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Updates in Pain Management, Palliative Care, and End-of-Life Care

7-Night Mediterranean Cruise Conference
from Rome, Italy to Barcelona, Spain
June 28 - July 5, 2014

This conference has already sailed, but that doesn't mean you have to miss the boat! Click here to see our complete schedule of upcoming programs.

Celebrity's Beautiful Celebrity Equinox
Celebrity Equinox

14 AMA PRA Category 1 Credit(s)™
14 AAFP Prescribed Credit(s)
14 Contact Hours
14 APA Credit Hours

Course Fees:
$695 for Physicians, Attorneys, Psychologists, Doctors of Pharmacy & Dentists
$450 for Physician Assistants, Nurse Practitioners, Nurses & Others
BIAS FREE CME - No Commercial Support was provided for this CME activity.

IMPORTANT NOTE: All conferees, their families, and guests must book their cruise within the CEI meeting group through Continuing Education, Inc./University at Sea® at 800-422-0711 or by registering online. This ensures our company can provide conference services and complimentary social amenities to all meeting participants and their guests. Thank you for your cooperation.
Target Audience
Primary Care Physicians, Neurologists, Lawyers, Nurses
Program Purpose / Objectives
The purpose of this CME activity is to review current trends in pain management, adult and pediatric palliative care, and socio-medical issues at the end of life, and to adopt these into clinical practice.
This Live activity, Updates in Pain Management, Palliative Care, and End-of-Life Care, with a beginning date of 06/28/2014, has been reviewed and is acceptable for up to 14.00 Prescribed credit(s) by the American Academy of Family Physicians. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Topics:

 

  • Pediatric Palliative Care Overview
  • Palliative Care vs. Hospice
  • Psychosocial Considerations in Palliative Care
  • Nausea, Vomiting, and Constipation
  • Care of the actively Dying
  • Decision Making Capacity
  • Ethics and Palliative Care
  • Basic Communication and Delivering Bad News
  • Depression
  • Pain 101—The Principles of Pain Management
  • Pain 201—Applications and Cases in Pain Management
  • How to Run a Family Meeting
  • Denial and Coping Mechanisms
  • Age Appropriate Strategies for Talking With Children About Critically Ill/dying Parent
  • Self-care and Compassion Fatigue

 

 

Objectives:

 

  • Describe pediatric palliative care.
  • Assess when pediatric palliative care services can be involved with a patient.
  • Explain the difference between pediatric palliative care and adult palliative care.
  • Differentiate between palliative care and Hospice care.
  • Determine when to refer a patient to palliative care or Hospice care
  • Identify benefits to patients with early referral to these services
  • Describe how to obtain a psychosocial history (PEACE tool).
  • Explain how a patient/family’s spirituality may impact the patient’s illness.
  • Describe how to take a spiritual assessment.
  • Explain how cultural issues may impact the care of your patient, i.e. amount of information, the medical decision-maker, etc.
  • Describe the pathophysiology of nausea and vomiting.
  • Based on a clinical scenario, determine which therapy is most appropriate for a specific patient with nausea and vomiting.
  • Describe causes of constipation and how different treatment options act in the GI tract.
  • Recognize the physical signs associated with the actively dying phase Review the symptoms that need treated at this stage
  • Identify the best medications to use for a dying patient
  • Explore the meaning of decision making capacity
  • Identify the minimum criteria needed for a patient to have capacity
  • Differentiate decision making capacity from competence
  • Describe the broad legal consensus that has developed around issues of end-of-life care in the United States.
  • Assess the principles for withholding or withdrawing therapy
  • Discuss the concept of futility.
  • Illustrate these principles by using case based examples.
  • Explore barriers to good communication and potential pitfalls of misunderstood information.
  • Define ways to show empathy to patients
  • Discuss the importance of delivering difficult news well.
  • Demonstrate the 6-step SPIKES protocol for delivering bad news.
  • Apply these skills with case examples.
  • Determine how to diagnosis depression in a palliative care patient
  • Differentiate depression from anticipatory grief
  • Describe treatment options for depression in a palliative care patient
  • Describe the various methods to assess pain in patients.
  • Assess the appropriate pharmacologic management for an adult patient, including non-opioids, opioids, and adjuvant analgesics.
  • Differentiate the ways pediatric patients differ in pain management from adult patients, i.e. assessment, medications, routes.
  • Calculate equianalgesic doses of 2 different opioids
  • Explain how to treat a pain crisis effectively
  • Choose which opioid is most appropriate for a patient given a clinical scenario
  • List the critical steps involved in running a family meeting;
  • Formulate key phrases to use during sensitive discussions; and
  • Determine how to discuss prognosis.
  • Define denial in the context of an illness
  • Identify other coping mechanisms
  • Determine how to work with your patient when a coping mechanism is identified
  • Describe the development of a child’s understanding of death and dying.
  • Review age appropriate communication with children about a parent’s critical illness or death.
  • Describe other strategies and resources that can help a healthcare provider support a child during a parent’s illness or death.
  • Recognize that stress impacts clinicians providing end of life care.
  • Define burnout and recognize associated signs, symptoms and risk factors.
  • Identify techniques to decrease burnout.
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.
Questions? Call us at 800-422-0711.
We can assist you with all your travel arrangements. We'd be happy to help you plan your flights, hotels or tours before and/or after your cruise conference.
Faculty
Katie Neuendorf, M.D., Assistance Professor of Medicine, Cleveland Clinic Lerner College of Medicine, Case Western Reserve University, Associate Fellowship Director and Associate Staff, Section of Palliative Medicine and Supportive Oncology, Director of Resident Communication Education, Center for Excellence in Healthcare Communication, The Cleveland Clinic Foundation, Cleveland, Ohio

