Hi everyone, I am already working in the care sector and I would like to further my skills by training in palliative care. I would prefer to do it on a distance learning basis. I have looked into The Open Learning University but I found this very expensive. I wondered if anyone knew of any other cheaper websites that would do the distance learning course? I am in the United Kingdom just in case you need to know
Answer: www.pallium.cf.ac.uk/faq.html www.stonebridge.uk.com/det/662/Palliative+Care www.ncl.ac.uk/biomedicine/postgrad/taught/oncpall/ www.prospectus.shu.ac.uk/op_pglookup1.cfm?id_num859
Category: Palliative Care; Date: 2010-07-13
define what is meant by a palliative approach to care.include in your response the aims of this approach?
Answer: palliative care is like when someone is getting treatment that helps them get by but doesnt actually cure the problem because maybe its permanent or incurable.
Category: Palliative Care; Date: 2010-07-20
What happens when islam becomes an inspiration to a muslim girl dying of cancer in palliative care?
I have a habit of walking into Hospitals when i get a chance and speaking to patients . I once walked into a palliative care unit and met a young muslim girl dying of cancer. she had the koran near her pillow and told me that islam has given her the courage to live through her illness and even die with this illness. I spoke to her and held the koran next to her chest and moved on. To this muslim girl islam had become her inspiration to love and even find courage when she is gravely ill, unlike many other fundamentalists who use islam for evil purposes. Wot do you think? Question everything, I agree with you
Answer: And I have known Christians who have lived and died clutching their Bibles, and claiming that the sufferings of Christ gave them the courage to manage their terminal illness. My own grandmother died moments after I left her in the hospital. She told me that she was not afraid of dying because she knew she would be with Christ. Religion becomes evil when those who believe in it use it not for the very legitimate existential needs for which humans have created religion, but for exclusion, domination and supremacism. The greatest evil in the world is too often committed by those who are uncritically convinced of the rightness of their own cause and are willing to impose their own utopian vision over the dead bodies of all those who stand in their way http://en.wikipedia.org/wiki/When_Religion_Becomes_Evil
Category: Palliative Care; Date: 2010-07-18
Is hydromorphone available for palliative care in Singapore?
Answer: It should be available anywhere. Its only Dilaudid and this pain medication has been around for many, many years. In fact, it was probably more available in Singapore long before it became available in the U.S.. So, since it is such an old time drug, I would say yes it is. I cant see why it wouldnt be.
Category: Palliative Care; Date: 2010-07-18
Why do we need to promote euthanesia?
There are other options like not persisting in keeping someone alive by putting them on life support to begin with, and to offer palliative care for terminally ill. Consider the banal rhetoric "my body, my choice" that has "legitimatized" abortion on demand. Consider the catchy slogan: "my life, my death, my choice" and think carefully, that at the moment, euthanasia is clad in the guise of compassion and although it may contain a certain degree of compassion, in the sense that like many people, I would also rather die fast and easy than suffer a slow death. Realize if you have a brain that abortion on demand is not for cases of rape or pregnancies that would put the mothers life in danger, it is for irresponsible and selfish adults who are unwilling to give the unwanted child up for adoption. Just like abortion on demand, in the future perhaps "euthanasia on demand" may very well become legal for anyone, for almost any reason involving personal choice, when it becomes banalised trough slow, yet effective desensitization regarding a very precious gift, which is life. Please do try and refute, share your opinion on the subject. mimilove, you say "If you dont believe in better dying through chemistry than you CANNOT believe in better living through chemistry/surgery/mechanical devices." Sorry but your argument is flawed, it is like saying that if you can not believe in using a sharp knife to harm someone then you can not believe in using a sharp knife to prepare dinner Humpty, My brother died of leukemia, so please do not jump to conclusions However, I want you to know that you are very courageous and I am deeply sorry about your pet and grand mother. Invisible pink unicorn, TY for sharing your opinion, you are welcomed to expand your answer by comparaision of the slogan that has desensitized us regarding abortion. And the slogan that could desensitize future generations regarding euthanesia. I would like you to know that although I dissagree with abortion on demand, I am aware that it may be necessary that such services exist legally to discourage dark alley or self performed abortions that could jeoperdize the health or lives of selfish and irresponsible adults who prefer to kill the fetus in the womb than bring it to terms and give it up for adoption, or raise it Hey Kit TY for sharing your opinion. Thus you "feel that in situation where one can think and realise that he/she would rather to die instantly instead of going thru the unnecessary suffering of themselves as well as their family members would truly end their lives due to which" you "feel the promotion of euthanasia has come in focus." But, do you think that by promoting it, it may eventually become banal for future generations to solve overpopulation problems? Remember Mao doctrine on taking the ideas of masses... concentrating them...synthesizing them and then do propaganda amongst the masses...as to solve their problems...twilight zone music Oriental shorthair tom kitten, not mine but looks like the one I have when he was kitten.
