Palliative care course for health care professionals working in renal care settings.

LEAP™ Renal is an interprofessional course that provides health care professionals with the essential skills and competencies of the palliative care approach, with course modules and case studies contextualized to the renal care setting. LEAP™ Renal is taught by subject matter experts who are experienced palliative care clinicians and educators.


Delivery modes

LEAP™ Renal can be delivered online or in a hybrid format.


Who is it for?

LEAP™ Renal is ideal for any health care professional (e.g., nephrologist, nephrology nurse, dialysis technician, social worker) working in renal care but whose primary focus is not palliative care.


Course features

      • Interprofessional approach
      • Built by Canadian palliative care experts
      • Learners receive a LEAP™ certificate of completion and an electronic copy of the best-selling resource, the Pallium Palliative Pocketbook.
      • Online features:
          • 17 interactive, self-learning online modules completed at your own pace (approximately 8 hours of work).
          • 6 hours of online webinars led by LEAP™ facilitators where learners will work through cases and discuss learnings from online modules.
      • Hybrid features:
          • 17 interactive, self-learning online modules completed at your own pace (approximately 8 hours of work).
          • 6 hours of in-person, face-to-face learning led by LEAP™ facilitators where learners will work through cases and discuss learnings from online modules.



LEAP™ Renal will be submitted for accreditation.


Learning outcomes

Upon completion of LEAP™ Renal, learners should be able to:

      • Identify patients who could benefit from a palliative care approach earlier in the illness trajectory.
      • Recognize early indications for palliative care in chronic kidney disease (CKD) patients.
      • Promote and undertake Advance Care Planning discussions.
      • Assess and manage pain; delirium; dyspnea; and nausea, nutrition, and hydration.
      • Develop plans to address spiritual, religious, or psychosocial needs.
      • Initiate essential discussions related to palliative and end-of-life care in daily work.
      • Prepare patients and families for last days and hours.
      • Identify quality improvement opportunities related to palliative care.
      • Address the specific needs of chronic kidney disease (CKD) and end-stage renal disease (ESRD) patients.


Topics covered include

      • Being aware
      • Taking ownership
      • Decision-making and transitions
      • Advance Care Planning
      • Essential conversations
      • Pain and symptom management
      • Psychosocial and spiritual care
      • Last days and hours
      • Quality improvement

Send us an Email

Have any questions? Email us anytime at:

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Connect one-on-one, in real-time, through live chat with a Pallium representative. Available Monday – Friday 9:00 AM – 4:30 PM ET.

Give us a Call

You can call us directly at
1-833-888-LEAP™ (5327).


LEAP™ courses are developed and peer-reviewed by volunteer pan-Canadian teams of subject matter experts who are committed to promoting the palliative care approach.

  • Dr. Vanita Jassal, MD, FRCP (C) (Nephrology) Nephrologist, University Health Network; Associate Professor, University of Toronto; Medical Director, UHN Geriatric Nephrology Program, Toronto
  • Dr. Valerie Schulz, MD, FRCP (Anesthesia) Departments of Clinical Neurological Sciences (A.N.M., T.E.G.) and Anesthesia and Perioperative Medicine (V.S.), Western University, London
  • Dr. José Luis Pereira, MBChB, DA, MBChB, CCFP(PC), MSc, FCFP
  • Dr. Lori Teeple, MD, CCFP (EM), FCFP (ON)
contributors & reviewers
  • Jane Ridley, RN(EC), MScN, CNeph(C)
  • Jovina Bachynski, MN, RN(EC), CNeph(C) Halton Healthcare Services
  • Marisa Battistella, BSc Phm, Pharm D, ACPR Leslie Dan Faculty of Pharmacy, University of Toronto
  • Dr. Sandy Buchman, BA, MD, CCFP, FCFP Temmy Latner Centre for Palliative Care
  • Kristi De Buono, H.BSc, BScPhm, PharmD, RPh Princess Margaret Cancer Centre
  • Shannon Fogarasi, MSW., RSW Humber River Hospital
  • Dr. Gordon Giddings, MD CCFP(PC), FCFP College of Physicians and Surgeons of Alberta
  • Dr. Gavril Hercz, MD, FRCPC University of Toronto
  • Dr. Norman Muirhead, MD FRCPC FRCP(Edin) LHSC University Hospital
  • Robert Sauls, MD, CCFP(PC), FCFP Trillium Health Partners, Mississauga Halton/ Central West Regional Cancer Program
  • Susan Shea, NP-PHC, MScN, CHPCN (C) Champlain Community Care Access Centre (CCAC)
  • Hesham Shaban, MD, ABIM Diplomat in Internal Medicine and Nephrology The Hospice of Windsor and Essex County
  • Chandra Thomas, MSc MD FRCPC University of Calgary
  • Victoria and University Hospital, London University Health Network, Toronto Trillium Health Partners, Mississauga