Medycyna paliatywna
1655-Lek5MPALI-J
Palliative care according to EAPC
It is active, comprehensive, and holistic care for patients whose conditions can no longer be treated by addressing the underlying cause, aimed at meeting the patients' diverse physical, psychological, and spiritual needs and providing support to their families during the illness and in the period following the patient's death, delivered by a multidisciplinary team.
According to the World Health Organization (WHO, 2020), palliative care is an approach that improves the quality of life. Palliative care is an approach that improves the quality of life of patients (adults and children) and their families who are facing problems associated with life-threatening illness. It prevents and relieves suffering through the early identification, correct assessment and treatment of pain and other problems, whether physical, psychosocial or spiritual.
Spiriual care includes diagnosing the spiritual needs and providing spiritual support for the patient and his family. Spirituality is „the dimension of human life that relates to transcendence and other existentially important values”.
Spirituality entails:
1/ Religiousness of a person, especially his relationship with God, personal beliefs and religious practices, community interaction
2/ Existential quest, especially with regard to the meaning of life, suffering, and death, issues of own dignity, who one actually is as a person, a sense of individual freedom and responsibility, hope and despair, reconciliation and forgiveness, love and joy
3/ Values by which a person lives, especially with regard to oneself and other people, work, nature, art and culture, own ethical and moral choices, and life at large.
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W cyklu 2024/25:
Palliative care:
• is the active total care of patients and their families, usually when theirdisease is no longer responsive to potentially curative treatment, although it may be applicable earlier in the illness
• provides relief from pain and other symptoms
• aims to achieve the best possible quality of life for patients and families
• responds to physical, psychological, social and spiritual needs
• extends as necessary to support in bereavement
• Learning about the patient's spiritual needs and taking them into account in the therapeutic process.
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W cyklu 2025/26:
Palliative care:
• is the active total care of patients and their families, usually when theirdisease is no longer responsive to potentially curative treatment, although it may be applicable earlier in the illness
• provides relief from pain and other symptoms
• aims to achieve the best possible quality of life for patients and families
• responds to physical, psychological, social and spiritual needs
• extends as necessary to support in bereavement
• Learning about the patient's spiritual needs and taking them into account in the therapeutic process.
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Całkowity nakład pracy studenta
1.Workload associated with direct participation of academic teachers:
- lectures: 6 h
- tutorials: 30 h
- seminars: 14 h
- final test: 2 h
Total workload involving the direct participation of academic teachers: 51 h, which equals 1.7 of an ECTS point.
2.Total student workload:
- lectures: 6 h
- seminars: 14 h
- tutorials: 30 h
- preparation for tutorials (including reading of the selected literature and written tasks completion): 6 h
- consultation 0.5 h
- preparation for final test and final test: 5.5 + 0.5 = 6 h
Total student workload: 62,5 h, which equals 2.5 ECTS point.
3. Workload related to achievement of learning outcomes in medical simulation settings (group E):
- tutorials: 4 h
Total workload related to achievement of learning outcomes in medical simulation settings: 4 h, which equals 0,16 ECTS points.
Percentage of classes required to achieve necessary learning outcomes: 56,5 %
4. Workload associated with achievement of learning outcomes related to medical communication:
Not applicable
Efekty uczenia się - wiedza
W1: principles and methods of communication with a patient and his family serving to build a relationship based on empathy and trust (D.W5);
W2: significance of verbal and non-verbal communication, the issue of trust in interaction with patients (D.W6);
W3: psychosocial consequences of hospitalisation and chronic illness (D.W7);
W4: role of family in the treatment process (D.W10);
W5: issues related to adaptation to disease as a difficult situation, stages of adaptation to risk events and
patient needs, and the process of dying and mourning (D.W.11);
W6: principles of team work (D.W.18);
W7: causes, symptoms, and principles of diagnosis and treatment in the most common palliative care problems, including:
1) symptomatic treatment of the most common somatic symptoms,
2) management of cancerous cachexia, prevention and treatment of bedsores,
the most common health emergencies in palliative medicine (E.W27);
W8: principles of palliative care of a terminal patient (E.W28);
W9: principles of pain management, including cancer-related and chronic pain (E.W29);
Efekty uczenia się - umiejętności
U1: in the treatment process, take into account the subjective needs and expectations of patients related to their sociocultural background (D.U1)
U2: select a form of treatment which minimises the social consequences for the patient (D.U3);
U3: create an atmosphere of trust during the entire process of diagnosis and treatment (D.U4);
U4: communicate with adult and paediatric patients and their family using techniques of active listening and empathy expression and talk with patients about their life situation (D.U5);
U5: inform a patient about the purpose, course and potential risk of the proposed diagnostic and therapeutic procedures, and obtains the patient's informed consent (D.U6);
U6: engage patients in the diagnostic process (D.U7);
U7: inform the patient and their family about unfavourable prognosis (D.U8);
U8: make use of basic motivational and supportive psychological interventions (D.U11);
U9: communicate with team members and provide them with constructive feedback and support (D.U12);
U10: follow ethical standards in professional practice (D.U13);
U11: identify the ethical dimension of medical decisions and differentiate between factual and normative aspects (D.U14);
U12. respect patient rights a (D.U15);
U13: evaluate and describe the somatic and mental state of a patient (E.U13);
U14: plan diagnostic, treatment and prophylactic procedures (E.U16);
U15: perform an analysis of possible adverse effects of individual drugs and drug interactions (E.U17);
U16: refer patients for home and inpatient health care (E.U20);
U17: define states when the continued duration of life, functional status or the patient’s preferences hinder
medical treatment provided in accordance with guidelines for a given disease (E.U21);
U18: identify a patient’s agony and confirm their death (E.U37);
Efekty uczenia się - kompetencje społeczne
K1: ability to use objective sources of information; (K_K01);
K2: the ability accept the responsibility associated with decisions taken as part of professional activities, including self and other people's safety (K_K02);
K3: ability to establish and maintain close and respectful relationships with patients and show understanding of worldview and cultural differences (K_K03);
K4: ability to consider patients’ well-being as a priority (K_K04);
K5: ability to observe medical confidentiality and other patient rights (K_K05);
K6: ability to implement the principles of professional colleagueship and cooperation in a team of specialists, including representatives of other medical professions, also in a multicultural and multinational environment (K_K06);
K7: ability to identify and recognise own limitations and to self-assess educational deficits and needs (K_K07);
K8: ability to undertake procedures on the patient based on ethical principles, being aware of social conditions and limitations resulting from the disease (K_K08);
K9: ability to formulate opinions based on own assessment and observation (K_K10);
K10: ability to formulate opinions pertaining to different aspects of professional activity (K¬_K11).
