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Anesthesiology

Palliative Care

Goals:

  • To understand the multidisciplinary clinical approach and treatment strategies necessary for palliating patients at the end of life

 

Objectives:

  • To learn to titrate opioids (via all available routes of administration, including subcutaneous pumps), and to treat associated toxicities of opioids in the cancer pain population 
  • To gain experience in pharmacologic management in pain in patients with end-stage organ disease which affects absorption, metabolism, excretion of medications; to effectively anticipate and/or treat adverse side effects of medications in this setting 
  • To treat patients and families with respect and dignity 
  • To empower patients to participate in medical decision-making at the end of life 
  • To recognize psychological, social, spiritual, and economic issues which may affect patients and their families, and necessitate adjustment in management plan to accommodate these 
  • To explore the multidisciplinary resources necessary in order to effectively treat terminal patients with pain, and to work well within the team providing them 
  • To maintain continuity with inpatients with palliative conditions pain, and to adjust plans accordingly based on daily assessment
  • To work within a hospice environment and assess resources necessary to provide care in this setting

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