Case Clinic Challenge: A 68-Year-Old Female with a Past Medical History of Anemia and Newly Diagnosed CLL

Hematology-Oncology
Curriculum:
Personalizing Treatment in Chronic Lymphocytic Leukemia
Credits:
0.5 ANCC Contact Hours 0.5 AMA PRA Category 1 Credit(s)
Launch Date:
March 24, 2016
Expiration Date:
The accreditation for this activity has expired.

Primary Audience:

Community-based medical oncologists, hematologists/oncologists, physicians, nurse practitioners, advanced practice nurses, nurse navigators, and physician assistants.

Relevant Terms:

Chronic Lymphocytic Leukemia

Neil Kay, MD

Neil Kay, MD
Professor of Medicine
Department of Hematology
Mayo Clinic
Rochester, MN

Neil Kay, MD
Professor of Medicine
Department of Hematology
Mayo Clinic
Rochester, MN

Douglas E. Gladstone, MD

Douglas E. Gladstone, MD
Associate Professor of Oncology
Johns Hopkins University School of Medicine
Sidney Kimmel Comprehensive Cancer Center
Baltimore, MD

Douglas E. Gladstone, MD
Associate Professor of Oncology
Johns Hopkins University School of Medicine
Sidney Kimmel Comprehensive Cancer Center
Baltimore, MD

​Heather L. Paradis, MSN, ANP‐BC, AOCN

Heather L. Paradis, MSN, ANP‐BC, AOCN
Nurse Practitioner
Oncology/Hematology
Duke University Medical Center
Durham, NC

Heather L. Paradis, MSN, ANP‐BC, AOCN
Nurse Practitioner
Oncology/Hematology
Duke University Medical Center
Durham, NC
1. Identify key prognostic, predictive, and clinical factors that will help to formulate personalized CLL treatment plans. (Physician)
2. Assess key findings from recent clinical trials analyzing approved and emerging therapeutic options to appropriately treat patients with CLL. (Physician)
3. Interpret clinical and laboratory data in order to monitor response according to best practices. (Physician)
4. Use effective patient–healthcare professional communication to engage patients in shared decision‐making about treatment choices. (Physician)
5. Describe the prognostic, predictive, and clinical factors that influence treatment recommendations. (Nurse)
6. Describe the clinical rationale supporting the use of approved and emerging therapeutic options in the treatment of patients with CLL. (Nurse)
7. Apply clinical and laboratory data to monitor patient response to treatment. (Nurse)
8. Formulate appropriate care and counsel for patients and their families as they are engaged in conversations about treatment choices. (Nurse)

This educational activity is jointly provided by Johns Hopkins School of Medicine and the Institute for Johns Hopkins Nursing.
 
Supported by an educational grant from AbbVie, Inc., and Genentech Inc.
 
Produced by Haymarket Medical Education 
 
Program Description  
Chronic lymphocytic leukemia (CLL) presents as a spectrum of disease that warrants careful diagnostic and prognostic considerations, including immunophenotyping and risk stratification based on multiple molecular markers. Best practices for the diagnosis, prognosis estimations, treatment, and monitoring of a 68-year-old female patient with newly diagnosed CLL are reviewed. Following determination that the patient is high risk with a poor prognosis, treatment options are reviewed using a shared decision-making model.
 
The Johns Hopkins University School of Medicine and the Institute for Johns Hopkins Nursing take responsibility for the content, quality, and scientific integrity of this CME/CNE activity.
 
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No planner has indicated that he/she has any financial interests in or relationships with a commercial entity.

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Accreditation Statements
This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the Johns Hopkins University School of Medicine and the Institute for Johns Hopkins Nursing. The Johns Hopkins University School of Medicine is accredited by the ACCME to provide continuing medical education for physicians.
 
The Institute for Johns Hopkins Nursing is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.
 
Credit Designation Statement(s)
Johns Hopkins University School of Medicine designates this enduring material for a maximum of .50 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
 
This .50-contact hour enduring activity is provided by the Institute for Johns Hopkins Nursing. Contact hours will be awarded for this enduring activity until March 23, 2017. Approval Code: PO103-2016/0161
 
Disclosure of Unlabeled Use
The following author has disclosed that his case will reference unlabeled/unapproved uses of drugs or products:  
 
Neil E. Kay, MD, references ibrutinib, idelalisib, and obinutuzumab.
 
The Johns Hopkins University School of Medicine/Business of Medicine: Improving Health Care Delivery Skills (EM) may include presentations on drugs or devices, or use of drugs or devices, that have not been approved by the US Food and Drug Administration (FDA) or have been approved by the FDA for specific uses only. The FDA has stated that it is the responsibility of the physician to determine the FDA clearance status of each drug or device he or she wishes to use in clinical practice.

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