Palliative Care and Pain Medicine

Palliative Care and Pain Medicine | Internal Medicine

How it begins

Comprehensive approach to the patient with advanced and incurable disease: philosophical foundations, neurobiology of pain, opioid pharmacology, control of refractory symptoms, prognostic communication and support in the final stage of life.

What it covers

1. Palliative Care and Pain Medicine
2. Philosophy, Definitions and Conceptual Framework
3. · 1.1 · History and evolution of palliative care
4. · 1.2 · Fundamental principles of palliative care
5. · 1.3 · Integrated palliative care model
6. · 1.4 · Differentiated essential terminology
7. Ethical and Legal Framework
8. · 2.1 · Bioethical principles in palliative care
9. · 2.2 · The principle of double effect
10. · 2.3 · Decision-making and representation capacity
11. · 2.4 · Access to opioids: a global health justice crisis
12. Communication, Prognosis and Bad News
13. · 3.1 · Communication skills in the palliative context
14. · 3.2 · Prognosis estimation: clinical tools
15. Pathophysiology of Pain
16. · 4.1 · Classification of pain by mechanism
17. · 4.2 · Neurobiology of nociception: from the periphery to the cortex
18. · 4.3 · Mechanisms of cancer pain
19. Systematic Pain Assessment
20. · 5.1 · Pain evaluation scales
21. · 5.2 · Comprehensive evaluation: mnemonic ALICIA (or PQRST)
22. WHO Analgesic Ladder
23. · 6.1 · Step 1: Non-opioid analgesics
24. Opioids: Clinical Pharmacology
25. · 7.1 · Weak opioids (step 2)
26. · 7.2 · Strong opioids (step 3): clinical comparison
27. · 7.3 · Opioid conversion: equivalences and rotation
28. · 7.4 · Management of adverse effects of opioids
29. Adjuvant Analgesia
30. · 8.1 · Gabapentinoids
31. · 8.2 · Antidepressants
32. · 8.3 Corticosteroids
33. · 8.4 · Other relevant adjuvants
34. Breakthrough Pain and Refractory Pain
35. · 9.1 · Types of breakthrough pain
36. · 9.2 · Pharmacological management of DIO
37. Symptom Control: Respiratory
38. · 10.1 · Dyspnea
39. · 10.2 · Death rattles
40. · 10.3 · Massive hemoptysis
41. Symptom Control: Digestive
42. · 11.1 · Nausea and vomiting
43. · 11.2 · Malignant intestinal obstruction (MIO)
44. · 11.3 · Anorexia-cachexia
45. · 11.4 · Other digestive symptoms
46. Neuropsychiatric Symptoms
47. · 12.1 · Delirium in palliative care
48. · 12.2 · Depression and anxiety in the palliative patient
49. · 12.3 · Insomnia and fatigue in CP
50. Care in the Last Days of Life
51. · 13.1 · The path of the last hours (VUH)
52. · 13.2 · Palliative sedation: indications and protocol
53. · 13.3 · Communication with the family in the last hours
54. Palliation in Non-Oncological Diseases
55. · 14.1 · Advanced heart failure (CHF-A)
56. · 14.2 · Advanced COPD and chronic respiratory failure
57. · 14.3 · Stage 5 chronic kidney disease not on dialysis (ERCD)
58. · 14.4 · Advanced dementia
59. · 14.5 · ALS and progressive neuromuscular diseases
60. Palliative Care in Special Populations
61. · 15.1 · Pediatric palliative care (PPC)
62. · 15.2 · CP in cancer patients with HIV
63. · 15.3 · PC in vulnerable populations and low-resource contexts
64. PC Organization, Grief and Team Self-Care
65. · 16.1 · Organizational models of palliative care
66. · 16.2 · The interdisciplinary team in CP
67. · 16.3 · Grief: support and pathology
68. · 16.4 · Risk factors for complicated grief
69. · 16.5 · Professional self-care: compassion fatigue and burnout syndrome
70. · 16.6 · Essential principles for the CP clinician