Study Fast Facts
- Principles of palliative care; their application in advanced disease.
Morrison R. S., Meier D. E.
N Engl J Med 2004; 350:2582-2590, Jun 17, 2004. Clinical Practice
- Liaison with multidisciplinary hospital, hospice and community palliative care services.
- Physical aspects of palliative medicine:
- Natural history, including symptomatology of common incurable diseases
- Pain control, including assessment, psychological factors, treatment and monitoring
- Management of conditions and symptoms common in incurable and life threatening disease - including hypercalcaemia, mouth problems, anorexia, weakness, nausea and vomiting, dyspnoea, intestinal obstruction, constipation, diarrhoea, incontinence, anxiety, depression, restlessness, malignant effusions and ascites, lymphoedema.
- Management of emergencies in palliative care - acute confusional states, haemorrhage; acute severe pain; spinal cord compression; fits; superior venal caval obstruction.
- Pharmacological aspects of palliative medicine:
- WHO classification of analgesics, their dose equivalents and alternate routes of administration
- Pharmacology of drugs commonly used in symptom control
- Prescribing: knowledge of regulations governing the prescription of controlled drugs.
- Psychosocial aspects of palliative medicine:
- Communication with terminally ill patients, their relatives and health care professionals with respect to information transfer, therapeutic strategy development and support during a crisis
- Quality of life issues and their relevance in late stage disease
- Psychosocial responses of patients and relatives in illness and bereavement
- The support of families in bereavement.
- Religious and cultural aspects and influences on patient and family attitudes to death and dying.
- Ethical issues: the ethical framework for appropriate interventions in patients with life threatening disease, including truth telling, consent, treatment choice, the question of euthanasia and advance directives, boundaries of palliative care.
- Legal and organisational: certification of death; procedures after death.