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.

Dementia Care at End of Life

Duration: 1 Hour
Time: On Demand

Dementia is the 5th leading cause of death in people over the age of 65 and despite literature focus on this disease state, no new medications have been developed that are indicated for disease state in over 10 years. With the increasing geriatric population, clinicians need to understand the benefits of discontinuing cognitive-based therapy at end of life and manage [...] Read More

Antipsychotic Use in Nursing Homes & Management of Dementia

Duration: 1 hour
Time: On Demand

Atypical antipsychotic drugs are often used to treat the behavioral and psychological symptoms of dementia (BPSD) even though they are not FDA-approved for this indication and concerns exist about their safety and lack of efficacy. To further discourage their use, in February 2015 CMS added the use of antipsychotics in calculation of the Nursing Home Compare star ratings. Prescribing of [...] Read More

Management of End Stage Heart Failure

Duration: 1 Hour
Time: On Demand

Advanced heart failure, defined by the ACC/AHA as stage D, is the end of the heart failure disease spectrum in which symptoms are present at rest despite optimal medical management. In other words, the heart’s pumping function is weakened so that it is fails to meet the body’s demands and a patient feels symptoms like shortness of breath even at [...] Read More

Symptom Management in Hospice: Case Review

Duration: 1 Hour
Time: On demand

Patients frequently have multiple symptoms at once, especially if they have advanced cancer or multiple co-morbidities. Patients have on average 10-13 symptoms–some from the disease and some caused by treatment. A 2015 study of symptoms common in the last year of life published in the Annals of Internal Medicine found there has been no improvement in the prevalence of common [...] Read More

Medication Calculations, Opioid Conversions and Titration: A Practice Review

Duration: 1 Hour
Time: On Demand

Opioid conversion consults are one of the most common received within the clinical call center in addition to requests for drug information on newer agents such as Nucynta, Exalgo and Buprenorphine dosage forms. Seventy-five percent of use of our internal drug information service relates to symptoms of pain and opioid conversions. In addition, annual client survey results reveal pain management [...] Read More

Methadone: A Review for Hospice Providers

Duration: 1 Hour
Time: On Demand

Methadone is unique opioid in its utility for both nociceptive and neuropathic pain but is often underutilized due to lack of familiarity and comfort with its dosing as well as stigma associated with its use for substance abuse disorders. Methadone is not appropriate for all patients due to its drug interactions and variable kinetics but can be very useful in [...] Read More

Palliative Care of the Patient with COPD

Duration: 1 Hour
Time: On Demand

End-stage lung disease is a common hospice primary diagnosis. This disease state continues to be a popular resource request from clients on annual survey. Considering new therapies released, education is needed to discern place in therapy. In addition, annual client survey results reveal dyspnea as a popular topic and an area where nursing seeks to improve skills. Objectives: List the [...] Read More

Med D and Relatedness Determinations: Understanding the Essentials

Duration: 30 Minutes
Time: On Demand

Are you confident that you and your team are making the correct “related” determinations for your hospice medications? Are you concerned about the rising number of medication-related billing audits? Do you need to improve IDG documentation of medication coverage? This course discusses “related” and “co-morbid” conditions and that relationship to covering the costs of medications, supplies, etc. OBJECTIVES: Describe the [...] Read More

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

Duration: 1 Hour
Time: On Demand

Mitigating payment-related scrutiny of the Continuous Home Care (CHC) and General Inpatient (GIP) levels of care is dependent upon a hospice’s ability to appropriately initiate the GIP and CHC levels of care. Hospices should also be able to ensure clinical documentation is sufficient to support payment for these levels of care. This course details when CHC and GIP levels of [...] Read More

Delirium, Depression and Anxiety at End of Life

Duration: 1 Hour
Time: On Demand

Along with depression and anxiety, delirium is one of the most common clinical conditions in palliative care settings for which psychiatry may be consulted. Delirium may be the result of underlying medical or physiological conditions and/or can be medication-induced. It presents as cognitive changes, perceptual disturbances, and behavioral agitation and is often misdiagnosed or under-recognized as a result. This presentation [...] Read More

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

Duration: 1 Hour
Time: On Demand

Symptom management education frequently focuses on pain, dyspnea, anxiety, delirium and other common symptoms. However, there are many other symptoms that, while not as commonly encountered, are difficult for patients and challenging to manage. This presentation uses patient case studies and interactive discussion to describe the etiology, assessment, and management of less common symptoms in hospice such as pruritus, cough, [...] Read More