97193 - Evolution Of Palliative Care in the Western World, Principles, Organization, Content.

Learning outcomes

● To know the definition and fundamental principles of palliative care (quality of life, early palliative care and end-of-life care)

● To know the different professional figures involved in palliative care

● To know the complexity of palliative care of the patient with oncological and non-oncological pathology

● To recognize the relational and communicative needs of the patient and the family

● To recognize and treat the pain, symptoms and conditions most frequent in the patient with incurable disease

●To recognize the bioethical implications linked to the field of palliative care

● To know the modalities of communicative applications with patients and families.

● To know how to listen as a basic principle of palliative care

Course contents

Clinical reasoning in palliative care

Readings/Bibliography

Eduardo Bruera: palliative care (Asmepa Edition)

Teaching methods

 

It is foreseen that the module of Prof. Guido Biasco, 1 CFU (8 hours), 27 May 2024 and 3 June 2024 at 2.00-6.00 pm, will be carried out online following an experimental teaching programme.


EDUCATIONAL CRITERIA (SMART)

Specific: Methodology of clinical reasoning that leads to the identification of cancer patients with high needs for palliative care
Measurable: critical analysis of the reflexive phases in action and in action on clinical cases. Teacher-led and open discussion
Attainable: Knowledge of criteria available for palliative care referral
Realistic: e-conferences, patient case vignettes, videos,
Time limit: Formal lessons (4 hours), test (2 hours), analytical discussion (2 hours).

PROGRAM STRUCTURE AND TEACHING METHODS

Design address for teaching with a flipped learning/problem based approach

Four modules: in presence (2 hours), in presence (2 hours), online (2 hours), online (2 hours)

1. MODULE 1. Introduction (in presence). The teacher starts the module with a program that explains the history, the meaning, the social and health position of modern palliative care. Duration = 2 hours

2. MODULE 2. In-depth study (in attendance). The methodology and the results of a "realistic synthesis" of the literature able to provide a basis of consensus on the clinical issues of Palliative Care (PC) follow. The teacher deepens the theoretical foundations of clinical reasoning and makes use of images, audiovisuals, tutorials, articles/essays. Duration = 2 hours

3. MODULE 3. Case study (online). A case study is proposed from which to start to enter the topic, the students are divided into small groups and are encouraged to analyze the case, identify its specificities and hypothesize solutions. The case is presented with the possibility of interacting with the clinical history in order to stimulate the reasoning of the group who must discuss different decision-making options and develop reflective exercises. The groups must arrive at formulating hypotheses that take into account the dynamics present within the case, develop a flow-chart of clinical behavior and arrive at an operational assistance proposal. The teacher supervises the activities and plays the role of mediator with the help of a tutor. Duration = 2 hours.

4. MODULE 4. Discussion - comparisons - study (online). The teacher discusses with the students, critically analyzing criteria and solutions to the problems identified by the work of the individual groups and deepens the topic through explanations even in this phase, if necessary, with the support of images, audiovisuals, tutorials, articles/essays. At the end of a learning test. Duration = 2 hours

EDUCATIONAL OUTCOME: answer to questions

- What is Palliative Care, how and where is it done, who are the professionals in this area?
 - When should a cancer patient be entrusted to specialist Palliative Care?

Assessment methods

Final discussion. See point 4 of the section "Teaching methods"

Teaching tools

Slides

Videos

Office hours

See the website of Guido Biasco