This learning pathway contains training and tools to provide an added layer of support for patients living with pulmonary disease. It includes continuing education courses in how to communicate with patients about their goals of care and support difficult decision-making, and when to refer to specialty palliative care.

CAPC Palliative Care Referral Criteria

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

Chronic Obstructive Pulmonary Disease (COPD)

Assessing and addressing sources of suffering for people living with chronic obstructive pulmonary disease (COPD), and their caregivers.

Dyspnea

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

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.

Delivering Serious News

Communicating serious clinical news to patients and families.

Conducting a Family Meeting

Communication techniques for an effective family meeting.

Advance Care Planning Conversations

How to initiate and conduct conversations about advance care planning.

Billing and Coding for Advance Care Planning (ACP) Services
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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.

Clarifying Goals of Care

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

Supporting the Family Caregiver: The Burden of Serious Illness

Assessing and supporting caregivers of people with serious illness.

Reducing Risks for Older Adults

This course provides context and best practices for identifying older adults at risk for poor outcomes, including falls, delirium, and caregiving challenges.

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