Symptom Management in a Patient with Adrenocortical Carcinoma – Targeting Glucocorticoid and Androgen Excess
1. Utilizing a case report, participants will be able to familiarize themselves with the epidemiology and clinical course of adrenocortical carcinoma and learn how to best employ the strengths of a multi-disciplinary palliative care team to provide optimal management of symptoms and complex medical decision making.2. Utilizing a case-report, participants will be able to identify the many distressing symptoms related to hormone excess associated with adrenocortical carcinoma and with the collaboration of endocrinology experts, be able to employ several treatment options to manage difficult, often refractory symptoms. (Sourc...
Source: Journal of Pain and Symptom Management - April 19, 2024 Category: Palliative Care Authors: Reid M. Muenzen, Laura Dingfield Source Type: research

Take My Breath Away: Logistical and Social Dynamics of Terminal Weaning from High Flow Nasal Cannula, A Case Report
1. Exploring logistical and social dynamics surrounding the decision to discontinue life-prolonging treatment, High Flow Nasal Cannula (HFNC), in a conscious patient.2. Highlighting the importance of an interdisciplinary support team to patients, their families and medical team members surrounding discontinuation of life-prolonging care. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - April 19, 2024 Category: Palliative Care Authors: Helen Chen, John F. Mondanaro, Rachel Adams, Max Reynolds, Takeshi Uemura Source Type: research

Telotristat: A Novel Agent for Somatostatin Refractory Diarrhea from Carcinoid Syndrome
1. Participants will be able to describe novel treatments used for somatostatin refractory diarrhea from carcinoid syndrome.2. Participants will be able to evaluate the risks and benefits of this medication. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - April 19, 2024 Category: Palliative Care Authors: Ashwini Ronghe, David Harris Source Type: research

Terminal Extubation Protocol: Decreasing Human Suffering Through Guided Interventions
1. Enhance knowledge of validated assessment tools for terminal extubation and evidence-based management strategies for end of life symptoms.2. Learn about how to gain buy in and create a terminal extubation protocol in a large healthcare system. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - April 19, 2024 Category: Palliative Care Authors: Rachel Sabolish, Lauren Pennartz Source Type: research

The Relationship between Cannabis Use Patterns and Depression in Cancer Survivors
1. Determine the cannabinoid ratio in cannabis products that is associated with a clinically meaningful reduction in depressive symptoms.2. Determine the dose and route of administration of cannabis products that is associated with a clinically meaningful reduction in depressive symptoms. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - April 19, 2024 Category: Palliative Care Authors: Apoorva Reddy, John Hampton, Natalie Schmitz, Betty Chewning, Amy Trentham-Dietz Source Type: research

Titrating, Augmenting, and Switching, Oh My! Management of Depression Refractory to First-Line Therapies
1. Recognize common second- and third-line pharmacological and interventional strategies to manage depression in patients with serious illnesses and compare their effectiveness.2. Implement two alternative second-line approaches for managing depression in palliative care when initial antidepressant treatment proves ineffective. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - April 19, 2024 Category: Palliative Care Authors: Paul Noufi, Joshua Borris, Daniel Shalev, Gregg A. Robbins-Welty Source Type: research

Total Pain: Euphemism and Mission Drift in the Treatment of Non-Physical Pain
1. Describe the historical meaning of “total pain,” and its application in current practice.2. Identify euphemism as a rhetorical form, and to see it as an invitation to consider the hidden, stigmatized, and under-examined. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - April 19, 2024 Category: Palliative Care Authors: Anna DeForest, Stephen B. Douglas Source Type: research

Uncontrollable Movements: A Case of Rhabdomyolysis Secondary to Opioid-Resistant Vaso-occlusive Pain
1. Recall that frequent reassessment of pain and clinical status is vital for patients with severe VOE in order to differentiate between inadequate opioid dosing and opioid hyperalgesia.2. Consider evaluation for rhabdomyolysis in patients with VOE and uncontrolled pain. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - April 19, 2024 Category: Palliative Care Authors: Emily N. Kelly, Kavitha Norton, Kyle Quirk, Sarah E. Ehrman Source Type: research

