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Palliative care

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7 tutorials found

Malignant Wounds

category: Palliative care, Wound care

6hr, 6RCNA-CNE
$49.95

This activity has been endorsed by APEC number: 071107046 as authorised by the Royal College of Nursing, Australia, according to approved criteria.

Overview

The assessment and management of malignant wounds is a challenging experience that requires appropriate holistic skills to deal with the many complex issues involved.

This tutorial will discuss malignant wounds in the palliative care setting, including how they develop, wound assessment and the comprehensive management of both the physical and psychosocial aspects of care.

About the author

Judith Jacques: RN, Grad Dip Nursing (Palliative Care), Masters of Nursing (Nurse Practitioner). Judith has been a registered nurse for more than 30 years, specialising in palliative care for over 15 years. Judith has worked as a senior clinical nurse in a number of tertiary hospitals in that time. Judith is working as a nurse practitioner in New South Wales.

Judith is a member of Palliative Care Australia, the Australian Nurse Practitioners Association and the New South Wales Nurses' Association.

Learning objectives

At the end of this tutorial, participants will be able to:

Be able to identify a malignant wound;
Be aware of the physical aspects of malignant-wound care;
Understand the psychological and social aspects of malignant-wound care;
Be able to perform a holistic assessment of a malignant wound;
Be able to determine an appropriate wound-dressing regimen.

Pain Management – Principles of Pain Management in Palliative Care

category: Palliative care

2hr, 2RCNA-CNE
$29.95

This activity has been endorsed by APEC number: 071107046 as authorised by the Royal College of Nursing, Australia, according to approved criteria.

Overview

This tutorial will provide you with an overview of the principles of pain management for patients with an end-stage disease.

This tutorial has been reviewed and approved by Dr Philip Lee. Dr Lee is a senior staff specialist in palliative medicine at a major tertiary hospital in Australia. In addition, he is also a clinical senior lecturer at the Graduate School of Medicine at the University of Wollongong. Dr Lee has over 14 years' experience in palliative care and extensive experience in family medicine and general practice.

This tutorial is one in a series of five on pain management in palliative care. The five tutorials are:

1. Pain Management – Principles of Pain Management in Palliative Care;
2. Pain Management – Pain Assessment in Palliative Care;
3. Pain Management – Opioid Use in Palliative Care;
4. Pain Management – Co-analgesia in Palliative Care; and
5. Pain Management – Infusion Devices in Palliative Care.

We recommend that these tutorials are completed in order, however each one stands alone and can be done as a single tutorial.

About the author

Learning objectives

At the end of this tutorial, participants will be able to:

Understand the basic principles of pain management in palliative care;
Understand the incidence of pain problems in a palliative care setting;
Understand some of the barriers to effective pain management in palliative care;
Be able to identify some of the factors that influence uncontrolled pain.

Pain Management – Pain Assessment in Palliative Care

category: Palliative care

3hr, 3RCNA-CNE
$29.95

This activity has been endorsed by APEC number: 071107046 as authorised by the Royal College of Nursing, Australia, according to approved criteria.

Overview

There are two main components of a pain assessment in palliative care. The first is the taking of a comprehensive oral history. This forms the basis of the second component, which is a physical examination with or without clinical investigations.

This tutorial focuses on the taking of a comprehensive oral history for the purpose of assessing pain, which is essential in determining the mechanism or mechanisms producing the pain as well as other factors influencing the patient's pain experience.

This tutorial has been reviewed and approved by Dr Philip Lee. Dr Lee is a senior staff specialist in palliative medicine at a major tertiary hospital in Australia. In addition, he is also a clinical senior lecturer at the Graduate School of Medicine at the University of Wollongong. Dr Lee has over 14 years' experience in palliative care and extensive experience in family medicine and general practice.

This tutorial is one in a series of five on pain management in palliative care. The five tutorials are:

1. Pain Management – Principles of Pain Management in Palliative Care;
2. Pain Management – Pain Assessment in Palliative Care;
3. Pain Management – Opioid Use in Palliative Care;
4. Pain Management – Co-analgesia in Palliative Care; and
5. Pain Management – Infusion Devices in Palliative Care.

We recommend that these tutorials are completed in order, however each one stands alone and can be done as a single tutorial.

About the author

Learning objectives

At the end of this tutorial, participants will be able to:

Understand the various components of a comprehensive pain assessment;
Be able to discuss the factors that influence the pain experience;
Be able to assess pain in patients who are unable to provide an adequate oral history;
Understand the importance of accurate documentation.

Pain Management – Opioid Use in Palliative Care

category: Palliative care

4hr, 4RCNA-CNE
$39.95

This activity has been endorsed by APEC number: 071107046 as authorised by the Royal College of Nursing, Australia, according to approved criteria.

Overview

This tutorial is an introduction to the use of opioids in palliative care. The safe use of these drugs requires knowledge of their relative indications, formulations, routes of administration, and potential side-effects and their management. The focus of this tutorial is on choosing an appropriate opioid and titrating it correctly.

This tutorial has been reviewed and approved by Dr Philip Lee. Dr Lee is a senior staff specialist in palliative medicine at a major tertiary hospital in Australia. In addition, he is also a clinical senior lecturer at the Graduate School of Medicine at the University of Wollongong. Dr Lee has over 14 years' experience in palliative care and extensive experience in family medicine and general practice.

