Palliative Care: Clinical Communication, Psychosocial and Spiritual Aspects — High Specialty Treatise

Palliative Care · Clinical Specialties

How it begins

An advanced analytical study of empathic communication, the neurobiology of empathy, psychopathological management, and spiritual assessment tools. Designed to optimize clinical support at the end of life, based on contemporary bioethics, the control of refractory symptoms and the mitigation of existential suffering.

What it covers

1. Modern Philosophy and Philosophy of Care: Epistemology of Palliative Medicine
2. Decisional Frameworks and Autonomy: Ethical Dilemmas in End-of-Life Medicine
3. · The principle of autonomy and its course in bioethics
4. · The rule of double effect in palliative care
5. Advance Directives and Medical Decision Planning (PDA)
6. · Operational structure of the PDA in clinical practice
7. Neurobiology of Empathy and Doctor-Patient Relationship
8. · Neurobiological mechanisms of interpersonal attunement
9. · Clinical empathy as a modulator of patient stress
10. The SPIKES (EPICEE) Protocol for the Communication of Bad News
11. Advanced Communication Models: SHARE, COMFORT and REMAP Protocols
12. · The SHARE Protocol for clinical integration
13. · The COMFORT Model: Transdisciplinary communication
14. · The REMAP Framework for treatment reorientation
15. The Conspiracy of Silence: Family Physiopathology and Dismantling Strategies
16. · Definition and psychosocial mechanisms
17. · Strategies for dismantling family silence
18. Discussion of Goals of Care: Transition of Medical Guidelines
19. Management of High Emotional Tension Questions: "How much time do I have left?"
20. · The complexity of temporal forecasting
21. Psychosocial Evaluation and Mental Histopathology at the End of Life
22. · The complexity of psychopathological diagnosis
23. · The structure of the multidimensional psychosocial evaluation
24. Multimodal Approach to Anxiety and Depression in Palliative Care
25. · High evidence non-pharmacological interventions
26. · Precision pharmacological approach in terminality
27. Delirium at End of Life: Pathophysiology, Diagnosis and Complete Clinical Management
28. · Pathophysiology of terminal delirium
29. · Multimodal approach protocol for delirium
30. Professional Burnout and Caregiver Syndrome
31. · The suffering of the main caregiver: Family Claudication
32. · Compassion Fatigue in the transdisciplinary team
33. Sexuality and Body Image in Advanced Disease
34. · The systematic neglect of intimacy at the end of life
35. · Clinical intervention strategies to address sexuality
36. The Concept of Total Pain: Epistemology and Dynamics of Multidimensional Intervention
37. · The legacy of Dame Cicely Saunders
38. · The dynamics of the comprehensive approach
39. Spiritual Assessment Models in Clinical Practice: FICA, HOPE and SPIRIT
40. · Methodological rigor in the evaluation of significance
41. · The conceptual structure of the SPIRIT scale
42. Existential Suffering, Demoralization and Dignity Therapy
43. · Semiological differentiation between Depression and Existential Demoralization
44. · Harvey Chochinov's Dignity Therapy
45. Rituals, Peaceful Death and Facilitation of Personal Transcendence
46. Oncological Pain: Pathophysiology, Nociceptive Pathways and Precision Pharmacological Approach
47. · Pathophysiology of cancer pain
48. · WHO analgesic escalation and the use of rescue methadone
49. Refractory Dyspnea at the End of Life: Receptors and Opioid Control
50. · The neurophysiology of palliative dyspnea
51. · Systematic pharmacological management
52. Digestive Symptoms and Malignant Intestinal Obstruction
53. · Pathophysiology of Malignant Intestinal Obstruction (MIO)
54. · Multimodal pharmacological management and therapeutic reorientation
55. Tumor Cachexia-Anorexia: Cachectizing Cytokines and Nutritional Intervention
56. · Molecular pathophysiology of oncological cachexia
57. · The psychosocial dimension of nutrition and the adequacy of artificial nutrition
58. Rales of Agony and Bronchial Hypersecretion
59. · Definition and physiology of premortem secretions
60. · Comprehensive management of the presentation
61. Agony Phase: Diagnosis and Clinical Signs of the Dying Process
62. · The importance of accurate diagnosis of agony
63. Palliative Sedation: Clinical Criteria, Drugs and Ethical Consent
64. · Definition and delimitation of palliative sedation
65. · Pharmacotherapy of palliative sedation
66. Pathophysiology of Grief: Theoretical Models of Kubler-Ross and Worden
67. · The neurobiology and somatic stress of grief
68. Pediatric Palliative Care: Communication and Child Development Aspects
69. · The uniqueness of the pediatric patient
70. · The communication triad in pediatric palliative care
71. Adequacy of Therapeutic Effort (AET) and Adequacy of Life Supports
72. · Concept and ethical legitimacy of the AET