Osteopathic Manipulative Medicine's Role in Palliative Care


While this presentation focuses on palliative care for the terminal patient, the concepts, principles and Osteopathic Manipulative Treatment (OMT) may be utilized with any patient.  The OMT techniques will be especially applicable for patients with pulmonary infections or diseases, congestion heart failure, chronic illnesses, or during the perioperative period.

Accreditation Statement


Lincoln Memorial University DeBusk College of Osteopathic Medicine (LMU-DCOM) is accredited by the American Osteopathic Association (AOA) Council on Continuing Medical Education (CCME) to present programs that qualify for AOA-CME Category 1 credit.

Lincoln Memorial University DeBusk College of Osteopathic Medicine (LMU-DCOM) and the AOA Council on Continuing Medical Education (CCME) approve this educational activity for a maximum of 1.0 hours of AOA Category 1-B CME credits.

Physicians should claim credit commensurate with the extent of their participation in the activity.

A Certificate of Completion is provided after the completion of required activities (video, post-test, and evaluation) for non-physicians and other health care professionals who want to self-claim Continuing Education (CE) credit.

Disclosure Statement

It is the practice of LMU-DCOM to ensure balance, independence, objectivity, and scientific rigor in all its educational programs. All participating faculty, CME planners, and reviewers in these programs are required to disclose any relevant financial relationship(s) they have with a commercial interest that benefits the individual in any financial amount occurring within the past 12 months; and the opportunity to affect the content of CME about the products or services of the commercial interest.

Click here for LMU-DCOM's policy on privacy and confidentiality.

Commercial Support

No commercial support

Instructional Method

This educational activity is presented in an online, on demand, didactic instruction and demonstration format.

There are no prerequisites for this course.

Cost   Free

Review Date: November 14, 2013
Release Date: June 10, 2014
Expiration Date   November 30, 2017


The post-test consist of four multiple choice knowledge questions. Once the post-test (70% pass) and program evaluation are completed, participants will be able to download a certificate with credit.


American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 4th ed. Text Revision. Washington, DC: American Psychiatric Association; 2000:820.

Hay MW. Principles in Building Spiritual Assessment Tools. Am J Hospice Palliat Care. 1989;6(5):25-31.

Leleszi J, Lewandowski J. Pain Management in End-of-Life Care. J Am Osteopath Assoc. 2005;105:6S-11S.

Leleszi J, Lewandowksi J. J Am Osteopath Assoc 2005:105:65-11S.

Nicholas A & Nicholas E, Atlas of Osteopathic Techniques, 2nd ed. Philadelphia, PA: Lippincott Williams & Wilkins; 2012:504.

Ward RC, Executive Editor, Foundations for Osteopathic Medicine, 2nd ed. Philadelphia, PA: Lippincott Williams & Wilkins; 2003:474.

Websites: http://www.who.int/cancer/palliative/definition/en/

Target Audience

LMU-DCOM third and fourth year clinical adjunct faculty (preceptors) and other health care professionals in a clinical teaching role.

Learning Objectives

The clinical teacher will be able to:

  1. Identify the World Health Organization (WHO) definition of palliative care.
  2. Recognize and begin to incorporate the “Total Pain” concepts to palliative care with terminally ill patients.
  3. Recognize how OMT can be utilized in the Mind-Body-Spirit approach to Total Pain relief.
  4. Identify simple OMT techniques that may be utilized by both osteopathic and non-osteopathic physicians in the treatment of terminally-ill patients.
  5. Demonstrate the OMT techniques taught.
Course summary
Available credit: 
  • 1.00 AOA CME Credit
  • 1.00 Attendance
Course opens: 
Course expires: 

Eva Shay, DO
Assistant Professor of OMM
Lincoln Memorial University- DeBusk College of Osteopathic Medicine

It is the policy of the LMU-DCOM CME program to ensure balance, independence, objectivity, and scientific rigor in all its educational programs. Speaker(s) have no actual or potential conflict of interest in relation to this program or presentation.

Available Credit

  • 1.00 AOA CME Credit
  • 1.00 Attendance

Accreditation Period

Course opens: 
Course expires: 


Please login or register to take this course.

Required Hardware/software

Participants must have access to a computer and a reliable high-speed Internet connection, Note that dial-up Internet connection speeds are not compatible with the learning management system.

Operating System Requirements:

  • Operating System: Windows 2000, XP, Vista, 7
  • Processor: Intel Core 2 Duo or higher
  • Memory: 1GB or higher preferred
  • Hard Disk Space: Sufficient to store course materials
  • Monitor: 1024 x 768 minimum resolution
  • Sound Card: ability to play audio clips
  • Browser: Microsoft Internet Explorer 9.0 or Firefox 3.05
  • Plug-ins:
  • Windows Media for audio and video clips
  • Adobe Acrobat Reader to view PDF files (Download is available for free from http://www.adobe.com).
  • Adobe Flash Player