Veidlapa Nr. M-3 (8)
Study Course Description
Palliative Care for Adults
Course Code
RPA_003
Branch of Science
Anatomy; Clinical medicine
ECTS
34.00
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
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About Study Course
Objective
To ensure the acquisition and improvement of theoretical knowledge and practical skills in palliative care of adults, 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 adults, 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
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Title
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% from total grade
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Grade
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1.
Individual work |
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-
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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.
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Examination
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Title
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% from total grade
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Grade
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|---|---|---|
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1.
Examination |
-
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-
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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.
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Study Course Theme Plan
FULL-TIME
Part 1
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Seminar
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Modality
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Location
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On site
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Auditorium
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Topics
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Pain syndrome – acute, subacute and chronic pain, aetiopathogenesis, basic principles and methods of treatment thereof. Opioids, indications for use, side effects, dose titration and therapy monitoring.
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Seminar
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Modality
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Location
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|---|---|---|
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On site
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Auditorium
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Topics
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Pain syndrome – acute, subacute and chronic pain, aetiopathogenesis, basic principles and methods of treatment thereof. Opioids, indications for use, side effects, dose titration and therapy monitoring.
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-
Seminar
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Modality
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Location
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|---|---|---|
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On site
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Auditorium
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Topics
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Pain syndrome – acute, subacute and chronic pain, aetiopathogenesis, basic principles and methods of treatment thereof. Opioids, indications for use, side effects, dose titration and therapy monitoring.
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-
Seminar
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Modality
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Location
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|---|---|---|
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On site
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Auditorium
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Topics
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Pain syndrome – acute, subacute and chronic pain, aetiopathogenesis, basic principles and methods of treatment thereof. Opioids, indications for use, side effects, dose titration and therapy monitoring.
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-
Seminar
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Modality
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Location
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|---|---|---|
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On site
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Auditorium
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Topics
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Pain syndrome – acute, subacute and chronic pain, aetiopathogenesis, basic principles and methods of treatment thereof. Opioids, indications for use, side effects, dose titration and therapy monitoring.
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Seminar
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Modality
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Location
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On site
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Auditorium
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Topics
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Dermatological problems and management thereof, basic principles of wound care
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Seminar
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Modality
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Location
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|---|---|---|
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On site
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Auditorium
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Topics
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Dermatological problems and management thereof, basic principles of wound care
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Seminar
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Modality
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Location
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|---|---|---|
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On site
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Auditorium
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Topics
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Nutrition and hydration
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Seminar
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Modality
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Location
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On site
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Auditorium
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Topics
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Nutrition and hydration
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Seminar
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Modality
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Location
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|---|---|---|
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On site
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Auditorium
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Topics
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Assessment of gerontological patients and specifics of therapy
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Seminar
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Modality
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Location
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|---|---|---|
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On site
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Auditorium
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Topics
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Assessment of gerontological patients and specifics of therapy
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Seminar
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Modality
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Location
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|---|---|---|
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On site
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Auditorium
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Topics
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Oral complications, diarrhoea, constipation, mucositis
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Seminar
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Modality
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Location
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|---|---|---|
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On site
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Auditorium
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Topics
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Oral complications, diarrhoea, constipation, mucositis
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Seminar
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Modality
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Location
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On site
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Auditorium
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Topics
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Respiratory complications
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Seminar
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Modality
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Location
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|---|---|---|
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On site
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Auditorium
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Topics
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Respiratory complications
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Seminar
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Modality
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Location
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|---|---|---|
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On site
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Auditorium
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Topics
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Metabolic complications and intoxication, aetiopathogenesis and treatment thereof
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Seminar
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Modality
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Location
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|---|---|---|
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On site
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Auditorium
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Topics
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Metabolic complications and intoxication, aetiopathogenesis and treatment thereof
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Seminar
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Modality
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Location
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|---|---|---|
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On site
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Auditorium
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Topics
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Metabolic complications and intoxication, aetiopathogenesis and treatment thereof
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-
Seminar
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Modality
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Location
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|---|---|---|
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On site
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Auditorium
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Topics
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Communication skills when working with seriously ill patients and their relatives. The art of delivering bad news. Basic principles of deontology in the management of terminal and chronically ill patients
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Seminar
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Modality
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Location
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|---|---|---|
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On site
|
Auditorium
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Topics
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Communication skills when working with seriously ill patients and their relatives. The art of delivering bad news. Basic principles of deontology in the management of terminal and chronically ill patients
|
-
Seminar
|
Modality
|
Location
|
|
|---|---|---|
|
On site
|
Auditorium
|
Topics
|
Communication skills when working with seriously ill patients and their relatives. The art of delivering bad news. Basic principles of deontology in the management of terminal and chronically ill patients
|
-
Seminar
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Modality
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Location
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|---|---|---|
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On site
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Auditorium
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Topics
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Mental support for the patient and their family
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Seminar
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Modality
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Location
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On site
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Auditorium
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Topics
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Social support, opportunities, help for the patient, family
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Total ECTS (Creditpoints):
34.00
Number of Residency Seminars:
23
Length (weeks):
30
Final Examination:
Residency exam (Theory and practice)
Bibliography
Required Reading
1.
• Sosārs V. Izlaušanās sāpes onkoloģijā un paliatīvajā aprūpē. Cik daudz mēs zinām? Doctus, 05.2014.
2.
• ESF programma (LĀBa) Mācību materiāli - Paliatīvās aprūpes programma ārstu profesionālajai pilnveidei. V.Sosārs, L.Buklovska, I.Albina, L.Keiša-Ķirse, u.c. Medicīnas apgāds, 2011.
3.
• ESF programma (LĀBa) Mācību materiāli – Pacienta dzīves kvalitātes nodrošināšana hronisku slimību gadījumā. D.Zepa, I. Buliņa, L. Ārente, V. Saulīte, u.c. Rīga, 2012.
4.
• Sosārs V., Keiša-Ķirse L. Sāpju terapija paliatīvajā aprūpē. 2013.
5.
• Sosārs V. Fentanils sāpju terapijā. Rīga, 2010.
6.
• Oxford Textbook of Palliative Medicine. 4th edition. Doyle D., Hanks G. W. C., MacDonald N. Oxford University Press, 2010.
7.
• Higginson I. Epidemiologically based needs assessment for palliative and terminal care. Radcliffe Medical Press, 1997.
8.
• 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.
9.
• 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, 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
Other Information Sources
1.
• Interneta informācijas avoti:
2.
a) MedScape, PubMed, “NHS Evidence - supportive and palliative care” mājas lapa, EAPC un IAHPC mājas lapas.
3.
b) www.palliativedrugs.com
4.
www.netwibes.com/info_med
7.
www.scirus.com