MEMBER LOGIN      E-mail:     Password:    

Nephrology and Palliative Care: Discussing End of Life Issues (1 hour Monograph)

Hours: 1.00

Best suited for: Nephrologists, nephrology fellows, and advanced practitioners who work with dialysis patients. Other interested healthcare practitioners are also welcome to participate.


Original Release Date: November 30, 2016
Review Date: May 30, 2019
Expiration Date: November 30, 2019

Description: One of the toughest clinical questions for practicing nephrologists to answer is, “Will my chronic kidney disease (CKD) patient benefit from dialysis?” In the best-case scenario, a physician should not need to make this judgment alone. Initiating or forgoing dialysis should be a joint decision with the patient after a discussion of the risks and benefits of dialysis vs. non-dialysis management. However, multiple sources confirm nephrologists find conversations about the various treatment pathways associated with advanced CKD challenging. In addition, talking with patients about poor prognoses and end-of-life issues is difficult, and many physicians, including nephrologists, would like to develop more skills in this area. 

Learning Objectives: Upon completion of this activity, participants will be able to:
1) List and describe reasons why various options such as conservative management are not
    often discussed with CKD patients 
2) Describe ways to build specific communication skills that will help you become more
    comfortable with offering to discuss end-of-life issues with patients
3) Use best communication practices to enhance interactions and care for patients facing the
    end of life

Learning Assessment: There will be a post test for this activity with a minimum performance requirement of 8 out of 10 correct answers.

Estimated time to complete activity: 1 hour

Residents will earn a certificate of completion. Physicians will earn CME credit. 

CME Information - Read

Method and Medium: To obtain CME credit, view the entire online presentation, complete the evaluation and post test and print your certificate online.

CME Credit: 1.0


State Requirements: Based on information from state licensing authorities published by the AMA, this program meets specific CME requirements for the following states:

Connecticut - This activity includes content in Risk Management
Massachusetts - This activity includes content in Risk Management
Pennsylvania - This activity includes content in Risk Management / Patient Safety
Texas - This activity includes content in Ethics and/or Professional Responsibility

CME Disclosure Policy: LAMMICO requires planners, speakers, faculty and all those who influence the content of a CME activity to disclose any financial relationships they have with commercial interests that are relevant to the CME activity. The disclosures shall be reviewed for any conflict of interest and subject to a mechanism for resolution of conflict of interest. A disclosure statement of relevant financial relationships will be made to the audience prior to the activity.

Disclosure: The author, editors and planning committee members for this activity have no relevant financial relationships to disclose.

About the Author: Richard W. Snyder, DO - Read Bio

Editor: Karen Davis, MA, CPHRM - Read Bio

Managing Editor: Dawer Azizi, MHA, CPHRM, LAMMICO Director of Risk Management  

Editor and Lead Nurse Planner: Sharon Cusanza, MSN, RN, NEA-BC, LAMMICO Senior Risk Management Education Specialist

Content Advisors/Planning Committee Members - Read

Electronic Hardware and Software Requirements - Read

Web Master Contact Information: For assistance, contact Shea Ivey at 866/398-1038 or help@medicalinteractive.com

Disclaimer: This activity is presented as risk management education. It is not legal advice, nor does it establish medical standards of care. Standards of care vary depending on the unique presentation of each patient. The information contained herein is not a substitute for the reasonable discretion of skilled and informed clinicians at the point of care.

Copyright Information: Copyright © 2016


Member and Subscriber Access
Interested in a CME program like this for your team or facility? Contact us to schedule it and talk about pricing.

This course is offered through Experix, a wholly owned subsidiary of Physicians Insurance, and is based on more than 30 years' experience in providing continuing medical education. This course is complimentary for Physicians Insurance members.

(855) 776-1831 | TalkToUs@ExperixLLC.com
Your Account | Contact Us | Privacy & Terms of Use