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Renal Disease: A Palliative Approach

February 9, 2017
2:00 – 3:00 pm ET

CE/CME Information

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Webinar Description

Patients with advanced kidney disease present a wide variety of challenges to hospice and palliative care providers. While nephrologists have increasingly recognized the importance of palliative care for patients, many are uncomfortable with pain and symptom management and discussing treatment options that include non-dialytic management of advanced chronic kidney disease (CKD) and hospice. New data indicate that older end-stage renal disease (ESRD) patients are being started on dialysis regardless of the severity of their comorbid conditions and less than 5% of dialysis centers believe they are providing quality palliative care to their patients. This Webinar will provide an update on this new data and its implications for hospice and palliative care providers. In addition, faculty will offer strategies to help providers engage nephrologists, dialysis staff, patients and families on the benefits of shared decision-making and earlier access to hospice and palliative care.

Webinar Objectives

At the completion of this Webinar, participants will be able to:

  • Discuss the new data on the significant palliative care needs of advanced
    CKD and ESRD patients
  • Explain how shared decision-making is presently poorly integrated into
    CKD/ESRD patient care
  • Describe an expanding role for hospice and palliative care in the care of
    kidney disease patients
  • Discuss strategies for educating nephrologists about the importance of
    advance care planning


Alvin H. Moss, MD, FACP, FAAHPM

Dr. Moss is a Professor of Medicine in the Sections of Nephrology and Supportive Care at the West Virginia University School of Medicine. He is board-certified in internal medicine, nephrology, and hospice and palliative medicine. He is the Director of the West Virginia University Center for Health Ethics and Law, and the Director of the West Virginia Center for End-of-Life Care. He serves as Chair of the Coalition for Supportive Care of Kidney Patients. He led the Renal Physicians Association workgroup that revised the clinical practice guideline, Shared Decision-Making in the Appropriate Initiation of and Withdrawal from Dialysis which was published in its second edition in 2010. He was the chair of the End-Stage Renal Disease Peer Workgroup funded by the Robert Wood Johnson Foundation that developed the Completing the Continuum of Nephrology Care: Recommendations to the Field report on renal palliative care. In 2011 he received the Renal Physicians Association’s Distinguished Service Award and in 2015 the American Association of Kidney Patients’ Medal of Excellence Award. He is the editor of the Ethics Series of the Clinical Journal of the American Society of Nephrology. His research interests include dialysis ethics and improving care of chronic kidney disease patients at the end of life. He is a graduate of Harvard University and the University of Pennsylvania School of Medicine.  

Nurse: NHPCO is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

NHPCO designates this live activity for a maximum of 1 contact hours. Nurses should claim only the contact hours commensurate with the extent of their participation in the activity. Accredited status by ANCC refers only to continuing nursing education and does not imply endorsement of any commercial product discussed in conjunction with this activity.

Physician: The National Hospice and Palliative Care Organization is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

NHPCO designates this live activity for a maximum of 1 AMA PRA Category 1 credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Certificate of Participation for Non-physician Healthcare Professionals: For participants* whose disciplines are other than counselor, nurse and physician, you may request a Certificate of Participation for Non-physician Healthcare Professionals to submit to your accrediting bodies/licensing boards for continuing education credit. This certificate will indicate the Webinar was certified for AMA PRA Category 1 Credit(s) TM. It is the responsibility of participants to submit the certificates to their accrediting bodies/licensing boards for approval. Unfortunately, NHPCO cannot guarantee its acceptance. To receive this certificate, you must complete all CE/CME requirements and indicate your desire to receive this certificate on the evaluation form.

*including bereavement professionals, finance professionals, physician assistants, social workers, spiritual care givers, etc.

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