University Of Calgary Postgraduate Medicine

Palliative Care Rotation - 2 Weeks

Objectives:

  1. Using a patient-family centered approach, performs a comprehensive symptom history, relevant physical exam, and uses appropriate labs and imaging as necessary to individualize a symptom management plan that demonstrates an understanding of total suffering (physical, psychological, social and spiritual domains) and considers the trajectory of the patient’s illness in the goals of care. (Can-Meds Roles: Medical expert, communicator, leader)
  2. Recognizes and appropriately addresses palliative care emergencies ( spinal cord compression, malignant bowel obstruction, hypercalcemia, acute airway obstruction, pain crisis, seizures, urinary obstruction and hemorrhage) (Can-Meds Roles: medical expert)
  3. Can identify and provide first line management of common non pain palliative care symptoms including dyspnea, nausea/vomiting, constipation and delirium. (Can-Meds Roles: medical expert)
  4. Demonstrates an awareness of the role for adjuvant pharmacological and non pharmacological therapies in the management of pain. (Can-Meds Roles: medical expert)
  5. Develops an approach to the appropriate and effective use of opioids for pain management in the setting of palliative care. (Can-Meds Roles: Medical expert, scholar)
  6. Understands ethics and law that should guide the care of patients at the end of life. (Can-Meds Roles: medical expert, leader, health advocate)
  7. Understands the concept of function, quality of life and total pain in the context of pain assessment and is familiar with performance and symptom screening assessment tools. (Can-Meds Roles: medical expert, scholar, communicator)
  8. Effectively communicates and collaborates as a member of a team of allied health professionals in the hospital and/or community providing care to a palliative patient and his or her family. (Can-Meds role: medical expert, collaborator, communicator, professional)
  9. Demonstrates an approach to advance care planning and advocates for palliative patients presenting to the ER or hospital setting. (Can-Meds Roles: health advocate, leader, communicator, collaborator)