THE REGISTRATIONS ARE CLOSED!

M1. What is Pediatric Palliative Care and Why Does it Matter: Palliative Care Overview

• Define PPC as a set of tasks
• Identify predictable opportunities for palliative care intervention at different stages of disease
• Describe when and how to utilize a subspecialty palliative care team
• Evaluate myths and assumptions about PPC

M3: Family Centered Care

• Define Family-Centered Care (FCC)
• Learn the four key principles in FCC
• Describe strategies for delivering effective FCC in pediatric palliative care
• Understand and reduce barriers to the delivery of FCC

M4: Grief and Bereavement

• Review theories of grief
• Assess grief in children
• Use developmentally based strategies to address grief
• Discuss grief related to the loss of a child and strategies to address family grief

M5: Self Care for Professionals

• Understand how self-care is a core competency in palliative and end of life care
• Recognize what triggers stress and burnout
• Develop a self-care plan that reduces stress and fosters personal growth and well-being

M6: Team Collaboration and Effectiveness

• Identify the conceptual basis for teamwork in palliative care
• Describe different types of teams in palliative care
• Name specific advantages and challenges of teamwork

M7: Communication & Planning

• Describe the 6 steps of the SPIKES model for giving bad news
• Detail reasons for communicating prognosis
• Learn methods for communicating prognosis
• Understand ways to elicit goals of care and to discuss advanced care planning

M10: Multi-Modal Analgesia

• Review assumptions about opioid use in children
• Evaluate the 4 WHO-Principles of acute pediatric pain management
• Discuss the concept of Multimodal Analgesia
• Calculate morphine requirements for a child in severe pain

M11: Opioid Selection and Opioid Rotation

• Review opioids commonly used in pediatric palliative care
• Pharmacology
• Routes of administration
• Common adverse effects
• Review opioids not recommended for pediatric use
• Practice opioid rotation in a case example

M12: Management of Neuropathic Pain Management and Adjuvant Analgesia

• Appreciate the high prevalence of neuropathic pain in pediatric palliative care
• Define neuropathic pain and describe main causes in pediatric patients
• Emphasize the role of opioids as a first-line agent in neuropathic pain management
• Develop a step-by-step treatment approach for neuropathic pain, including pharmacologic (opioids, non-opioids, adjuvants), procedural and integrative medicine approaches

M13: Procedural Pain Management Strategies

• Describe the evidence for the importance of managing procedural pain
• Review the 4 essential pain management strategies for needle procedures
• Identify pharmacologic agents including dose, route of administration, monitoring, and adverse effects
• Identify behavioral and integrative strategies that facilitate coping with procedures

M14: Chronic Complex Pain

• Discuss the prevalence of chronic pain and underlying pathophysiology in children

• Appreciate that different chronic pain syndromes are often considered manifestations of an underlying vulnerability rather than separate disorder
• Review the limited role for pharmacotherapy in children with chronic pain
• Opioids are usually not indicated!
• Stress the importance of a rehabilitative, interdisciplinary team approach in managing chronic pain
• Discuss management of children who have both acute pain, such as vaso-occlusive crisis in sickle-cell disease, and chronic daily musculoskeletal pain

M15: Management of Gastrointestinal Symptoms

• State the spectrum and impact of gastrointestinal symptoms
• Recognize pathophysiology involved in nausea and vomiting, and learn to prescribe appropriate antiemetic therapy
• Diagnose and treat diarrhea and constipation
• Explain the diagnosis and treatment of anorexia-cachexia syndrome
• Discuss weight changes and loss of appetite with caregivers

M16: Management of Respiratory Symptoms

• Appreciate the high prevalence of dyspnea, excess respiratory secretions and cough in pediatric palliative care and often inadequate treatment by clinicians
• Discuss pathophysiology of common respiratory symptom in pediatric palliative care
• Describe the role of opioids as a first-line agent in dyspnea
• Develop a step-by-step approach in managing dyspnea and other respiratory symptoms

M17: Management of Emotional and Behavioral Symptoms

• Describe approaches to emotional and behavioral aspects of palliative care
• Discuss “phenotypes” of psychological and behavioral pathology in seriously ill children
• Review the assessment and potential treatments for each phenotype
• Identify thresholds for referral to mental health clinicians

M18: Management of Neurological Symptoms

• Review neurological complications of children with serious illnesses, including advanced pediatric hematology/oncology conditions, and treatment strategies
• Identify causes of pain behaviors in children with neurological impairment
• Develop step-by-step approach to manage distressing neurological symptoms in pediatric palliative care

M19: Management of Refractory Distress

• Describe persistent myths about palliative sedation
• Explain the circumstances under which palliative sedation may be indicated
• Describe recommended dosing for palliative sedation in children
• Review the potential alternatives to palliative sedation

M20: Preparation for Imminent Death

• Define the end-of-life period
• Describe the tasks necessary for managing pain and distress at end of life
• Identify important issues that require careful communication and planning
• Describe the essential components of good care at the very end of life

M21: Integrative Medicine

• Describe how integrative medicine strategies can enhance care for children with life-threatening conditions.
• Practice a relaxation and mental imagery (RMI) exercise.
• Review importance of safe and effective integrative medicine modalities to improve pain and symptom management as well as quality of life for seriously ill children

M24: Methadone

• Review advantages and disadvantages of methadone use
• Evaluate potential adverse effects of methadone
• Explain difference of half-life compared to other opioids
• Practice opioid rotation to methadone

Extra lecture

• Addressing Hope at Times of Clinical Uncertainty: The Goals of care discussion as a fundamental PPC intervention