This learning pathway includes training and tools for cardiology teams to manage symptoms, support patients with advance care planning, and improve quality of life along the trajectory of heart disease.

CAPC Palliative Care Referral Criteria

Checklist of triggers for referral to a specialty palliative care team.


Heart Failure

Interventions to reduce suffering along the disease trajectory for people living with congestive heart failure (CHF) and their families.

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Reducing physical and emotional suffering from dyspnea for patients with serious illness.

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Course 14: Pain Management: Putting it All Together

Safe opioid prescribing for patients with serious illness, using the Federation of State Medical Boards (FSMB) Guidelines for the Chronic Use of Opioid Analgesics.

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Delivering Serious News

Communicating serious clinical news to patients and families.

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Conducting a Family Meeting

Communication techniques for an effective family meeting.

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Advance Care Planning Conversations

How to initiate and conduct conversations about advance care planning.

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Billing and Coding for Advance Care Planning (ACP) Services

Requirements, best practices, documentation requirements, and time thresholds for Advance Care Planning (ACP) services. Center to Advance Palliative Care, 2018.

Discussing Prognosis

How to discuss patient prognosis in a manner that is sensitive, clear, and supportive.

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Clarifying Goals of Care

Strategies for eliciting patient goals and preferences to inform treatment decisions.

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Supporting the Family Caregiver: The Burden of Serious Illness

Assessing and supporting caregivers of people with serious illness.

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Download a PDF of this Learning Pathway

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