Unrecognized Unstable Angina: A Cautionary Tale of Biased Symptomatology and Diagnostic Anchoring
1. Participants will be able to understand the importance in palliative medicine of comprehensive assessments of physical, psychosocial, and spiritual symptoms and needs to most effectively palliate all forms of suffering.2. Participants will be able to recognize the link between the use of inherently biased, “textbook” descriptions of various symptomatologies and diagnostic anchoring bias, particularly in the care of women and individuals from communities of color. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - April 19, 2024 Category: Palliative Care Authors: Brian W. Pennarola, Scott Ian Borison Source Type: research

Use of Buprenorphine for Cancer Related Pain in Pregnancy
1. Participants will be able to recognize buprenorphine as a safe and effective analgesic for cancer pain in pregnancy2. Participants will be able to integrate buprenorphine into more facets of clinical practice in treatment of cancer-related pain. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - April 19, 2024 Category: Palliative Care Authors: Thomas Fagan, Madison E. Miller, David Henkin Source Type: research

Use of Ketamine and an Interdisciplinary Team Approach to Rapidly Taper a Patient's Ultra-High Opioid Regimen
1. Participants will be able to describe a potential protocol for rapid tapering of ultra-high opioid requirements using subanesthetic doses of IV ketamine.2. Participants will be able to identify possible side effects of subanesthetic IV ketamine and potential non-pharmacological therapies. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - April 19, 2024 Category: Palliative Care Authors: Ariel Gordon, Evan L. Zazula, Joseph D. Elder, Estelle Jungah Hong, Jordan Nickel-Dubin, Yu Shindo, Ayla Pelleg, Laura Belland Source Type: research

Utility of Low-Dose Methadone for Chronic Dyspnea: A Case Series
1. Utilizing a case series approach, participants will gain the knowledge to evaluate the efficacy and safety of low-dose methadone as an alternative option for the management of chronic dyspnea in seriously ill patients, providing a foundation for future application in palliative care settings.2. By exploring the under-researched application of low-dose methadone for chronic dyspnea management, participants will recognize the importance of "out-of-the-box" thinking in identifying novel, cost-effective, and safe methods for treating difficult symptoms in palliative care. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - April 19, 2024 Category: Palliative Care Authors: Takeshi Uemura, Jennifer H. O'Brien Source Type: research

When a Wound is More Than a Wound
1. Participants will be able to understand the physical and psychosocial impacts of malignant fungating wounds and how they negatively affect quality of life.2. Participants will be able to describe the principles of treatment of malignant fungating wounds which are guided at managing symptoms and improving quality of life. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - April 19, 2024 Category: Palliative Care Authors: Eliot Hill, Lynne E. Kallenbach, Lori Olson Source Type: research

Bogetz Lectureship: A Primer in Palliative Psychiatry
1. Compare and contrast the differences between grief, prolonged grief disorder, and demoralization.2. Identify the differences between adjustment disorder with depressive features, major depressive disorder, and depression due to a general medical condition. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - April 19, 2024 Category: Palliative Care Authors: Allison Jordan, William Johnson, Alison Cole, Erin Osborn-Edwards, Nicole Patterson Source Type: research

The Tapestry of Teamwork: Crafting a High Functioning Interprofessional Palliative Care Team
1. Reflect on the interdisciplinary legacy of palliative care practice and implications to future roles and actions.2. Assess, evaluate and analyze a transdisciplinary model of palliative care.3. Debate benefits and risks of implementing transdisciplinary models of palliative care to advance the specialty of serious illness care.The field of palliative care has woven a tapestry of teamwork that is unparalleled. Despite this, there remain opportunities and challenges to “level up” and strengthen the tenets that allow interprofessional care to flourish. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - April 19, 2024 Category: Palliative Care Authors: Mary Lynn McPherson Source Type: research