Veidlapa Nr. M-3 (8)

Study Course Description

Palliative Care for Children

Main Study Course Information

Course Code

RPA_004

Branch of Science

Anatomy; Clinical medicine

ECTS

14.00

Target Audience

Medicine

LQF

Level 8

Study Course Implementer

Course Supervisor

Anda Jansone

Residency Speciality

Speciality

Paliative Care Specialist

Supervisor of Medical Speciality

Anda Jansone

Contacts

About Study Course

Objective

To ensure the acquisition and improvement of theoretical knowledge and practical skills in palliative care of children, according to the requirements of palliative care specialty, in order to prepare the doctor for certification in palliative care specialty according to the regulatory documents of the Republic of Latvia.

Learning Outcomes

Knowledge

1.You will gain knowledge and be able to navigate: 1) palliative care for children, 2) deontology, 3) communication with seriously ill and terminal patients and their relatives, 4) legal aspects of care.

Skills

1.1) to provide professional specialised emergency and long-term medical symptomatic and pathogenetic care, 2) to prescribe and implement the necessary diagnostic, treatment, care and rehabilitation measures in palliative care, 3) to identify and solve social, mental and existential problems, 4) to communicate with a variety of patients and their relatives, colleagues and be part of a team to provide comprehensive patient care, 5) to advise patients and relatives on non-medical care, 6) to communicate with the media about the role and national importance of palliative care, 7) to communicate with and provide advice to doctors of other specialties.

Competences

1.Independently carries out palliative care and advises other specialists on palliative care. During the residency, the prospective palliative care specialist is not entitled to prescribe reimbursable oncology medicines. During the residency, after obtaining a certificate of good clinical practice, the prospective palliative care doctor is eligible to participate in clinical trials as a research assistant. After completing the residency, passing the final examinations and defending the thesis, the medical resident obtains a certificate of palliative care doctor in accordance with the legislation of the Republic of Latvia and competences in accordance with the specialty regulations.

Assessment

Individual work

Title	% from total grade	Grade
1. Individual work	-	-
Prepares a presentation on one of the seminar topics, based on a clinical case. Gathers up-to-date information on the latest medicinal products, technologies and treatment methods. Creates presentations. Gathers the necessary information on patients’ medical histories for councils.

Examination

Title	% from total grade	Grade
1. Examination	-	-
A multi-choice test at the end of the study course. At the end of the residency, a national examination including a multiple-choice test and a clinical case description with analysis, as well as a research paper defence.

Study Course Theme Plan

FULL-TIME

Part 1

Seminar

Modality	Location
-	-

Topics

Specifics and organisation of palliative care services for children. The role of a multidisciplinary team in the provision of palliative care services. Paediatric patient assessment and specifics of therapy. Individual family care plan.

Seminar

Modality	Location
On site	Auditorium

Topics

Pain syndrome, symptomatic therapy – basic principles and methods of treatment in palliative care for children.

Seminar

Modality	Location
On site	Auditorium

Topics

Pain syndrome, symptomatic therapy – basic principles and methods of treatment in palliative care for children.

Seminar

Modality	Location
On site	Auditorium

Topics

Pain syndrome, symptomatic therapy – basic principles and methods of treatment in palliative care for children.

Seminar

Modality	Location
On site	Auditorium

Topics

Basic principles of enteral feeding.

Seminar

Modality	Location
On site	Auditorium

Topics

The art of delivering bad news to the family. Communication skills. Ethics in palliative care for children.

Seminar

Modality	Location
On site	Auditorium

Topics

The art of delivering bad news to the family. Communication skills. Ethics in palliative care for children.

Seminar

Modality	Location
On site	Auditorium

Topics

Psychosocial and mental care for paediatric patients and their family members. Mental care for the child’s family members during the grieving period.

Seminar

Modality	Location
On site	Auditorium

Topics

Psychosocial and mental care for paediatric patients and their family members. Mental care for the child’s family members during the grieving period.

Seminar

Modality	Location
On site	Auditorium

Topics

Caring for terminally ill patients in palliative care for children.