This tutorial is one in a series of five on pain management in palliative care. The five tutorials are:

1. Pain Management – Principles of Pain Management in Palliative Care;
2. Pain Management – Pain Assessment in Palliative Care;
3. Pain Management – Opioid Use in Palliative Care;
4. Pain Management – Co-analgesia in Palliative Care; and
5. Pain Management – Infusion Devices in Palliative Care.

We recommend that these tutorials are completed in order, however each one stands alone and can be done as a single tutorial.

About the author

Learning objectives

At the end of this tutorial, participants will be able to:

Understand the role of opioids in palliative care;
Understand the role of morphine and its use in palliative care;
Understand other common opioids used in palliative care;
Understand the dose titration of opioids in palliative care.

Pain Management – Co-analgesia in Palliative Care

category: Palliative care

2hr, 2RCNA-CNE
$29.95

This activity has been endorsed by APEC number: 071107046 as authorised by the Royal College of Nursing, Australia, according to approved criteria.

Overview

Palliative care is 'an approach that improves the quality of life of patients and their families facing the problem associated with life-threatening illness, through the prevention and relief of suffering by means of early identification and impeccable assessment and treatment of pain and other problems, physical, psychosocial and spiritual'. (World Health Organization. WHO definition of palliative care: http://www.who.int/cancer/palliative/definition/en)

A co-analgesic drug has a primary indication for a purpose other than pain relief but has some analgesic effect. These drugs are usually, but not always, administered in combination with primary analgesics such as opioids or nonsteroidal anti-inflammatory drugs. They are also known as adjuvant analgesics.

By understanding the role of co-analgesics, the health care professional can help to prevent and/or relieve the suffering of patients in palliative care.

This tutorial will review co-analgesia in the palliative care setting. It will cover general considerations for use as well as specific drugs.

This tutorial has been reviewed and approved by Dr Philip Lee. Dr Lee is a senior staff specialist in palliative medicine at a major tertiary hospital in Australia. In addition, he is also a clinical senior lecturer at the Graduate School of Medicine at the University of Wollongong. Dr Lee has over 14 years' experience in palliative care and extensive experience in family medicine and general practice.

This tutorial is one in a series of five on pain management in palliative care. The five tutorials are:

1. Pain Management – Principles of Pain Management in Palliative Care;
2. Pain Management – Pain Assessment in Palliative Care;
3. Pain Management – Opioid Use in Palliative Care;
4. Pain Management – Co-analgesia in Palliative Care; and
5. Pain Management – Infusion Devices in Palliative Care.

We recommend that these tutorials are completed in order, however each one stands alone and can be done as a single tutorial.

About the author

Learning objectives

At the end of this tutorial, participants will be able to:

Be able to describe the role of co-analgesia in palliative care;
Be able to identify specific drugs used as co-analgesics;
Be able to discuss considerations for the use of co-analgesics;
Be able to identify common precautions and adverse effects related to the use of specific co-analgesics.

Pain Management – Infusion Devices in Palliative Care

category: Palliative care

3hr, 3RCNA-CNE
$29.95

This activity has been endorsed by APEC number: 071107046 as authorised by the Royal College of Nursing, Australia, according to approved criteria.

Overview

This tutorial aims to provide a basic understanding of the common infusion devices used in Australia. It discusses the rationale for their use and the considerations necessary to commence and maintain a subcutaneous infusion device in palliative care.
The tutorial is written specifically for general practitioners in the community.

This tutorial has been reviewed and approved by Dr Philip Lee. Dr Lee is a senior staff specialist in palliative medicine at a major tertiary hospital in Australia. In addition, he is also a clinical senior lecturer at the Graduate School of Medicine at the University of Wollongong. Dr Lee has over 14 years' experience in palliative care and extensive experience in family medicine and general practice.

This tutorial is one in a series of five on pain management in palliative care. The five tutorials are:

1. Pain Management – Principles of Pain Management in Palliative Care;
2. Pain Management – Pain Assessment in Palliative Care;
3. Pain Management – Opioid Use in Palliative Care;
4. Pain Management – Co-analgesia in Palliative Care; and
5. Pain Management – Infusion Devices in Palliative Care.

We recommend that these tutorials are completed in order, however each one stands alone and can be done as a single tutorial.

About the author

Learning objectives

At the end of this tutorial, participants will be able to:

Understand the role of infusion devices in palliative care;
Be able to identify when it may be appropriate to use an infusion device;
Be able to discuss the basic principles of commencing a subcutaneous infusion device;
Understand the considerations that are required in the use of medications administered via infusion devices.
Understand the basic steps involved in avoiding accidents and incidents prior to commencing an infusion device

Digital Rectal Examination as Part of an Assessment for Constipation in Adults

category: Oncology, Palliative care

1hr, 1RCNA-CNE
$29.95

This activity has been endorsed by APEC number: 071107046 as authorised by the Royal College of Nursing, Australia, according to approved criteria.

Overview

Nurses have an important role in the assessment, planning and implementation of nursing care that aims to prevent or treat constipation. The assessment of constipation in adults often involves a digital rectal examination (DRE).

This tutorial discusses the role of a digital rectal examination in the management of constipation in adults, including the relevant anatomy and physiology, practical advice on how the examination should be performed, the interpretation of findings, contraindications and precautions.

About the author

Learning objectives

At the end of this tutorial, participants will be able to:

Understand the role of a digital rectal examination in the assessment of constipation in adults;
Be able to describe the relevant anatomy and physiology;
Understand how to undertake a digital rectal examination in adults;
Be able to discuss the possible findings and implications for treatment.

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