Easing Physical Symptoms: It's Not Just Hospice Anymore

所在平台: Coursera

课程主页: https://www.coursera.org/learn/easing-physical-symptoms

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课程简介

课程名称:缓解身体症状:不仅仅是临终关怀 概述:本课程旨在为生活在严重或生命限制性疾病中的人及其家庭护理者提供重要支持。您将学习使用症状评估工具,更好地理解患者目前存在的症状,尤其是哪些症状最令人痛苦。在接下来的几周中,您将了解到一些最常见和令人痛苦的症状,如厌食(食欲丧失)、呼吸困难、疲劳、谵妄(混乱)、便秘和恶心/呕吐。针对这些症状,您将学习其潜在原因和如何使用简单的非医疗性方法帮助患者及其家属管理这些症状,并适时回顾相关的药物。此外,您还将学习如何帮助患者应对症状和功能丧失带来的情感反应。 本课程将使您能够迅速将这些洞察、技能和工具应用于您与严重疾病患者的工作中。在后续的课程中,您还将学习沟通技巧、整体评估、如何缓解身体疼痛及探讨减轻心理-社会-精神困扰的方法。 教学大纲: 1. **常见症状与厌食介绍**:学习身体症状的评估,并了解与厌食相关的症状,以便支持患者和家庭处理情感 distress。 2. **呼吸困难**:回顾呼吸困难的评估基础,了解其在临终关怀环境中的问题范围及造成呼吸困难的各种类型和原因。 3. **虚弱与疲劳**:学习与身体症状相关的虚弱(或称疲劳),并探讨如何识别可逆原因与提供帮助的方法。 4. **认知障碍**:介绍认知障碍的定义、常见类型及其症状,帮助您理解患者可能经历的情况。 5. **恶心、呕吐与便秘**:回顾这些症状的发生机制及其从临终关怀角度的治疗方法。 通过本课程,您将获得实用的知识和技能,以助力改善患者的生活质量和家庭护理者的支持能力。

课程大纲

Name:Introduction to Common Symptoms and Anorexia

Description:Welcome! In this module, you will learn about physical symptom assessment and then about the distressing symptoms of anorexia (loss of appetite) and cachexia (extreme weight loss). People living with serious illness often have more than five non-pain symptoms, like loss of appetite, dyspnea, weakness, confusion and many others that are contributing to suffering. You will learn how to use a symptoms assessment tool to help providers understand what symptoms are present and what is most distressing and needs prompt attention. In the second part of this week, you will learn about the common symptom of anorexia: Loss of appetite. When you understand anorexia you are able to look for reversible causes, support patient and family emotional distress, and offer practical help to manage this problem.

Name:Dyspnea

Description:In this module, you will review dyspnea assessment basics. You will start with defining dyspnea and the scope of the dyspnea problem in the palliative care setting. You will review various types and causes of dyspnea in people with serious illness. To understand how medications and integrative pain therapies work to decrease dyspnea, you need to know how the body recognizes dyspnea and makes a person short of breath. You will review how to evaluate a person’s dyspnea and how to help people pace themselves so that they can live with shortness of breath.

Name:Weakness and Fatigue

Description:In this module you learn about the physical symptom of asthenia, also called fatigue. Fatigue and weakness are seen in almost all people living with serious illness. Although fatigue is common and very emotionally distressing, providers often don't talk about it with patients and families because they think that there is nothing they can do. Although fatigue is a difficult symptom to treat it is important to look for reversible causes, consider ways to reduce the distress of fatigue and provide practical help to cope and live well with serious illness.

Name:Cognitive Impairment

Description:In this module the learner will be introduced to the term “cognitive impairment”, the common types of this impairment, how these types differ, as well as signs and symptoms experienced by patients suffering with this type of serious illness.

Name:Nausea, Vomiting, and Constipation (NVC)

Description:Nausea, vomiting, and constipation are frequent symptoms among patients with advanced illness. The aim of this lecture is to review how these symptoms occur and how they can be treated from a palliative care perspective.

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课程详情

Palliative care provides important support for people living with serious or life-limiting illnesses and their family caregivers. In this course, you will learn to use symptom assessment tools to better understand which symptoms are present and which are most distressing. In subsequent weeks you will learn about some of the most common and distressing symptoms such as anorexia (loss of appetite), dyspnea (shortness of breath), fatigue (weakness), delirium(confusion) and constipation and nausea/vomiting. For each of these symptoms, you will learn about the underlying cause and potential ways to support people and their families to manage the symptoms with simple practical and non-medical approaches as well as a review of medications as appropriate. In addition, you will learn to help people with their emotional response to symptoms and loss of function. You will be able to immediately use these insights, skills, and tools in your work with people living with serious illness. In other courses, you will learn communication skills, whole person assessment, how to ease physical pain and explore ways to ease psycho-social-spiritual distress.

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