Palliative care

Palliative care for the non-cancer patient

Non-cancer life limiting diseases are illnesses which are progressive, eventually leading to deterioration that results in death.

However, the clinical course with potential exacerbations, possible recoveries and eventual deterioration for individuals varies, meaning that the requirements of patients and their carers vary significantly across individual illnesses.

Palliative approaches can occur in conjunction with treatments aimed at optimising health, preventing exacerbation and restoring function.

Discussing death and dying

Dr Kathryn Mannix talks about death and dying and the taboos associated with what is an inevitable part of everybody’s life. Kathryn is a palliative care physician a qualified cognitive behavioural therapist and is an award winning author of the thought provoking book “With the End in Mind”.

 

Palliative care management of metastatic pancreatic cancer

Pancreatic cancer is a major cause of cancer-associated death. It is currently the fourth highest cause of cancer death in developed countries.

Prevention of pancreatic cancer or early diagnosis at a curable stage is extremely difficult. This is due to the fact that in the early stages of disease patients rarely exhibit symptoms and the tumours do not display sensitive and specific markers to aid in its detection. Fewer than 20% of patients have surgically resectable disease and approximately 80% of patients will relapse after surgery and ultimately die of their disease.

Lymphoedema in a patient receiving palliative care

In people with cancer, lymphoedema may arise because the lymphatic vessels or nodes have been damaged. This may occur as a result of:

What dying people want - David Kuhl

Professor David Kuhl reflects upon about what dying people want, and overviews points from his research: What is the lived experience of knowing that you have a terminal illness.

Community management of motor neurone disease

The needs of individuals living with motor neurone disease (MND) are complex, as are those of their families/whānau; however, care of such individuals generally occurs in the community.

A multidisciplinary assessment is essential and should include medical (neurology) and nursing, physiotherapy and occupational therapy and speech language therapy.

Palliative care symptom management - Rod MacLeod

Professor Rod MacLeod talks about symptom management in palliative care. Rod is senior staff specialist at HammondCare and conjoint professor in palliative care at the University of Sydney. Many of us will better know him as the author of the palliative care handbook, a much used resource for doctors at the coal face of general practice.

Diagnosing Dying

Welcome to this Diagnosing Dying course which has been designed for community and inpatient health professionals. This course has been developed with an awareness of the differing contexts and situations a health professional may face where they question whether a patient is dying. The principal learning outcome for this course is to help you develop the ability to recognise when a patient you are working with is actively dying, ie., in the last 24-48 hours of life.

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