Dr. Neuendorf earned her medical degree from The Medical College of Ohio in Toledo, OH and completed her residency training in Internal Medicine at Riverside Methodist Hospital in Columbus, OH. She then pursued Hospice and Palliative Medicine fellowship training at the Medical College of Wisconsin to learn from one of the oldest palliative medicine programs in the country. She joined the Cleveland Clinic's Palliative Medicine and Supportive Oncology Section directly out of fellowship and is appointed as Assistant Professor of Medicine through the Cleveland Clinic Lerner School of Medicine, Case Western Reserve University in Cleveland, Ohio. Additionally, she is the Associate Director for the Palliative Medicine Fellowship and the Director for Resident Communication Education through the Center for Excellence in Healthcare Communication. She is board certified in Internal Medicine and Hospice and Palliative Medicine.

Dr. Neuendorf's interest in teaching palliative care to clinicians began early in her career, as evidenced by the palliative care curriculum she developed for her residency program. Since that time, she has given numerous presentations to a variety of audiences on many topics related to palliative care. The area of communication has been her main interest and the subject she enjoys teaching the most. Through the Cleveland Clinic's Center for Excellence in Healthcare Communication, she is teaching foundational communication skills as well as advanced skills such as breaking bad news, running a family meeting and code status discussions. She was appointed director of resident communication education to bring this teaching to residents and fellows in addition to staff physicians.


Christine Traul, M.D., FAAP, Director, Pediatric Palliative Care, Pediatric Hospitalist, Pediatric Hospital Medicine, Cleveland Clinic, Cleveland, Ohio

Dr. Traul is a graduate of Ohio University, Athens, Ohio (1993-1997) and received her Bachelor of Science in Biological Sciences. She graduated from the Medical College of Ohio in 2003 (now University of Toledo College of Medicine) with a degree in Doctor of Medicine. She completed her pediatrics residency in 2006 at the University of Virginia in Charlottesville, Virginia. Currently, she is Board Certified in Pediatrics and Hospice and Palliative Medicine.

Dr. Traul began her pediatric hospitalist career in Virginia in 2007, and continued at Cleveland Clinic Children's Hospital in 2010. She was named Director of the Pediatric Palliative Care Program in January 2011. Under her leadership, the program has seen a huge rise in inpatient, prenatal, and outpatient consults. In addition to her responsibilities on the pediatric palliative care inpatient consult service, Dr. Traul also cares for children with medical complexity and inpatient rehabilitation needs and the Cleveland Clinic Children's Hospital for Rehabilitation. Dr. Traul enjoys teaching second year medical students during their communications course. She also teaches pediatric palliative care to the pediatric residents, pediatric hematology-oncology fellows, and adult palliative medicine fellows throughout the year.
Accreditation

Accredited Continuing Medical Education Accreditation: Continuing Education, Inc. is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Designation: Continuing Education, Inc. designates this live activity for a maximum of 14 AMA PRA Category 1 Credits™. Each physician should claim only the credit commensurate with the extent of their participation in the activity.


