Palliative Care: Introduction, Philosophy and Models of Care — Treatise on Palliative Medicine

Palliative Care · Clinical Specialties

How it begins

Un análisis exhaustivo y sistemático del soporte activo e integral de pacientes con enfermedades avanzadas y limitantes para la vida. Abordaje pormenorizado desde la perspectiva biofisiológica, farmacológica, ética y organizativa de la medicina paliativa contemporánea.

What it covers

1. Introduction, Philosophy and Care Models
2. Historical Evolution and Epistemology
3. · The Origins of the Hospice Movement
4. · The Paradigmatic Transition of the World Health Organization
5. Philosophy and Guiding Principles
6. · Operational Pillars of Palliative Care
7. · The Triad of Concepts around Dying
8. Palliative Care Models and Support Structures
9. · Structures of the Specialized Palliative Model
10. · Scientific Evidence of Early Integration: The Temel Paradigm
11. Early Identification of Palliative Needs
12. · Systemic Screening Instruments: SPICT and NECPAL
13. · Functional and Prognostic Assessment Scales
14. The Pathophysiology and Structure of "Total Pain"
15. · Neurobiological Interconnection of Physical Pain and Social Pain
16. Advanced Palliative Pharmacology: Opioid Therapy
17. · Physiology of Opioid Receptors
18. · Profiles of Opioids for Specialized Clinical Use
19. · Opioid Rotation Rules and Equianalgesic Interconversion
20. Pharmacological Management of Digestive Symptoms
21. · Pathophysiology of the Vomiting Center and Selection of Antiemetics
22. · Malignant Intestinal Obstruction (MIO)
23. Management of Respiratory and Neuropsychiatric Symptoms
24. · Pathophysiology and Control of Refractory Dyspnea
25. · Pathophysiology of Delirium in the Terminal Phase
26. Palliative Sedation: Ethics and Clinical Protocol
27. · Conceptual and Ethical Differentiation between Palliative Sedation and Euthanasia
28. · Ethical Foundation: The Principle of Double Effect
29. · Induction and Titration Protocol for Palliative Sedation
30. Pathophysiology of the Agony Phase
31. · Predictive Clinical Signs of Imminent Death (Study P-III)
32. · Withdrawal of Non-Beneficial Interventions (Critical Deprescription)
33. Bioethics in Palliative Care
34. · The Application of the Four Bioethical Principles of Beauchamp and Childress
35. · The Limitation/Adequacy of Therapeutic Effort (LET/AET)
36. Communication of Bad News: The SPIKES Protocol
37. · The Practical Structure of the SPIKES Protocol (EPICEE)
38. The Grief Process: Physiology and Support
39. · Stratification of Duel Types
40. · The Four Tasks of Grief by J. William Worden
41. Palliatives in Non-Oncological Pathologies
42. · Functional Decline Trajectories According to the Disease
43. · Clinical Peculiarities and Treatment Challenges