Palliative Care: Clinical Communication, Psychosocial and Spiritual Aspects — High Specialty Treatise

Palliative Care · Clinical Specialties

How it begins

Un estudio analítico avanzado sobre la comunicación empática, la neurobiología de la empatía, el manejo psicopatológico y las herramientas de evaluación espiritual. Diseñado para optimizar el acompañamiento clínico en el fin de la vida, basándose en la bioética contemporánea, el control de síntomas refractarios y la mitigación del sufrimiento existencial.

What it covers

1. Modern Philosophy and Philosophy of Care: Epistemology of Palliative Medicine
2. Decisional Frameworks and Autonomy: Ethical Dilemmas in End-of-Life Medicine
3. · The principle of autonomy and its evolution in bioethics
4. · The rule of double effect in palliative care
5. Advance Directives and Medical Decision Planning (PDA)
6. · Operational structure of the PDA in clinical practice
7. Neurobiology of Empathy and Doctor-Patient Relationship
8. · Neurobiological mechanisms of interpersonal attunement
9. · Clinical empathy as a modulator of patient stress
10. The SPIKES (EPICEE) Protocol for the Communication of Bad News
11. Advanced Communication Models: SHARE, COMFORT and REMAP Protocols
12. · The SHARE Protocol for clinical integration
13. · The COMFORT Model: Transdisciplinary communication
14. · The REMAP Framework for treatment reorientation
15. The Conspiracy of Silence: Family Physiopathology and Dismantling Strategies
16. · Definition and psychosocial mechanisms
17. · Strategies for dismantling family silence
18. Discussion of Goals of Care: Transition of Medical Guidelines
19. Management of High Emotional Tension Questions: "How much time do I have left?"
20. · The complexity of temporal forecasting
21. Psychosocial Evaluation and Mental Histopathology at the End of Life
22. · The complexity of psychopathological diagnosis
23. · The structure of the multidimensional psychosocial evaluation
24. Multimodal Approach to Anxiety and Depression in Palliative Care
25. · High evidence non-pharmacological interventions
26. · Precision pharmacological approach in terminality
27. Delirium at End of Life: Pathophysiology, Diagnosis and Complete Clinical Management
28. · Pathophysiology of terminal delirium
29. · Multimodal approach protocol for delirium
30. Professional Burnout and Caregiver Syndrome
31. · The suffering of the main caregiver: Family Claudication
32. · Compassion Fatigue in the transdisciplinary team
33. Sexuality and Body Image in Advanced Disease
34. · The systematic neglect of intimacy at the end of life
35. · Clinical intervention strategies to address sexuality
36. The Concept of Total Pain: Epistemology and Dynamics of Multidimensional Intervention
37. · The legacy of Dame Cicely Saunders
38. · The dynamics of the comprehensive approach
39. Spiritual Assessment Models in Clinical Practice: FICA, HOPE and SPIRIT
40. · Methodological rigor in the evaluation of significance
41. · The conceptual structure of the SPIRIT scale
42. Existential Suffering, Demoralization and Dignity Therapy
43. · Semiological differentiation between Depression and Existential Demoralization
44. · Harvey Chochinov's Dignity Therapy
45. Rituals, Peaceful Death and Facilitation of Personal Transcendence
46. Oncological Pain: Pathophysiology, Nociceptive Pathways and Precision Pharmacological Approach
47. · Pathophysiology of cancer pain
48. · WHO analgesic escalation and the use of rescue methadone
49. Refractory Dyspnea at the End of Life: Receptors and Opioid Control
50. · The neurophysiology of palliative dyspnea
51. · Systematic pharmacological management
52. Digestive Symptoms and Malignant Intestinal Obstruction
53. · Pathophysiology of Malignant Intestinal Obstruction (MIO)
54. · Multimodal pharmacological management and therapeutic reorientation
55. Tumor Cachexia-Anorexia: Cachectizing Cytokines and Nutritional Intervention
56. · Molecular pathophysiology of oncological cachexia
57. · The psychosocial dimension of nutrition and the adequacy of artificial nutrition
58. Rales of Agony and Bronchial Hypersecretion
59. · Definition and physiology of premortem secretions
60. · Comprehensive management of the painting
61. Agony Phase: Diagnosis and Clinical Signs of the Dying Process
62. · The importance of accurate diagnosis of agony
63. Palliative Sedation: Clinical Criteria, Drugs and Ethical Consent
64. · Definition and delimitation of palliative sedation
65. · Pharmacotherapy of palliative sedation
66. Pathophysiology of Grief: Theoretical Models of Kubler-Ross and Worden
67. · The neurobiology and somatic stress of grief
68. Pediatric Palliative Care: Communication and Child Development Aspects
69. · The uniqueness of the pediatric patient
70. · The communication triad in pediatric palliative care
71. Adequacy of Therapeutic Effort (AET) and Adequacy of Life Supports
72. · Concept and ethical legitimacy of the AET