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Advance Care Planning: Talking to Patients and their Families about Advance Directives


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Course ID: 2912


Despite advances in therapies, PH remains a progressive illness without a cure and we are limited to treating symptoms with the goal of quality-of-life enhancements. Palliative medicine is, by definition, a multidisciplinary approach to specialized medical care for people with serious illnesses. It focuses on providing patients with relief from the symptoms, pains, and physical/mental stress that accompany a serious illness. This session will provide an overview of palliative medicine, its benefits and limitations and how to incorporate a palliative care approach into the management of patients with PH.

Course Authors

M. Jane Markley, RN, Med, FACHE
President, M Jane Markley Consulting, LLC

Course Reviewer

George J. Vuturo, Ph.D., RPh
CME/CE Director
Chief Compliance Officer
Planning Committee Member
Professional Education Services Group, LLC, Sterling, VA

Content Reviewer

Janice Agazio, Ph.D., CRNP, RN, FAANP, FAAN
Lead Nurse Planner Planning Committee Member Professional Education Services Group, LLC,
Sterling, VA Assistant Dean for Doctoral Programs and Ordinary Professor School of Nursing the Catholic University of America, Washington, DC

CME Reviewer

Danielle Spencer
CME/CE Project Director
Professional Education Services Group, LLC, Sterling, VA

Intended Audience

This activity has been designed for pulmonologists, cardiologists, rheumatologists, internists, and primary care physicians, as well as nurses, physician assistants, and other allied health professionals who help care for patients with pulmonary arterial hypertension (PAH). This activity is designed to improve knowledge, competence, performance, and patient care practices by instructing front-line clinicians in the highest quality of care for patients with PAH.

Learning Objectives

At the conclusion of this activity participants should be able to:

  • Explain the importance of an advance directive
  • Identify the steps you should take to assist your patients in effectively completing their advance directives
  • Articulate when advance directives should be addressed

Release Date

17 January 2017

Expiration Date

31 December 2017

Estimated Time to Complete This Activity

1 hour

Accreditation Statement


  • This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the Joint Providership of Professional Education Services Group and PHA Online University. Professional Education Services Group is accredited by the ACCME to provide continuing medical education for physicians. This activity has been approved for a maximum of 1.0 hours of AMA PRA Category 1 Credits™.  Physicians should only claim credit to the extent of their participation.


  • Professional Education Services Group is an accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation. This activity provides a maximum of 1.0 contact hours of nurse CE credit.

Pharmacists and Pharmacy Technicians

  • Professional Education Services Group is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education. ACPE UAN 0829-0000-16-232-H04-P (Pharmacists) and 0829-0000-16-232-H04-T (Pharmacy Technicians). This activity provides 1.0 contact hours (0.10 CEUs) of continuing education credit. There is no cost for this activity. Your record of completion will be reported directly to the CPE Monitor.

Respiratory Therapists

  • The Continuing Respiratory Education (CRCE) system of the American Association for Respiratory Care (AARC) grants approval for 1.0 hours for this course.

Social Workers

  • This program is approved by the National Association of Social Workers for 1.0 Social Work continuing education contact hour

Instructions for Earning Credit

This activity is a self-study program. Upon entering the activity, participants should read the text, examine any images and/or multimedia features, and review the content presented within all of the links provided. Once the course has been reviewed in its entirety, participants will be asked to complete a post-test and evaluation online. Participants must receive a test score of 80% in order to proceed to the course evaluation; the post-test can be repeated until all questions are answered correctly. All evaluation questions must be completed in order to receive a certificate of credit. If needed, participants may save their answers and complete the course at a later date. Saved courses can be found by using the "My Courses" link at the top of the page, and then click on "My Classes."

Disclosure Policy

Disclosures are reported below:

M. Jane Markley, RN, Med, FACHE, discloses the following financial or non-financial relationships;

  • President of M Jane Markley Consulting, LLC, a small business educating people about the importance of Advance Directives.
  • Consultant to Aging with Dignity the developer and owner of Five Wishes, an Advance Directive tool.
  • M. Jane Markley receives no remuneration for speaking about Five Wishes and it is solely referenced as one of many possible tools that can be used to complete an Advance Directive.


The information presented in this activity reflects the views of the faculty only and not necessarily those of the Pulmonary Hypertension Association (PHA), the sponsors or the educational grant providers. All participants should verify the information and data presented before treating patients or utilizing any therapies noted in these materials. No portion of this activity may be reproduced without the expressed written consent of PHA.

Technical Requirements

This course requires an internet browser. For optimum display, please use Mozilla Firefox, Safari or Google Chrome.

Privacy Policy

For information about PHA's privacy policy, visit

This activity is made possible through unrestricted educational grants to the PHA Medical Education Fund from Actelion Pharmaceuticals, US; Gilead Sciences; Bayer HealthCare; and United Therapeutics Corporation.

©2016 Pulmonary Hypertension Association, 801 Roeder Road, Suite 1000, Silver Spring, MD 21910.