ANCC Accredited Continuing Nursing Education
Continuing Education, Inc. is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.

Accredited status does not imply endorsement by Continuing Education, Inc./University at Sea or ANCC of any commercial products displayed or used with an activity.

Nurse Practitioners: can claim either ANCC Contact Hours or AMA PRA Category 1 Credits™ as needed.
Pharmacology credits are identified on individual activities.

Physician Assistants: AAPA accepts certificates of participation for educational activities certified for AMA PRA Category 1 Credit™ from organizations accredited by ACCME.

Canadian Physicians: This activity is eligible for Section 1 credits in the Royal College’s Maintenance of Certification (MOC) Program . Participants must log into MAINPORT to claim this activity.

Osteopathic Physicians: This program is eligible for Category 2 credit with the American Osteopathic Association (AOA) .

US or Canadian Family Physicians: Please let us know if you require AAFP Prescribed Credits.

Questions? Call us at 800-422-0711.
We can assist you with all your travel arrangements. We'd be happy to help you plan your flights, hotels or tours before and/or after your cruise conference.
Cruise Itinerary

DATE
PORT OF CALL
ARRIVE
DEPART
Sat Jun 28
Rome (Civitavecchia), Italy

Lectures 2:00-4:00pm; Lifeboat drill 4:00pm
-
5:00pm
Sun Jun 29
Florence/Pisa (Livorno), Italy
7:00am
7:00pm

Mon Jun 30

Nice, France
7:00am
7:00pm
Tue Jul 1
Ajaccio, Corsica
8:00am
6:00pm
Wed Jul 2
Porto Torres (Sardinia), Italy
Lecture 4:00-6:00pm
7:00am
5:00pm
Thu Jul 3
At Sea Cruising
Lectures 8:00am-12noon; 1:00-5:00pm
-
-
Fri Jul 4
Palma de Mallorca, Spain
Lecture 4:00-6:00pm
Farewell Reception
Families and guests invited
7:30pm - 8:30pm Location TBA
7:00am
5:00pm
Sat Jul 5
Barcelona, Spain
6:00am
-

Ports of Call
Ajaccio, Corsica, France - Corsica is an island of rocky outcroppings and sandy beaches, with secret trails that lead inland over fields and through lazy villages. In Ajaccio, visit Napoleon Bonaparte's house, birthplace of Corsica's famous son. Buy a wedge of tangy cheese at the market, and in the mountains, delight in the scent of sun-warmed thyme.
Barcelona, Spain - Barcelona is a one of a kind, world-class city. While away the day exploring the beautiful, tree-shaded Las Ramblas. Or, marvel at its fantastic Art Nouveau architecture, with dozens of buildings that seem to have been sculpted from the stuff of dreams, like the Sagrada Familia Cathedral. For the more worldly, shop for exquisite Lladro ceramics, chic spanish fashions or enjoy a cuisine that many say has rival's the French for the title of world's best.
Civitavecchia (Rome), Italy - Plan your time here carefully, as the Eternal City's sights are endless: the Colosseum, the Forum, the Sistine Chapel, the Vatican and so much more.
Livorno (Florence/Pisa), Italy - In Florence view the timeless treasures: the lofty Duomo, Giotto's bell tower, Michelangelo's David, the Uffizi Gallery, Ponte Vecchio over the Arno. In Pisa, see the famous Tower, still standing, if crookedly, after 650 years.
Nice, France - Cosmopolitan and chic, sun-drenched and spicy, Nice sparkles as the unofficial capital of the Riviera. Its bustling nightlife, top-notch museums, vibrant arts, and beaches enhance the charm of this Riviera town. Excellent local and regional transportation and a populace accustomed to tourists make Nice a rite of passage travelers young or old.
Palma de Mallorca, Balearic Islands, Spain - Floating gemlike off Spain's Mediterranean Riviera, these islands offer you pearls, pottery and perfectly sublime sandy beaches. Visit Valldemosa, where George Sand and Frederic Chopin spent a romantic winter in 1838.

