Degree | Type | Year | Semester |
---|---|---|---|
2502442 Medicine | OT | 6 | 0 |
It is advisable to have acquired basic knowledge of Physiopathology, Semiology and Pharmacology.
The fundamental objective is to provide the student with resources to recognize, understand and effectively relieve suffering. To do this, all doctors should receive basic training in palliative medicine.
The specific objectives are:
1 Integrate the knowledge of other health disciplines, differentiating curative and palliative approaches
2 Recognize the causes of the suffering of patients and families, evaluating their physical, emotional, social and spiritual components
3 Describe the pathophysiology of pain and other symptoms and its therapeutic approach
4 Demonstrate communication skills with the patient, family and team
5 Emphasize that all interventions should focus on the patient's needs, considering its principles and values
6 Discuss ethical aspects and decision making at the end of life
7 Understand that the patient and family form a unit of care
8 Identify one's own attitudes towards illness and death
9 Recognize the multidisciplinary approach of palliative care and plan teamwork
10 Identify the various palliative care systems in hospital and home and their relationships
11 Provide help in the grieving process
Theory
Unit 1.Protagonists of the terminal situation: the patient, the family and the health professionals. Factors that contribute to suffering. Palliative medicine as a response to suffering. Evaluation of needs of patients and families. General strategy of symptom control.
Unit 2 Adaptation of the patients to the process of dying. Reactions to one's loss Experiences of meaning and serenity at the end of life.
Unit 3. Pain. Mechanisms Evaluation. Prognostic factors. Basic principles of analgesic treatment. WHO analgesic ladder.
Unit 4. Management of opioid analgesics. Adjuvant drugs. Difficult pain
Unit 5 Digestive problems: vomiting, constipation and intestinal obstruction. Cachexia. Respiratory symptoms: dyspnoea and cough.
Unit 6. The agitated patient: cognitive alterations, anxiety, depression and insomnia
Unit7. Palliative emergencies. The last days of life.
Unit 8. Ethical decisions in the final period of life: limitation of therapeutic effort, sedation and
Euthanasia.
Unit 9. Attention to the family. The grieving process.
Topic 10. The stress of health professionals: recognition and prevention. Recommendations on
Self-care
Classroom practices
1 Workshop: how to inform patients and families about bad news
2 Workshop: recognition and management of one's emotions in the face of suffering
3. Analysis of patient testimonies (video)
Clinical case seminars
Seminar 1.Clinical cases of pain
Seminar 2.Clinical cases of evaluation and control of symptoms.
Virtual classes
Topic 1.Death in our society
Topic 2. Palliative care in cancer patients
Topic 3. Palliative care in patients with organic insufficiencies
Item 4. Organization of palliative care
Topic 5. Interactive problem solving
This Guide describes the framework, contents, methodology and general rules of the subject, in accordance with the current curriculum. The final organization of the subject in terms of the number and size of groups, distribution in the calendar and dates of examinations, specific evaluation criteria and review of exams, will be specified in each of the Hospital Teaching Units (UDH), which will make it explicit to through their web pages and the first day of class of each subject, through the teachers responsible for the subject to the UDH.
In the current exceptional circumstances, at the discretion of the teachers and also depending on the resources available and the public health situation, some of the theoretical classes, practicals and seminars organized by the Teaching Units may be taught either in person or virtually.
Title | Hours | ECTS | Learning Outcomes |
---|---|---|---|
Type: Directed | |||
Classroom practices (PAUL) | 3 | 0.12 | 6, 7, 11, 3, 9, 1 |
Clinical case seminars (SCC) | 2 | 0.08 | 7, 8, 11, 10, 14, 16, 2 |
Contents given as oral lectures (Theory) | 10 | 0.4 | 6, 7, 13, 12, 11, 10, 14, 16, 1, 2 |
Type: Supervised | |||
External Practices (PEXT) | 8 | 0.32 | 7, 8, 13, 11, 10, 14, 16, 3, 17, 15, 9, 1 |
Tutorials | 2 | 0.08 | |
Virtual classes (VIRT) | 6 | 0.24 | 7, 13 |
Type: Autonomous | |||
Preparations for written works | 5 | 0.2 | 6, 7, 12, 1 |
Self-study and reading articles/reports of interest | 35.25 | 1.41 | 6, 7, 13, 12, 11, 14, 16, 1, 2 |
The attendance at the directed educational activities and the participation in the supervised ones will have a weight of30% in the final grade.
