Family Medicine: Home Care and Palliative Care — Family and Community Medicine Treatise

Family Medicine · Clinical Specialties

How it begins

Un compendio técnico-científico del abordaje longitudinal en el hogar: desde la biofisiología del envejecimiento y la gestión de la complejidad clínica, hasta la farmacodinámica paliativa avanzada y los dilemas bioéticos en el final de la vida.

What it covers

1. Home Care and Palliative Care
2. Home Care Models
3. · Bronfenbrenner's Ecological Model Applied to Home Care
4. Geriatric and Comprehensive Family Assessment
5. · Functional and Cognitive Assessment Tools
6. · Caregiver Emotional Impact and Overload Scales
7. · Instrumented Family Assessment: The Genogram and Ecomap
8. Biology of Frailty and Sarcopenia
9. · Physiopathological Mechanisms of Accelerated Aging
10. · Operational Evaluation of the Frail Patient: Fried and Rockwood
11. · Multimodal Home Intervention
12. Pluripathology and Management of Complexity
13. · Polypharmacy and Drug Interactions in the Elderly
14. · The Evidence-Based Deprescribing Strategy: STOPP/START v3
15. The Immobilized Patient and Geriatric Syndromes
16. · Stage Classification of Pressure Injuries (EPUAP/NPUAP)
17. · Principles of Wound Care Based on Moist Healing
18. · Neurogenic Dysphagia in the Immobilized Patient
19. Palliative Care and Transition Models
20. · Terminality Criteria in Non-Oncological Pathologies: NECPAL Tool
21. · Prognostic Estimation Scales: PaP Score and PPI
22. Pathophysiology, Pharmacology and Pain Control
23. · Updated WHO Analgesic Ladder
24. · Pharmacology of Potent Opioids
25. · Opioid Rotation Protocol
26. · Management of Breakthrough Pain (Disruption Pain)
27. Management of Gastrointestinal Symptoms
28. · Pharmacological Medical Treatment of Malignant Intestinal Obstruction (MIO)
29. Management of Respiratory and Cardiovascular Symptoms
30. · Mechanism of Action of Opioids in Dyspnea
31. · Premortem Rattles (Last Day Rattles)
32. Neuropsychiatric Symptoms and Delirium
33. · Pathophysiology of Delirium in the Terminal Patient
34. · Clinical Stratification of Delirium
35. · Pharmacological Management Protocol for Delirium at Home
36. Use of the Subcutaneous Route and Hypodermoclysis
37. · Anatomy and Physiology of Subcutaneous Absorption
38. · Insertion Technique and Anatomical Sites of Choice
39. · Elastomeric Infusers (Continuous Infusion Systems)
40. · Compatibility and Risk of Chemical Precipitation
41. Palliative Sedation Protocols
42. · Ethical-Legal Distinction between Palliative Sedation and Euthanasia
43. · Subcutaneous Palliative Sedation Pharmacotherapy
44. · Sedation Level Monitoring: Modified RASS Scale for Palliatives (RASS-PAL)
45. Last Days Situation (LDS)
46. · Clinical Signs of Imminent Death (Stigmata of Agony)
47. · De-escalation of Futile Treatments and Adequacy of Therapeutic Effort
48. · Grief Support and Detection of Pathological Grief
49. Bioethical, Legal Aspects and Decision Making
50. · Advance Decision Planning (PAD)
51. · The Principle of Double Effect (Rule of Double Effect)