Our staff can assist you with all your travel arrangements.

Questions? Call us at 800-422-0711.
We can assist you with all your travel arrangements. We'd be happy to help you plan your flights, hotels or tours before and/or after your cruise conference.

Celebrity Equinox

IMPORTANT NOTE: All conferees, their families, and guests must book their cruise within the CEI meeting group through Continuing Education, Inc./University at Sea® at 800-422-0711 or by registering online. This ensures our company can provide conference services and complimentary social amenities to all meeting participants and their guests. Thank you for your cooperation.
Cruise Pricing

Prices below are for the full cruise including meals and evening entertainment

STATEROOMS
DETAILS
Royal Suite (RS) - Call 800-422-0711 for Pricing
Veranda with lounge seating. Floor-to-ceiling panoramic windows. Separate living room with dining and sitting area. Two entertainment centers with plasma-screen televisions and VCR or DVD player. Music center. Walk-in closet with vanity table. Bath, including tub with whirlpool jets. Glass enclosed sitting area (connecting door to adjacent suite). Butler at your service. Complimentary 24-hour room service. Priority check-in. Priority tender service. Welcome bottle of sparkling wine and fresh fruit. Assistance with packing and unpacking. Full in-suite breakfast, lunch & dinner service. In-suite afternoon tea service. Complimentary espresso & cappuccino (in suite). Evening hors d'oeuvres, daily. Main & specialty restaurant seating preferences. 100% Egyptian cotton oversized bath towels. Plush Frette® bathrobes. Complimentary shoeshine service, use of golf umbrella, & binoculars. Bathroom accessories & hair dryer. Complimentary beach towel service. Plentiful storage space in your bathroom & wardrobe.

Stateroom : 538 sq. ft. Veranda: 195 sq. ft.
Celebrity Suite (CS) - Call 800-422-0711 for Pricing
Veranda with lounge seating. Floor-to-ceiling panoramic windows. Separate living room with dining and sitting area. Two entertainment centers with plasma-screen televisions and VCR or DVD player. Music center. Walk-in closet with vanity table. Bath, including tub with whirlpool jets. Glass enclosed sitting area (connecting door to adjacent suite). Butler at your service. Complimentary 24-hour room service. Priority check-in. Priority tender service. Welcome bottle of sparkling wine and fresh fruit. Assistance with packing and unpacking. Full in-suite breakfast, lunch & dinner service. In-suite afternoon tea service. Complimentary espresso & cappuccino (in suite). Evening hors d'oeuvres, daily. Main & specialty restaurant seating preferences. 100% Egyptian cotton oversized bath towels. Plush Frette® bathrobes. Complimentary shoeshine service, use of golf umbrella, & binoculars. Bathroom accessories & hair dryer. Complimentary beach towel service. Plentiful storage space in your bathroom & wardrobe.