Answer: Edit " But, do you think that by promoting it, it may eventually become banal for future generations to solve overpopulation problems? " Yes if this process becomes a general habit then itll absolutely be misused and will be used without even giving a second thought. Over population has anyways become a massive issue and if euthanasia is permitted legally with free will itll absolutely be exploited for personal benefits, politically too. Any patients ending in hospital, the doctors themselves will take the steps without even taking the consent of the family a political step which pressurises the civic body to take needful actions to control population explosion or if a family approaches the doctors to terminate the old, disabled, handicapped or mentally degenerated family members in their family when they are not able to take the responsibility will absolutely take advantage of euthanasia. Hi, First Id like to say once again I love your cats pic seems like a sensible calm intelligent cat Male I presume :D In this world there are many things which happen and many changes come in our lives each day and in all this new views come in picture and then all the mixed opinions flow in either to complicate things or make them easy. I think if the person who is terminally ill and is aware that there is no cure for him/her inspite of all the medicines in the world and if such a patient is in the proper senses to think, will want to end their lives instead of wasting their familys money and pain and energy required for taking care of them, but for such a decision to even come in ones mind needs clear and logical thinking with tremendous will power. Will power work both ways, in the other extreme the same person can think of living the life to fullest inspite of being aware of their terminal status. I thus feel that in situation where one can think and realise that he/she would rather prefer to die instantly instead of going thru the unnecessary suffering of themselves as well as their family members would truly end their lives due to which I feel the promotion of euthanasia has come in focus. for eg. In case I were to end up being a vegetable and be in Comatose state for a good number of years say 25 long yrs, my kids grow up or my mom and dad look after my comatose state and I am dead to the world even to myself then what kind of life am I living other then a vegetable which is like non-organic, preserved and just waiting for its turn to rot once brought in the open air I just live making it difficult for my family members of letting me go just in Hope that I will open my eyes. Thus the decision to put an end to my misery as well as my familys I would hope for Euthanasia. We see many children severely handicapped, with terminal illness, or polio, etc take birth and who grow up but they grow up when their parents specifically the mothers go thru tremendous amount of pain and suffering, when a mother has to treat her child just like she would treat her body needs plus more raise to infinity and it simply is not easy to survive such a life, thats when a mother can actually seek the help of mercy killing of her own child just to terminate the suffering of her child so that she doesnt see her child in too much pain but would rather see her child free from misery when she doesnt even think of her misery or hardships its just the childs suffering which provokes her to seek such a step when I feel Euthanasia is absolutely justified. Mercy killing can only be approached for if and when a person knows of its permanent non curable condition and has still tried to live for some considerable years but are unable to bear the pain and misery any longer. The person who needs to be euthanised should himself ask for it if they are sane enough to think or are not partially / completely brain dead, in case the patients are unable to take their own decision the decision lies with the treating doctor and the closest responsible family member. I was against mercy killing when I heard of such things when I was a kid but once I started realising the pain and suffering involved for both the family members as well as the patient I somehow felt that only hopeless cases should be put to sleep and rest which may show a glimmer of hope can wait for some considerable years and then take the necessary steps after absolute diagnosis. Very very complex situation, only people who suffer in reality can tell us the real experience of the level of their pain and misery. I wish for every human beings better life and great health.
Category: Palliative Care; Date: 2010-07-29
Do a hospital HAVE to give you the full name of a member of staff you are complaining about?
My grandfather has been a patient in Mearnskirk Hospital for 8 weeks now. He is terminally ill and is receiving palliative care there as a fulltime patient. On Tuesday 27th July myself, my mother and my grandmother his wife went to visit him as we do every day and night. We were originally told that there were no visiting times at the hospital and we could come anytime. However my mother said to a nurse at the door that she was just dropping off some water and tissues for my grandfather and would only be 5 minutes. As we walked along the corrider to my grandfathers room a nursing auxiliary approached my gran, pointed in her face and said in an aggressive tone "do you realise that this place closes at 8". Firstly this information was incorrect but what really frustrated me was the way in which she said this. I, being a third year medical student myself, decided to speak to her about what she had said when another nurse cut in and that there was absolutely nothing wrong with her behaviour. I then proceeded to tell her that I do not think her behaviuor was appropriate for palliative care and duly left. During that night my grandfather who remains alert became very breathless and choked up with mucous as he often does. He buzzed to ask for his nebuliser and the same nursing auxiliary whom I had spoken with went to his room. The nebuliser was set up and ready to go and he asked her to pass the mask to him. She then looked at him and said "No" and walked away leaving him begging for help and struggling to breath. When he asked her for water she said "you get it yourself" despite the fact that he has bone cancer and cannot move at all. Being a medical student myself has taught me a lot about the standards of care and I am completely disgusted that this has happened. However, Im not sure what I can do as I called the nursing home to obtain the name of the nurse in question and was told they cannot reveal her name to me, neither over the phone or in a meeting. They have told me this nursing auxiliary is untrained so there is no governing body I can speak to about her. I really do not know what to do and I am hoping someone can help me. Do the hospital HAVE to give me the full name of this woman in order for me to take further action as they are saying they are unable to give me her name?? Please help
Answer: I am so sorry to hear about all this you and your family are going through. I would get her full name and if she has one a number she" may"have under her name on a "badge" or something they wear. I would go to her supervisor if all else fails, or the personal department of the hosptial. If you go onto the hosptial website on the left hand site up the page you will see a contact email address that you could try writing to them about it as well. I hope it all goes well. And Good luck with your grandfather. From Catherine. http://www.eastrenfrewshire.gov.uk/heritage/heritage_places/heritage_mearns/heritage-mearnskirk-hospital-2.htm
Category: Palliative Care; Date: 2010-07-30
Can I go to Harvard:?
at Harvard, Yale, Brown, and BU. Junior: Honors PreCalculus AP Chemistry: 5 AP Biology: 5 AP Language and Composition: 5 Honors Organic Chemistry Physiology Function Analysis Research and activities and awards: Independent research on relationship among cancer, aging, and telomeres. Editing and aiding the creation of a QPL for Palliative Care Physicians research. Shadowing a Physician. Volunteered at a university hospital. Received a shield for best student in Physical Science. Work: Worked for two months in Canada as a Customer Representative at a convenience store. Languages known: English Hindi Urdu Arabic Some Spanish SAT: CR: 700+ Math:700+ Writing: 700+ SAT Subject tests: Biology: 700+ Chemistry: 700+ Math 2: 700+ Excellent letters of recommendation from guidance counselor, science teachers, and employer. 4.3+ weighted GPA Senior classes: Public Speaking AP Lit. IB Physics AP Government AP Calc. AB AP Calc. BC Experience: Lived in New York City, Boston, KY, TN, Columbus, Toronto, and India.
