Palliative Medicine - FG10091

• Title: Palliative Medicine
• Guaranteed by: Department of Oncology and Radiotherapy (15-532)
• Faculty: Faculty of Medicine in Hradec Králové
• Actual: from 2022
• Semester: summer
• Points: 0
• E-Credits: 1
• Examination process: summer s.:
• Hours per week, examination: summer s.:10/6, C [HS]
• Capacity: unlimited
• Min. number of students: unlimited
• 4EU+: no
• Virtual mobility / capacity: no
• State of the course: taught
• Language: English
• Teaching methods: full-time
• Teaching methods: full-time
• Guarantor: prof. MUDr. Stanislav Filip, Ph.D.
• Pre-requisite : {General Medicine 2nd year}
• Interchangeability : FV10089
• Is incompatible with: FV10089, FVP084
• In complex pre-requisite: FG10069, FG10070, FG10071, FG10072, FG10073, FG10076, FG10077, FG10078, FG10079, FG10080, FG10096, FG10097, FG10099

Annotation

Last update: Mgr. Martina Horská (22.01.2024)

The course of Palliative Medicine contains both theoretical and practical information focused on palliative care, both in its general and specialized forms. The goal of this course is to present the characteristics and multidisciplinary nature of the palliative care team and to introduce some of its essential topics, such as planning, organization, and supportive and symptomatic treatment for terminal patients. This course will also provide greater clarity on the overall health, mental, spiritual, and social issues of the terminally ill, outlining the technical pitfalls and ethical dilemmas involved. The lectures will be imparted by experts from various fields (internal medicine, anaesthesiology, resuscitation, geriatrics, and clinical pharmacy, among others) and palliative care medics, the latter of which will also take part in the practical sessions. Thus, we expect this course to familiarize the attending professionals with the theoretical and practical aspects of Palliative Medicine and its clinical management.

Requirements to the exam

Last update: Mgr. Martina Horská (22.01.2024)

Conditions for granting credit.

The course contains ten hours of online lectures (MS Teams). The practical exercises have been designed in two three-hour blocks. The schedule for both the lectures and practical exercises are indicated in the table below. The included subjects are compulsory, we recommend completing the entire practical course. Non-participation during the practical sessions must be duly excused and will be dealt with on an individual basis. Credit will be awarded after the completion of the course. Grading can be accessed through the SIS.

Syllabus

Last update: Mgr. Martina Horská (22.01.2024)

Teachers/Lectors.

prof. Stanislav Filip, MD, PhD.

Michal Hrčiarik, MD

Veronika Molnarova, MD

Jana Hrubešová, MD

Dana Hrnčiariková, MD, PhD.

Martina Novosadová, Pharmdr., PhD.

Pavlína Paseková, MSc.

Michaela Šimková, MSc.

Alena Peremská, Bc.

Krystína Štefanides, Bc.

Lectures.

1. Palliative medicine - introduction; definition; basic palliative treatment and care; principles and concepts of palliative care.

2. Symptom diagnosis and treatment; sudden and chronic conditions seen in palliative care patients.

3. Basic communication - principles of communication with the patient and his/her family in palliative care; rules of communication when conveying serious messages.

4. Terminal care; palliative care limitations; hydration and nutrition during palliative care.

5. Pain – acute, chronic, and breakthrough; indications and risks of opioid administration; other options for analgesic treatment and intervention.

6. Clinical pharmacy in palliative medicine – higher risk drugs in palliative medicine; patient compliance.

7. Hospital palliative team – characteristics; work principles and concepts; establishing a care plan. Outpatient palliative care. Inpatient and mobile hospice care. The issue of previously expressed wishes.

8. Social care in palliative medicine – the social needs and context of serious illness; overview of the state’s social support for patients and their families during serious illness and end of life.

9. Perinatal palliative care - family care during pregnancy at risk of perinatal loss. Spiritual care - Spiritual counselling for patients in palliative care.

10. Specialized palliative care - Procedures: in cardiology (end stage cardiac insufficiency), in pneumology (terminal COPD, IPP), in nephrology (end stage renal insufficiency), in neurology (ALS, RS, Parkinson's disease), in oncology (palliative therapy options), in geriatrics (dementia, frailty syndrome).

11. Hospital and palliative team - characteristics; work principles and concepts; establishing a care plan. Outpatient palliative care. Inpatient and mobile hospice care. The issue of previously expressed wishes.

Practical exercises.

1. Case reports - Clinical monitoring

 

 

Literature

Last update: Mgr. Martina Horská (22.01.2024)

References.

1.       Watson, M., et al: Oxford Handbook of Palliative Care. Oxford University Press, Oxford, UK, 2011.

2.       Sláma, O. a kol.: Paliativní medicína. Galen 2011.

3.       Kupka, M.: Psychosociální aspekty paliativní péče. Grada 2014.

4.       Bužgová, R.: Paliativní péče ve zdravotnických zařízeních. Grada 2015.

5.       Sochor, M., Závadová, I., Sláma, O.: Paliativní péče v onkologii. Edice Mladá Fronta 2019.

6.       Svoboda, P.: Paliativní medicína pro všeobecné praktické lékaře. Raabe 2019.

7.       Sláma, O. a kol.: Paliativní medicína pro praxi. Galen 2022.

8.       Svoboda, M. a halámková, J.: Péče o pacienty po ukončení kurativní onkologické léčby. Grada 2023.