End of life conversations can be difficult, for both health care providers, patients, and families. And yet with the aging population, particularly here in Montana where close to 20% of the population is over the age of 65, these conversations are more important than ever. This presentation will examine current barriers and facilitators to end of life conversations, current utilization of hospice services and strategies to more effective end of life discussions and decision making. The National Consensus Project Clinical Practice Guidelines for Quality Palliative Care, 4th Edition will also be discussed with a focus on primary care implications.  


1.     Criteria for successful completion: Watch the recording in its entirety and mark lessons as complete. A certificate will be provided and available for download after the final part of the online course is marked as complete.

2.    There are no relevant financial relationships with ineligible companies for those with the ability to control the content of this activity except:

3.     Montana Nurses Association is accredited with distinction as a provider of nursing continuing professional development by the American Nurses Credentialing Center’s Commission on Accreditation.

4.     This activity is available for contact hours through 12/31/2024.

Contact hours awarded upon successful completion: 1

Questions? Email them to [email protected]

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Dr. Margaret Hammersla is an Assistant Professor at Montana State University Mark and Robyn Jones College of Nursing and an Adult Nurse Practitioner. Dr. Hammersla has worked in a variety of clinical arenas including perioperative care, emergency medicine, long term care, and dementia management. She currently maintains a clinical practice Bozeman Health Geriatric Team that involves primary care house call visits to a frail elderly population in Gallatin County, MT. Her area of research focuses on a rural geriatric population and improved access to health care.