assessment in palliative care. https://www.uptodate.com/contents/search. Accessed Nov. 22, 2022.
• National consensus project for quality palliative care. Clinical Practice Guidelines for Quality Palliative Care. 4th ed. 2018. https://www.nationalcoalitionhpc.org/ncp/. Accessed Nov. 22, 2022.
• Mackey RM (expert opinion). Mayo Clinic. Jan. 18, 2023.
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• Neuroendocrine tumors
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• Palliative care for biliary tract cancer
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News from Mayo Clinic

• Telehealth study on reimbursements for rural healthcare delivery March 14, 2024, 03:25 p.m. CDT
• Dementia-related pain: What caregivers need to know Feb. 22, 2023, 02:30 p.m. CDT
• Mayo Clinic Q&A podcast: Palliative care for people with cancer designed to fit the needs of each patient June 07, 2022, 12:30 p.m. CDT
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We are committed to providing comfort, compassion, and care to those we serve. Whether at home or in a facility, we hope to enhance the quality of life for your loved one.

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Your local care.

From the moment you enlist our services, you become part of our family. Everyone at Elite Home Health & Hospice is focused on improving the quality of your life. Each day we strive to meet your needs and goals. Whether you are on the road to recovery and are benefiting from our home health services or enjoying time with loved ones as you near the end of life with the assistance of our hospice program, our mission remains the same. We believe that healthcare services must be customized to respect the personal circumstances and unique needs of our clients.

Hospice care requires a special level of expertise and dedication to patients and their families. With Elite's Hospice services, you can expect dependable and compassionate staff that will help your loved ones be as comfortable as possible when they need it most.

Home Health

We bring quality health care right to your doorstep. We can provide care after surgery, or when illness or health conditions require additional assistance. We work together with you and your family, to help maintain your independence, security, comfort, and recovery.

Palliative care is a form of medical treatment that manages the pain, symptoms, and side-effects of chronic illness.

Care and Services

We are passionate about serving those that are seeking recovery through our home health services or are nearing the end of life and receiving care from our hospice professionals.

Make A Difference.

Volunteer or donate today.

We have many different opportunities that can match with your interests and/or experience. As a volunteer, you might assist caregivers or give family members a much needed break. We have internship and practicum options that can help students prepare for the curriculum demands of their degree programs. We also have clerical assistance positions that provide a great introduction to a career in medical administration. Tell us what you’d like to do.

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Cervical Cancer-Associated Suffering: Estimating the Palliative Care Needs of a Highly Vulnerable Population

Affiliations.

