Advance Care Planning in Long-Term Care: Considerations for Improved Quality of Life

Recorded: Wednesday, May 9, 2018

Speakers: Emily Black, APRN, CNP, FNP-BC and Ashley Kimeu, APRN, CNP, ANP-BC, GNP-BC, ACHPN

This program highlights the importance of difficult end-of-life conversations in the long-term care (LTC) population. Such conversations ultimately have a positive impact on patients and families in taking an active role in decision making. Proactively approaching these conversations can decrease health care costs through avoidance of costly hospitalizations at the end of life that are oftentimes not in line with the patient's wishes.

Description: With the aging population growing, the people residing in skilled nursing facilities are among the frailest of the population and have the greatest needs in terms of activities of daily living. These alone are predictors of mortality. Upfront discussions with patients and/or their health care power of attorney can ensure that team members providing care understand the wishes of the patient. These discussions help facilitate patient autonomy, access to information and choice. This allows health care providers to treat the patient appropriately based on individualized goals of care.

Learning Objectives:

  • Demonstrate knowledge of the characteristics of the long-term care population.
  • Understand how goals of care conversations help improve quality of life for patients.
  • Learn appropriate use of POLST forms in documenting goals of care discussions.

Credit Information:

CME Credits
AMDA – The Society for Post-Acute and Long-Term Care Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing education for physicians. The Society designates this live activity for a maximum of 1.5 AMA PRA Category 1 CreditsTM. Physicians should only claim credit commensurate with the extent of their participation in the activity.

CMD Credit Statement
This live activity has been pre-approved by the American Board of Post-Acute and Long-Term Care Medicine (ABPLM) for a total of 1.5 management hours toward certification or recertification as a Certified Medical Director (CMD) in post-acute and long-term care medicine. The CMD program is administered by the ABPLM. Each physician should claim only those hours of credit actually spent on the activity.

Maintenance of Certification (MOC)
Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 1.5 MOC points and medical knowledge and patient safety credit MOC credit in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

Speaker Biographies:

Emily Black, APRN, CNP, FNP-BC

Emily, currently employed at Mayo Clinic Rochester, MN, has 8 years of clinical experience with long term care patients, extensive experience with palliative care and goal of care discussions.


Ashley, currently employed at Mayo Clinic Rochester, MN, has 7 years of clinical experience palliative care inpatient, palliative care homebound patients, long term care patients.