Earn and download a certificate immediately upon completion of this module.
Course 2D - The Ethics of Advance Directives: Assisting with Plans for End of Life Care
This course is sponsored by CEU by Net and is approved and/or pre-approved or automatically approved for 2 credit hours by multiple State Boards including Texas, Alabama, and Florida, TCBAP-TAAP, IC&RC, NAADAC, and Florida Certification Board. EACC pre-approves 2 PDHs. It also awards 1.25 CA BBS Hours as of 10.01.15 and 2.0 before, and 1.25 NBCC Hours as of 05.01.15 and 2.0 before.
This sponsored course is both a COUNSELING INTERVENTION course for working with cancer patients, AIDS patients, terminally ill children, and others who are dealing with End of Life Issues, and ALSO an ETHICS course.
It is a 'QUIZ ONLY' course. Read and print the study material and the quiz for FREE before you decide to enroll in the course. Study off-line if you like, and take the quiz online to obtain your INSTANTLY DOWNLOADED CERTIFICATE.
The publication is accessed free of charge. It is a publication of the federal Agency for Healthcare Research and Quality (AHRQ) website.
Why can this course be counted EITHER as a treatment intervention course or an ethics course? Because the issue of counseling dying or gravely ill or at-risk people and their families regarding their decisions for End of Life Care (Advance Directives) is fraught with both ETHICAL and INTERVENTION issues. The counselor is assisting individuals and families to make a decision about the care they will receive (or not receive) in the final stages of terminal illness or injury. Choices they need to make include DNR (Do Not Resuscitate) or 'IV hydration but no IV nourishment', or 'maintain fluids and nourishment indefinitely' or 'no mechanical respiration' vs. 'all life support measures possible', and the like.
Such counseling assistance is a delicate matter, and can be difficult for counselors to carry out without inadvertently inserting their own biases into the intervention. The materials provide a ‘KNOWLEDGE FRAMEWORK’ and 'GUIDELINES' for counseling individuals and families with differing medical issues and life circumstances including AIDS -- and to do it ethically.
This research publication helps to DIFFERENTIATE between the categories of individuals for whom Advance Directives are an issue, and the differences in approach depending upon the situation, i.e., HIV-AIDS vs Cancer vs Stroke vs. Alzheimer's, etc..
Clients/Patients may be residents of nursing facilities, hospitals, hospice, or any other location where end of life is an issue - including those still living at home who have chronic diseases such as cancer, kidney failure, CHF, and HIV/AIDS -- where there is considerable uncertainty about when death is likely to occur.
This course is also helpful for those providers who work with HEALTHY individuals who work in life-threatening situations including MILITARY deployment to war zones, police officers, firemen, SWAT teams, undercover agents and other such at-risk occupations.
The AHRQ is an agency of the US Department of Health and Human Services. This free internet-accessible publication is authored by Barbara L. Kass-Bartelmes, M.P.H., C.H.E.S., and Ronda Hughes, Ph.D.
NOTE: How is this course different from most of the courses available on the CEU By Net website? Most of the courses on our site are developed by CEU By Net, and you pay your fee to access the in-house course materials and the quiz. However, this is a 'QUIZ ONLY' course. The material for this course - and the quiz which we have developed to assess mastery of the materials - may be accessed FOR FREE on the internet, by clicking a link on our site. After reviewing the materials free of charge, you may pay the fee to take our online quiz and obtain your instant-download certificate. [We suggest that you print a copy of the quiz and mark your answers as you read through the materials. Then, click the 'SIGN UP NOW' button in the catalog, pay your fee, and take the online quiz. You can transfer your answers from the previously printed copy of the quiz, to the online quiz, if you like.]
For some additional information about the materials - and to READ the online article and to PREVIEW AND PRINT a copy of the online quiz - JUST CLICK THE + SIGN BELOW THIS SUMMARY.
GOALS OF THIS COURSE:
1. Learn the terms pertaining to individuals' and surrogates' LEGAL RIGHT to make 'End of Life' care decisions - whether planning for an imminent event (as with AIDS patients and other critically ill people) or within the context of high risk employment (military, law enforcement, etc.).
2. Understand the THERAPEUTIC BENEFITS and the ETHICS of engaging in discussions about ‘end of life preferences‘ with applicable individuals and their partners, spouses, families or surrogates (representatives).
