PALLIATIVE CARE & MEDICAL-LEGAL ISSUES AT THE END OF LIFE EASTERN CARIBBEAN CRUISE
Fort Lauderdale Port *FORT LAUDERDALE , USA Visit the Venue to read more
- Dying in America
- Breaking Bad News: And Then What?
- Refusal of Treatment
- Determination of Prognosis
- Dying and the Patient With Decision-making Capacity
- Care Options for Terminally Ill Adults
- Capacity and Competency: An inter-professional approach; case-based discussion
- When the Patient Cannot Speak
- Pain Management at the End of Life
- Laws Governing Futility: When Family Members Want It All
- Management of Non-Pain Related Symptoms at the End of Life
- Death: The Caregiver’s Journey
- A Good Death: Narratives of patients and caregivers
1. A. Analyze regional and clinical differences within the United States in the provision of end-of-life care of varying intensity
B. Describe differing cultural approaches to end-of-life decision-making
C. Explain legal recognition of death by neurological criteria and differentiate between issues involving patients satisfying that criteria and patients who do not, under the law
2. A. Inform patients and responsible parties about a terminal diagnosis in an empathic and individualized manner
B. Initiate a discussion about subsequent care options, prognosis, and preferences
3. A. Discuss ethically and legally appropriate end-of-life treatment choices with patients
B. Explain the lines the law draws between appropriate and inappropriate end- of-life treatment choices for patients with decision-making capacity
4. A. Apply evidence-based, accepted methods for determining prognosis
B. Analyze factors such as co-morbidity, lifestyle and nutritional status and their effect on prognostication
5. A. Differentiate between instructional and proxy advance directives
B. Explain the difference between advance directives and physician orders regarding end-of-life treatment choices
C. Discuss these differences with patients with decision-making capacity so that their wishes are memorialized in case of loss of such capacity
D. Identify the gaps that arise between advance directives and orders in patient charts E. Assess the utility of POLST as a way to fill in those gaps
6. A. Describe insurance coverage, and financial reimbursement for end-of-life care
B. Identify appropriate sites of care and specific needs for patients with terminal conditions
7. A. Explain the legal difference between a patient who has been declared incompetent to make decisions and a patient whom a clinician has determined to lack capacity to make decisions from time to time
B. Assess capacity to make medical decisions
8 A. Explain state laws that permit family members or others acting on behalf of patients lacking capacity to speak on their behalf
B. Analyze decision-making approaches under the three possibly applicable legal standards: substituted judgment, best interests, and the legally disfavored subjective test
9. A. Adopt a systematic approach to the treatment of mild, moderate and severe pain due to various etiologies
B. Prescribe opiates and non-opiod analgesics in a safe manner, while monitoring for adverse effects
10 A. Explain the concept of medical futility
B. Distinguish between quantitative and qualitative futility
C. Compare state laws specifically describing procedures to be followed when clinicians view a patient’s treatment as futile with state laws that are less specific
D. Assess the impact of the two different types of state futility laws on clinical practices
11. A. Analyze causes of fatigue, depression, shortness of breath, and nausea in terminal patients
B. Select accepted pharmacological treatment options and use non- pharmacological means also to improve quality of life
12. A. Differentiate between aid-in-dying and euthanasia
B. Explain the statutory requirements in the states imposing strict procedural and reporting requirements regarding aid-in-dying there
C. Describe the ways that courts in other states that have determined aid-in- dying is legal there
D. Assess the clinical practice guidelines being developed regarding aid-in- dying
13. A. Appreciate the physical, psychological and financial burden of caring for individuals with terminal illness
B. Anticipate the needs of bereaved caregivers and provide access to supporting services
14. Utilize stories, poems, and videos to generate discussion about optimal end- of-life care and discuss what could constitute a good death
Conference Sessions generally take place on days at sea (as itinerary allows), giving you plenty of time to enjoy your meals, evenings and ports of call with your companion, family and friends.
Professor Kathy Cerminara bridges the medical and legal professions with her work on patients’ rights in the end-of-life decision-making arena. She co-authors the nationally known treatise, The Right to Die: The Law of End-of-Life Decisionmaking, and is a reviewer for several medical and medical-legal journals. Her scholarship most recently has focused on the intersection between end-of-life care, palliative care, and health care coverage policy. At the Nova Southeastern University Shepard Broad Law Center, she is a full professor and serves as Director of Faculty Development.
Professor Cerminara teaches Torts, Health Policy, Bioethics & Quality of Care, Administrative Law, Civil Procedure, and other health-law-related courses. She also created and was the initial director of the online Master of Science in Health Law program for non-lawyers.
