Countless ethical dilemmas arise when dealing with patients at end stage of Alzheimer's disease. What are the best practices when families are pursuing curative care when palliative care is called for? What happens when the patient does not have advance directives? How do you best communicate with the patient when speech and understanding are limited? This interactive and thought-provoking program will examine the gray areas of multidisciplinary healthcare ethics as they relate to death, dying and grief in working with a memory-impaired patient.
This content is appropriate for beginner and intermediate levels.
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Jenerations is a Certified Sponsor of professional continuing education with the National Council of Certified Dementia Practitioners and International Council of Certified Dementia Practitioners for members holding certifications as CDP, CDCM and CADDCT. This is approved for 1 CEU.
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Ethically Handling End of Life Issues With Alzheimer's Disease & Dementia, Course #4170, is approved by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program to be offered by Jenerations Health Education as an individual course. Individual courses, not providers, are approved at the course level. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. ACE course approval period: 04/26/2022 - 04/26/2024. Social workers completing this course receive 1 Ethics continuing education credits.
Notice to providers of New Jersey SW Continuing Education:
• ACE individual course approval meets the NJ Board of Social Work Examiners requirements for individual course approval pursuant to NJ Code 13:44G-6.4.16.
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Stephanie Goldstein, BSW, LBSW, has been in healthcare for more than 15 years. Her experience includes both working directly with patients and as a manager in mental health and long term care. She is passionate about educating patients and families on options while promoting self-determination for those with complex physical, cognitive or mental health diagnoses. A frequent guest lecturer for Johns Hopkins University’s Certificate on Aging program, she also loves teaching professionals about best practices in working with older generations.
30 min - What are the ethical dilemmas and barriers faced when discussing end of life care and dementia?
25 min - Examining Professional Ethics Related to End of Life & Dementia
5 minutes Summary & Conclusions
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Fetherston AA, Rowley G, Allan CL.Challenges in end-of-life dementia care. Evidence-Based Mental Health 2018;21:107-111.
Akdeniz, M., Yardımcı, B., & Kavukcu, E. (2021). Ethical considerations at the end-of-life care. SAGE open medicine, 9, 20503121211000918. https://doi.org/10.1177/20503121211000918
Hochwald, I. H., Yakov, G., Radomyslsky, Z., Danon, Y., & Nissanholtz-Gannot, R. (2021). Ethical challenges in end-stage dementia: Perspectives of professionals and family care-givers. Nursing ethics, 28(7-8), 1228–1243. https://doi.org/10.1177/0969733021999748
Ngan OMY, Bergstresser SM, Sanip S, Emdadul Haque ATM, Chan HYL, Au DKS. Cultural considerations in forgoing enteral feeding: A comparison between the Hong Kong Chinese, North American, and Malaysian Islamic patients with advanced dementia at the end-of-life. Dev World Bioeth. 2020 Jun;20(2):105-114. doi: 10.1111/dewb.12239. Epub 2019 Jun 26. PMID: 31241234.
National Association of Social Workers. (2017). NASW code of ethics. Retrieved Month, Day, Year, from https://www.socialworkers.org/About/Ethics/Code-of-Ethics/Code-of-Ethics-English
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