There will be a written exam consisting of 20 multiple choice questions. The weight of this examination in the qualification will be 40%.
There will be an examination of 10 short questions. The weight of this exam in the final grade will be 30%.
Students who do not show up for the assessment tests will have a "Not Evaluable" grade.
There will be a recovery test consisting of a written test of 10 short questions and an exam
written of 10 questions type test, according to calendar
In the case that a student suspends and his average grade is lower than 5, the resulting average will be that of the grade of the final grade
In the case that a student suspends and his median grade is higher than 5, the resulting median will be the lowest rating
Title | Weighting | Hours | ECTS | Learning Outcomes |
---|---|---|---|---|
Attendance and active participation in class and seminars | 30% | 1.25 | 0.05 | 5, 6, 4, 7, 8, 12, 10, 3, 17, 15, 9, 1 |
Written evaluation: Objective test Essay test of restricted questions | 30% | 1 | 0.04 | 5, 6, 7, 8, 13, 12, 11, 10, 14, 16, 1, 2 |
Written evaluation: Objective test Multiple choice questions | 40% | 1.5 | 0.06 | 5, 6, 7, 8, 13, 12, 11, 10, 14, 16, 1, 2 |
Books
-. Centeno C, Nabal M, Gómez Sancho M, Pascual A. Manual de Medicina Paliativa. Pamplona. Eunsa. 2009
-. Cherny N, Fallon M, Kaasa S, Portenoy RK, Currow DC. Oxford Textbook of Palliative Medicine. Oxford.
Oxford University Press 2015
Journals
Medicina Paliativa. Elsevier
Articles
-. Benito E, Maté J, Pascual A. Estrategias para la detección, exploración y atención del sufrimiento en el
paciente. FMC 2011; 18:392-400
-. Hui D, Bruera E. A personalized approach to assesing and managing pain in ptients with cancer. J Clin
Oncol 2014; 37: 1640-1648
.- Caraceni A, Hanks G, Kaasa S et al. Use of opioids analgesics in the treatment of cancer pain: evidence
based recommendations from the EAPC. Lancet Oncol 2012; 13: e58-68
-. Tuca A, Jimenez-Fonseca P, Gascón P. Clinical evaluation and optimal management of cancer cachexia
Reviews in Oncology/Hematology 2013, 88: 625-636
-. Centeno C, Sanz A, Vara F, Perez E, Bruera E. Abordaje terapéutico del delirium en pacientes con cáncer
avanzado. Medicina Paliativa 2003; 10: 149-156
.- Ripamonti C, Easson A, Gerdes H. Managment of malignant bowel obstruction. Eur J Cancer 2008; 44:
1105-1115
-. Kamal A, Maguire J, Wheeler J, Currow D, Abernethy A. Dypsnea review for the palliative care professional:
tratment goals and Therapeutic options. J Palliat Med 2012; 15: 106-114
-. Nabal M, Guanter L. Manejo terapéutico de síntomas difíciles em cuiddos paliativos. Medicina Paliativa
2002; 9: 96-101
-. Mount B, Boston P, Cohen SH, Healing conetions: on moving from suffering to a sense of well-being. J Pain
Symptom Manage. 2007; 33: 372-388
-. Chochinov H. Dignidad y la esencia de la medicina: el A,B,C y D del cuidado centrado en la dignidad.
Medicina Paliativa 2009; 16: 95-99
-. Benito E, Arranz P, Cancio H. Herramientas para el autocuidado del profesional que atiende a personas que
sufren. FMC 2011; 18: 59-65
-. Bruera E. Palliative care: lessons learned by our team over the last 25 years. Palliat Med 2013; 27: 939-951
Practical clinical guide line
http://www9.euskadi.net/sanidad/osteba/datos/e_06_08_Cuidados_Paliat.pdf
Internet
www.secpal.com
www.eapc.net
Lectures recommended
-. Victor Frankl. El hombre en busca de sentido. Herder 2011
-. Elisabeth Kubler-Ross. Sobre la muerte y los moribundos. Debolsillo, 2010
-. Alba Payas. El mensaje de las lágrimas. Paidos, 2014