• 1 Division of Palliative Care and Geriatric Medicine, Massachusetts General Hospital, Boston, MA.
• 2 Department of Medicine, Harvard Medical School, Boston, MA.
• 3 Department of Global Health and Social Medicine, Harvard Medical School, Boston, MA.
• 4 Deparment of Palliative Care, University of Medicine and Pharmacy at Ho Chi Minh, Vietnam.
• 5 Harvard School of Public Health, Boston, MA.
• 6 Division of Palliative Care and Geriatric Medicine, Massachusetts General Hospital, Department of Medicine, Harvard Medical School, Boston, MA.
• 7 Department of Anaesthesiology, Aga Khan University Medical College, Karachi, Pakistan.
• 8 Department of Obstetrics and Gynecology, University of Botswana, Gaborone, Botswana.
• 9 Department of Obstetrics and Gynecology, Yale University School of Medicine, New Haven, CT.
• 10 Université Episcopale d'Haiti, Port-au-Prince, Haiti, Faculté des Sciences Infirmières de Leogane, Leogane, Haiti.
• 11 Worldwide Hospice Palliative Care Alliance, Fairfax, VA.
• 12 Clínica Las Condes, Las Condes, Chile.
• 13 Normah Medical Specialist Centre, Sarawak, Malaysia.
• 14 Cancer Institute of Cheikh Anta Diop University, Dakar, Senegal.
• 15 Radiation and Isotope Centre, Khartoum, Oncology Hospital, Sudan.
• 16 Comboni College of Science and Technology, Khartoum, Sudan.
• 17 Division of Gynecologic Oncology, Massachusetts General Hospital, Boston, MA.
• 18 Department of Obstetrics and Gynecology, Harvard Medical School, Boston, MA.
• 19 Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
• 20 Botswana-UPenn Partnership, Gaborone, Botswana.
• 21 Department of Gynecology and Obstetrics, Johannes Gutenberg University Medical Center, Mainz, Germany.
• 22 Department of Psychiatry, Massachusetts General Hospital and Harvard Medical School, Boston, MA.
• 23 Ho Chi Minh City Oncology Hospital, Ho Chi Minh City, Vietnam.
• 24 Institute of Palliative Medicine, Medical College, Kerala, India.
• 25 Federal Center for Palliative Care, Sechenov 1st Moscow State Medical University, Moscow, Russian Federation.
• 26 Ministry of Health of the Russian Federation, Moscow, Russia.
• 27 Hospice Care Professionals Association of the Russian Federation, Moscow, Russia.
• 28 College of Public Health Science, Chulalongkorn University, Bangkok, Thailand.
• 29 School of Social Work, Boston College, Newton, MA.
• 30 University Medical Center of Ho Chi Minh City, Ho Chi Minh City, Vietnam.
• 31 Pallium India, Trivandrum, India.
• 32 Shahid Beheshti University of Medical Sciences, Tehran, Iran.
• 33 Department of Medical Oncology, Oncology Institute of Southern Switzerland, Bellinzona, Switzerland.
• 34 Hope Institute Hospital, Kingston, Jamaica.
• 35 University of the West Indies, Kingston, Jamaica.
• 36 Union for International Cancer Control, Geneva, Switzerland.
• 37 National Cancer Institute, Bethesda, MD.
• 38 Department of Non-communicable Diseases, World Health Organization, Geneva, Switzerland.
• PMID: 34115522
• PMCID: PMC8457813
• DOI: 10.1200/GO.21.00025

Purpose: To enable design of optimum palliative care for women with cervical cancer, we studied the most common types of suffering and their severity, prevalence, and duration.

Methods: We first reviewed the literature on the major types, severity, prevalence, and duration of suffering associated with cervical cancer. We then conducted a modified Delphi process with experts in cervical cancer care to supplement the literature. For each type of suffering, we distinguished between decedents (those who die from cervical cancer in a given year) and nondecedents (those who have cervical cancer in a given year but do not die). By applying the suffering prevalence and duration estimates to the number of decedents, nondecedents, and family caregivers in 2017, we were able to estimate their palliative care needs and the intensity of palliative care needed to respond adequately to this suffering.

Results: There is a high prevalence among decedents of moderate or severe pain (84%), vaginal discharge (66%), vaginal bleeding (61%), and loss of faith (31%). Among both decedents and nondecedents, there is a high prevalence of clinically significant anxiety (63% and 50%, respectively), depressed mood (52% and 38%, respectively), and sexual dysfunction (87% and 83%, respectively). Moderate or severe financial distress is prevalent among decedents, nondecedents, and family caregivers (84%, 74%, and 66%, respectively). More than 40% of decedents and nondecedents are abandoned by their intimate partners. Most patients experience some combination of moderate or severe physical, psychological, social, and spiritual suffering. In total, 258,649 decedents and 2,558,857 nondecedents needed palliative care in 2017, approximately 85% of whom were in low- and middle-income countries where palliative care is rarely accessible.

Conclusion: Among women with advanced cervical cancer, suffering is highly prevalent and often severe and multifaceted.