Prior to joining the Law Center faculty, Professor Cerminara taught at St. Thomas University School of Law and the University of Miami School of Law, clerked in the Western District of Pennsylvania and the United States Court of Appeals for the Third Circuit, and practiced law with Reed Smith Shaw & McClay in Pittsburgh, Pennsylvania.
Professor Cerminara received her J.D. magna cum laude from the University of Pittsburgh and her LL.M. and J.S.D. from Columbia University. She is an affiliate member of the Health Law and Tort Trial and Insurance sections of The Florida Bar, a retired member of the Pennsylvania Bar, and a member of organizations such as the American Bar Association, the American Society of Law, Medicine & Ethics and the American Health Lawyers Association.
Naushira Pandya, M.D., CMD, FACP
Dr. Naushira Pandya is a Professor and the Chair of the Department of Geriatrics at Nova Southeastern College of Osteopathic Medicine in Ft. Lauderdale, FL., and the Principal Investigator and Project Director of the federally funded Geriatrics Education Center. She is the medical director of Covenant Village, a CCRC, and of Avante at Boca, a 120-bed teaching facility with a ventilator unit. In addition to overseeing the Nova’s geriatrics fellowship, she trains medical students and residents, and is the course director for the geriatrics and endocrinology courses. Dr. Pandya has the distinction of being a Fulbright Senior Specialist Scholar in Slovakia in 2009. She is an AMDA board member, a member of the Governor’s Cancer Control Committee, a board member of, and AMDA liaison to the Florida Medical Director’s Association and a board member of the Broward County Area Agency on Aging.
She is a reviewer for JAMDA and other geriatrics journals and has published 3 book chapters and over 10 journal articles in the areas of long-term medicine, diabetes, osteoporosis, venous thromboembolism, and anemia in the elderly. Her principal research interest is the management of diabetes in frail elders. She has received over $ 3 million in grant funding from the Health Resources Services Administration.
She earned her medical degree at the University of London, England, where she completed her internship in medicine and surgery and trained as a senior house officer in hematology and emergency medicine. In the United States, she completed her Internal Medicine residency in Phoenix, and concurrent fellowships in Geriatrics and Endocrinology at the University of Michigan. She is board-certified in Internal Medicine, Geriatrics, and Endocrinology.
Dr. Pandya has been an active member and advocate of the American Medical Directors Association (AMDA) since 1999, and became a certified medical director in 2003. She is the past chair of the American Medical Director's Clinical Practice Guideline Steering Committee (5 years), and past chair of the Clinical Practice Committee (2 years). She was elected as one of the AMDA Board State President’s Council representatives in 2011. Additionally, she has been instrumental in writing clinical practice guidelines on the Management of Diabetes in the Long-term Setting, Osteoporosis, Falls, and the Pharmacological Treatment Guideline for Depression. She is a regular contributor to the AMDA annual meeting, a frequent speaker at national and international meetings, and has trained many practitioners to implement AMDA’s clinical practice guidelines. Dr. Pandya has helped to forge international alliances between AMDA and Central Europe through the European Expertise in Long-term Care Association (ELTCA).
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|Owner's Suite (OS) - Two twin beds (can convert to Queen). Private bathroom with tub, shower and two sinks, marble entry, large closets, living area with table and sofa. Private balcony with table and chairs. (569 sq. ft., balcony 246 sq. ft.) Each stateroom also has its own flat-screen television, thermostat controlled air-conditioning, internet access, direct-dial telephone, radio, mini bar, individual safe, and 24 hour room service.||Call|
|Grand Suite (GS) - Two twin beds (can convert to Queen). Private bathroom with tub and two sinks, marble entry, large closets, sitting area with table and sofa. (371 sq. ft., balcony 114 sq. ft.) Each stateroom also has its own flat-screen television, thermostat controlled air-conditioning, internet access, direct-dial telephone, radio, mini bar, individual safe, and 24 hour room service.||Call|
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|Superior OceanView Stateroom with Balcony (D8) - Two twin beds (can convert into queen-size), private balcony, sitting area, and a private bathroom. 182 sq. ft., balcony 53 sq. ft.)||$1,274|
|OceanView Stateroom (I) -Two twin beds (can convert Queen), private bathroom and sitting area. (178.7 sq. ft.)||$1,124|
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|Prices are Per Person, Double Occupancy, Subject to change|
Port Charges, Taxes & Fees $333.88
Deposit $250 per person
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