Palliative Medicine

46 written of 46 topics · 31 curriculum entries

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Presentations

Tier 1comprehensive depth
ConstipationDyspnoeaNauseaPainTracheobronchial secretions🔒Vomiting🔒
Tier 2understand these
Seizures🔒

Conditions

Tier 1comprehensive depth
End-of-life phase🔒Terminal delirium🔒Terminal restlessness🔒
Tier 2understand these
Bowel obstruction, malignant🔒Depression in patients nearing end of life🔒Blood chemistry changes that occur during dying phase🔒
Conversion calculations between opioids
🔒 fentanyl🔒 morphine🔒 oxycodone
Indications for use of corticosteroids
🔒 bowel obstruction🔒 cerebral oedema from metastatic disease🔒 hypercalcaemia and bone pain🔒 wellbeing and appetite stimulation
Opioid dose conversions from parenteral to oral or transdermal routes🔒
Pathophysiology of pain
🔒 neuropathic🔒 nociceptive🔒 non-nociceptive
Pharmacology of analgesics and other agents used to treat major symptom complexes🔒Symptoms and signs of opioid toxicity and opioid induced hyperalgesia🔒Subcutaneous infusion pump (know how and when to prescribe)🔒Tools to assess pain or distress in an unconscious or reduced level of consciousness in patients, such as the Abbey Pain Scale🔒Assessment of psychological, cultural and spiritual needs of the patients, families, and carers🔒Compassion towards those who can no longer be ‘cured’🔒Cultural aspects related to death, dying, and handling of the deceased in different cultures and religions, such as Māori and Aboriginal and Torres Strait Islander peoples, Muslim people, Buddhist people, and Hindu people🔒
Ethical principles involved in care of dying patients, particularly in relation to
🔒 advocacy🔒 beneficence versus non-maleficence🔒 organ donation🔒 advanced care directives
Importance and meaning of resuscitation orders🔒Importance of recognising disease trajectories and anticipating when patients are nearing end-of-life phase🔒Importance of respecting patients’ dignity at the end of their life🔒Importance of respecting the wishes of patients, families, and carers🔒
Medicolegal aspects of end-of-life care
🔒 consent🔒 futility🔒 proxy decision makers
Withdrawal of life-prolonging treatments, such as artificial nutrition and hydration, antibiotic treatment, or supplemental oxygen🔒