Stateroom : 467 sq. ft. Veranda: 79 sq. ft.
Sky Suite (S2) – Call 800-422-0711 for Pricing
Veranda with lounge seating. Floor-to-ceiling sliding glass doors. Two lower beds convertible to queen-size. Sitting area, some with sofa bed and lounge chair. Entertainment center with television VCR and DVD player. Bath with shower/tub combination and washbasin. Complimentary 24-hour room service. Priority check-in. Priority tender service. Welcome bottle of sparkling wine and fresh fruit. Assistance with packing and unpacking. Full in-suite breakfast, lunch & dinner service. In-suite afternoon tea service. Complimentary espresso & cappuccino (in suite). Evening hors d'oeuvres, daily. Main & specialty restaurant seating preferences. 100% Egyptian cotton oversized bath towels. Plush Frette® bathrobes. Complimentary shoeshine service, use of golf umbrella, & binoculars. Bathroom accessories & hair dryer. Complimentary beach towel service. Plentiful storage space in your bathroom & wardrobe. Stateroom : 251 sq. ft. Veranda: 57 sq. ft.
Concierge Class Stateroom (C3) – Call 800-422-0711 for Pricing
Veranda with lounge seating. Floor-to-ceiling sliding glass doors. Sitting area with sofa. Two lower beds convertible to queen. 20" LCD TV. Vanity. Some staterooms may have a trundle bed . Early embarkation and debarkation. Priority check-in. Sparkling wine, fresh fruit and flowers upon arrival. Main and specialty restaurant seating preferences. Expanded room service breakfast menu. Early embarkation and debarkation. Priority check-in. Sparkling wine, fresh fruit and flowers upon arrival. Main and specialty restaurant seating preferences. Expanded room service breakfast menu Evening hors d'oeuvres, daily. Pillow menu, Plush Frette® bathrobes Hansgrohe® massaging showerhead. Extra handheld hair dryer. 100% cotton oversized bath towels. Complimentary shoeshine service, use of golf umbrella, & high-quality binoculars. Complimentary beach towel service. Stateroom: 194 sq. ft. Veranda: 42 sq. ft.
Deluxe OceanView Stateroom with Veranda (2B) - $1,364
Floor-to-ceiling sliding glass doors. Veranda with lounge seating. Two beds convertible to queen-size. Sitting area with sofa. 32" LCD TV. Vanity. Some staterooms may have a trundle bed. Complimentary 24-hour room service. Four pillows in every stateroom. Complimentary use of bathrobes. 100% cotton towels. Bathroom accessories & hair dryer. Complimentary beach towel service. Plentiful storage space in your bathroom & wardrobe. Stateroom: 194 sq. ft. Veranda: 54 sq. ft.
OceanView Stateroom (08) –$1,124
Large ocean view window. Two twin beds that can be converted to a queen-sized bed. Considerable closet space. Private bathroom with shower stall. Sitting area with desk, drawer space, vanity, and sofa. 32 inch interactive LCD television. Direct-dial telephone. Hair dryer. Mini bar. Individual safe. 100% cotton towels and linens. 24 hour room service. Stateroom : 177 sq. ft.
Inside Stateroom (10) –$934
Two twin beds that can be converted to a queen-sized bed. Considerable closet space. Private bathroom with shower stall. Sitting area with desk, drawer space, vanity, and sofa. 32 inch interactive LCD television. Direct-dial telephone. Hair dryer. Mini bar. Individual safe. 100% cotton towels and linens. 24 hour room service. Stateroom : 183 - 200 sq. ft.
Prices are Per Person, Double Occupancy, Subject to change
3rd/4th in Stateroom - Please Call for Pricing
Port Charges, Taxes & Fees $236.52
Deposit $250.00 per person
PRICING SUBJECT TO CHANGE: Although subject to change at any time, the listed prices are generally available up to about 90 days before sailing; at that time they convert to typically higher, market rates. Rates offered directly by the cruise line and quoted by our agents are also subject to change at any time, can be withdrawn at any time and are capacity controlled.
CANCELLATION PENALTY POLICY WILL APPLY: Cancellation policies vary by cruise line, itinerary and length of cruise. When reserving your stateroom, please review the policy applicable to this cruise with our staff. We strongly recommend Travel Insurance to cover the unexpected.
FUEL SUPPLEMENT: Cruiselines may implement a fuel surcharge depending on the price of crude oil.
Questions? Call us at 800-422-0711.
We can assist you with all your travel arrangements. We'd be happy to help you plan your flights, hotels or tours before and/or after your cruise conference.

TravelSafe.comPlease visit TravelSafe.com for travel insurance information.

Cruise Line cancellation policies are strictly enforced. For that reason, we urge all of our travelers to carefully consider whether travel insurance is a good value for them.

Certainly, if you have reason to think that "something might come up" that might force you to cancel, travel insurance is worth the cost of the premium. Examples we've seen in the past include ill or frail family members and changes in employment causing relocation.

If travel insurance is the right choice for you, we recommend TravelSafe. To visit their site and explore your options click here or on the link above; this link allows you to price out the insurance plan you prefer. The cruise lines also offer travel insurance and we'd be happy to help you go that route if you'd prefer. The cruise lines also offer travel insurance and we'd be happy to help you go that route if you'd prefer.

What Our Travel Insurance Can Cover: