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| MEDE1163-1 | Incorporation of competences
- Workshop of complex problem solving
- Ambulatory medicine
- Palliative and End of Life Medicine
- Critical Analysis of Alternative Practices
- Questions of ethics (conferences)
- Pathological anatomy
- Therapy
- Integrated clinics (Surgery 13h - Medicine 14h - paediatrics 11h - Gynecology and Obstetrics 7 h - ambulatory medicine 7h - pathological anatomy 11h)
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| Duration : | Workshop of complex problem solving : 48h LBOPS
Ambulatory medicine : 4h Pr
Palliative and End of Life Medicine : 10h Th
Critical Analysis of Alternative Practices : 10h Th
Questions of ethics (conferences) : 10h Th
Pathological anatomy : 7h Pr
Therapy : 60h Th
Integrated clinics (Surgery 13h - Medicine 14h - paediatrics 11h - Gynecology and Obstetrics 7 h - ambulatory medicine 7h - pathological anatomy 11h) : 63h Pr
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| Number of credits : |
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| Lecturer : | Workshop of complex problem solving : Didier Giet
Ambulatory medicine : Didier Giet
Palliative and End of Life Medicine : Jean‑François Brichant, Marie‑Elisabeth Faymonville, Didier Giet
Critical Analysis of Alternative Practices : Marie‑Elisabeth Faymonville, André Scheen
Questions of ethics (conferences) : Jean‑Rémy Van Cauwenberge
Pathological anatomy : Philippe Delvenne, Manuel Deprez
Therapy : Collégialité
Integrated clinics (Surgery 13h - Medicine 14h - paediatrics 11h - Gynecology and Obstetrics 7 h - ambulatory medicine 7h - pathological anatomy 11h) : Collégialité
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| Coordinator : | André Scheen |
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Language(s) of instruction :
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| French language |
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Course contents :
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 | | Palliative and End of Life Medicine |
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| · Overview of potential paths to care and their goals
· The ethics of communication in cancer and palliative care
· Communication skills for oncology and palliative care
· Breaking bad news
· Communication to achieve shared treatment decisions and how to respond to difficult emotions and difficult questions
· Information about the wide spectrum of unique patient family responses to a potentially fatal illness
· Pathophysiology of cachexia - asthenia - cough - nausea - vomiting - cognitive problems - cancer pain
· Description of possible causes, treatment options for symptoms relief and management of side effects
· Prevention of symptoms
· When and to whom and for what kind of problem can we propose radiotherapy
· Role of psychologist in Oncology - Palliative care
· Global pain and its approach : correct diagnosis - clinical observations
· Cancer pain management pharmacological approach - opioids - non opioids - neuropathic pain management
· How to initiate a therapy, opioid rotation, side effects and their treatment, concept of tolerance - dependence
· Alternative routes of administration to control complex pain syndrome
· Development of palliative care and legalisation of euthanasia
· Control of end life stressful situation with palliative sedation
· Anticipating demand of euthanasia and ethical questioning about euthanasia in patients with altered consciousness
· Death - the dying process and notion about how to support bereaved
· Stress and burnout in palliative caregivers |
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Learning outcomes of the course :
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| | Palliative and End of Life Medicine |
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| This course will give skills to :
· Enable each student to demonstrate stratagems for resolving ethical issues about palliative rather than life prolonging treatment
· Demonstrate techniques for communicating distressing information to patients and families
· Provide understandable information and convey hope by emphasizing what can be done
· Welcome questions, listen to and interpret with concern
· Use techniques to ensure that you are hearing the patient's and family's primary areas of concern in order to assist them with appropriate decision-making
· Learn about interdisciplinary approach and global care of patient
· Identify correctable causes of dyspnae - vomiting - caught - constipation - cognitive impairment
· Develop skills in using pharmacological and non pharmacological approaches to manage undesirable symptoms line cachexia - asthenia - constipation - dehydration - vomiting
· Apply pharmacological treatment and the impact of their therapy on the patient's symptoms
· Utilize the concepts of tolerance - physical dependence in pain management
· Adopt a perspective on the limitation of treatments (chemotherapy - enteral - parenteral nutrition)
· Do a functional assessment of dying patient at home
· Set up an appropriate medication calendar
· Assess emotional status and appropriately support patient and other caregiver
· Assess family functioning to intervene as necessary
· Use resources available for home care
· Give information to the patients - families about euthanasia, anticipated demand of euthanasia and provide ethic questioning when families were confronted with patients in altered states of consciousness
· When and how to use sedation with dying people to control complex symptoms |
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Contacts :
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| | Palliative and End of Life Medicine |
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| Valérie MASSART
Département de Médecine Générale
www.dumg.be
Faculté de Médecine - Université de Liège
Avenue de l'Hôpital, 1 CHU B23
4000 Liège - Sart-Tilman
Tél : +32 4 366 42 78
Fax : +32 4 366 42 77
V.Massart@chu.ulg.ac.be |
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