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IM: Palliative Care
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Palliative Module 1: Pain and Symptom Management
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Palliative Module 1: Pain and Symptom Management
Demographic Information
Module Objectives
Case Introduction
The Case: Mr. M
The Case: Mr. M's Treatment
Reflection-1
Five Key Components
Seven Cardinal Features of a Symptom
The Case: Mr. M's Pain Assessment Details
Mr. M's Bedside Evaluation
Mr. M's Bedside Evaluation Contd
Mr. M's Differential Diagnosis Case continued…Question
Mr. M's Differential Diagnosis Contd
Mr. M's Analgesic Regimen
Mr. M's Constipation
Potential Causes for Mr. M's Constipation
Common Causes of Constipation in Patients with Advanced Illness
Common Causes of Constipation in Patients with Advanced Illness cont'd
Opioid Induced Constipation
Therapies for Constipation
Addressing Mr. M's Constipation
Changes to Pain Treatment Case continued:
Changes to Pain Treatmen ( Contd....1)
Key Principles in Opiate Orders
Mr. M's Morphine Dosage
Equinalgesic Doses of Opioid Analgesics
Morphine Recommendation
Morphine Recommendation
Mr. M's Worsening Pain
Causes of Worsening Pain
Recognizing Emotional Pain
Treating Emotional Pain
Talk Therapy
Talk Therapy continued
Patient/Doctor Conversation
Patient/Doctor Conversation continued
Major Concerns - Reflection 2
Major Concerns
Family Meeting
Mr. M's Delirium
Causes of Delirium Question
Underlying Causes of Delirium
Contributions to Delirium
Contributions to Delirium (Contd..)
Contributions to Delirium
Treatment for Delirium
Mr. M's Imminent Death
Reflection 3
IM: Palliative I Quiz