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Modules:
Introduction
1. Advance Care Planning
2. Communicating Bad News
3. Whole Patient Assessment
4. Pain Management
5. Assisted Suicide Debate
6. Anxiety, Delirium
7. Goals of Care
8. Sudden Illness
9. Medical Futility
10. Common Symptoms
11. Withholding Treatment
12. Last Hours of Living
13. Cultural Issues
14. Religion, Spirituality
15. Legal Issues
16. Social and Psychological
More About:
Hospice Care
Clergy and Faith Communities
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Why Assessment Skills are Important
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Patients expect relief of suffering. This is as fundamental to the goals of medicine as cure or control of disease
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Assessment is key diagnostic tool to assess each dimension of suffering
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Assessment coordinates the team of health professionals
- Because the physician is the one who coordinates and directs care, it is important that the physician be able to assess each dimension of suffering
- However, the physician is unlikely to elicit a complete assessment working alone
- Other members of the health care team (such as nurses, social workers, and chaplains) can conduct important components of this assessment
- They bring unique skills to the task
- They may learn important information that the patient or family may not have shared with the physician
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Assessment can have therapeutic effects
- The physician can discuss with the patient or proxy the meaning of the information and his or her assessment of the patient’s situation
- This can help convey information to the patient regarding prognosis and the need for advance planning and personal preparation, particularly in the setting of overall deterioration
- Of equal importance, it conveys compassion
- It initiates the physician’s therapeutic role
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