Nurse-Hospice-Palliative CHPN CE

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All of our activities are approved by ANCC (LVN, RN, and CNS) and all activity is reported to CE Broker and all states as required. StatPearls continuing education activities are linked to practice questions which are based on the Hospice and Palliative Care Credentialing Center® content outlines. 155 authors and 6 editors have contributed to the development of the Nurse-Hospice-Palliative CHPN content, which is continuously refined and updated to improve your learning experience.

Nurse-Hospice-Palliative CHPN Activities

Title Description Hours Questions
Activities of Daily Living Activities of daily living (ADLs) are essential and routine tasks that most young healthy individuals can perform without assistance. The inability to ... Read the Article 1 5 Activity Info
Acute Cystitis Urinary tract infections are the most common bacterial infection in women, and result in roughly eight million emergency department or clinic visits a ... Read the Article 1.25 10 Activity Info
Agitation Agitation is a nonspecific constellation of relatively unrelated behaviors that can be seen in various clinical situations, usually presenting with a ... Read the Article 1 6 Activity Info
Amyotrophic Lateral Sclerosis Amyotrophic lateral sclerosis (ALS), also known as “Lou Gehrig’s disease,” is a neurodegenerative disease of the motor neurons. This activity reviews ... Read the Article 1.75 22 Activity Info
Anorexia and Cachexia Cachexia is a significant loss of muscle and adipose tissue. It occurs in patients with advanced cancer, chronic obstructive pulmonary disease, chroni ... Read the Article 1 7 Activity Info
Antiemetic Medications Nausea is a commonly encountered symptom in healthcare, one that is difficult for any patient. Causes may be as simple as the body's defense against a ... Read the Article 1 5 Activity Info
Antiemetic Neurokinin-1 Receptor Blockers Neurokinin-1 (NK-1) receptor antagonists are a new class of antiemetic drugs that possess unique anxiolytic, antidepressant, and antiemetic properties ... Read the Article 1 6 Activity Info
Antisialagogues Antisialagogues are medications often used in the management and treatment of patients with noisy breathing near the end of life. These medications ar ... Read the Article 1 5 Activity Info
Art Therapy Creative art therapy is a complementary therapy used to assist patients with serious illness to ameliorate symptom burden and adapt to the stressful l ... Read the Article 1 6 Activity Info
Aspiration Risk Aspiration is common, even in healthy patients. Aspiration can have significant morbidity and mortality in certain circumstances. It is categorized ba ... Read the Article 1 2 Activity Info
Automatic Internal Cardiac Defibrillator The automated internal cardiac defibrillator or shock box is the common name given to the Implantable Cardioverter Defibrillator (ICD). ICD is a state ... Read the Article 1 7 Activity Info
Bladder Cancer Bladder cancer is any neoplasm that arises from the urinary bladder. It is the most common urinary tract neoplasm, with urothelial carcinoma (UC) bein ... Read the Article 1 6 Activity Info
Bone Metastasis The skeleton is the third most common site of metastatic disease after lung and liver. Eighty percent of bone metastases originate from prostate, brea ... Read the Article 1 5 Activity Info
Brain Metastasis Brain metastases are a common complication of cancer and the most common type of brain tumor. Anywhere from 10% to 26% of patients who die from their ... Read the Article 1.25 9 Activity Info
Cachexia Cachexia is a complicated metabolic syndrome related to underlying illness and characterized by muscle mass loss with or without fat mass loss that is ... Read the Article 1.25 8 Activity Info
Cancer Chemotherapy Chemotherapy in cancer has merged the disease course from a terminal and catastrophic result in merely all cases to a treatable and sometimes curable ... Read the Article 1.75 24 Activity Info
Celiac Plexus Block First described as a method of providing surgical anesthesia to the upper abdomen, the celiac plexus block (CPB) has been utilized in practice for nea ... Read the Article 1 6 Activity Info
Cheyne Stokes Respirations Cheyne-Stokes respiration is a type of breathing disorder characterized by cyclical episodes of apnea and hyperventilation. Although described in the ... Read the Article 1 5 Activity Info
Choking Choking or foreign body airway obstruction occurs when an object partially or completely obstructs the passage of air exchange between the upper airwa ... Read the Article 1 4 Activity Info
Chronic Liver Disease Chronic liver disease is a progressive deterioration of liver functions. Liver functions include the production of clotting factors and other proteins ... Read the Article 1.25 7 Activity Info
Chronic Obstructive Pulmonary Disease Chronic obstructive lung disease is a lung disease characterized by lung airflow limitation and can be from exposure to harmful substances. It is a co ... Read the Article 2.25 36 Activity Info