Publication types

• Research Support, Non-U.S. Gov't
• Anxiety / epidemiology
• Hospice and Palliative Care Nursing*
• Palliative Care
• Uterine Cervical Neoplasms* / epidemiology
• Uterine Cervical Neoplasms* / therapy
• Vulnerable Populations

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• K08 CA230170/CA/NCI NIH HHS/United States

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• Describe the types of sentinel events the Joint Commission has identified
• Discuss what factors must be included in a root cause analysis in order for the Joint Commission to consider it “thorough” and “credible”
• Evaluate the most common misdiagnoses
• Describe the prevalence of medical errors and factors that contribute to an increased risk that such errors will occur
• Discuss the typical physical and emotional reactions
• Discuss prevention strategies, including effective communication and documentation
• Learn to develop support systems and utilize privileged communications
• Discuss methods to cope with the pressure of a claim, develop a sense of perspective, and transform this into a growth experience
• List principles of negotiation and communication
• Identify effective communication skills and techniques
• Discuss the common, subtle, and key clinical findings of life-threatening ENT emergencies
• Interpret imaging studies required for prompt diagnosis
• Describe life-saving treatments and avoid pitfalls to help you to end the nightmare
• Review head and neck emergencies along with high-yield procedures
• Discuss treatment options for these emergencies
• Describe procedures to treat head and neck complaints
• Evaluate and Learn to deal with your own stress, anxieties, and emotions when confronted with these challenging situations
• Develop strategies to promote safety, security, and dignity for all involved
• Identify how we influence whether a crisis is prevented or escalates and how to respond properly and professionally during crisis moments
• Implement practical skills and techniques to protect yourself and your staff
• Discuss the key high-risk presentations and documentation that is essential when caring for these patients
• Describe disease states that can cause patients to present to the ED in a combative, agitated state or seizing
• Discuss the appropriate use of sedation in the initial stabilization of combative patients
• Discuss the indications for, and pitfalls of, patient restraints
• Discuss characteristics of resilience
• Discuss actionable items to developing a less hostile environment
• Discuss what Medicine can do to support our clinicians
• Treat Osteoporosis with current medications to prevent patient morbidity
• Be familiar with the work up, how to distinguish the various causes of Dementia, and current treatment options
• Become familiar with the concept of judicious ordering of tests and procedures, as is relevant to different specialties
• Participate in an interactive session to try and diagnose some common diseases with atypical presentations
• List the tenets of Palliative Care
• Identify how palliative care can be helpful to patients, caregivers, and providers
• Identify which patients are appropriate for hospice care
• Discuss management of hospice care and relevant US Federal regulations
• Evaluate and treat some common outpatient presentations without having to consult a specialist
• Identify Impaired Health Care Providers and facilitate getting them the help they need, confidentially

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Tracy g. sanson md, facep, ceo.

Tracy Sanson MD LLC Emergency Physician Public Speaker Recipient of the 2020 Judith E. Tintinalli Award for Outstanding Contribution in Education from the American College of Emergency Physicians, and American College of Emergency Physicians Honorable Mention Outstanding Speaker of the Year for 2023 Educator, Coach, Consultant, Founder TracySansonMD, LLC Lutz, Florida

Jeffrey M. Kagan, MD

Assistant Professor of Clinical Medicine, University of Connecticut School of Medicine; Associate Clinical Professor of Medicine, Frank H. Netter School of Medicine at Quinnipiac University.

Accreditation

Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 16 (part II) MOC points in medical knowledge in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

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Hope is enough to counter euthanasia: Palliative care symposium

VOISIN | Phanie via AFP

Hope was the central theme at an international symposium in Toronto about palliative care – a field of medicine that provides relief of pain and suffering to the sick and dying. Organizers and speakers at the symposium insisted that palliative care offers so much hope that patients would not even consider euthanasia or physician-assisted suicide.

But organizers had another hope in mind as well: their own hope that the three-day symposium would begin to spread the news about palliative care, reaching policy-makers in Canada as they continue to implement the euthanasia law known as “Medical Aid in Dying,” or MAiD. 

The Canadian government recently decided to postpone an expansion of MAiD to persons suffering from mental illness. But the delay was not because of any ethical concerns , and simply based on practical matters. 

