Palliative Care: Introduction, Philosophy and Models of Care — Treatise on Palliative Medicine

Palliative Care · Clinical Specialties

How it begins

A comprehensive and systematic analysis of the active and comprehensive support of patients with advanced and life-limiting diseases. Detailed approach from the biophysiological, pharmacological, ethical and organizational perspective of contemporary palliative medicine.

What it covers

1. Introduction, Philosophy and Care Models
2. Historical Evolution and Epistemology
3. · The Origins of the Hospice Movement
4. · The Paradigmatic Transition of the World Health Organization
5. Philosophy and Guiding Principles
6. · Operational Pillars of Palliative Care
7. · The Triad of Concepts around Dying
8. Palliative Care Models and Support Structures
9. · Structures of the Specialized Palliative Model
10. · Scientific Evidence of Early Integration: The Temel Paradigm
11. Early Identification of Palliative Needs
12. · Systemic Screening Instruments: SPICT and NECPAL
13. · Functional and Prognostic Assessment Scales
14. The Pathophysiology and Structure of "Total Pain"
15. · Neurobiological Interconnection of Physical Pain and Social Pain
16. Advanced Palliative Pharmacology: Opioid Therapy
17. · Physiology of Opioid Receptors
18. · Profiles of Opioids for Specialized Clinical Use
19. · Opioid Rotation Rules and Equianalgesic Interconversion
20. Pharmacological Management of Digestive Symptoms
21. · Pathophysiology of the Vomiting Center and Selection of Antiemetics
22. · Malignant Intestinal Obstruction (MIO)
23. Management of Respiratory and Neuropsychiatric Symptoms
24. · Pathophysiology and Control of Refractory Dyspnea
25. · Pathophysiology of Delirium in the Terminal Phase
26. Palliative Sedation: Ethics and Clinical Protocol
27. · Conceptual and Ethical Differentiation between Palliative Sedation and Euthanasia
28. · Ethical Foundation: The Principle of Double Effect
29. · Induction and Titration Protocol for Palliative Sedation
30. Pathophysiology of the Agony Phase
31. · Predictive Clinical Signs of Imminent Death (Study P-III)
32. · Withdrawal of Non-Beneficial Interventions (Critical Deprescription)
33. Bioethics in Palliative Care
34. · The Application of the Four Bioethical Principles of Beauchamp and Childress
35. · The Limitation/Adequacy of Therapeutic Effort (LET/AET)
36. Communication of Bad News: The SPIKES Protocol
37. · The Practical Structure of the SPIKES Protocol (EPICEE)
38. The Grief Process: Physiology and Support
39. · Stratification of Duel Types
40. · The Four Tasks of Grief by J. William Worden
41. Palliatives in Non-Oncological Pathologies
42. · Functional Decline Trajectories According to the Disease
43. · Clinical Peculiarities and Treatment Challenges