Pearls for Practice: Nonpain Symptom Management (2018)

2018: Targeting the Pusher: Beyond Going Beyond Senna and Colace for the Management of Constipation in Hospice
Presenters: Jamie Fertal, DO, Martina Meier, MD, Mary Lynn McPherson, PharmD MA MDE BCPS CPE, Eric Prommer, MD HMDC FAAHPM

Objectives: Understand the pathophysiology of functional bowel disorders vs opioid induced bowel dysfunction. Learn how to classify bowel disorders and tailor therapies according to disorder. Learn mechanisms of action of new drugs for constipation.

The SAFEST'' Way to Navigate Substance Abuse - A Talking Map for Difficult Situations''
Presenters: Julie Childers, MD MS FAAHPM, Jennifer Pruskowski, PharmD BCPS CGP CPE, Pina Patel, MD

Objectives: Screen patients for substance abuse in the outpatient palliative care setting. Set limits on the use of opioids and other controlled substance while maintaining the commitment to care for the patient.

Opening the Black Box: How Interventional Radiology Can Help Our Patients in Hospice and Palliative Care
Presenters: Christopher Jones, MD HMDC FAAHPM, Jeffrey Weinstein, MD

Objectives: Describe indications for four commonly used interventional procedures for patients with serious illness. Explain the clinical experience of patients undergoing a tunneled catheter placement, kyphoplasty, celiac plexus block, and other common procedures. Identify the most and least cost-effective procedures that VIR clinicians can perform for four common palliative care conditions.

Seizure Bootcamp: Everything You Ever Needed to Know to Manage Seizures in End Stage Disease
Presenters: Mara Lugassy, MD, Neha Kramer, MD, Ebtesam Ahmed, PharmD MS, Joel Phillips, DO, Colleen Fleming-Damon, PhD ARNP-BC ACHPN FT

Objectives: Describe common clinical presentations of seizures in advanced illness. Implement strategies for appropriate use of antiepileptics in end stage illness. Develop a framework for management of acute seizure activity in home and inpatient hospice settings.

Not just cutting it  - A Successful Interprofessional Cooperation between Palliative Care, Pain and Neurosurgery in the Treatment of Intractable Cancer Pain
Presenters: Rotem Tellem, MD, Ido Strauss, MD PhD, Uri Hochberg, MD, Michal Arad Sobol, RN

Objectives: List three neurosurgical procedures that selectively intervene along the pain processing pathways and to describe their role in the treatment of intractable cancer pain. Perform case analysis of different clinical cases of patients with intractable cancer pain and to appropriately make an interdisciplinary based patient selection for different neurosurgical procedures.

I have a terrible sore throat I'm itching and haven't slept in days'': Pharmacopalliation of Mucositis Pruritus and Insomnia in Hospice and Palliative Care Patients
Presenters: James Ray, PharmD, Carla Pies, DNP GNP ANP ARNP,
William Clark, MD

Objectives: Describe the pathophysiology, clinical manifestations, and prevention of mucositis, pruritus, and insomnia. Identify pharmacologic and non-pharmacologic interventions for mucositis, pruritus, and insomnia. Summarize the scientific evidence underlying the successful management of mucositis, pruritus, and insomnia.