Andrew Esch 2023

Andrew E. Esch, MD, MBA

Andrew Esch is the Director, Palliative Care Program Development at the Center to Advance Palliative Care (CAPC). Before joining the CAPC team, Dr. Esch was a CAPC consultant and faculty member. He earned his medical degree from the University of Buffalo, where he also earned a combined bachelor of science and master of business administration degree. Dr. Esch was medical director of palliative care at the Lee Memorial Health System in Fort Myers, Florida. During his time there he was recognized with the prestigious Phoenix Award for his work with people living with cancer. Dr. Esch speaks nationally on palliative care education and growth and sustainability of palliative care programs.

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Presented By
Donna Stevens
Andrew Esch 2023
Shawndra Ferrell
Robert Goldberg

From the Blog

Payment and Program Financing

Navigating Payment Models: What Palliative Care Teams Need to Know

A practical overview of health care payment models, covering key features, how to identify the model you're working under, and ways to optimize palliative care within each.

Measurement and Quality

Productivity Benchmarking in Palliative Care: What We Know and Where to Start

With the complexity of productivity benchmarking in palliative care, this blog offers a starting point for setting wRVU targets while acknowledging the unique and time-intensive nature of the work.

Clinical Care

How to Manage Nausea and Vomiting in Patients with Serious Illness

A palliative care clinician explains the ins and outs of nausea and vomiting in people living with serious illness, including causes, treatment, and patient-education.

Courses

New
Course 1: Pain and its Impact on Our Patients

Course 1 of 10

Learn to define and characterize pain, recognize the prevalence of pain, understand disparities in pain management based on race, ethnicity, and gender.

New
Course 2: How to Perform a Comprehensive Pain Assessment

Course 2 of 10

Learn the components of a comprehensive pain assessment and its importance in safe and effective pain management.

New
Course 3: Matching Treatment to Pain Type

Course 3 of 10

Gain an overview of pharmacologic and nonpharmacologic pain treatments, including risks and benefits, and learn how to match the analgesic to pain type.

New
Course 4: Prescribing an Opioid

Course 4 of 10

Learn how to decide on an appropriate opioid, route of delivery, and dose, and understand how to prescribe for incident and breakthrough pain.

New
Course 5: Practice Prescribing an Opioid

Course 5 of 10

Practice prescribing initial opioid doses for different pain types and characteristics. Learn to adjust dosing as needed to manage pain effectively.

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Course 6: Creating a Pain Treatment Plan and Monitoring Effectiveness

Course 6 of 10

Learn to develop a pain treatment plan with realistic goals and proper documentation, and implement universal precautions to help with the risk of opioid use disorder.

New
Course 7: Advanced Opioid Prescribing: Converting to Long-Acting Opioids

Course 7 of 10

Learn how to convert from short-acting to long-acting opioids, and calculate rescue doses for breakthrough pain using updated equianalgesic tools.

New
Course 8: Problems with Opioid Prescribing: Is it an Opioid Use Disorder?

Course 8 of 10

Learn how to identify and diagnose opioid use disorder (OUD) and practice communicating with patients about OUD and pain management.

New
Course 9: Using Buprenorphine for Chronic Pain and Opioid Use Disorder

Course 9 of 10

Determine which patients may benefit from buprenorphine as a treatment for pain and opioid use disorder (OUD), and learn how to transition patients to buprenorphine.

New
Course 10: Managing IV Opioids

Course 10 of 10

Learn how to convert patients back and forth from oral to IV opioid formulations, how to prescribe patient-controlled analgesia (PCA), and how to treat acute pain crises.

Anxiety

After completing this course, learners will be equipped with evidence-based strategies to identify and treat anxiety in patients living with a serious illness.

Constipation

Constipation occurs in at least 70% of patients living with a serious illness and often goes unrecognized. After completing this course, learners will have the tools to successfully identify and manage the impact of constipation.

Depression

After completing this course, learners will have the tools to accurately identify and treat depression in patients living with a serious illness.

Dyspnea

After completing this course, learners will have the tools they need to manage dyspnea, including the physical causes of shortness of breath and the emotional impact on the patient.

Nausea/Vomiting

Nausea and vomiting are common symptoms of serious illness and can cause dangerous complications. After completing this course, learners will be equipped with practical skills to identify, manage, and reduce these symptoms.

Relieving Distress in People Living With Dementia and Their Caregivers

Course 1 of 8

Gain an overview of the experience of living with dementia and learn how to relieve distress for patients with dementia, and their caregivers.

Discussing a Diagnosis of Dementia With Your Patient

Course 2 of 8

Learn how to discuss a dementia diagnosis with patients and caregivers in a way that is sensitive, clear, and supportive.

Communicating What to Expect Throughout the Trajectory of Dementia

Course 3 of 8

Learn techniques for supportive communication with people living with dementia, and their caregivers, to help them prepare for the challenges they may face as dementia progresses.

Planning for the Future After a Dementia Diagnosis

Course 4 of 8

Learn how to facilitate future planning discussions with people living with dementia, and their caregivers.

Available to non-members
Caring for Caregivers of People Living With Dementia

Course 5 of 8

Learn how to assess caregiver burden and connect caregivers with needed support systems.

Behaviors as a Form of Communication in People Living With Dementia

Course 6 of 8

Learn about the sources of behavioral symptoms for people living with dementia and how to respond to them.

Managing Mood and Sleep Disturbances in People Living With Dementia

Course 7 of 8

Learn how to relieve suffering from common mood and sleep disturbances in order to improve quality of life for people living with dementia, and caregivers.

Managing Complications in Advanced Dementia

Course 8 of 8

Learn about common health complications for people living with advanced dementia and how to support patients and caregivers.

Reducing Risks for Older Adults

This course provides context and best practices for identifying older adults at risk for poor outcomes, including falls, delirium, and caregiving challenges.

A Palliative Approach to Care for Direct Care Workers

The role of the direct care worker in observing and reporting suffering in patients with serious illness.

Improving Team Performance

Strategic planning for new or veteran programs, and a framework for identification of barriers to team efficiency and team health.

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