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HU Credits:
3
Degree/Cycle:
2nd degree (Master)
Responsible Department:
Medicine
Semester:
1st Semester
Teaching Languages:
Hebrew
Campus:
Ein Karem
Course/Module Coordinator:
Dr. ADIR SHAULOV
Coordinator Office Hours:
Teaching Staff:
Dr. Daniel Azoulay,
Dr. Talya Damari,
Dr. Ruth Kannai,
Dr. ADIR SHAULOV,
Dr. Anna Woloski-Wruble,
Dr. michal Bloch,
Ms. Livnat Wieder,
Dr. iris fried,
Ms. shirli Carmi,
Dr. noa Gross Even Zohar,
Mr. Eliezer Rosner,
Ms. sisi (sigalit) bartov,
Dr. omer or,
Prof shmuel reis,
Dr. Batsheva Werman,
Dr. Johnathan Arnon,
Ms. anna Kochin,
Dr. MOSHE SIMONS,
Dr. Charlotte Glicksman,
Ms. merav spiegel,
Ms. aya Cohen,
Dr. Irit Mor Yosef Levy,
Dr. ehud rudis,
Ms. Miki Kovalyo,
Dr. Ohad Avny,
Dr. Moshe Greenberger,
Dr. Amir Haze,
Dr. Yitchak Biton,
Ms. HANNA BIRNBAUM,
Ms. dena freedman,
Dr. Daniel Dayan,
gideon lifshitz,
Dr. Avigail Damri,
Ms. Suzanne Csorba,
Dr. shifra etinger,
Prof Freda Dekeyser,
Dr. Adi Finkelstein,
Ms. lior lesser,
Prof Dorith Shaham
Course/Module description:
tr
Course/Module aims:
Learning outcomes - On successful completion of this module, students should be able to:
At the end of the course the student -
Apply a palliative approach throughout the course of the disease, from the moment of diagnosis of a short-lived disease to the end of life.
2. Describe the patient's experience and coping with the end of life in the patient and his family member
3. Conduct complex and difficult conversations with patients, their families and other caregivers in palliative care and end-of-life care while expressing empathy and sensitivity, maintaining the patient and family respect and respecting the patient's religion and culture.
4. Identify and evaluate symptoms and other needs of the patient and build an appropriate treatment plan in the various frameworks (emergency department, ward, intensive care, hospice, home hospice)
5. Identify and address ethical challenges in palliative care and end-of-life care
6. Describe the law of the dying patient and its use in various clinical situations
7. Will act as part of a multidisciplinary team (medicine, nursing, social work, spiritual guidance) in the treatment of patients with short-term illnesses and their families
8. Analyze his experience and personal confrontation with the end of life and the impact of these on patient care
Attendance requirements(%):
100%
Teaching arrangement and method of instruction:
Course/Module Content:
Introduction to Palliative Medicine
Meeting with a family member of a deceased patient
Religious and cultural panel
Introduction to Pain Medicine
Studying the law of the dying patient
Ethics in treating dying patients
Panel of the dying patient law - problems and struggles in practice
Nutrition and hydration at the end of life
Preliminary instructions
Important conversations at the end of life
Treatment of gastrointestinal symptoms
Treatment of shortness of breath
Delirium treatment
Palliative care for children
Spiritual accompaniment
Last hours
Palliative sedation
Authorized Lectures:
Medical Cannabis
Euthanasia
Palliative care in the days of Corona
Required Reading:
The law of the dying patient
Additional Reading Material:
1. Arnold RL, Egan K. Breaking the “bad” news to patients and families: preparing to have the conversation about end-of-life and hospice care. Am J Geriatr Cardiol. 2004 Dec;13(6):307–12.
2. Blinderman CD, Billings JA. Comfort Care for Patients Dying in the Hospital. N Engl J Med. 2015 Dec 24;373(26):2549–61.
3. Curtis JR, Rubenfeld GD. Improving palliative care for patients in the intensive care unit. J Palliat Med. 2005 Aug;8(4):840–54.
4. Gawande A. Quantity and Quality of Life: Duties of Care in Life-Limiting Illness. JAMA. 2016 Jan 19;315(3):267–9.
5. Kloke M, Cherny N, ESMO Guidelines Committee. Treatment of dyspnoea in advanced cancer patients: ESMO Clinical Practice Guidelines. Ann Oncol. 2015 Sep;26 Suppl 5:v169-173.
6. Lamba S, Nagurka R, Zielinski A, Scott SR. Palliative care provision in the emergency department: barriers reported by emergency physicians. J Palliat Med. 2013 Feb;16(2):143–7.
7. Lazris A. Geriatric Palliative Care. Prim Care. 2019 Sep;46(3):447–59.
8. McIlvennan CK, Allen LA. Palliative care in patients with heart failure. BMJ. 2016 Apr 14;353:i1010.
9. Murray SA, Kendall M, Mitchell G, Moine S, Amblàs-Novellas J, Boyd K. Palliative care from diagnosis to death. BMJ. 2017 27;356:j878.
10. Portenoy RK, Ahmed E. Principles of opioid use in cancer pain. J Clin Oncol. 2014 Jun 1;32(16):1662–70.
11. Delirium in adult cancer patients: ESMO Clinical Practice Guidelines. - PubMed - NCBI [Internet]. [cited 2019 Aug 10]. Available from: https://www.ncbi.nlm.nih.gov/pubmed/29992308
12. ESMO Clinical Practice Guidelines for the management of refractory symptoms at the end of life and the use of palliative sedation. - PubMed - NCBI [Internet]. [cited 2019 Aug 10]. Available from: https://www.ncbi.nlm.nih.gov/pubmed/?term&eq;ESMO+Clinical+Practice+Guidelines+for+the+management+of+refractory+symptoms+at+the+end+of+life+and+the+use+of+palliative+sedation
13. European Resuscitation Council Guidelines for Resuscitation 2015: Section 11. The ethics of resuscitation and end-of-life decisions. - PubMed - NCBI [Internet]. [cited 2019 Aug 10]. Available from: https://www.ncbi.nlm.nih.gov/pubmed/?term&eq;European+Resuscitation+Council+Guidelines+for+Resuscitation+2015+Section+11.+The+ethics+of+resuscitation+and+end-of-life+decisions
14. Overview of managing common non-pain symptoms in palliative care - UpToDate [Internet]. [cited 2019 Aug 10]. Available from: https://www.uptodate.com/contents/overview-of-managing-common-non-pain-symptoms-in-palliative-care?search&eq;Overview%20of%20managing%20common%20non-pain%20symptoms%20in%20palliative%20care&source&eq;search_result&selectedTitle&eq;1~150&usage_type&eq;default&display_rank&eq;1
Course/Module evaluation:
End of year written/oral examination 0 %
Presentation 0 %
Participation in Tutorials 40 %
Project work 0 %
Assignments 40 %
Reports 0 %
Research project 0 %
Quizzes 0 %
Other 20 %
reflection
Additional information:
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