Essentials of Palliative Care

所在平台: Coursera

课程主页: https://www.coursera.org/learn/essentials-of-palliative-care

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课程简介

课程名称:临终关怀的基础知识 概述:本课程将引导您开始将初级临终关怀整合到日常生活中的旅程。您将学习什么是临终关怀,如何与患者沟通,表现出同理心,处理困难对话。您将了解如何筛查心理困扰并提供心理社会支持,学习照护目标和预立医疗指示,并在与患者进行这些对话时提高成功率。最后,您将探索重要的文化考虑因素,提高您在相关主题上的文化能力。 对于临床医生,本课程的目标是帮助您将初级临终关怀融入日常实践,或了解何时寻求专家帮助。我们将帮助您改善患者的生活质量,并提供自我护理技巧以帮助您维持自己的健康。对于患者和照护者,本课程将赋予您与医疗提供者沟通的能力,并在必要时获得临终关怀。 斯坦福医学院获得继续医学教育认证委员会(ACCME)、药房教育认证委员会(ACPE)、美国护士认证中心(ANCC)的联合认证,提供医疗团队的继续教育。 课程大纲: 1. **课程介绍与概述**:欢迎参加!临终关怀致力于在任何疾病阶段优化生活质量。本课程根植于将临终关怀原则融入临床实践能够改善患者及支持系统(包括临床医生)的生活质量的信念。 2. **临终关怀介绍**:该模块重点介绍临终关怀的定义、护理团队的角色及初级与专科临终关怀的区别。 3. **与患者沟通**:讨论困难消息的传播总是具有挑战性。该模块涵盖使这些对话更加成功的方法,强调沟通是患者与临床医师关系的基础。 4. **心理社会困扰**:大多数癌症患者家庭都会经历某种形式的情感、心理或社会困扰。该模块探讨心理社会困扰,并介绍评估和管理这些困扰的技能。 5. **照护目标与预立医疗指示**:癌症护理的目标通常与延长生命或准备迎接生命的终点有关。该模块介绍照护目标对话及与识别目标和价值相关的沟通技能。 6. **自我护理**:医疗服务提供者在照顾病人时,往往会面临工作压力、倦怠和疲惫。该模块讨论如何识别自身的倦怠,并提供缓解这些挑战的建议。 7. **最终步骤**:恭喜您完成课程内容!接下来请回顾您的反思,完成同行评审的课程项目,然后进行期末考试。我们希望您享受本课程,并期待在其他课程中见到您!

课程大纲

Name:Course Introduction and Overview

Description:Welcome! Palliative Care Always is about optimizing quality of life at any stage of disease. This course, Essentials of Palliative Care, is rooted in the belief that incorporating the principles of palliative care into clinical practice can improve the quality of life for our patients and their support systems (including clinicians!). A team of Stanford faculty and staff designed this course to educate you about palliative care. Together, you will learn how it intersects with treating serious illness, and how palliative care skills can help improve quality of life for patients, families and providers. Our hope is that you will feel increasingly equipped to support the diverse needs of patients with serious illness.

Name:Introduction to Palliative Care

Description:This module focuses on what palliative care is, the roles of the care team and the difference between primary and speciality palliative care.

Name:Communicating with Patients

Description:Discussing difficult news is always a challenge for a variety of reasons.  In this module, we will cover methods you can use to make these conversations more successful.   Communication is the foundation of patient and clinician relationships and a key component of palliative care. Effective communication can build trust and promote clarity in the face of difficult decisions. Still, communication--especially about prognosis and transitions in care--is a challenging aspect of patient care in which clinicians cite a lack of confidence and skill. This module covers basic skills in communicating with patients, families, and peers. You will hear about practical ways to incorporate communication skills into your daily practice and your daily life. These skills will help you tune in to the needs and desires of patients and families and form a partnership that promotes well-being.

Name:Psychosocial Distress

Description:Most families living with cancer will experience some form of emotional, psychological or social distress. This may exist as episodes of grief or anxiety at specific points such as diagnosis or progression, or it may be a more chronic experience that has an ongoing impact on relationships and day-to-day life. Psychosocial distress itself affects quality of life while also exacerbating physical symptoms and influencing decisions regarding treatment. This module explores psychosocial distress and introduces you to skills for assessing and managing psychosocial distress. These skills will help you identify and begin to address the emotional and social needs of patients and families.

Name:Goals of Care & Advanced Directives

Description:Goals of cancer care are often associated with prolonging life or preparing for the end of life. However, goals of care conversations identify wishes and values that guide every medical decision and help patients and families live the best life possible at every phase of care. Goals of care discussions help patients and providers balance the evidence about disease and treatment with subjective needs and values. To this end, conversations about goals should be introduced early and revisited regularly to make sure healthcare decisions are in line with a patient's wishes. Throughout this module, we introduce goals of care conversations and communication skills as they relate to identifying goals and values.

Name:Self-Care

Description:Healthcare providers, in general, make a life of being attentive to and providing resources for people during times of illness and suffering. This type of work, while essential and rewarding, undoubtedly bears its cost in work-related stress, burnout and fatigue. The response to internal and external stress is a key influencer on wellbeing. During this module, we discuss how to identify burnout in yourself and provide tips to ease the challenges that healthcare providers face.

Name:Final Steps

Description:Congratulations on completing the course content. You have a few more step to complete the course. First review your reflection, next complete a peer-reviewed course project and then take the final exam. We hope you have enjoyed the course and look forward to seeing you in other classes!

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课程详情

This course starts you on your journey of integrating primary palliative care into your daily lives. You will learn what palliative care is, how to communicate with patients, show empathy, and practice difficult conversations. You will learn how to screen for distress and provide psychosocial support. You will learn about goals of care and advance care planning and how to improve your success with having these conversations with patients. Finally, you will explore important cultural considerations and improve your cultural competency on the topics covered. For clinicians, the goal of this course is to help you incorporate primary palliative care into your daily practice or help you know when to seek a specialist. We will help you improve your patient’s quality of life and provide self-care tips to help you maintain your own. For patients and caregivers, this course will empower you to talk to your provider and get palliative care, if necessary. Stanford Medicine is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team. Visit the FAQs below for important information regarding 1) Date of original release and Termination or expiration date; 2) Accreditation and Credit Designation statements; 3) Disclosure of financial relationships for every person in control of activity content.

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