A Complete Guide to Palliative Care for Medical Students (+ Clinical Cases)
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- čas přidán 9. 07. 2024
- In this video, we will go through opioid conversions, management of symptoms at the end of life, anticipatory meds and advanced care planning.
You'll find out the answers to questions like:
What's the difference between palliative care and end of life care?
What are the common symptoms experienced by people at the end of life?
How do we manage these symptoms?
How do you convert morphine from PO to SC doses? How do you uptitrate morphine??
How do I choose which antiemetic is best for my patient?
What is a ReSPECT form?
Hope you enjoy this video. Make sure to like, comment and share!
Thanks for watching :)
Disclaimer: this video is purely for educational purposes, and does not substitute professional medical advice or consultations with healthcare professionals.
Here from passmed - great video! :)
Same here - thank you sm for this very comprehensive overview!
Last minute revision for calculating opioid dose for breakthrough pain before the PSA exam - MANY THANKS GREAT VIDEO
Please don't stop making videos. Very helpful for IMG planing to move to the UK. Thank you very much
Incredibly useful for such a short video! Would love more cases.
Incredibly beautiful, concise and relevant.
This is so helpful - thank you!
great video on a topic that really doesn't get much coverage. thank you!!
Awesome video! Thank you so much!
Great stuff!
This was really helpful thanks!
This is so helpful, thankyou❤
amazing!!!!
Very helpful. Thanx
This is really helpful..
Super useful summary!
Jane that is a brilliant video, thank you for preparing it. I am an IMT in Cambridge and I must say it helped me a lot.
Excellent video
Thank you❤
good work, very informative
excellent short video.
This is helpful
Thanks a lot for this lovely video.. Can I have the PPT file as I need it t teach my students
I’m afraid I don’t use PowerPoint
Very helpful but I don't understand the 1st calcution..... morphine calcution 🤔
Hi, was just wondering if you could clarify something. When uptitrating, you said total morphine / 2 = new morphine modified release dose. Later when doing the calculation In scenario 1 when you establish the total morphine is 200, why do you not divide this by 2, to get 100 as the new daily dose, and then further divide by 2 to account for the subcutaneous conversion factor?
I'd appreciate any help, thank you!
Hi Sabbah. Slow/moderate release preparations are given BD. That’s why we do total morphine / 2 when uptitrating and calculating the new morphine MR dose. In the case of SC preparations, background pain is controlled with a 24h syringe driver with PRN SCs if needed. So we wouldn’t divide it by 2 twice… just once as converting from PO to SC. Hope that helps!
For uptitrating opoids, is the new PRN dose the total morphine daily dose/6 or is it the new morphine SR dose/6, as in your written example you do 100/6, with 100 being the new SR dose. Thank you :)
Hi Gabby, the new PRN dose is total morphine daily dose / 6. I did 100/6 as I converted to SC.
However, if you wanted to calculate the new morphine PRN dose and keep it as PO instead of SC, then you can just do 200/6. This question asks for SC though :) Hope this helps!
why is the new morphine SR dose and not MR dose?
SR = slow release, MR = modified release which pretty much mean the same thing. IR = immediate release e.g. Oramorph
I’m on palliative care I think too but we haven’t said that. I get 220mg then 260mg diamorphine Iv daily and it causes me to bleed when trying to poop. It is like Little Rock’s (sorry to be gross).
I have had lactose, fibre gell, movicol etc but it’s still so horrible to be bunged up and when trying to poop it being so hard to strain and so painful it bleeds. I’m certain it’s the 220 + 260 diamorphine that is causing it, I can’t remember a time before but I remember not having my dose and then it ran out of me if that makes sense.
Still never realised really I am dying or thought on it like that.
What about OxyContin? Is it better than oxycodon? I’m going to ask my doctor for some oral meds and want the strongest possible- but not fentanyl (if that’s offered orally)
@@craigduncan4826 I’m sorry that you’re going through this and I hope your doctor finds something suitable for you. I also want to thank you for sharing your experience as it’s very valuable for us in helping others.
@@craigduncan4826 I’m sorry you’re going through such a hard time. Unfortunately I cannot offer any medical advice and would advise you to speak with your doctor.
*WHAT ARE SECRETIONS? WHAT IS SECRETIONS?*
3:51 those are natural feelings of grief, i say it shouldn’t be put down by using such medication you are stating will solve them