Enumerate principles of palliative care

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Reference no: EM133910316

Question

Short answer questions

1. Enumerate principles of palliative care

2. What is meant by rehabilitation in palliative care

3. Enumerate differences between caring for acutely and chronically ill patients

4. How is bad news to be conveyed? Enumerate steps?

5. What are anxiety disorders in palliative care?

6. Briefly discuss depressive disorders seen in palliative care patients?

7. Define distress? How do you screen for distress?

8. Define active listening? What are the components?

9. Enumerate the four cardinal principles of patient care?

10. Explain beneficence and maleficence with one example for each

11. What do you understand by patient autonomy?

12. Enumerate the factors that you would consider before prescribing artificial hydration in a terminally ill patient.

13. Define supportive care

1. Ashok is a 45 year old patient with advanced carcinoma of the liver. He has multiple metastases and is very sick. His relatives insist on his being given IV Fluids. How will you respond? (With an actor patient)

2. Vijay is suffering from advanced pancreatic cancer. He keeps asking why he has been punished by god despite living life correctly. What would be your approach to answer to questions? (With an actor patient)

3. A patient has been considered for a chemotherapy course with 6 sessions The first and second courses where accompanied by major side effects and has not been useful in curtailing the progress of the disease .He is back for the next round. How will you proceed? (With an actor patient)

4. Ram is a 60 year patient admitted with ca stomach. His sons do not want him to be told about the diagnosis but are willing of further treatment. (With a mock relative)

5. Ashok is a patient with carcinoma of colon. When his doctor revealed the diagnosis to him, he says he does not believe the biopsy report and demands for a review of the slide. How will you proceed? (with an actor patient)

6. Jayesh, a 26 year juvenile diabetic gets married without informing his bride about his condition. Not taking insulin on his honeymoon, he gets very sick and gets admitted to his usual hospital under his usual doctor. Jayesh's sister Rashmi pleads with the doctor not to reveal the fact that he is a Juvenile diabetic to Jayeash's wife Bina. What would your approach be? (With a mock relative)

7. Mr. Krishnan, a 80 year old person has been told by his doctors that he has prostate cancer and needs oral medication. While agreeing to take oral medication, Mr. Krishnan keeps saying that he is perfectly well and that the doctors are making undue fuss. What will be your approach to the denial? (With an actor patient)

Short Answer Questions

1. Define pain. How will you classify pain

2. What is neuropathic pain? List the drugs recommended for treatment of neuropathic pain

3. Write briefly about WHO ladder

4. What are adjuvant analgesics? Mention different groups of secondary analgesics with one example each for each group

5. Write the equipotent dose of morphine with Codeine, Dextroprpoxyphene, Tramadol, Buprenorphine and Fentanyl

6. Write the comparative doses of Dexamethazone, Prednisolone, Hydrocortisone and Methyl prednisolone

7. List five NSAIDS used in palliative care with their dose and frequency of administration

8. Define break through pain and list drugs used for management of incident pain

9. What are the side effects of opioids.

10. List opioid resistant cancer pain

11. What are the indications for Naloxone? How is it administered

12. Enumerate five complementary therapies suggested for chronic pain management

13. What is spiritual pain? How does it get manifested?

14. Various formulations available to morphine?

15. How will you manage cancer related bone pain?

16. What is sympathetically maintained pain?

17. What are the warning signs of morphine toxicity?

Reference no: EM133910316

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