Pediatric Grand Rounds - Beyond Opioids: A Palliative Care Toolkit for Every Pediatric Clinician



Date & Location
Wednesday, May 17, 2023, 8:00 AM - Sunday, May 17, 2026, 9:00 AM

Credits
AMA PRA Category 1 Credits™ (1.00 hours), ANCC Nursing Contact Hours (1.00 hours), CME-Designated Participation Credit (1.00 hours)

Overview

Evidence is mounting that palliative care for children with serious illness improves prognostic awareness, improves communication and preparedness for end of life, and reduces symptoms and suffering. While pediatric palliative care is a recognized pediatric subspecialty, all pediatric clinicians should be prepared with effective and compassionate communication skills, knowledge of how to effectively treat pain and other symptoms (with a range of therapies, including opioids), and other skills related to the care of children with advanced illness.  This presentation will address this gap.  Topics covered include communication techniques throughout the illness trajectory and strategies (both pharmacologic and non-pharmacologic) for managing symptoms, with a focus on pain.  Strategies for safe and effective use of opioids to treat pain will specifically be addressed. 

Presenter
Christina Ullrich, MD, MPH
Clinical Director, Pediatric Advanced Care Team
Institute Physician, Pediatric Hematology/Oncology and Pediatric
Palliative Care, Dana-Farber Cancer Institute
Boston Children’s Hospital
Assistant Professor in Pediatrics, Harvard Medical School

Learning Outcome
At the conclusion of this educational program, (at least 75% of) learners will be able to discuss at least three elements that should be addressed when providing pediatric palliative care for patients with serious illness including use of opioids, use of additional medications and non-pharmacologic tools.

Disclosure
The following activity director(s), planning committee member(s), speaker(s), author(s) or anyone in a position to control the content for this activity have reported the following financial relationship (s)* with ineligible company(ies)**. All of the relevant financial relationships listed for these individuals have been mitigated.

Keith Loud, MD – ROMTech – Stockholder  

Other planning committee member(s), speaker(s), activity director(s), author(s) or anyone in a position to control the content for this activity report NO financial relationship(s)* with any ineligible company(ies)**.

* A “financial relationship" includes employee, researcher (named as the PI), consultant, advisor, speaker, independent contractor (including contracted research), royalties or patent beneficiary, executive role, and/or an ownership interest (not including stocks owned in a managed portfolio).

** An ineligible company is any entity whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients. 

Bibliographic Material

  • Kaye EC, Weaver MS, DeWitt LH, Byers E, Stevens SE,  Lukowski J, Shih B, Zalud K, Applegarth J, Wong H, Baker JN, Ullrich CK, AAHPM Research Committee. The Impact of Specialty Palliative Care in Pediatric Oncology: A Systematic Review. J Pain Symptom Manage. 2020 Dec 24. Online ahead of print.

  • Ullrich C, Berde C, Billett A. Pain and Symptom Management in the Child with Cancer. In: Orkin SH, Fisher DE, Look AT, Lux SE, Ginsburg D, Nathan DG, editors.  Oncology of Infancy and Childhood, 1st edition. Philadelphia: Saunders, An Imprint of Elsevier Inc, 2009.

  • Brock KB, Wolfe J, Ullrich CK. From the Child’s Word to Clinical Intervention: Novel, New and Innovative Approaches to Symptoms in Pediatric Palliative Care.  Children (Basel). 2018; 5(4). pii: E45.

  • Wolfe J, Orellana L, Ullrich C, Cook EF, Kang TI, Rosenberg A, Geyer R, Feudtner C, Dussel V. Symptoms and Distress in Children with Advanced Cancer: Prospective Patient-Reported Outcomes from the PediQUEST Study. J Clin Oncol. 2015; 33(17):1928-35.

  • Ullrich CK, Wolfe J. Caring for children living with life-threatening illness: a growing relationship between pediatric hospital medicine and pediatric palliative care. Ped Clin N Amer. 2014; 61(4): xxi-xxiii.

Accreditation

Dartmouth Health is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Dartmouth Health designates this Enduring Material for a maximum of 1.00 AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Dartmouth Health Nursing Continuing Education Council is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center's Commission on Accreditation.

This educational activity carries 1.00 contact hour(s).

Registration/Requirements for Successful Completion
You may claim credit for successful completion of this online course. In order to claim credit, you must follow these steps:

  1. Click the Register tab above. If you are not logged into your account, you will need to log in. Use the Forgot Your Password? button if you need to reset your password.
  2. Register for the activity.
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  6. Complete and Submit the Evaluation.

Provider Contact Information
Provider contact information for questions regarding accreditation of the activity:

Center for Learning and Professional Development
CME/CNE Office
Dartmouth Health
[email protected]