Target Audience:

Pharmacists, Social Workers, Palliative and Hospice medicine, Nurse Practitioners, Physician assistants, medical students and residents.

Lunch will be provided for those who stay for the entire session 

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Post Presentation Survey: Available here after the event.


  •  Jennifer Cohen, MD, Outpatient Palliative Care, Kaiser Permanente, San Jose 
  •  Ava Lee, MD, Medical Director for Hospice and Palliative Care, Kaiser Permanente, San Jose 


  • Haritha Rachamallu, MD, Kaiser Permanente, San Jose
  •  Rizwana Chaudhry, MD, Hospital Medicine, Kaiser Permanente, San Jose 
  •  Sangeeta Joshi, MD, CME Committee Member, Primary Care, Kaiser Permanente, San Jose

Session Objectives:

1. Identify the signs of discomfort in the dying patients.
2. Effectively manage the pain, anxiety, shortness of breath and discomfort from labored breathing in the dying patients.
3. Address emotional, existential, spiritual, and social distress in dying patients and their families.


Patients in the last days/hours of life often have unrelieved physical suffering, as well as significant emotional, spiritual, and social distress. Recognizing that a person is entering the imminently dying or terminal phase of their illness is critical to appropriate care planning, with a shift to comfort care. Defining when this phase begins is not always straightforward. Patients at the end of life are frequently not recognized as dying. As a result, suffering may not be properly appreciated or managed, and the patient’s overall condition may even be exacerbated by the continuation of standard medical care.


The speaker(s) and planning committee have no financial relationships to disclose. 

Credit Statement:

**Kaiser Permanente San Jose Medical Center is accredited by the California Medical Association (CMA) to provide continuing medical education for physicians.   
Kaiser Permanente San Jose takes responsibility for the content, quality and scientific integrity of this CME activity.                
**Kaiser Permanente San Jose Medical Center designates this Live Course for a maximum of 1.0 AMA PRA Category 1 Credit™        
Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Session date: 
05/06/2020 - 12:30pm to 1:30pm PDT
  • 1.00 AMA PRA Category 1 Credit(s)™
  • 1.00 Geriatrics
  • 1.00 Pain/EOL

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CME Office: 
San Jose Medical Center
Conference room: