Enclara Webinars

Hospice Education Webinars

Enclara Pharmacia offers clients live educational hospice webinars monthly free of charge. Webinars are also recorded so that you or your staff can take advantage of these educational offerings at your convenience. Below is a list of current, upcoming and previous offerings.

GI Complications in Hospice

PRESENTED BY: Natalee Felten, PharmD, BCPS Date: February 9, 2017 Duration: 1 hour Time: 9-10AM ET and 2-3PM ET

Dementia Care at End of Life

PRESENTED BY: Michelle Smith, PharmD Date: January 10, 2017 Duration: 1 hour Time: 9-10AM ET and 2-3PM ET

Related and Coverage Determinations for Medical Directors

Duration: 1 Hour
Time: On Demand

Presented By: Robert Crook, MD, FACP

Complex Pain Management Cases

Date: October 18, 2016
Duration: 1 Hour
Time: 9AM - 10AM ET and 2PM - 3PM ET

Presented By: Lisa Akinskas, PharmD & Marisa Todd, PharmD, BCPS Objectives: Streamline and simplify therapy for patients prescribed multiple opioids with different routes of administration Develop a patient-specific treatment plan for patient-controlled analgesia (PCA) including dose calculation, monitoring and adjustment. Understand the basics of intrathecal and epidural pain management

Infection Management and the Use of Antibiotics in Hospice

Date: November 10, 2016
Duration: 1 Hour
Time: 9AM - 10AM ET and 2PM - 3PM ET

Presented By: Sejal Patel, PharmD, BCPS and Terri Maxwell, PhD, APRN

Management of End-Stage Liver Disease

Date: December 14, 2016
Duration: 1 Hour
Time: 9AM - 10AM ET and 2PM - 3PM ET

Presented By: Marisa Todd, PharmD, BCPS

Cancer-Related Syndromes in Hospice and Palliative Care

Duration: 1 hour
Time: On Demand

Objectives: Identify common symptoms and syndromes in cancer that require treatment Recommend appropriate non-pharmacologic and pharmacologic management of these symptoms and syndromes Establish goals of treatment and regularly re-evaluate with patient and caregivers Presented by: Erin Kennedy, PharmD, BCPS, CGP Presenter Bio: Erin Kennedy is an Enclara Pharmacia clinical pharmacist and a member of the Drug information team. She is responsible [...] Read More

Communicating Medication Changes to Patients and Families

Duration: 1 hour
Time: On Demand

Objectives: Implement the use of a shared decision-making model guided by the patient’s goals of care Weight expected benefits vs. burdens of selected medication/intervention prioritize accordingly Describe communication tactics for addressing changes or discontinuing medications with patients and family members Presented by: Terri Maxwell, PhD, APRN Presenter Bio: Terri Maxwell is the Vice President of Clinical Education at Enclara Pharmacia. [...] Read More

Don’t Be an Outsource for Opioids: Managing Opioid Diversion in Hospice

Duration: 1 Hour
Time: On Demand

Objectives: Describe public policy efforts to decrease opioid prescription misuse and diversion Set non-judgmental boundaries in order to implement better control of opioids in the home Manage patients with historical addiction and/or tolerance to opioids Presented by: Walter Ferris, MD, Associate Medical Director, Mount Carmel Hospice & Palliative Care. He serves as Clinical Faculty for Hospice/Palliative Care Rotations for both [...] Read More

Skin and Wound Care at the End of Life

Duration: 1 Hour
Time: On Demand

Objectives: Describe the characteristics of pressure ulcers, fungating tumor wounds, venous and arterial ulcers, diabetic foot ulcers and skin tears Discuss symptom management associated with chronic wounds Describe available treatment options and appropriate product selection for palliative wound care Presented By: Sean LaFlamme PharmD, CWCA Presenter Bio: Sean is certified geriatric pharmacist, board certified pharmacotherapy specialist, and a certified wound [...] Read More