The May 21-23 symposium, “Towards a Narrative of Hope,” was organized by the Canadian Conference of Catholic Bishops (CCCB) and the Pontifical Academy for Life.

Experts in ethics, medicine, healthcare, law, and pastoral care discussed strategies to relieve suffering during illness and dying , as well as ways to provide appropriate human accompaniment to improve the quality of life and well-being of patients and their families.

Not a burden

In a written message , Pope Francis encouraged the participants to persevere in their commitment to promoting palliative care, which is an expression of compassion and respect for the infinite dignity of every person.

“Your service is important — I would even say essential — in helping the sick and dying realize that they are not isolated or alone, that their lives are not a burden, but that they always remain inherently valuable in the eyes of God (cf. Psalm 116:15) and united to us by the bonds of communion,” Francis wrote.

Bishop William T. McGrattan, president of the Canadian bishops’ conference, said at a concluding press conference that palliative care “recognizes the dignity of the human person and supports the relationships that are important for an individual , especially family and community.”

Bishop Noël Simard, Bishop of Valleyfield, Quebec, a member of the Pontifical Academy for Life, said the symposium had the objective of building a strong advocacy network, establishing a “dynamic network and forum of key leaders in order to affirm and advocate for an effective and comprehensive palliative care and end of life care, which facilitates hope and honors meaning to spiritual and personal accompaniment.”

Accompaniment

An important element of palliative care, Bishop Simard said, is accompaniment – the presence of compassion and love surrounding the person who is sick and dying.

“MAid and palliative care are contradictory,” Bishop Simard told Aleteia . “We want to focus on the necessity and the beauty of palliative care. The more we give access to good, quality palliative care, the less people will think of asking for MAiD .”

He added that it’s “unbelievable” that the government wants to give more people, such as the mentally ill, access to MAiD.

Dr. Leonie Herx, a specialist in palliative care for both children and adults, said that palliative care often is misunderstood as an intervention only at the end of life when there’s no hope left. 

“Palliative care is really about helping people live well through the challenges that they face with serious illness through to the end of their lives,” said Dr. Herx, a clinical professor at the University of Calgary. “It’s applicable to people of all ages with any type of diagnosis, in any setting of care. It involves a holistic approach that includes psychological, spiritual, social and physical aspects of life that make us human and supports us in achieving true human flourishing.”

She added, “This type of care recognizes the dignity and mutual dependency of one another and uplifts the intrinsic worth of each and every person. You matter.”

A human right

Herx pointed out that it is a human right to access palliative care. “The World Health Organization has recognized that countries have an ethical mandate to improve access to palliative care ,” she said.

But palliative care is not recognized as an essential service in the Canada Health Act, and there is unequal access to palliative care and euthanasia. 

“It’s not funded as an essential service under the Canada Health Act,” she said in answer to a question at the press conference.  “Many of the reasons people get MAiD is they feel a burden, they feel isolated and lonely, unable to enjoy life, that is to say, we have a duty to make sure that people have the resources they need to live well,” Herx said.

Resolutions

The symposium included an interfaith panel featuring different religious and cultural perspectives highlighting the importance of faith and culture in supporting the needs of the sick and dying and alleviating their physical, spiritual, and emotional suffering.

A working group is now tasked with collating the participants’ key recommendations and translating insights from the presentations and discussions into concrete strategies of actions. This will focus on five areas : advocacy for palliative care, community engagement and support, education, integrating the cultural dimension into palliative care, and palliative care policy and legislation. 

“Each of us, as a member of society, has a duty to assist and love the sick and dying and to support their loved ones with compassion so that no one is isolated, alone, or forgotten in their time of need,” Bishop McGrattan said. “This Symposium signifies a strong commitment to life and holistic care, which will bear much fruit.”

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Our experienced hospice and palliative care team provides person-centered support and comfort to individuals and loved ones dealing with life-limiting illnesses. The team also works with hospice care programs in the community to give residents coordinated, compassionate care. People choose the hospice program at Saint Joseph Villa when medical intervention is no longer possible or when the decision to stop aggressive treatment has been made, and the focus shifts to comfort care. We’re open to all, and we respect the beliefs of all. Our renowned program enables people to spend more quality time together so that they can live each day as fully as possible.