Koordynatorzy przedmiotu
Metody dydaktyczne
Lectures / seminars:
● informational lecture
● conversational lecture
● educational discussion
● analysis of case reports
Tutorials:
● demonstrations with added instructions
● development and improvement of practical skills
● simulation methods (case study, simulated patient)
Metody dydaktyczne eksponujące
- pokaz
- symulacyjna (gier symulacyjnych)
Metody dydaktyczne podające
- pogadanka
- wykład informacyjny (konwencjonalny)
- wykład konwersatoryjny
- wykład problemowy
- opis
- opowiadanie
Metody dydaktyczne poszukujące
- giełda pomysłów
- doświadczeń
- ćwiczeniowa
- seminaryjna
- sytuacyjna
- studium przypadku
- klasyczna metoda problemowa
Metody dydaktyczne w kształceniu online
- metody odnoszące się do autentycznych lub fikcyjnych sytuacji
Rodzaj przedmiotu
przedmiot obligatoryjny
Wymagania wstępne
Lectures
A student beginning a course in palliative medicine should have knowledge in the fields of pharmacology, internal medicine, surgery, neurology, and oncology.
Kryteria oceniania
Assessment methods:
Final exam covering the entire course (lectures / seminars / exercises): W1-9, U1-18, K1-10
Failure to complete the exam independently (using materials brought to the exam, communicating with others in the room, or communicating remotely) will result in: termination of the exam, forfeiture of the exam date, and a failing grade entered into the USOS system.
If the number of students taking the exam is 10 (or fewer), the coordinator/examiner will determine the form of assessment for the course.
In justified, exceptional cases, it is permissible to establish an individual format for passing the course “Palliative Medicine with Elements of Spirituality,” covering material presented during lectures, seminars, and exercises as well as the recommended reading, upon agreement with the Chair of the Department and the person responsible for teaching the course.
Written exam for a grade: 0–20 points (pass >56%, minimum 12 pts)
20 multiple-choice questions
1. entrance test/questions (asistents)
2. Final TEST: multiple choice test, number of questions – 20, 4-5 multiple-choice answers, out of which only 1 is correct, duration 15 (20) minutes
Assessment criteria:
fail – 0-11 pts (0-55 %)
satisfactory – 12-13 pts (56-67 %)
satisfactory plus –14-15 pts (68-75 %)
good – 16-17 pts (76-83 %)
good plus – 18 pts (84-91%)
very good – 19-20 pts (92-100%)
Literatura
Oxford American Handbook of Hospice and Palliative Medicine (Oxford American Handbooks of Medicine)
- M. Krajnik: Whole-person care – hope for modern medicine? Polish Archives of Internal Medicine, 2017, 127(10):712-714 http://pamw.pl/en/node/4100/pdf
- https://www.mp.pl/konferencja-opiekaduchowa/2022/
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W cyklu 2024/25:
- Oxford American Handbook of Hospice and Palliative Medicine (Oxford American Handbooks of Medicine)
- M. Krajnik: Whole-person care – hope for modern medicine? Polish Archives of Internal Medicine, 2017, 127(10):712-714 http://pamw.pl/en/node/4100/pdf
- https://www.mp.pl/konferencja-opiekaduchowa/2022/
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W cyklu 2025/26:
- Oxford American Handbook of Hospice and Palliative Medicine (Oxford American Handbooks of Medicine)
- M. Krajnik: Whole-person care – hope for modern medicine? Polish Archives of Internal Medicine, 2017, 127(10):712-714 http://pamw.pl/en/node/4100/pdf
- https://www.mp.pl/konferencja-opiekaduchowa/2022/
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W cyklu 2026/27:
- Oxford American Handbook of Hospice and Palliative Medicine (Oxford American Handbooks of Medicine)
- M. Krajnik: Whole-person care – hope for modern medicine? Polish Archives of Internal Medicine, 2017, 127(10):712-714 http://pamw.pl/en/node/4100/pdf
- https://www.mp.pl/konferencja-opiekaduchowa/2022/
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Więcej informacji
Dodatkowe informacje (np. o kalendarzu rejestracji, prowadzących zajęcia, lokalizacji i
terminach zajęć) mogą być dostępne w serwisie USOSweb: