Palliative Care

Part I. Principles of Palliative Care

• Comprehensive Palliative Care
• Primary Palliative Care
• Specialty Palliative Care
• Pediatric Palliative Care

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Part II. Communication

• Discussing Serious News (SPIKES)
• Communicating Prognosis
• Goal of Care Disscussion
• Survival Estimation (see below)

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Part III. Ethical & Legal Issues

• Principlism
• Ethical Issues in Palliative Care
• Medically Futility / Potentially Inappropiate Therapy
• Responding to Requests for Futile or Potentially Inappropriate
• Living Will
• Medical Aid in Dying

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Part IV. End-of-Life Care

• End-of-Life Screening & management
• Care in Last Hours to Days
• Stop Nutrition and Hydration
• Verification of Death
• Bereavement

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Part V. Symptom Assessment

• Symptom Assessment
• ESAS
• PPS
• Performance Status
• Prognostic Assessment

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Part VI. Symptom Management

• Common Non-pain symptoms (overview)

Pain

• Pain & Palliative sedation
• Cancer Pain
• Opioids
• Breakthrough Pain
• Neuropathic Pain
• Bone Pain

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Respiratory

• Dyspnea
• Cough
• Stridor
• Hemoptysis

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GI

• Nausea & Vomiting
• Constipation
• Bowel obstruction
• Dysphagia
• Mouth care
• Anorexia / Cachexia
• Ascites
• Hiccups (เพิ่ม)

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Neuropsychiatric

• Delirium (ยังไม่มี)
• Anxiety
• Depression
• Insomnia (ยังไม่มี)
• Seizure (ยังไม่มี)

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Constitutional

• Fatigue
• Sweating
• Fever (ยังไม่มี)

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Skin

• Pruritus
• Pressure injury (ยังไม่มี)
• Malignant wound (ยังไม่มี)

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GU

• Urinary retention (ยังไม่มี)
• Hematuria (ยังไม่มี)

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Other

• Sexuality
• Lymphedema (เพิ่ม)
• Edema (เพิ่ม)

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Part VII. Disease-specific Palliative Care

Cancer

• General Cancer
• Advanced Cancer

Cardiology

• Advanced Heart Failure

Nephrology

• Kidney Failure

Hepatology

• End-Stage Liver Disease

Pulmonary

• COPD
• ILD
• Non-malignant Lung Disease

Neurology

• Parkinson disease
• Stroke
• Dementia
• ALS (เพิ่ม)

ICU

• ICU Palliative Care

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Part VIII. Palliative Care in Special Populations

• Pediatric
• Older Adults
• Nursing Home
• Homeless
• Incarcerated
• Emergency Department
• ICU
• Patients with Intellectual Disability (เพิ่ม)

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Part IX. Models of Care

• Home-Based Palliative Care
• Hospice
• Nursing Home
• Community Palliative Care
• Telemedicine
• Physical Therapy
• Rehabilitation
• Interdisciplinary Team

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Part X. Psychosocial, Spiritual & Cultural Care

• Spirituality
• Cultural Aspects
• Psychological Care
• Family Caregiver
• Bereavement
• Existential Distress
• Meaning-centered Care
• Dignity Therapy

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Prognostic Models

• Cancer
• Dementia
• Heart Failure
• Liver Disease
• Kidney Disease
• Stroke
• ICU
• CAD
• Pancreatitis

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