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Digital Seminar

Accompanying the Dying Patient: End of Life Care

Fran Hoh, PhD, APN, CS, ACHPN
6 Hours 11 Minutes
May 13, 2014
Product Code:
Media Type:
Digital Seminar
Never expires.


  • Crucial Conversations & Effective Techniques
  • Compare Benefits of Palliative Care vs. Hospice Care
  • Advance Directives: Legal Guidance for Decisions
  • Ethical End of Life Challenges
  • Tips to Keep Your Dying Patient Pain Free
  • Cultural Considerations
  • Quality of Life: The Latest in Symptom Management

There is a renewed focus in health care today on comfort care at the end of life. Research studies reveal that health professionals need to know more about the needs of dying persons regardless of setting: hospital, skilled nursing facility, home care or hospice.

This important topic is seldom taught in medical or nursing school, yet the death rate on our planet is 100%! How, then, is the most supportive end of life care learned today? The answer is through the knowledge and experiences shared by those who have been at the bedsides of dying patients. Your experienced clinician for this educational event, Fran Hoh, PhD, APN, CS, ACHPN, has mentored and educated many patients, family members and healthcare colleagues. She will provide you with concrete strategies to identify patients for whom aggressive therapy is not appropriate, tips to have conversations that address realistic and anticipated goals for care, and the latest when it comes to managing symptoms effectively, specifically pain.

Each end of life patient trusted to your care deserves your compassionate commitment to accompany them well on the final journey of their life.



Fran Hoh, PhD, APN, CS, ACHPN Related seminars and products

Fran Hoh, PhD, APN, CS, ACHPN, is an advanced practice nurse who is passionate about end of life care. As such, her doctorate in health administration allowed her to focus her dissertation work on pain management. She currently practices in a hospital as the manager of the inpatient pain service, where she instituted the pain resource nurse program. In this role, Dr. Hoh has been responsible for educating hundreds of nurses to successfully advocate for improved patient pain management. Additionally, she has her own practice, Always Think Comfort, in which she provides palliative care services to patients in long term care facilities, with the goal of preventing unplanned and unnecessary hospitalizations.

As one of the first trained ELNEC (End of Life Nursing Education Consortium) Trainers, Fran has trained nurses around the country in holistic end of life care. She presented the full day ELNEC course as a preconference at the national ASPMN (American Society of Pain Management Nurses) annual meeting for several years.

She currently holds three national certifications, including: pain management, advanced practice nurse in hospice and palliative care, and as a clinical nurse specialist in adult nursing. Fran has received recognition for her numerous contributions: she received the Clinical Nurse of the Year award from the American Society of Pain Management Nurses and the Nurse Excellence Award from Overlook Hospital. As a published author and respected national presenter, she has a wealth of knowledge to share from her vast clinical experiences caring for end of life patients.


Speaker Disclosures:

Financial: Fran Hoh is receiving a fee for speaking at this educational activity. Fran is on the speaker’s bureau for Cadence Pharmaceutical. She receives royalties for Pain Medications and You and A Comprehensive guide to survive and thrive through PESI Publishing and Media.

Nonfinancial: Fran Hoh has no relevant nonfinancial relationships to disclose.

Additional Info

Program Information

Access for Self-Study (Non-Interactive)

Access never expires for this product.


  • Analyze the current state of end of life care including symptom management in this country.
  • Evaluate criteria for services and anticipated benefits of palliative care vs. hospice care.
  • Apply appropriate communication techniques for families struggling with decisions at end of life.
  • Explain equianalgesia, tolerance, and titration and how they impact the ability to effectively treat pain.
  • Differentiate between medication options used to treat various types of pain.
  • Examine specific interventions that enable the nurse to provide quality end of life care through symptom management.
  • Create optimal patient outcomes through effective symptom management.


The Patient at End of Life

  • Palliative care vs. hospice care
  • Barriers to providing quality care at the end of life
  • Research that addresses death and dying

Family Communication at End of Life

  • Specific challenges addressed
  • Assessing goals of care
  • Communication strategies
  • Interdisciplinary approach
  • POLST/Advance directive documents
  • Examples of crucial conversations

Providing Holistic Care at End of Life

  • Cultural considerations
  • Grief and loss
  • Extent of symptoms
  • Impact on family
  • Type of disease and prior treatment success or failure
  • Legal/Ethical Issues

Symptom Management at End of Life

  • Pain
  • Dyspnea
  • Anorexia
  • Fatigue
  • Constipation
  • Nausea/Vomiting
  • Depression
  • Anxiety

Patient Outcomes

  • Press Ganey
  • Nursing interventions that impact satisfaction scores
  • Performance improvement strategies
  • The Joint Commission Standards
  • Using MDS in long term care to capture pain management

Target Audience

Nurses, Clinical Nurse Specialists, Nurse Practitioners, Nurse Educators, Case Managers, Social Workers, Chaplains

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