Management of Challenging Symptoms in Hospice and Palliative Care Patients.

1. Using a think-pair-share approach, participants will compare and contast non-pharmacological and pharmacological approaches for various difficult to treat symptoms in both hospice and palliative care patients. 2. Upon completion of this activity, partcipants will be able to analyze difficult to treat symptoms in hospice and palliative care for the possible use of interventional approaches. This half-day workshop is designed for intermittent to advanced palliative and hospice providers looking to develop individualized treatment plans for difficult to manage symptoms within hospice and palliative care. Interdisciplinary faculty will present both non-pharmacological and pharmacological approaches to common and uncommon symptoms. The expert panel will prepare five patient cases to discuss with the audience. Possible topics include, but are not limited to, pain, nausea, dyspnea, delirium, cough, hiccoughs, secretions, anxiety, and depression. A pre-conference survey will be sent to "crowd-source" the audience to guide development of focused cases and discussion that are of most interest. Each symptom will be discussed in the context of prognosis, differentiating treatment for patients with months to years remaining versus days to weeks. A key point of emphasis is to provide participants with ample opportunity to actively engage with the expert panel and each other. Participants will be broken down into smaller groups to facilitate active discussion. A case will be presented, groups will think-pair-share, and then the conference faculty will provide concluding thoughts including available evidence/data. After these five cases have concluded, the audience will be given an opportunity to bring cases to discuss following a similar format described above albeit a shorter timeframe to maximize participant cases. Faculty will have additional cases prepared as for continued discussion as needed. [ABSTRACT FROM AUTHOR]