Antipsychotic Use in Nursing Homes: Management of Dementia and Delirium and the New STAR Quality Measures

Duration: 1 hour
Time: On Demand

Objectives: Understand the FDA warnings on antipsychotic use in elderly with dementia and the associated risks Describe the CMS Five-Star Quality Rating System for nursing homes and the new antipsychotic use measure Describe alternatives to using antipsychotics in patients with dementia or delirium Presenter: Marisa Todd, PharmD, BCPS Presenter Bio: As Director of Clinical Education at Enclara Pharmacia, Marisa is responsible [...] Read More

Management of End Stage Heart Failure

Duration: 1 Hour
Time: On Demand

Objectives: Describe the pathophysiology and staging of end stage heart failure Summarize the medical management of end stage heart failure Discuss common symptoms experienced by patients with end stage heart failure and their management Presenter: Monica Han, PharmD Presenter Bio: Monica is a Clinical Manager at Enclara Pharmacia with over 12 years of experience in hospice pharmacy.  Prior roles held [...] Read More

Alternate Routes of Medication Administration

Duration: 1 Hour
Time: On Demand

Objectives: Identify the pros and cons of alternate routes of medication administration Understand the safety and efficacy of commonly prescribed gels and other topical agents, rectal medications and other drugs provided through alternate routes of administration Implement best practices for medication management of common symptoms in patients without reliable oral access at the end of life Presented by: Nadia Nielands, [...] Read More

Symptom Management in Hospice: Case Review

Duration: 1 Hour
Time: On demand

Objectives: Discuss prevalence of symptoms common in patients at the end of life Describe etiology for end of life symptoms Recommend appropriate non-pharmacologic and pharmacologic management of common end of life symptoms Presented by: Terri Maxwell PhD, APRN Presenter Bio: Terri Maxwell, PhD, APRN is the Vice President of Clinical Education at Enclara Pharmacia. Terri is responsible for overseeing and contributing [...] Read More

Medication Calculations, Opioid Conversions and Titration: A Practice Review

Duration: 1 Hour
Time: On Demand

Objectives: Develop a patient-specific pain treatment plan to reduce in pain intensity while minimizing side effects Demonstrate the use of an equianalgesic dosing table Identify the pharmacologic, pharmacokinetic, and cost differences of various opioids and dosage forms Initiate opioid therapy or convert between different opioids, dosage formulations, or routes of administration in an actual or simulated patient Presented by: Natalee [...] Read More

Methadone: A Review for Hospice Providers

Duration: 1 Hour
Time: On Demand

Objectives: Describe the general properties that make methadone unique Recognize metabolism-related and cardiac-related drug interactions associated with methadone Demonstrate the ability to assess appropriate patient candidates for methadone therapy Initiate methadone therapy in a patient and establish plans for titration and monitoring Presented by: Marisa Todd, PharmD, BCPS Presenter Bio: As Director of Clinical Education at Enclara Pharmacia, Marisa is [...] Read More

COPD Management in Hospice

Duration: 1 Hour
Time: On Demand

Objectives: List the stages of COPD and understand its clinical course Describe barriers to palliative care for patients with COPD Describe the pharmacologic management of advanced COPD Examine efficacy of opioids and other therapies in management of refractory dyspnea Presented By: Terri Maxwell, PhD, APRN Presenter Bio: Terri Maxwell, PhD, APRN, is the Vice President of Clinical Education at Enclara Pharmacia.  [...] Read More

Med D and Relatedness Determinations: Understanding the Essentials

Duration: 30 Minutes
Time: On Demand

OBJECTIVES: Describe the current regulations regarding hospice and Part D Identify the roles of hospice team members in making and communicating medication coverage determinations Outline steps in making medication coverage determinations in hospice PRESENTED BY: Terri Maxwell, PhD, APRN PRESENTER BIO: Terri Maxwell, PhD, APRN, is the Vice President of Clinical Education at Enclara Pharmacia. Terri is responsible for overseeing [...] Read More

The General Inpatient Level of Care: Don’t Let the Scrutiny Scare You!

