Palliative Care Topics Covered
1. Advanced Care Planning and End-of-Life Management
Advanced Care Planning and Management of End-of-Life Symptoms
- Key Topics Discussed: Elements of advanced care planning, handling requests for hastening death, and symptom management in dementia.
- Candidate Performance: Gaps in advanced care planning knowledge and handling of sensitive end-of-life requests.
- Improvement Areas: Comprehensive understanding of advanced care planning, ethical handling of requests for hastening death, and symptom management in terminal conditions.
High-Grade Glioblastoma
- Key Medical Subject: Palliative Care and Cultural Competence
- Key Issues Discussed: End-of-life care considering cultural, social, and medical needs.
- Candidate Performance: Recognized the importance of addressing cultural, social, and medical needs.
2. Symptom Management
Palliative Patient with Respiratory Symptoms
- Key Topics Discussed: Management of dyspnea and edema in palliative care.
- Candidate Performance: Misinterpretation of lab results, inappropriate pharmacological focus.
- Improvement Areas: Identification of symptom causes, non-pharmacological management strategies.
Back Pain Post-Prostate Cancer
- Key Topics Discussed: Differential diagnoses for back pain in a cancer survivor, pain management, and future care planning.
- Candidate Performance: Focused narrowly on pain management without considering the broader context of the patient’s cancer history or the importance of advanced care planning.
- Improvement Areas: Consider the patient’s full medical history in differential diagnosis and pain management, and emphasize the need for advanced care planning in the context of a history of cancer.
Mesothelioma
- Key Areas: Managing patient and carer needs, and detailing medication strategies for pain.
- Improvements Needed: Providing relevant and appropriate support strategies for the carer, and selecting appropriate palliative care medications.
3. Holistic and Multidimensional Care
Advanced Glioblastoma
- Medical Heading: Palliative care, managing an advanced glioblastoma patient in a home environment.
- Candidates Did Well On: Acknowledging the cultural setting and ensuring holistic care.
- Improvement Areas: Focusing on all aspects of patient care, including physical, social, spiritual, and legal aspects, and demonstrating appropriate end-of-life planning.