Courses Catalogue

Palliative Care

COURSE CODE: PAL 2107
COURSE CREDIT UNIT: 2
ACADEMIC PROGRAMME: Clinical Medicine and Community Health, Diploma
COLLEGE/SCHOOL/FACULTY: School of Allied Health Sciences
STATUS: Core
PROGRAMME TYPE: Undergraduate

Course Content and Outline

i) Basics of palliative care (2 Hours)
a)      Definition & philosophy of palliative care
b)      International development of the idea of hospice and palliative care
c)      Role of palliative care 
d)     Models of service delivery in palliative care

ii) Pain management (10 Hours)
a)      Definition and concept of pain/total pain, Anatomy and Pathophysiology, Mechanisms of nociceptive pain and neuropathic pain, Recognition of chronic pain features, Principles of pharmacological treatment 
b)      Pharmacokinetics and pharmacodynamics of opioids, non-opioids and adjuvantanalgesics 

iii) Oncological intervention (5 Hours)
a)      Chemotherapy and radiotherapy
b)      Nursing interventions
c)      Counseling and psychotherapy
d)     Social interventions /support
e)      Physiotherapy
f)       Complementary therapy 

iv) Symptom management (10 hours)
a)      Basic principles of symptom management; Planning and evaluation of treatment,
Symptom assessment (goal & tools),Continuous and on-demand medication 
b)      GIT symptoms(Constipation and diarrhea, Nausea and vomiting, bowel obstruction, etc)
c)      Pulmonary symptoms (Dyspnea, Cough, etc.)
d)     Neuropsychiatric        symptoms        (Delirium/confusional state,    insomnia, depression/mood disorders, anxiety disorders, hallucinations, etc.)
e)      Anorexia, Cachexia and fatigue
f)       Thirst and dry mouth, sore mouth and dysphagia
g)      Dermatological symptoms (wound breakdown, lympho edema, itch)
h)      Care for dying patient
i)        Emergencies in palliative care (hypocalcaemia, spinal cord compression)


v) Psychosocial and spiritual aspects
a)      Psychological reactions to chronic illness, grief and loss
b)      Impact on patient and family of loss of independence, role, appearance, sexuality and perceived self-worth
c)      Family dynamics
d)     Ethnic, social and religious differences
e)      How to help patients and families to deal with practical, financial and legal issues where appropriate. In particular, to arrange for social work and legal briefing to assist with will making
f)       Coping strategies
g)      Grief and bereavement
h)      Anticipatory mourning
i)        Risk factors for difficult mourning
j)        Spirituality (Hope, Review of one‟s life, Belief, Meaning of life)
k)      Breaking bad news
l)        Writing Wills

Teaching/Learning Methods
a)      Lectures
b)      Modified Lectures
c)      Group Discussions
d)     Case Studies
e)      Role plays
f)       Clinical review of terminally ill patients

Teaching/Learning Materials 
a)Whiteboards and markers
b)Text books
c)Patients
d) Videos