Family Medicine: Home Care and Palliative Care — Family and Community Medicine Treatise

Family Medicine · Clinical Specialties

How it begins

A technical-scientific compendium of the longitudinal approach at home: from the biophysiology of aging and the management of clinical complexity, to advanced palliative pharmacodynamics and bioethical dilemmas at the end of life.

What it covers

1. Home Care and Palliative Care
2. Home Care Models
3. · Bronfenbrenner's Ecological Model Applied to Home Care
4. Geriatric and Comprehensive Family Assessment
5. · Functional and Cognitive Assessment Tools
6. · Caregiver Emotional Impact and Overload Scales
7. · Instrumented Family Assessment: The Genogram and Ecomap
8. Biology of Frailty and Sarcopenia
9. · Physiopathological Mechanisms of Accelerated Aging
10. · Operational Evaluation of the Frail Patient: Fried and Rockwood
11. · Multimodal Home Intervention
12. Pluripathology and Management of Complexity
13. · Polypharmacy and Drug Interactions in the Elderly
14. · The Evidence-Based Deprescribing Strategy: STOPP/START v3
15. The Immobilized Patient and Geriatric Syndromes
16. · Stage Classification of Pressure Injuries (EPUAP/NPUAP)
17. · Principles of Wound Care Based on Moist Healing
18. · Neurogenic Dysphagia in the Immobilized Patient
19. Palliative Care and Transition Models
20. · Terminality Criteria in Non-Oncological Pathologies: NECPAL Tool
21. · Prognostic Estimation Scales: PaP Score and PPI
22. Pathophysiology, Pharmacology and Pain Control
23. · Updated WHO Analgesic Ladder
24. · Pharmacology of Potent Opioids
25. · Opioid Rotation Protocol
26. · Management of Breakthrough Pain (Disruption Pain)
27. Management of Gastrointestinal Symptoms
28. · Pharmacological Medical Treatment of Malignant Intestinal Obstruction (MIO)
29. Management of Respiratory and Cardiovascular Symptoms
30. · Mechanism of Action of Opioids in Dyspnea
31. · Premortem Rattles (Last Day Rattles)
32. Neuropsychiatric Symptoms and Delirium
33. · Pathophysiology of Delirium in the Terminal Patient
34. · Clinical Stratification of Delirium
35. · Pharmacological Management Protocol for Delirium at Home
36. Use of the Subcutaneous Route and Hypodermoclysis
37. · Anatomy and Physiology of Subcutaneous Absorption
38. · Insertion Technique and Anatomical Sites of Choice
39. · Elastomeric Infusers (Continuous Infusion Systems)
40. · Compatibility and Risk of Chemical Precipitation
41. Palliative Sedation Protocols
42. · Ethical-Legal Distinction between Palliative Sedation and Euthanasia
43. · Subcutaneous Palliative Sedation Pharmacotherapy
44. · Sedation Level Monitoring: Modified RASS Scale for Palliatives (RASS-PAL)
45. Last Days Situation (LDS)
46. · Clinical Signs of Imminent Death (Stigmata of Agony)
47. · De-escalation of Futile Treatments and Adequacy of Therapeutic Effort
48. · Grief Support and Detection of Pathological Grief
49. Bioethical, Legal Aspects and Decision Making
50. · Advance Decision Planning (PAD)
51. · The Principle of Double Effect (Rule of Double Effect)