Course Description:  Clinicians who care for patients with chronic and progressive illness need to acquire a core competency in recognizing when patients are dying and managing common symptoms from the dying process in an effective and ethical manner. Major medical groups such as the American Medical Association (AMA), the American College of Physicians (ACP), and the National Consensus Project for Quality Palliative care have highlighted these core patient care skills for generalist clinicians.  Unless a clinician can diagnose a dying process, an opportunity to provide the appropriate care for a dying patient will be missed.  In this module, users will learn about the prognostic significance of numerous clinical signs and symptoms common in dying patients, as well as evidence-based strategies for managing these symptoms.  Upon completion of this module, users can attain 1.0 hours of CME credit by completing the following tasks:

1. Review the content of 10 Fast Fact and Concepts relevant to the topic of Symptom Management when Death is Imminent on the following topics –
   1. Terminal delirium
   2. Syndrome of Imminent Death
   3. Dyspnea
   4. Nightmares
   5. Diarrhea
   6. Death Rattle
   7. Myoclonus
   8. Nonoral hydration decisions at the end of life
   1. Fever
   10. Thirst
2. Attain a score of 70% or higher on a 10 question post-content quiz covering the educational content presented. 
3. Completion of a course evaluation

Module 5: Fast Facts #1, #3, #27, #88, #96, #109, #114, #133, # 256, #313

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