Chronic Renal Failure Chronic kidney disease (CKD) is defined as the presence of kidney damage or an estimated glomerular filtration rate (eGFR) less than 60 ml/min per 1.7 ... Read the Article 1.75 21 Activity Info
Clinical Frailty Scale Frailty is a multidimensional geriatric syndrome, which is characterized by an increased vulnerability to various external stressors into a serious he ... Read the Article 1 5 Activity Info
Congestive Heart Failure And Pulmonary Edema Heart failure is a growing public health problem and is now the most common cause of hospitalizations in the U.S. among patients 65 years and older. T ... Read the Article 1.5 14 Activity Info
Constipation Functional constipation is a prevalent condition in childhood, about 29.6% worldwide. In the United States, represents 3% to 5% of pediatric visits an ... Read the Article 1.25 10 Activity Info
Cordotomy Cordotomy is the name of a surgical procedure aimed at destroying the pain-conducting tracts of the spinal cord. The cordotomy to be effective at decr ... Read the Article 1 7 Activity Info
Crutches Crutches are medical devices designed to aid in ambulation, by transferring body weight from the legs to the torso and arms. They are mainly used to a ... Read the Article 1 7 Activity Info
Cultural Competence in the Care of Muslim Patients and Their Families Delivering high-quality care to patients of the Muslim faith requires knowledge of the differences in cultural and spiritual values. Important differe ... Read the Article 1.5 17 Activity Info
Cultural Religious Competence In Clinical Practice The diversity of religion within our world's population brings challenges for health care providers and systems to deliver culturally competent medica ... Read the Article 1.5 14 Activity Info
Death and Dying Death is a part of natural life; however, society is notorious for being uncomfortable with death and dying as a topic on the whole. Many caregivers e ... Read the Article 1 3 Activity Info
Delirium Delirium, also known as the acute confusional state, is a clinical syndrome that usually develops in the elderly. It is characterized by an alteration ... Read the Article 1.5 16 Activity Info
Delirium Tremens Alcohol abuse is a common condition that has been associated with severe impairments in social functioning and medical problems. As high as 20% of the ... Read the Article 1 7 Activity Info
Dementia Dementia describes an overall decline in memory and other thinking skills severe enough to reduce a person's ability to perform everyday activities. I ... Read the Article 1.75 25 Activity Info
Depression Depression is a mood disorder that causes a persistent feeling of sadness and loss of interest. The American Psychiatric Association’s Diagnostic Stat ... Read the Article 2 26 Activity Info
Docusate Docusate is a medication used in the management and treatment of constipation. It is in the stool softener class of drugs. This activity reviews the i ... Read the Article 1.25 12 Activity Info
Drug Interactions In Palliative Care Drug-drug interactions (DDI) are a significant cause of adverse drug events (ADE) in palliative care. This activity will highlight the mechanism of ac ... Read the Article 1.25 13 Activity Info
Dysphagia Dysphagia is defined as objective impairment or difficulty in swallowing, resulting in an abnormal delay in the transit of a liquid or solid bolus. Th ... Read the Article 1.5 13 Activity Info
Dyspnea in Palliative Care Dyspnea is a troubling symptom for many terminally-ill patients and their caregivers. It is common in many advanced diseases and is frequently experie ... Read the Article 1 6 Activity Info
Elder Abuse Elder abuse comes in many forms, including physical, psychological, and sexual abuse, as well as less obvious forms such as financial exploitation and ... Read the Article 1 5 Activity Info
End of Life Care Unlike other conditions and life experiences, which only affect a certain percentage of the world’s population, the end-of-life is a stage in the proc ... Read the Article 2.5 36 Activity Info
End-Stage Renal Disease More than 500,000 people in the United States live with end-stage renal disease (ESRD). The development of chronic kidney disease (CKD) and its progre ... Read the Article 1.25 10 Activity Info
Epistaxis Epistaxis (nosebleed) is one of the most common ear, nose, and throat (ENT) emergencies that present to the emergency room or primary care. There are ... Read the Article 1.25 9 Activity Info
Esophageal Varices Esophageal varices are dilated submucosal distal esophageal veins connecting the portal and systemic circulations. They form due to portal hypertensio ... Read the Article 1.5 19 Activity Info
Falls and Fall Prevention In The Elderly Falls account for one of the most common and serious issues contributing to a disability, especially among elderly individuals. Tinetti et al. in 1988 ... Read the Article 1.5 18 Activity Info
Feeding Tube Feeding tubes are tubes inserted into the gastrointestinal tract to provide a patient with enteral nutrition or for decompression. Tubes come in a var ... Read the Article 1 4 Activity Info
Fentanyl Fentanyl is a potent synthetic opioid, which, similar to morphine, produces analgesia but to a greater extent. This robust pharmacologic agent is typi ... Read the Article 1 7 Activity Info