Our goal is to provide comfort and pain relief through symptom management while respecting the family’s choices, responding to their spiritual and emotional concerns, and flexibly adapting to changes in the residents’ plan of care. Pastoral care is available to respond to the spiritual needs of residents and family members while respecting each individual’s beliefs.

Hospice and palliative care services include:

• 24/7 support from highly trained medical professionals
• Exceptional nursing care
• Assistance with bathing, dressing, and eating
• Prescription management
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• A recently renovated, peaceful, serene environment
• Partnership with community hospice programs

Contact us  anytime to discuss how we might support you and your family.

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To make a difference in the lives of our residents while enjoying competitive pay and generous benefits, please click on the link below for available positions.

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Grandmother who got sick on cruise ship, stuck in Dominican Republic awake, talking

Posted: May 30, 2024 | Last updated: May 30, 2024

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Hospice care is specially designed to comfort patients and family members when patients have reached a point in their lives where the priority of care turns to ensuring the patient is at ease, rather than curing the illness.

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Ukraine Army Head Says Russia Augmenting Its Troops in Critical Kharkiv Region

KYIV, Ukraine — Russia conducted an array of aerial attacks on Ukraine with cruise missiles, drones and ballistic missiles, Ukraine's air force said Thursday, while the chief of the army said Russia is increasing its troop concentration in the Kharkiv region where Moscow's forces have made significant advances in a spring offensive.

Ukraine's GUR military intelligence operation claimed that sea drones destroyed two Russian KS-701 patrol boats in the Black Sea off the Russia-annexed Crimean peninsula. Russian officials did not immediately comment on the claim.

The air force said the overnight attacks included eight S-300 ballistic missiles, 11 cruise missiles and 32 Shahed drones. All the drones and seven of the cruise missiles were shot down, the air force said but did not give other details.

In Kharkiv, Ukraine's second-largest city, seven people were injured and a municipal services building caught fire in the attacks, regional governor Oleh Syniehubov said. Russian aerial strikes were also reported in the Khmelnytskyi and Dnipropetrovsk, but there were no injuries.

Army chief Oleksandr Syrskyi said on his Facebook page on Thursday that Russia is bringing army units into the Kharkiv region from other parts of Ukraine to supplement forces in the two main focuses of fighting, the towns of Vovchansk and Lyptsi. Syrskyi said Ukraine has also moved reserve troops into the area.

Russia's Defense Ministry said its air defenses shot down eight U.S.-made ATACMS missiles over the Azov Sea, which borders both Russia and Russia-held Ukrainian territory.

One person was injured by a drone explosion in Russia's Belgorod region, which borders Kharkiv and comes under daily attack from the Ukrainian side.

A lengthy delay in U.S. military aid and Western Europe’s inadequate military production has slowed crucial deliveries to the battlefield for Ukraine, and Russia has exploited the delays to make advances in the Kharkiv region.

Russian missiles and bombs also have pummeled Ukrainian military positions and civilian areas, including the power grid.

On Thursday, U.S. Secretary of State assailed Russian attempts to sow discord in democracies with misinformation after hinting the Biden administration may soon allow Ukraine to use American-supplied munitions to strike inside Russia.

In Prague for a NATO foreign ministers meeting , Blinken cited Moscow’s use of misinformation and disinformation, calling it a “poison” and signing an agreement with the Czech government to combat it.

A day earlier, Blinken said U.S. policy on how Ukraine deploys American weapons is constantly evolving, suggesting that Washington may rescind an unwritten prohibition on Ukraine’s use of them for attacks on Russian territory.

Although U.S. officials insist there is no formal ban, they have long made clear that they believe the use of American weapons to attack targets inside Russia could provoke an escalatory response from Moscow, something that Russian President Vladimir Putin has promised.

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