Answer: Sounds excellent. Even if you dont get into Harvard, there are many other great schools that will take you.
Category: Palliative Care; Date: 2010-08-21
Atheists: Why dont you value others lives as much as non-Atheists?
UK study: Nonreligious doctors hasten death more By MARIA CHENG, AP Medical Writer .LONDON – Doctors who are atheist or agnostic are twice as likely to make decisions that could end the lives of their terminally ill patients, compared to doctors who are very religious, according to a new study in Britain. Dr. Clive Seale, a professor at Barts and the London School of Medicine and Dentistry, conducted a random mail survey of more than 3,700 doctors across Britain, of whom 2,923 reported on how they took care of their last terminal patient. Many of the doctors surveyed were neurologists, doctors specializing in the care of the elderly, and palliative care, though other specialists like family doctors, were also included. Doctors who described themselves as "extremely" or "very nonreligious" were nearly twice as likely to report having made decisions like providing continuous deep sedation, which could accelerate a patients death. To ensure doctors are acting in accordance with their patients wishes, Seale wrote that "nonreligious doctors should confess their predilections to their patients." Seale also found that doctors who were religious were much less likely to have talked about end of life treatment decisions with their patients. According to guidelines from the British Medical Association, doctors must not allow their religious beliefs to interfere with their treatment of patients. "Whatever your personal beliefs may be...you must be respectful of the patients dignity and views," the association says. The guidelines also recommend that when patients are unable to communicate their wishes, doctors must not simply rely on their own values, but that they "should take all reasonable steps to maximize the patients ability to participate in the decision-making process." The study was paid for by Britains National Council for Palliative Care and was published online Thursday in the Journal of Medical Ethics. Source: http://news.yahoo.com/s/ap/20100826/ap_on_he_me/eu_med_britain_doctors_and_death
Answer: If you think you know what I value better than I do myself, then maybe you should stop right there. Any argument which relies on you being able to read my mind can be nothing but pure fail.
Category: Palliative Care; Date: 2010-08-26
Are there any drugs that do what Marijuana does in palliative care?
Are there any drugs used in palliative care other than medicinal Marijuana and do they do the same thing as medicinal marijuana? Can you list them for me?
Answer: This drug is extracted from the cannabis plant a.k.a. marijuana. http://en.wikipedia.org/wiki/Marinol http://en.wikipedia.org/wiki/Medical_cannabis
Category: Palliative Care; Date: 2010-09-02
Does having a palliative care team mean youre dying?
Im not sure if this is the right place to ask question but I do have cancer and I found out that my main oncologist talked to my parents about palliative care today. Do you have to be dying for that to happen or is it normal? Thanks, Alexander
Answer: Hi Alexander: No you dont have to be dying. I looked this up on Wikipedia for you. Palliative care from Latin palliare, to cloak is any form of medical care or treatment that concentrates on reducing the severity of disease symptoms, rather than striving to halt, delay, or reverse progression of the disease itself or provide a cure. The goal is to prevent and relieve suffering and to improve quality of life for people facing serious, complex illness. Non-hospice palliative care is not dependent on prognosis and is offered in conjunction with curative and all other appropriate forms of medical treatment. In the United States, a distinction is made between general palliative care and hospice care, which delivers palliative care to those at the end of life; the two aspects of care share a similar philosophy but differ in their payment systems and location of services. Elsewhere, for example in the United Kingdom, this distinction is not operative: in addition to specialized hospices, non-hospice-based palliative care teams provide care to those with life-limiting illness at any stage of disease. So, basically, a doctor will suggest palliative care when he or she feels that it would prevent and/or relieve suffering as well as improving your quality of life when facing serious, complex illness. Cancer is serious and complex, so is its treatment. I suggest that you talk to your parents about what all this means as Im sure that they wouldnt want you to worry.
Category: Palliative Care; Date: 2010-08-28
