Fungating Wound Management 1)What is a fungating wound? Pathophysiology – tumor growing under the skin and break through the skin surface to create a wound. Appearance: cauliflower, ulcerating, skin nodules 2)Assessment –physical, psychological, psychosocial, spiritual ( how is the impact on the patient from the fungating wound, can use case study ) 3)-Goals of care …
Role of the carer – how this might change over time for different illness trajectories e.g dementia Introduce the concept of carer assessment- Carer assessment examples Use of the multi-disciplinary team (MDT) to support carers Who can help e.g. social workers, physiotherapist Carer Education Medications Discharge planning process Self-care Local support for the carer …
Identifying a dying patient (diagnosing dying) Differentiate between patients with a malignant vs non-malignant diagnosis Deciding whether to initiate life-sustaining treatments vs active palliative management. Withholding inappropriate life-sustaining treatments is easier than withdrawing them Local legal requirements (ethical requirements will be covered separately) Psychosocial care Communicating effectively with the family that the patient is …
Use some time for lecture, but either show a role play or get the audience to spend some time with the person next to them to practice a scenario for 5 minutes. Lecture: Why is communication important Principles of good communication Basic rules of communication (setting/ preparation/timing etc) Breaking bad news (eg SPIKE model) How …
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|11 February, 2018| The painting was drawn by a patient (29 years). What can be the meaning of this picture where the leaves of a tree has already been shred off from its branches in her life? When leaves starts shedding off from the branches of a tree, there is a dilemma whether to …