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Hospice& Palliative Care: Is Admission Possible? What Extraordinary Services Pts Might Desire/Which May Be Rendered


Learning Objectives: 

1. Understand Hospice & PC services and when one might wish to refer.
2. Discuss extraordinary requests such as palliative chemo and/or XRT, peritoneal drains, etc.
3. Understand which requests may be rendered in hospice, which might be better addressed in a
home/clinical PC program

Accreditation Statement

This educational presentation was developed according to the planning, design, implementation and evaluation standards of the accreditation requirements for category 1 CME sponsors of the American Osteopathic Association (AOA).  The Indiana Osteopathic Association (IOA) is accredited by the AOA to provide osteopathic continuing medical education for physicians.

The AAFP has reviewed 2025 Virtual Annual Spring Update - Enduring and deemed it acceptable for up to 18.00 Enduring Materials, Self-Study AAFP Prescribed credit(s). Term of Approval is from 05/18/2025 to 05/17/2026. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Grievance Policy Statement

"It is the policy of the IOA that any physician dissatisfied with the CME program will be issued a refund upon request, and no CME credits will be reported to the AOA.  Complaints on Evaluation Forms also are taken into consideration when planning future CME programs and may lead to changes in the format or content."  If you have any questions or concerns about this educational experience, you may call the IOA office at (317) 926-3009 or send an email message to info@inosteo.org.  All questions or concerns will be addressed promptly.

Matthew Misner

Dr. Misner is pediatrician recently hired to work with the St. Joseph’s Medical Center in Plymouth, IN.  He completed a four year National Health Service Corps scholarship, while working with both the Cherokee Nation in Oklahoma and the migrant Hispanic population in California, after receiving his medical degree from Lake Erie College of Osteopathic Medicine (LECOM) in Lake Erie, PA, in 2004. Dr. Misner has a strong passion to work with under-served populations both in domestic and international settings.  He learned to speak Spanish while serving as a Catholic missionary with his family, in Arequipa, Peru, for two years and has also lived and worked in the Marshall Islands.  He continues to seek out new international opportunities and is currently considering volunteering in Pakistan for 2 weeks.  Dr. Misner is able to assist with face-to-face home hospice visits for both adult and pediatric patients through the Center for Hospice Care while not working at his clinic.  Dr. Misner also is impassioned to learn and teach both theology and bioethics and has a master’s degree in Pastoral Studies from Catholic Theological Union in Chicago, IL, and is currently finishing a master’s degree in Bioethics from the University of Mary in Bismark, ND.  He would like to eventually complete a Ph.D. from the University of Notre Dame, in South Bend, IN, in the Theology Department, and then teach either/both undergraduate and/or graduate students.  Dr. Misner has a wonderful wife, Karissa, who is the medical director of the Center for Hospice Care, in Mishawaka, IN, and he greatly enjoys spending time with his three terrific children: Lydia (11), Violet (8), and Tyrian (3). 


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