Chapter 20: Care of the Terminally Ill Patient

Chapter 20: Care of the Terminally Ill Patient

Identification: AMBP020v2019c20
Expiration Date: December 31, 2023
Credits (Post Test and/or Evaluation Required)
Available until 12/31/2023
  • 1.80 - CH


Continuing Education Instructions and Disclosure Information:

  • Contact hours available until 12/31/2023.

Requirements for Successful Completion:

  • Complete the learning activity in its entirety and complete the online CNE evaluation. You will be able to print your CNE certificate at any time after you complete the evaluation.

Faculty, Planners, and Authors Conflict of Interest Disclosure:

  • There are no disclosures to declare

Commercial Support and Sponsorship:

  • No commercial support or sponsorship declared

Accreditation Statement:

  • This educational activity is jointly provided by Anthony J. Jannetti, Inc. (AJJ) and AAACN.
  • Anthony J. Jannetti, Inc. is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.
  • AAACN is a provider approved by the California Board of Registered Nursing, provider number CEP 5366.

Learning Outcome:

  • After completing this learning activity, the learner will be able to demonstrate knowledge of clinical challenges, issues, and skills surrounding care of terminally ill patients and their families.

Learning Engagement Activity:

  • Identify 10 barriers to adequate pain management for patients near the end of life, including patient barriers, health care provider barriers, and health care system barriers. Aside from pain, describe other symptoms experienced by patients who are near death.

Note - only CE Evaluations are available online.

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Chapter 20: Care of the Terminally Ill Patient

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Sarah Sylvia
3/20/23 9:55 pm

Barriers to proper pain management at the patients EOL are knowledge deficient by healthcare worker, inadequate pain assessment, fear of being unable to manage side effects of pain medicine, fear that the patient will become addicted, and not being able to prioritize the patients pain. The patients barriers may be cost, fear that if you treat the pain you will not be able to tell if the disease is progressing, fear of side effects, fear of being addicted or fear of the medicine not helping. From a health care system standpoint barriers to pain may be legal constraints, a provider not taking responsibility for a patients pain, trouble with reimbursement or limited access to a pain management team. Other symptoms that a patient at the end of life can experience are loss of appetite, anxiety or depression, constipation, nausea and vomiting, diarrhea. Fatigue and confusion may also be experienced.