Epistemis

Non-Oncological Palliative Care and Special Populations

Palliative Care · Clinical Specialties

How it begins

Un análisis científico, fisiopatológico y clínico detallado sobre el manejo paliativo de pacientes con patologías crónicas avanzadas no oncológicas. Este compendio técnico proporciona herramientas de estratificación pronóstica, pautas detalladas de control de síntomas refractarios, análisis bioéticos complejos en la toma de decisiones al final de la vida y protocolos terapéuticos específicos para poblaciones…

What it covers

  1. Definition, Epidemiology and Early Integration Models
  2. Advanced Identification and Prognosis Tools
  3. Complex Decision Making and Advance Planning
  4. Bioethics at the End of Life: Limitation and Therapeutic Adequacy
  5. Terminal Heart Failure (NYHA Class IV)
  6. · Management of Dyspnea and Refractory Congestion
  7. · Deactivation of High Technology Devices
  8. Advanced Chronic Kidney Disease (ACKD) in Conservative Palliative Treatment
  9. · Management of Specific Symptoms of Uremia
  10. Advanced COPD and Terminal Interstitial Pulmonary Diseases
  11. · Pathophysiology of Dyspnea and Role of Opioids
  12. · Comfort Non-Invasive Ventilator Support (NIMV)
  13. Terminal Chronic Liver Disease and Advanced Liver Failure
  14. · Management of Refractory Hepatic Encephalopathy
  15. · Palliative Evacuative Paracentesis in Tension Ascites
  16. Advanced Dementia (Alzheimer's, Frontotemporal and Vascular)
  17. · Oropharyngeal Dysphagia and Artificial Nutrition
  18. · Psychomotor Agitation and Sundowning Syndrome
  19. Amyotrophic Lateral Sclerosis (ALS): Bulbar Palsy and Ventilatory Support
  20. · Preservation of Communication and Sialorrhea
  21. · Compassionate Withdrawal of Mechanical Ventilation
  22. Advanced Parkinson's Disease and Multisystem Atrophies
  23. · Pathophysiology of Dysautonomia and Parkinson's Psychosis
  24. Multiple Sclerosis and Devastating Ischemic/Hemorrhagic Stroke
  25. · Management of Painful Spasticity
  26. · Acute Devastating Stroke and End of Life Protocol
  27. Pediatric Palliative Care (PPC)
  28. · ACT/RCPCH Clinical Group Classification
  29. The Pluripathological Geriatric Patient and Extreme Frailty
  30. · Fried's Fragility Criteria
  31. · Advanced Deprescription and STOPP/START Criteria
  32. Palliative Care in Patients with Advanced HIV/AIDS
  33. · Manifestations and Symptomatic Management
  34. Palliatives in Serious Psychiatric Patients and People in Destitute Situations
  35. · Clinical and Ethical Challenges
  36. Refractory Non-Oncological Chronic Pain
  37. · Opioid Rotation: Fundamentals and Calculation of Equivalent Doses
  38. · Opioid-Induced Hyperalgesia (OIH)
  39. Refractory Dyspnea: Signaling Pathways, Receptors and Pharmacological Management
  40. · Mechanisms of the Sensation of Dyspnea
  41. · Combined Pharmacological Treatment
  42. Neuropsychiatric Symptoms: Delirium and Terminal Agitation
  43. · Physiopathological Classification
  44. · Pharmacological Treatment of Acute Delirium
  45. Digestive Symptoms: Refractory Nausea, Intestinal Obstruction and Cachexia
  46. · Pathophysiology of Nausea and Vomiting
  47. · Management of Functional Intestinal Obstruction
  48. · Terminal Cachexia-Anorexia Syndrome
  49. Physiological Diagnosis of the Last Days Situation (SUD)
  50. · Physiological Signs of Imminent Death
  51. Palliative Sedation vs. Euthanasia: Clinical, Ethical and Legal Aspects
  52. Pharmacological Protocols for Palliative Sedation
  53. The Premortem Estertor
  54. · Pathophysiology and Rigorous Clinical Approach
  55. Approach to Non-Oncological Palliative Emergencies
  56. The Subcutaneous Route and Hypodermoclysis in Palliative Care
  57. · Physiology of the Subcutaneous Route
  58. · Insertion Technique and Sites of Choice
  59. · Hypodermoclysis (Subcutaneous Hydration)
  60. Integrated Decisional Algorithm for Non-Oncological Palliative Care

The complete study guide is in the app

This page summarizes the outline. The full interactive study guide —with high-yield diagrams, clinical tables, and board review cases— can be read inside Epistemis, completely offline and ad-free.

Subject
Palliative Care
Category
Clinical Specialties
Type
Study Guide
Sections
60
Reviewed
2026-08-02
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