Nausea and Vomiting in Patients with Serious Illness
What You’ll Learn
Nausea and vomiting are common symptoms of serious illness and can cause dangerous complications. After completing this course, learners will be equipped with practical skills to identify, manage, and reduce these symptoms.
Learning outcomes for this course include:
- Describe and define the prevalence of nausea and vomiting among seriously ill patients and its impact on quality of life
- Identify the four neurobiological emetic pathways and which antiemetic category will manage it.
- Describe appropriate antiemetic therapies for intractable nausea and vomiting.
- Discuss the evidence for complementary health approaches for the treatment of nausea and vomiting.
- Describe the newer therapies in the treatment of nausea and vomiting including: synthetic medical cannabis, medical marijuana, CBD, and neurokinin- 1 receptor antagonists.
What You’ll Earn
Only CAPC members who are logged in can earn the following free Continuing Education Credits:
- 1.00 AMA PRA Category 1 Credit(s)™
- Case Management: 1.25 CE
- Nursing: 1.00 CNE, 0.50 Pharmacotherapy
- Social Work: 1.00 CE (NYSED)
- Social Work: 1.00 CE (NASW)
To take this course, log in. Or, check here to see if your organization is a member.
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Take the post-test
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Tools & Resources
Mechanisms, indications, and side effects for commonly used entiemetic medications. Center to Advance Palliative Care, 2023.
Key terms related to symptom management. Center to Advance Palliative Care, 2023.
Course citations. Center to Advance Palliative Care, 2023.
Online lookup on the emetic properties of common herbal remedies and vitamins.
Causes of nauasea and vomiting, and mechanism-based treatment approaches.
Mechanisms of opioid-induced nausea and appraches to management.
Guidelines for treatment of chemotherapy-indiced nasuea and vomiting.
Accreditations and Disclosures
Physicians
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 providership of the Icahn School of Medicine at Mount Sinai. The Icahn School of Medicine at Mount Sinai is accredited by the ACCME to provide continuing medical education for physicians.
Icahn School of Medicine at Mount Sinai designates this enduring material for a maximum of 1.0 AMA PRA Category 1 Credit(s) ™ effective 2/15/2024.
Physicians should claim only the credit commensurate with the extent of their participation in the activity.
CME Released: 2/15/2024; Valid for credit through 2/15/2026.
Estimated Time of Completion for CME: 60 minutes
ABIM MOC Recognition Statement
Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn 1.0 MOC credits in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC credits equivalent to the amount of CME credits claimed for this activity. It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.
Physician Assistants
The American Academy of Physician Assistants (AAPA) accepts credit from organizations accredited by the ACCME. Icahn School of Medicine at Mount Sinai designates this enduring material with 1.0 AMA PRA Category 1 Credit(s)™ as specified, which can be applied to the continuing education of Physician Assistants. Physician Assistants should claim only the credit commensurate with the extent of their participation in the activity
Nurses (Registered Nurses, Advanced Practice Registered Nurses, Licensed Nurses)
This nursing continuing professional development activity was approved by Connecticut Nurses’ Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation.
CNE Released: 3/11/2021; Valid Credit through 3/11/2025.
Estimated Time of Completion for CNE: 60 minutes
This course offers 0.50 Pharmacotherapeutic Contact Hours for Advanced Practice Registered Nurses as required for maintenance of national certification by the American Nurses Credentialing Center (ANCC) and the American Association of Nurse Practitioners (AANP) for nurse practitioners and clinical nurse specialists.
Social Workers
This program is approved by the National Association of Social Workers (Approval # 886437049-9605) for 1.0 continuing education contact hours effective 2/20/2024-2/28/2025.
Center to Advance Palliative Care SW CPE #0257 is recognized by the New York State Education Department's State Board for Social Work as an approved provider of continuing education for licensed social workers effective 3/10/2021-7/31/2027. This program has been approved for 1.0 continuing education contact hours.
Certified Case Managers
This program is approved by The Commission for Case Manager Certification (Approval # 240000555) to provide 1.25 continuing education credits to CCM® board certified case managers.
Released: 3/13/2024; Valid for credit through 3/13/2025.
Verification of Attendance (VOA)
All users that are not eligible for continuing education will receive a Verification of Attendance certificate upon completion of the course.
