Osteopathic Manipulative Medicine's Role in Palliative Care2


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.

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
Review Date: March 22, 2018
Expiration Date   December 31, 2019
Review Date: December 5, 2019
Expiration Date: December 31, 2020


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 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


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.

Available Credit

  • 1.00 AOA CME Credit
  • 1.00 Attendance


Please login or register to take this course.

Required Hardware/software

To complete this activity, users will need:

  • A device with an Internet connection
  • One of the two latest versions of Google Chrome, Mozilla Firefox, or Safari (Internet Explorer is no longer supported)
  • Adobe Flash Player and/or an HTML5 capable browser for video or audio playback
  • Adobe Reader or other PDF reader software for certificate viewing/printing