3. Understand the FACTORS which typically affect individuals' choices about End of Life Care, and learn how to ETHICALLY GUIDE DISCUSSIONS leading to Advance Directives documentation.
4. Learn to DIFFERENTIATE between the categories of individuals for whom Advance Directives are an issue, and the difference in approach depending upon the situation, i.e., HIV-AIDS vs Cancer vs Stroke vs. Alzheimer's, vs. terminally ill children, vs. nursing home residents, etc..
5. Learn a five-part, research-supported PROCESS for structuring discussions about end-of-life preferences, which inherently supports our ETHICAL RESPONSIBILITY for assuring the welfare and legal rights of the client.
6. Develop an awareness of the research-verified need for clearer documentation and communication of patients' and surrogates' preferences for End of Life Care.
Note: You are free to read, download, save, and print the Study Guide(s) and Quiz(zes) for this Course, before deciding to enroll in the course. These course materials are public domain, and CEU By Net is sponsoring the course for CE Credit. You may STUDY THIS COURSE and the quiz AT NO CHARGE. You may enroll in the course at any time. You must take the quiz ONLINE, by logging into your
My Home Page
, clicking on the course you want to complete, completing the quiz or quizzes required, and submitting the Feedback Form. You will then instantly receive your course completion certificate! For more information on this course - and to see a COPY of the online quiz - click the '+' symbols, below:
||Course 2D - The Ethics of Advance Directives: Assisting with Plans for End of Life Care
This study is published by the AHRQ and serves to enhance and support professional COMPETENCE and SCOPE OF PRACTICE, for those who work with terminally or seriously ill individuals and persons in high-risk occupations, including deployed military personnel and their families. The issue here is 'development of Advance Directives' - or simply stated, 'What type of care do I want - or don't want - at the end of my life?' The research clearly indicates that the choices for End of Life Care depend upon the individual's medical or personal situation (e.g., HIV-AIDS, vs. cancer vs. the elderly vs. critically ill children, etc.).
EDITORIAL COMMENTS: CEU By Net believes that Advance Directives are logically an appropriate subject of discussion with individuals who are members of the armed services deployed to the battlefield, and their families - but that these discussions too often do not occur. Hopefully, this article may encourage such discussions.
We also know from our own experience, that many or most of the discussion-related tasks that are mentioned in this research study as_being "performed by the physician", ARE IN FACT left to the Social Worker to carry out - or to a Substance Abuse Professional (particularly those working with HIV-AIDS patients), a Pastoral Counselor or other Professional Counselor or MFT. And indeed, the authors state that the physician may wish to refer the patient to a social worker or clergy or other educational sources, 'to discuss the patient's concerns and questions.'
Therefore, such research-based knowledge is important to ensure that we as behavioral health providers understand the ETHICALLY APPROPRIATE ways to assist clients and family members or representatives with this important activity, depending upon their medical or situational status.
Per the AHRQ, "This research can help providers offer end-of-life care based on preferences held by the majority of patients under similar circumstances." The AHRQ includes this document in its search list of publications which deal with the ethics of healthcare. Likewise, CEU By Net has included this material in our ETHICS section as well as our TREATMENT INTERVENTION section. Why? Because helping patients and families to make choices regarding END OF LIFE CARE is a difficult therapeutic maneuver as well as a potentially vulnerable area of PROFESSIONAL ETHICALITY and CLIENT WELFARE .... including the elements of 'Acting in the Best Interest of the Client' and 'Informed Consent'. These activities also involve PROFESSIONAL BOUNDARIES, in terms of differentiating between our desires for a client at the end of life, and the client's own preferences. Such knowledge also helps to protect practitioners from being the focus of disciplinary action and legal complications, and having their interventions questioned by others.
You may review the GOALS FOR STUDY OF THIS MATERIAL in the descriptive section above.
This publication is dated 2003. However, the AHRQ considers this document to be nevertheless highly relevant to the subject at hand, when compared to other documents available within their research library and available elsewhere on the internet. This article is listed 3rd on the list of 261 AHRQ publications on this topic, and the last date that it was reviewed and cataloged was on May 6, 2010.
to view this study material.
to view and print the quiz you will take for this material.