Duration: 1 Hour
Time: On Demand

Objectives: Name the risk areas identified by the OIG in regard to the hospice’s use of GIP Identify the criteria that determines when to use GIP versus CC Name 2 Medicare criteria for a GIP admission Describe the necessary discharge planning process for the General Inpatient stay Evaluate current agency practices that may need to be revised in light of [...] Read More

Delirium, Depression and Anxiety at End of Life

Duration: 1 Hour
Time: On Demand

Objectives: Identify and understand the presentation of delirium, depression, and anxiety in patients nearing the end of life Demonstrate the ability to evaluate hospice patients and recommend appropriate therapy for management of delirium, depression, and anxiety Describe plans for titration of therapy for patients initiated on pharmacologic therapy for delirium, depression, and anxiety PRESENTER: Marisa Todd, PharmD, BCPS PRESENTER BIO: [...] Read More

Thromboembolic Disorders: Best Practices in Hospice

Duration: 1 Hour
Time: On Demand

Objectives: Understand the prevalence of antithrombotic therapy in hospice care Distinguish between anticoagulant and antiplatelet agents including classes and indications Develop a patient-centered therapeutic care plan including goals of therapy, safety and efficacy, patient costs and quality of life Discuss antithrombotic agents’ place in therapy with regard to the terminal prognosis of patients receiving hospice care Presented By: Sejal Patel, [...] Read More

Advanced Neurologic Disease: Challenges and Recommendations for Palliative Care and Hospice Staff

Duration: 1 Hour
Time: On Demand

Objectives: Understand why neurologic disease presents challenges to patients, caregivers, and medical staff Understand the implications of a variety of rare but challenging neurologic diseases for symptom management, psychosocial distress, and discussions about care options Expand knowledge about effective ways to treat symptoms caused by several advanced neurologic diseases Increase comfort with discussions about care options for patients with advanced [...] Read More

Lightening the Load: Reducing Pharmaceutical Burden with Appropriate Discontinuation Strategies

Duration: 1 Hour
Time: On Demand

OBJECTIVES: Identify contributory factors and barriers to discontinuing medications Identify several common medications to target for discontinuation Describe strategies for discontinuation of futile medications PRESENTED BY: Terri Maxwell PhD, APRN PRESENTER BIO: Terri Maxwell, PhD, APRN, is the Vice President of Clinical Education at Enclara Pharmacia.  Terri is responsible for overseeing and contributing to the development of clinical education and [...] Read More

Management of Less Common but Troubling Symptoms in Hospice: Pruritus, Hiccups, Cough, Muscle and Bladder Spasms

Duration: 1 Hour
Time: On Demand

OBJECTIVES: Identify when less common symptoms at end of life such as pruritus, cough, hiccups, muscle and bladder spasms require treatment Recommend appropriate non-pharmacologic and pharmacologic management of these symptoms Establish goals of treatment and regularly re-evaluate with patient and caregivers PRESENTED BY: Terri Maxwell PhD, APRN and Marisa Todd, PharmD, BCPS PRESENTER BIO: Terri Maxwell is the Vice President of [...] Read More

Type II Diabetes in Hospice: Focusing on the Patient not the Disease

Duration: 1 Hour
Time: On Demand

OBJECTIVES: Discuss the main features of Type II Diabetes (TIIDM) Describe the presentation of TIIDM in the hospice setting List treatment goals for a hospice patient with TIIDM Recommend appropriate non-pharmacologic and pharmacologic management of TIIDM in hospice PRESENTED BY: Anthony Berard, PharmD, MBA PRESENTER BIO: As Clinical Manager at Enclara Pharmacia, Anthony works directly with hospice clients to provide [...] Read More