The most important 3 aspects of the course (n = 107/153 general practice trainees): | |
---|---|
category | code |
Control of symptoms (with medication) | Treatment of pain / opiate therapy |
Treatment of neurological symptoms (fear, delirium) | |
Dealing with dyspnoea | |
Dealing with nausea | |
Dealing with chronic wounds | |
Dealing with sense of hunger / nutrition | |
Dealing with sense of thirst / fluid therapy | |
adjuvant therapies | Oral hygiene |
Aroma therapy | |
Thermotherapy | |
communication | Involvement of relatives |
To ensure openness with the patient | |
To permit ethical discussions | |
To respect patients’ fears | |
To address spiritual needs | |
Collaboration of GP and hospital | |
legal framework conditions | Patient’s decree (living will) |
Attorney for personal care | |
Supposed will | |
organisation of care | Enable death at home by ambulatory end of life care |
Use of hospices | |
To ensure personal setting / framework at home | |
To write a treatment plan | |
If necessary, integration of specialized ambulatory palliative care | |
change of focus | Personal approach: Patient’s (living/supposed) will and needs are pivotal |
Focus on psychosocial support of the patient | |
There is no “golden path” | |
To question treatment and intentions. | |
There is a lot to do at the end of life. | |
others | The use of practical case studies |
Reduced fear with end of life care issues | |
To experience that palliative medicine is an interesting working field of medicine | |
The personal experience of adjuvant therapies | |
To realise that level of knowledge needs to be extended. | |
The practical long-time experience of the lecturers | |
The lecturers’ attitude served as a role model | |
To learn that self-care for the treating physician is no egoism | |
The reflection of the personal medical action |