Fentanyl Transdermal Transdermal Fentanyl is a medication used in the management and treatment of chronic pain and cancer pain. It is part of the opioid class of drugs. Th ... Read the Article 1.25 10 Activity Info
Glioblastoma Multiforme Glioblastoma multiforme (GBM) is a primary brain malignancy with a poor prognosis. No specific risk factors are identified. Diagnosis is by imaging li ... Read the Article 1.25 9 Activity Info
Grief Reaction Grief is a natural and universal response to the loss of a loved one. The grief experience is not a state but a process. Most individuals recover adeq ... Read the Article 1 6 Activity Info
Hand Hygiene Handwashing practices in the patient care setting began in the early 19th century. The practice evolved over the years with evidential proof of its va ... Read the Article 1 4 Activity Info
Heart Failure And Ejection Fraction Heart failure (HF) is a common and potentially fatal disease if left untreated. This article aims to describe the different types of heart failure. It ... Read the Article 1.75 17 Activity Info
HIV Antiretroviral Therapy A typical initial HIV regimen includes 3 HIV medications from a minimum of 2 drug classes. Although this treatment is not curative, it can provide lon ... Read the Article 1 7 Activity Info
HIV Disease Current Practice The human immunodeficiency virus (HIV) is an enveloped retrovirus that contains 2 copies of a single-stranded RNA genome. It causes the acquired immun ... Read the Article 1.5 16 Activity Info
Hypothyroidism Hypothyroidism results from low levels of thyroid hormone with varied etiology and manifestations. The drug of choice for the treatment of hypothyroid ... Read the Article 1.75 22 Activity Info
Intrathecal Catheter The placement of an intrathecal catheter is a minimally invasive procedure aimed at releasing drugs directly into the subarachnoid space for the contr ... Read the Article 1.25 7 Activity Info
Ketorolac Ketorolac is a medication used in the management and treatment of acute moderate to severe pain. It is in the nonsteroidal anti-inflammatory drug clas ... Read the Article 1.25 8 Activity Info
Lactulose Lactulose is used in preventing and treating clinical portal-systemic encephalopathy. Its chief mechanism of action is by decreasing the intestinal pr ... Read the Article 1 5 Activity Info
Laryngeal Cancer Laryngeal cancers represent one-third of head and neck cancers and may be a significant source of morbidity and mortality. They are most often diagnos ... Read the Article 1 7 Activity Info
Liver Cancer Hepatocellular carcinoma is the most common form of primary liver cancer in the United States with three-quarters of primary and secondary liver cance ... Read the Article 1 6 Activity Info
Lung Cancer Lung cancer or bronchogenic carcinoma refers to tumors originating in the lung parenchyma or within bronchi. It is one of the leading causes of cancer ... Read the Article 2 26 Activity Info
Malignancy-Related Hypercalcemia Hypercalcemia is a common metabolic abnormality seen in both inpatient and outpatient settings. Depending on the serum calcium levels, hypercalcemia i ... Read the Article 1 7 Activity Info
Marijuana Cannabis, also known as marijuana, is commonly sought out by patients for various conditions. Conversely, many providers are uncomfortable prescribing ... Read the Article 1.25 9 Activity Info
Metastatic Melanoma Melanoma is the third most common cutaneous malignancy after basal cell carcinoma and squamous cell carcinoma. Melanoma is the fifth most common malig ... Read the Article 1 4 Activity Info
Morphine FDA-approved usage of morphine sulfate includes moderate to severe pain that may be acute or chronic. Most commonly used in pain management, morphine ... Read the Article 1.25 13 Activity Info
Neuropathy About 2.4 percent of the population is affected by peripheral neuropathy. The prevalence increases to 8 percent in older populations. Peripheral neuro ... Read the Article 1.25 11 Activity Info
Ondansetron Ondansetron is one of the medications most commonly used for empiric treatment. Ondansetron has extreme utility as an antiemetic drug, and it is effec ... Read the Article 1 7 Activity Info
Opioid Opioids are medications used in the management and treatment of pain, cough, or diarrhea. This activity outlines the indications, actions, and contrai ... Read the Article 1.25 13 Activity Info
Opioid Analgesics Opioids are a class of medication used in the management and treatment of pain. This activity outlines the indications, action, and contraindications ... Read the Article 1.25 13 Activity Info
Opioid Equivalency Opioids are often prescribed for cancer-related pain and moderate-to-severe chronic pain, especially pain that is inadequately controlled with non-opi ... Read the Article 1 5 Activity Info
Opioid Induced Constipation Opioid-induced constipation (OIC) accounts for between 40 and sixty percent of patients without cancer receiving opioids. Laxatives must be started at ... Read the Article 1.25 8 Activity Info
Opioid Overdose One very common reason why patients seek medical care is for pain. Today, there are many ways to relieve pain, and one of them is with the use of opia ... Read the Article 1.25 5 Activity Info
