book reading dahlia 7 .pptx
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Palliative Care Book ReadingJuvita KurniawanPPDS I Imu Penyakit DalamFK UGM/ RS dr Sardjito
Pembimbing: dr. Vina Yanti, MSc., SpPD, Ph. D
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What is Palliative Care?Palliative care (WHO, 2002) is an approach that improves the quality of life of patients and their families facing the problems associated with life-threatening illness, through the prevention and relief of suffering by means of early identification and impeccable assessment, and treatment of pain and other problems – physical, psychosocial and spiritual.
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Palliative care: provides relief from pain and other distressing symptoms;
affirms life and regards dying as a normal process;
intends neither to hasten nor to postpone death;
integrates the psychological and spiritual aspects of patient care;
offers a support system to help patients live as actively as possible until
death;
offers a support system to help the family cope during the patient’s illness
and in their own bereavement;
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uses a team approach to address the needs of patients and their families, including bereavement counselling, if indicated;
will enhance quality of life, and may also positively influence the course of illness;
is applicable early in the course of illness, in conjunction with other
therapies that are intended to prolong life, such as chemotherapy or radiation therapy;
includes the investigations needed to better understand and manage
distressing clinical complications.
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End of life Care
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Terminal cancer refers to an advanced stage when curative treatment is no longer useful, the disease is assessed to be incurable and the patient’s condition is progressively deteriorating.
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Indicators of Prognosis
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Clinical Indicators
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End of Life IssuesMedication at the end of life: pain, breathlessness, excess secretion, terminal delirium, and seizures and their prevention. (choose the least invasive route of administration) Care at the time of death
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Type of pain
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Pain
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Side effects
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Opioid dosing
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Special Pain problem
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Other medication
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Other medication
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Prevent bedsores
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Prevent contractures
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Other clinical problems
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Other clinical problems
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Other clinical problems
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Other clinical problems
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Other clinical problems
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End of life care
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End of Life Care
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Normal dying
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Death
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Thank You