Endovascular Stenting for Prevention of Arterial Blowout in Patients with Advanced Vulvar Cancer
1. Identify when endovascular stenting to decrease the risk of arterial rupture may be appropriate, based on prognosis and goals of care, in patients with advanced vulvar cancer.2. Name possible reasons why endovascular stenting in patients who are at risk of iliac/femoral artery rupture may be less common than endovascular stenting in patients who are at risk of carotid artery rupture. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - April 19, 2024 Category: Palliative Care Authors: Elyse N. Brock Source Type: research

Finding the Balance: Treating Cancer Related Pain in Patients with Opioid Use Disorder
1. Identify strategies for treating cancer related pain in patients with opioid use disorder when buprenorphine and methadone are not viable options.2. Identify harm reduction strategies to keep patients with OUD safe. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - April 19, 2024 Category: Palliative Care Authors: Fionnuala Crowley, Jennifer DiBiase, Caitlyn Kuwata Source Type: research

Hiccups Should Not Be a Hiccup in Patient Care: Utilizing Inhaled Lidocaine for Intractable Hiccups
1. The learner should obtain a basic understanding regarding the hiccup reflex arc.2. The learner should obtain an understanding of the first line medications used to treat intractable hiccups, but learn that inhaled lidocaine can also be utilized if symptoms are refractory to first line treatments. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - April 19, 2024 Category: Palliative Care Authors: Shanup Dalal, Zieanna Chang, Carol Chamberlain Source Type: research

Implementing a Clinical Pathway for Malignant Bowel Obstruction in Patients with Gynecologic Malignancies
1. Recognize key aspects of care for hospitalized patients with malignant bowel obstruction.2. Describe opportunities and challenges in implementing a clinical pathway to improve quality of care among patients with malignant bowel obstruction. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - April 19, 2024 Category: Palliative Care Authors: Helen P. Knight, Caroline G. Hollahan, Shuk On Annie Leung, Isaac Chua, Janet L. Abrahm, Colleen M. Feltmate Source Type: research

Inpatient Rotation from High-Dose Oral Methadone to Sublingual Buprenorphine in a Patient with Chronic Pain
1. Participants will recognize the importance of individualizing protocols for transitioning patients from high-dose opioids to buprenorphine.2. Participants will understand the critical role of inpatient monitoring in managing withdrawal and breakthrough pain symptoms during the transition from high-dose oral methadone to sublingual buprenorphine. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - April 19, 2024 Category: Palliative Care Authors: Benjamin Schwarz, Michael Nalepa Source Type: research

Intranasal Esketamine for Treatment Resistant Depression with Suicidal Ideation in Cancer Patients: A Case Series
1. Participants will self-report the ability to discuss TRD and SI as significant psychiatric comorbidities associated with cancer.2. Participants will self-report the ability to discuss applications of IN esketamine for TRD and SI in patients with cancer. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - April 19, 2024 Category: Palliative Care Authors: William Alexander, Mercy Tomy, AmyAllen Case, Sanjay Gupta Source Type: research

Is There A Right Time?: Challenges in Discontinuing Dobutamine and Norepinephrine in Advanced Heart Failure
1. Utilizing a case-based approach, participants will be able to understand and describe the challenges associated with use and discontinuation of palliative inotropes in end of life care.2. Participants will identify key strategies that the cardiology and palliative community should routinely consider and implement surrounding palliative inotropes, as well as directions for future research and inquiry. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - April 19, 2024 Category: Palliative Care Authors: Michelle C. Ouellette, Hali Diecidue, Lara M. Skarf Source Type: research

Mirtazapine Monotherapy and Serotonin Syndrome: When ‘Benign’ Interventions Become Hazardous
1. Identify early signs of serotonin syndrome as well as effective therapeutic management to prevent progressive and life-threatening clinical sequelae.2. Recognize the risks of serotonergic agents, even when used as monotherapy, particularly among at-risk populations. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - April 19, 2024 Category: Palliative Care Authors: John Wagner Source Type: research

Multidisciplinary Approach To Assess if Suicidal Ideations Influence Decisions For Hospice Care
1. Assess for decision making capacity prior to goals of care discussions especially involving hospice care.2. Use a multidisciplinary approach to assess patients with suicidal ideation for goals of care. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - April 19, 2024 Category: Palliative Care Authors: Mariam Anwar, Mary W. Keith, Meredith L. Pickett, Natalia Miles Source Type: research

Palliating Undifferentiated Encephalopathy in Creutzfeldt-Jakob Disease vs. Autoimmune Encephalitis
1. Utilizing a case based approach, learners will be able to describe the pathophysiology of Creutzfeldt-Jakob Disease (CJD) and autoimmune encephalitis (AE) that predicts the challenges of managing delirium and agitation.2. Learners will be able to recognize the nuances of undifferentiated encephalopathy in order to mitigate potential harms of an indiscriminate approach to neurocognitive palliation with potent dopaminergic antagonists and consider a more sophisticated approach with second generation antipsychotics possessing less dopaminergic antagonism. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - April 19, 2024 Category: Palliative Care Authors: Christy Meyer, Cayman Martin, Natsu Fukui Source Type: research

Palliative Approach to Muscle Spasms in End Stage Renal Disease
1. Discuss treatment options for wide spread muscle spasms that are not related to neurotoxicity.2. Recognize the importance of physical pain management to allow patient's a chance in addressing all of his palliative domain care needs. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - April 19, 2024 Category: Palliative Care Authors: MarlaD. Rejbi Source Type: research

Palliative Care Strategies for Delusional Disorder: A Case Study on Enhancing Patient-Centered Decision-Making
1. List strategies for addressing complex medical decisions in cases of delusional disorder while maintaining patient dignity and promoting compassionate, patient-centered care.2. List strategies for addressing complex medical decisions in cases of delusional disorder while maintaining patient dignity and promoting compassionate, patient-centered care. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - April 19, 2024 Category: Palliative Care Authors: Jasmine Gulati, Stephanie Teachout, Paul Noufi Source Type: research

Persistent Pain Below the Belt: Palliative Care's Unusual Role in the Management of Priapism
1. Participants will hypothesize and discuss the potential elements of total pain experienced by sickle cell patients facing complications of prolonged priapism, including but not limited to: physical, social, spiritual, cultural, existential, and psychological aspects of pain.2. Participants will recognize and analyze the diverse implications associated with the complications of prolonged priapism, specifically exploring the impact on the patient's mental, sexual, and reproductive health. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - April 19, 2024 Category: Palliative Care Authors: Lauren Lewis, Ashima Lal, Carina Oltmann Source Type: research

Providing Gender-Affirming Care for a Veteran with a New Spinal Cord Injury
1. Review unique clinical and pharmacological considerations in the intersection of gender affirming care, geriatric medicine and spinal cord injury.2. Explore potential nuances and complexities of advance care planning and shared decision making in the transgender geriatric population. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - April 19, 2024 Category: Palliative Care Authors: Jennifer Turpen, Katherine Recka Source Type: research

Rivastigmine and the Cholinergic Components of Pain: A Case Study
1. Understand the role acetylcholine may have in acute and chronic pain.2. Consider potential mechanisms through which rivastigmine might impact pain in individuals with cognitive impairment. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - April 19, 2024 Category: Palliative Care Authors: Neil Nixdorff, Michael Smith, Adam Marks Source Type: research