Total ECTS (Creditpoints):

14.00

Number of Residency Seminars:

Length (weeks):

Final Examination:

Residency exam (Theory and practice)

Bibliography

Required Reading

• ESF programma (LĀBa) Mācību materiāli - Paliatīvās aprūpes programma ārstu profesionālajai pilnveidei. V.Sosārs, L.Buklovska, I.Albina, u.c. Medicīnas apgāds, 2011.

• ESF programma (LĀBa) Mācību materiāli – Pacienta dzīves kvalitātes nodrošināšana hronisku slimību gadījumā. D.Zepa, I. Buliņa, L. Ārente, u.c. Rīga, 2012.

• Sosārs V., Keiša-Ķirse L. Sāpju terapija paliatīvajā aprūpē. 2013.

• Sosārs V. Izlaušanās sāpes onkoloģijā un paliatīvajā aprūpē. Cik daudz mēs zinām? Doctus, 05.2014.

• Sosārs V. Fentanils sāpju terapijā. Rīga, 2010.

• Oxford Textbook of Palliative Medicine. 4th edition, Doyle D., Hanks G. W. C., MacDonald N. Oxford University Press, 2010.

• Higginson I. Epidemiologically based needs assessment for palliative and terminal care. Radcliffe Medical Press, 1997.

• Hill C. S., Fields S., eds. Advances in Pain Research and Therapy Drug Treatment of Cancer Pain in a Drug-Oriented Society. Vol.11. New York, Raven Press, 1989.

• Davies A. N., Dickman A., et al. Science Committee of the Association for Palliative Medicine of Great Britain and Ireland. The management of cancer-related breakthrough pain: recommendations of a task group of the Science Committee of the Association for Palliative Medicine of Great Britain and Ireland. European Journal of Pain, 2009, 13(4): 331–338.

10.

• Zeppetella G., O'Doherty C. A., Collins S. Prevalence and characteristics of breakthrough pain in cancer patients admitted to a hospice. Journal of Pain Symptom Management, 2000, 20(2): 87–92.

11.

• Portenoy R. K., Payne D., Jacobsen P. Breakthrough pain: characteristics and impact in patients with cancer pain. Pain, 1999, 81(1–2): 129–134.

12.

• Ströngren A. S., Groenvald M., et al. Pain characteristics and treatment outcome for advanced cancer patients during the first week of specialized palliative care. Journal Pain Symptom Management, 2004, 27(2): 104–113.

13.

• Twycross R., Wilcock A. (eds.) Palliative Care Formulary, 3rd edition. 2010, pp. 263–282.

14.

• Autoru kolektīvs D.Baltiņas redakcijā. „Klīniskā onkoloģija”. Zvaigzne ABC, Rīga, 1999.

15.

• D.Baltiņa. „Diagnoze - vēzis”. Rīga, Zinātne, 2006.

16.

• A.Gorčakova, N.Savva, E.Kizino, A.Bogdanovičs, u.c. „Paliatīvā aprūpe bērniem”. Minska- 2008, izdevējs Baltkrievijas Bērnu Hospis. grāmata krievu valodā.

17.

• A.Jansone, D.Fridrihsone, D.Balode. „Sāpju un citu simptomu terapija bērnu paliatīvajā aprūpē”. No grāmatas „Nevis dzīvei vairāk dienu, bet dienām vairāk dzīves”. izdevējs Bērnu paliatīvās aprūpes biedrība, Rīga, 2007.

18.

• AAHPM. Porter Storey, Carol F.Knight. The Hospice/Palliative Medicine Approach to Caring for Pediatric Patients, 2003

19.

• Oxford Textbook of Palliative Care for Children. Ann Goldman (Author), Richard Hain (Author), Stephen Liben (Author), Publisher: OUP Oxford (26 Jan 2006).

20.

• Oxford Textbook of Palliative Care. New York, Oxford University Press, 1998.

21.

• S.Kreitler, M. Weyl Ben Arush. „Psychosocial Aspects of Pediatric Oncology”. England, John Wiley &Sons, 2004.

22.

• J.Marilyn J.Field, Richard E.Behrman. „When children die”. Washington D.C., the National Academies Press, 2003.

23.

• Bērnu paliatīvās aprūpes klīniskās vadlīnijas: NVD 2013.gadā 15.maijā, Nr. KV 04 – 2013