Opioid Toxicity Opioids and opiates together comprise a class of medications widely used primarily to control severe pain. If first-line agents are not effective in c ... Read the Article 1.5 15 Activity Info
Oral Transmucosal Fentanyl Oral transmucosal fentanyl is a medication used in the management and treatment of breakthrough pain. It is in the class of short-acting synthetic opi ... Read the Article 1 5 Activity Info
Pacemaker Pacemakers are adjustable artificial electrical pulse generators that can be temporary or permanent. They frequently emit a pulse lasting between 0.5 ... Read the Article 1 4 Activity Info
Pain Assessment There are multiple tools used to help assess a patient's pain. These tools can be used to assess multiple types of pain, ranging from nociceptive pain ... Read the Article 1.25 10 Activity Info
Pain Management Medications Analgesics are medications used in the management and treatment of pain. They include several classes of medications (acetaminophen, nonsteroidal anti ... Read the Article 1.25 8 Activity Info
Palliative Care The World Health Organization characterizes the field of palliative care as a form of specialized medical care which aims to optimize the quality of l ... Read the Article 1.25 14 Activity Info
Palliative Sedation Palliative sedation is indicated when there is intractable distress in patients who are terminally ill or dying. It is a palliative practice geared to ... Read the Article 1 7 Activity Info
Peripheral Diabetic Neuropathy Peripheral neuropathy (PN) encompasses a broad range of clinical pathologies potentially presenting with peripheral nervous system dysfunction. Patien ... Read the Article 1 7 Activity Info
Pressure Injury Pressure injuries are formed when pressure causes localized damage to underlying skin and soft tissue. These skin and soft tissue injuries remain a si ... Read the Article 1.75 21 Activity Info
Renal Failure The term renal failure denotes inability of the kidneys to perform excretory function leading to retention of nitrogenous waste products from the bloo ... Read the Article 1 5 Activity Info
Respiratory Failure Respiratory failure happens when the respiratory system fails to maintain gas exchange and is classified into type 1 and type 2 according to blood gas ... Read the Article 1.25 11 Activity Info
Scopolamine Scopolamine is a medication used in the management and treatment of postoperative nausea and vomiting (PONV) and motion sickness. It is in the anticho ... Read the Article 1.25 10 Activity Info
Seizure A seizure represents the uncontrolled, abnormal electrical activity of the brain that may cause changes in the level of consciousness, behavior, memor ... Read the Article 1.5 17 Activity Info
Spirometry Spirometry is one of the most commonly used approaches to test pulmonary function. It measures the volume of exhaled air vs. time. This activity highl ... Read the Article 1 6 Activity Info
Stages of Dying Medical professionals will work with dying patients in all disciplines, and the process is a difficult one as care shifts from eliminating or mitigati ... Read the Article 1 2 Activity Info
Suicide Risk Suicide is the tenth most common cause of death in the United States, but it can often be prevented with appropriate intervention. This activity re ... Read the Article 1.5 14 Activity Info
Superior Vena Cava Syndrome Superior vena cava (SVC) syndrome is a collection of clinical signs and symptoms resulting from either partial or complete obstruction of blood flow t ... Read the Article 1 8 Activity Info
Termination of Life Support Termination of life support is an important intervention that every physician needs to be aware of, as any patient who has reached an ‘end-of-life’ st ... Read the Article 1 7 Activity Info
The Importance Of Cultural Competence in Pain and Palliative Care Managing pain is often a challenge for health professionals. This challenge is compounded when the patient in pain is dying. Living in an ethnically a ... Read the Article 1.5 12 Activity Info
Therapeutic Communication Therapeutic communication is an invaluable approach to interactions with patients that is applicable across multiple disciplines. This activity revie ... Read the Article 1 3 Activity Info
Tracheostomy Tube Change Tracheostomy is a procedure where an artificial airway is established surgically or percutaneously in the cervical trachea. This activity describes th ... Read the Article 1 2 Activity Info
Universal Precautions Universal precautions were introduced by the Centers for Disease Control (CDC) in 1985, mostly in response to the human immunodeficiency virus (HIV) e ... Read the Article 1 7 Activity Info
Urinary Incontinence Urinary incontinence is the involuntary leakage of urine. This condition is prevalent in elderly adults, impacting both health and quality of life, bu ... Read the Article 1.25 10 Activity Info
Wound Pressure Injury Management Pressure injuries have been given various names over the last several years, including pressure ulcers, decubitus ulcers, or bed sores. Pressure injur ... Read the Article 1 6 Activity Info

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