1 / 12

Palliative Care: who are the extended team?

Palliative Care: who are the extended team?. David Hughes. What is palliative care?. starts when emphasis changes from curing patient/prolonging life to relieving symptoms and maintaining well-being/’quality of life’ GPs have 1-2 patients with terminal disease at any time

eyad
Download Presentation

Palliative Care: who are the extended team?

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Palliative Care: who are the extended team? David Hughes

  2. What is palliative care? • starts when emphasis changes from curing patient/prolonging life to relieving symptoms and maintaining well-being/’quality of life’ • GPs have 1-2 patients with terminal disease at any time • tendency to get more personally involved than with any others

  3. What problems arise? • physical • psychological • social • cultural • spiritual

  4. Key to good palliative care? • good communication • close MDT work

  5. Who are the MDT? • palliative care team • GP • district nurse • Macmillan nurse • Marie Curie/Treetops • physiotherapy • OT • oncologist

  6. District nurse • early involvement • mouth care • lubricant +/- stimulant enema for constipation • bed sore prevention (protection mattresses, cushions, incontinence advice, advice on positioning/moving) • catheterisation • Pick line maintenance • LCP implimentation • monitor syringe drivers/analgesiameds • nutrition advice • can refer onwards

  7. Macmillan nurse • palliative care nurse specialists • emotional/psychological support • address anxiety/depression • can refer onwards • MDT go-between

  8. Marie Curie/Treetops • sitters/hospice care • Treetops local, Marie Curie national

  9. Physiotherapist • improve mobility • reduce muscle pain • breathing exercises for cough/SOB

  10. Occupational Therapist • review of aids, appliances, home layout

  11. Oncologist • radiotherapy (e.g bone pain/fractures, rectal pain, ascites, cough in lung Ca, stridor, haemoptysis, cutaneous bleeding, haematuria, SVC obstruction) • chemotherapy

  12. Other contributions… • pinning of lytic metastases at risk of fracture • venting gastrostomy/octreotide for intestinal obstruction • PEG for dysphagia in hungry patient • paracentesis/peritoneo-venous shunt for ascites • surgery for gut fistula • cranial shunt/radiotherapy for raised ICP • necrotic tissue debridement • wound cautery • endoscopic stent insertion for stridor • endoscopy in GI bleeding • blood transfusion • SVC stenting +/- thrombolysis • psychiatric input for refractory anxiety/depression

More Related