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Ensuring competency in end-of-life care: controlling symptoms

BACKGROUND: Palliative medicine is assuming an increasingly important role in patient care. The Education for Physicians in End-of-life Care (EPEC) Project is an ambitious program to increase core palliative care skills for all physicians. It is not intended to transmit specialty level competencies...

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Detalles Bibliográficos
Autores principales: Ferris, Frank D, von Gunten, Charles F, Emanuel, Linda L
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2002
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC126248/
https://www.ncbi.nlm.nih.gov/pubmed/12149128
http://dx.doi.org/10.1186/1472-684X-1-5
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author Ferris, Frank D
von Gunten, Charles F
Emanuel, Linda L
author_facet Ferris, Frank D
von Gunten, Charles F
Emanuel, Linda L
author_sort Ferris, Frank D
collection PubMed
description BACKGROUND: Palliative medicine is assuming an increasingly important role in patient care. The Education for Physicians in End-of-life Care (EPEC) Project is an ambitious program to increase core palliative care skills for all physicians. It is not intended to transmit specialty level competencies in palliative care. METHOD: The EPEC Curriculum was developed to be a comprehensive syllabus including trainer notes, multiple approaches to teaching the material, slides, and videos of clinical encounters to trigger discussion are provided. The content was developed through a combination of expert opinion, participant feedback and selected literature review. Content development was guided by the goal of teaching core competencies not included in the training of generalist and non-palliative medicine specialist physicians. RESULTS: Whole patient assessment forms the basis for good symptom control. Approaches to the medical management of pain, depression, anxiety, breathlessness (dyspnea), nausea/vomiting, constipation, fatigue/weakness and the symptoms common during the last hours of life are described. CONCLUSION: While some physicians will have specialist palliative care services upon which to call, most in the world will need to provide the initial approaches to symptom control at the end-of-life.
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spelling pubmed-1262482002-09-20 Ensuring competency in end-of-life care: controlling symptoms Ferris, Frank D von Gunten, Charles F Emanuel, Linda L BMC Palliat Care Hypothesis BACKGROUND: Palliative medicine is assuming an increasingly important role in patient care. The Education for Physicians in End-of-life Care (EPEC) Project is an ambitious program to increase core palliative care skills for all physicians. It is not intended to transmit specialty level competencies in palliative care. METHOD: The EPEC Curriculum was developed to be a comprehensive syllabus including trainer notes, multiple approaches to teaching the material, slides, and videos of clinical encounters to trigger discussion are provided. The content was developed through a combination of expert opinion, participant feedback and selected literature review. Content development was guided by the goal of teaching core competencies not included in the training of generalist and non-palliative medicine specialist physicians. RESULTS: Whole patient assessment forms the basis for good symptom control. Approaches to the medical management of pain, depression, anxiety, breathlessness (dyspnea), nausea/vomiting, constipation, fatigue/weakness and the symptoms common during the last hours of life are described. CONCLUSION: While some physicians will have specialist palliative care services upon which to call, most in the world will need to provide the initial approaches to symptom control at the end-of-life. BioMed Central 2002-07-30 /pmc/articles/PMC126248/ /pubmed/12149128 http://dx.doi.org/10.1186/1472-684X-1-5 Text en Copyright © 2002 Ferris et al; licensee BioMed Central Ltd. This is an Open Access article: verbatim copying and redistribution of this article are permitted in all media for any purpose, provided this notice is preserved along with the article's original URL.
spellingShingle Hypothesis
Ferris, Frank D
von Gunten, Charles F
Emanuel, Linda L
Ensuring competency in end-of-life care: controlling symptoms
title Ensuring competency in end-of-life care: controlling symptoms
title_full Ensuring competency in end-of-life care: controlling symptoms
title_fullStr Ensuring competency in end-of-life care: controlling symptoms
title_full_unstemmed Ensuring competency in end-of-life care: controlling symptoms
title_short Ensuring competency in end-of-life care: controlling symptoms
title_sort ensuring competency in end-of-life care: controlling symptoms
topic Hypothesis
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC126248/
https://www.ncbi.nlm.nih.gov/pubmed/12149128
http://dx.doi.org/10.1186/1472-684X-1-5
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