Palliative care: Difference between revisions

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This area of medicine which deals with '''symptom control''' and is '''non-curative'''. Essentially, patients who are dying and lengthening life takes second place to making sure they are comfortable. It is hugely based on a [[multidisciplinary team]] approach. Some say "Palliative care is helping dying people to live". Or as [[Raj]] put it, "Palliative care is stopping people from dying in such a shitty way".
[[image:woodyallen.jpg|right|thumb|300px|''"It's not the thought of dying that bothers me, I just don't want to be there when it happens"'' - Woody Allen]]
This area of medicine which deals with '''symptom control''' and is '''non-curative'''. Essentially, patients who are dying and lengthening life takes second place to making sure they are comfortable. A [[multidisciplinary team]] approach is a huge part of it. Some say "Palliative care is helping dying people to live".


===Key conditions===
===Key conditions===
According to a tutorial we had, the key areas to deal with:
*[[Prognostication]] - working out how long someone has to live.
*[[Palliative analgesia|Pain control]]
*[[Palliative analgesia|Pain control]]
*[[Respiratory problems]]
*[[Respiratory symptoms|Respiratory problems]]
*[[Nausea and vomiting]]
*[[Nausea and vomiting]]
*[[Incontinence]]
*[[Incontinence]]
Learn about those, and that's it.


==="Mrs Jones, I'm afraid I have some bad news..."===
==="Mrs Jones, I'm afraid I have some bad news..."===
Learning to break bad news is a key part of palliative care. We don't think its really the thing to learn out of a book; get together with a mate, and try telling them seriously a few times "I'm afraid we have the test results back, and I'm afraid they show that you have [[Leukaemia]]." Use your brains, be sensitive and you'll learn a lot. You can find some more tips on [http://www.patient.co.uk/doctor/Breaking-Bad-News.htm this website].
Learning to break and discuss bad news is a key part of palliative care. We don't think its really the thing to learn out of a book; get together with a mate, and try telling them seriously a few times "I'm afraid we have the test results back, and I'm afraid they show that you have [[Leukaemia]]." Use your brains, be sensitive and you'll learn a lot. You can find some more tips on [http://www.patient.co.uk/doctor/Breaking-Bad-News.htm this website].
 
===Emergencies in palliative care===
*[[Spinal cord compression]]
*[[Hypercalcaemia]]
*[[SVC obstruction]]

Latest revision as of 06:32, 5 April 2013

"It's not the thought of dying that bothers me, I just don't want to be there when it happens" - Woody Allen

This area of medicine which deals with symptom control and is non-curative. Essentially, patients who are dying and lengthening life takes second place to making sure they are comfortable. A multidisciplinary team approach is a huge part of it. Some say "Palliative care is helping dying people to live".

Key conditions

"Mrs Jones, I'm afraid I have some bad news..."

Learning to break and discuss bad news is a key part of palliative care. We don't think its really the thing to learn out of a book; get together with a mate, and try telling them seriously a few times "I'm afraid we have the test results back, and I'm afraid they show that you have Leukaemia." Use your brains, be sensitive and you'll learn a lot. You can find some more tips on this website.

Emergencies in palliative care