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2. Treatment of complaints of pain with placebo is an effective means of determining whether or not the individual is truly in significant pain. True False

3. Pain medications should be prescribed around the clock (ATC), giving the patient the option of refusing treatment, rather than receiving treatment PRN. True False

4. Increasing dosage requirements for opioids more often reflect tolerance rather than increased pain. True False

5. Care must be taken to avoid addicting dying patients to narcotics, since addiction and tolerance may lead to inability to control their pain. True False

6. Very large doses of opiates, even occasional unconscious sedation, may be required to provide a comfortable death. True False

7. To hasten the time of death in a dying patient through the use of analgesics and sedatives is unethical, even if the intent is to relieve physical and emotional suffering at the time of death. TrueFalse

8. The ethical “rule of double effect,” is the basis for giving adequate sedation and analgesia to eliminate suffering at the time of death, even if death is hastened. True False

9. Dying patients often value comfort over control and longevity. True False

10. There is typically a huge gap between what we think we are telling our patients and what they hear and understand. True False

11. The most common professional problem in end-of-life care is failure to make a deliberate, mutual (with patient, family and other physicians) decision to make the transition from curative to palliative care, based on the timely recognition of medical futility. True False

12. Dying patients usually do not want to talk about their death and do not want to be told “goodbye” by physicians, friends, and family members. True False

13. Hospice care is primarily intended for cancer patients who become too sick to get to the hospital and can receive pain relief by a Hospice nurse at home. True False

14. Palliative, comfort care should commonly be initiated long before all efforts at curative or life-prolonging care are abandoned. True False

15. Hospice care is limited to the last 6 months of life. True False

16. Physicians agree to give up control of and participation in their patient’s care when they refer their patient to Hospice. True False

17. The majority of Hospice patients in the United States have cancer. True False

18. Physicians should never disclose their own spirituality to patients in order to remain totally objective about their care. True False

19. Ethnic/racial minorities have transcended their Higher Power Distance background through the “melting pot” effect of living in America, and typically believe that they have a high level of control over their health. True False

20. The physician should delay communication that a medically futile condition exists until as late as possible to avoid undermining optimism by the patient and family. True False

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Program Evaluation Summary The purposes of this form include 1) course evaluation 2) assist in identifying topics for future programs 3) fulfilling requirements for AMA PRA Category 1 Credit^TM.
This Program:
This Program:	Do not agree	agree	Strongly agree
Helped me maintain current abilities and/or knowledge
Helped keep me abreast of new developments
Developed new professional skills and/or knowledge
Enhanced my confidence in my professional situation
Will help me be more effective/productive
Met my expectations
Used effective methods of information transfer
Was well-conceived/organized/produced
Met its stated goal
Please list a personal fundamental concept or behavioral technique that you feel will change as a result of this program: Suggestions/Remarks concerning this program: Suggestions for future programs: