{"id":1388,"date":"2018-04-22T11:42:43","date_gmt":"2018-04-22T05:42:43","guid":{"rendered":"http:\/\/bdpallcare.com\/new\/?p=1388"},"modified":"2018-04-22T11:42:43","modified_gmt":"2018-04-22T05:42:43","slug":"other-symptom-assessment-management-including-palliative-care-emergencies-topic-guide","status":"publish","type":"post","link":"http:\/\/bdpallcare.com\/new\/2018\/04\/22\/other-symptom-assessment-management-including-palliative-care-emergencies-topic-guide\/","title":{"rendered":"Other Symptom Assessment &#038;  Management, Including Palliative Care Emergencies topic guide"},"content":{"rendered":"<p><img fetchpriority=\"high\" decoding=\"async\" class=\"aligncenter size-medium wp-image-1389\" src=\"http:\/\/bdpallcare.com\/new\/wp-content\/uploads\/2018\/04\/78528887-300x200.jpg\" alt=\"\" width=\"300\" height=\"200\" srcset=\"http:\/\/bdpallcare.com\/new\/wp-content\/uploads\/2018\/04\/78528887-300x200.jpg 300w, http:\/\/bdpallcare.com\/new\/wp-content\/uploads\/2018\/04\/78528887-150x100.jpg 150w, http:\/\/bdpallcare.com\/new\/wp-content\/uploads\/2018\/04\/78528887-768x511.jpg 768w, http:\/\/bdpallcare.com\/new\/wp-content\/uploads\/2018\/04\/78528887.jpg 1000w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/p>\n<p>Objectives for audience<\/p>\n<p>1 Understand the principals of symptom assessment and ability to apply this to common symptoms<\/p>\n<p>(eg. dyspnea, nausea &amp; vomiting, constipation, delirium)<\/p>\n<p>2 Management strategies for different symptoms<\/p>\n<ul>\n<li>Treatment of cause of the symptom<\/li>\n<li>Symptom palliation<\/li>\n<\/ul>\n<p>Both can be applied at the same time.<\/p>\n<p>3 Understand what constitutes palliative care emergencies in the context of symptom-control<\/p>\n<p>4 Examples of palliative care emergencies (eg. Severe dyspnea, delirium) and how they are assessed and managed<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>1) Understand the principals of symptom assessment and ability to apply this to common symptoms<\/p>\n<ul>\n<li>Importance and significance of symptom assessment<\/li>\n<li>Using 1 symptom as an example, show how that symptom is assessed.<\/li>\n<\/ul>\n<p>Suggest using symptom assessment acronym eg. OPQRSTUV<\/p>\n<p>O nset<\/p>\n<p>P recipitating\/palliating factors<\/p>\n<p>Q uality<\/p>\n<p>R egion\/radiation<\/p>\n<p>S everity<\/p>\n<p>T reatment<\/p>\n<p>U nderstanding<\/p>\n<p>V alues\/goals<\/p>\n<p>&nbsp;<\/p>\n<ul>\n<li>Physical examination is included in the assessment<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p>2)\u00a0 Management strategies for different symptoms<\/p>\n<ul>\n<li>Management of different symptoms in terms of treatment of the primary cause of symptom if possible and palliation of symptoms<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p>3) Understand what constitutes palliative care emergencies<\/p>\n<ul>\n<li>Palliative care emergencies<\/li>\n<\/ul>\n<p>&#8211; an unforeseen or sudden event that requires prompt assessment, evaluation, and management<\/p>\n<p>&#8211; conditions that if untreated will seriously threaten the remaining quality of life and may also<\/p>\n<p>affect the length of life<\/p>\n<ul>\n<li>Factors to consider in pall emergencies<\/li>\n<li>Nature of emergency, patient\u2019s physical condition, disease status &amp; likely prognosis, concomitant pathologies, symptoms, likely effectiveness vs side effects of proposed treatments, patient\u2019s wishes, family\u2019s wishes<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p>4) Examples of palliative care emergencies and how they are assessed and managed.<\/p>\n<ul>\n<li>Suggest to use emergencies like dyspnea from SVCO, hemorrhage from head &amp; neck tumor, seizures, pain from spinal cord compression\/fractures.<\/li>\n<li>Can be done as case scenarios<\/li>\n<li>Illustrate how disease status and prognosis affects the management of that emergency<\/li>\n<\/ul>\n<p>Eg. Spinal cord compression in patient with localized disease with long prognosis is managed differently from patient with extensive disease and short prognosis<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>References<\/p>\n<p>1 Roberts D, McLeod B. Hospice Palliative Care Symptom Assessment Guide and Guideline for Use of the<\/p>\n<p>Form. In: Fraser South Health Region, editor. 1st ed: Fraser South Health Region; 2004.<\/p>\n<p>2 Caresearch, available <a href=\"https:\/\/www.caresearch.com.au\/Caresearch\/Default.aspx\">https:\/\/www.caresearch.com.au\/Caresearch\/Default.aspx<\/a>&gt;<\/p>\n<p>available April 20, 2017<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Objectives for audience 1 Understand the principals of symptom assessment and ability to apply this to common symptoms (eg. dyspnea, nausea &amp; vomiting, constipation, delirium) 2 Management strategies for different symptoms Treatment of cause of the symptom Symptom palliation Both can be applied at the same time. 3 Understand what constitutes palliative care emergencies in &hellip;<\/p>\n<p class=\"read-more\"> <a class=\"\" href=\"http:\/\/bdpallcare.com\/new\/2018\/04\/22\/other-symptom-assessment-management-including-palliative-care-emergencies-topic-guide\/\"> <span class=\"screen-reader-text\">Other Symptom Assessment &#038;  Management, Including Palliative Care Emergencies topic guide<\/span> Read More &raquo;<\/a><\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[7],"tags":[],"class_list":["post-1388","post","type-post","status-publish","format-standard","hentry","category-education"],"_links":{"self":[{"href":"http:\/\/bdpallcare.com\/new\/wp-json\/wp\/v2\/posts\/1388","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/bdpallcare.com\/new\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/bdpallcare.com\/new\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/bdpallcare.com\/new\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"http:\/\/bdpallcare.com\/new\/wp-json\/wp\/v2\/comments?post=1388"}],"version-history":[{"count":1,"href":"http:\/\/bdpallcare.com\/new\/wp-json\/wp\/v2\/posts\/1388\/revisions"}],"predecessor-version":[{"id":1390,"href":"http:\/\/bdpallcare.com\/new\/wp-json\/wp\/v2\/posts\/1388\/revisions\/1390"}],"wp:attachment":[{"href":"http:\/\/bdpallcare.com\/new\/wp-json\/wp\/v2\/media?parent=1388"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/bdpallcare.com\/new\/wp-json\/wp\/v2\/categories?post=1388"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/bdpallcare.com\/new\/wp-json\/wp\/v2\/tags?post=1388"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}