Question Title

* 1. First Name

Question Title

* 2. Last Name

Question Title

* 3. RACGP or ACRRM Number

Question Title

* 4. Please provide the name of your practice and which state you are located in (only if you are not currently working on the road with 13SICK, National Home Doctor Service).

Question Title

* 5. Please provide your email address so we can send you a certificate of completion.

Question Title

* 6. Please provide a contact number in case we have trouble uploading your points.

Question Title

* 7. Please rate to what degree the learning outcomes were met

  Entirely Met Partially Met Not Met
Discuss a patient’s palliative care needs and treatment options in the terminal phase
Monitor and review patient response to treatment in the terminal phase of palliative care
Develop, implement and communicate a terminal phase management plan with the patient’s caregiver and other health professionals to enhance patient safety
Review the practical aspects of caring for someone in the terminal phase including options for medication access and delivery
Explain legal responsibilities at the time of death

Question Title

* 8. Please rate to what degree your learning needs were met

Question Title

* 9. This activity was relevant to your individual practice

Question Title

* 10. The presenter was knowledgeable and well-prepared

Question Title

* 11. The materials (e.g. PowerPoint presentation) were relevant, clear and helpful

Question Title

* 12. Comments?

T