Overview

Literature consistently shows lower engagement in advanced-care-planning among ethnic and racial minority groups when compared to Whites. A recent study with a nationally representative sample reported that only 18% of ethnic minority participants completed advance directives compared to 34% of White respondents. Studies in hospital settings also found lower rates of discussion about advanced-care-planning with a physician during the hospitalization among racial/ethnic minority patients when compared to Whites. Given that engagement in advanced-care-planning and end-of life discussions positively influences the quality of life near its end, a lower engagement in these meaningful discussion among ethnic minorities can lead to inadequate care at the last stage of life, exacerbating earlier health disparities. There are also significant differences in the treatment of pain in African Americans, as well as the perception of pain, and potential for abuse. 

Learning Objectives

  • Review the data related to advanced directives in racial/ethnic minorities
  • Explore the cultural aspects of end-of-life care planning for African Americans
  • Examine pain and pain management issues unique to African Americans

CME/CE Information

AMA PRA Category 1 Credits

Accreditation Statement

Pri-Med Institute is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.


Designation Statement

Pri-Med Institute designates this enduring material for a maximum of 1.00 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

For APRNs and PAs, AANPCB and NCCPA accept AMA PRA Category 1 Credit as the number of hours of participation (AANPCB) or as Category 1 CME credits (NCCPA).

Faculty

Gregory L. Hall, MD

Associate Professor of Integrative Medical Sciences, Northeast Ohio Medical University, Rootstown, OH
Associate Professor of Internal Medicine, Northeast Ohio Medical University, Rootstown, OH
Assistant Clinical Professor in Medicine, Case Western Reserve University School of Medicine, Cleveland, OH
Director, Center for African American Health, Research, Education & Policy, Cleveland, OH 

Disclosures

The following relevant financial relationships have been disclosed by faculty, and all have been mitigated by Pri-Med Institute.

Gregory L. Hall, MD: No relevant financial relationships disclosed. 

Non-faculty contributors and others involved in the planning, development, and editing/review of the content have no relevant financial relationships to disclose.

 

 

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