Course Media Instructions
Software Requirements: CAPC’s online curriculum, tools and technical assistance are designed to be fully compatible through multiple platforms: computer, smartphone (iOS or Android) or tablet running the following web browsers: Google Chrome, Mozilla Firefox, Safari, and Microsoft Edge.
Content: Each course is comprised of interactive learning components (articles, tools, or supporting materials), video and audio. The learner will be expected to complete various interactive processes such as matching, simulated clinical decision-making, fill in the blanks, and highlighting content.
To successfully earn credit, participants must complete the activity online, receive a minimum score of 80% on the post-test, and complete the course evaluation. A printable certificate of completion or a continuing award document specific to the discipline will be awarded.
Target Audience: Each program is developed for chaplains/spiritual counselors, nurses, physicians, physician assistants, social workers, case managers, palliative care program leaders, and healthcare leaders (hospital, health system and community care).
Activity Description/Statement of Needs: CAPC’s online curriculum provides training in two critical areas. Technical assistance courses are designed to help palliative care program leaders address key challenges such as implementing palliative care in community health care settings. Clinical coursework provides fundamental training in pain and symptom management, communication, and other key skills needed to work with patients with serious illness.
Disclaimers: The opinions expressed in the courses are those of the authors and do not necessarily represent the views of the sponsor, the educational partner, or the supporter. Please review complete prescribing information of specific drugs or combination of drugs, including indications, contraindications, warnings, and adverse effects before administering pharmacologic therapy to patients.
Activities do not contain information on commercial products/devices that are unlabeled for use or investigational uses of products not yet approved.
Faculty Disclosures and Financial Relationships: It is the policy of CAPC to ensure objectivity, balance, independence, transparency, and scientific rigor in all CE, CNE and CME educational activities per the highest standards of ANCC and ACGME guidelines. For all courses, Faculty/Presenters/Authors/Content Reviewers/Planning Committee Members complete forms to disclose their relevant financial relationships. Any relevant financial relationships have been mitigated. No relevant financial relationships were identified for any individuals with the ability to control content of the activity.
Copyright Information: All rights reserved by the Center to Advance Palliative Care (CAPC). No materials may be used or reproduced in any manner whatsoever without written permission except in the case of brief quotations embodied in articles or reviews.
Privacy Information: To read CAPC’s privacy policy, click here.
Course Faculty
Sean M. Marks, MD. Associate Professor, Medical College of Wisconsin.
Brittany Chambers, MPH, MCHES. Associate Director of Education, Center to Advance Palliative Care.
Brynne Hunter, MSIT. Education Technology Project Manager, Center to Advance Palliative Care.
Drew Rosielle, MD, FAAHPM. Palliative Care, Fairview Health Services, University of Minnesota Medical School.
Lolita Melhado, MSN, ARNP, FNP-BC. Family Nurse Practitioner/Palliative Care, Gulf Coast Medical Center - Lee Memorial Health System.
Philip Higgins, PhD, LICSW. President, Lighthouse Counseling of Salem, Inc.
Peer Reviewers
Karl Bezak, MD. Clinical Assistant Professor of Medicine, Palliative Care and Medical Ethics, University of Pittsburgh (UPMC).*
Nora Brennan, RN. Cardiology, University of Pennsylvania Hospital System.
Dara Duncan, RN. Hospice and Palliative Care Registered Nurse, Wiener Family Palliative Care Unit
Mount Sinai Hospital.
Gabrielle Langmann, MD. Clinical Instructor of Medicine, Division of General Internal Medicine, Section of Palliative Care and Medical Ethics, University of Pittsburgh Medical Center; Master’s of Science in Medical Education Candidate, University of Pittsburgh.*
Ayla Pelleg, MD. Assistant Professor, Brookdale Department of Geriatrics and Palliative Medicine, Icahn School of Medicine at Mount Sinai.
*indicates ABIM Peer Reviewer
Contact information: For answers to frequently asked questions about CAPC courses, read the Online Course FAQ. For technical questions about course activity, email [email protected]. For questions about continuing education credits, contact 201-957-0077.
Provided by the Icahn School of Medicine at Mount Sinai.
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