Module 1
Myhre Aud September 20th, 2009
MODULE 1 – 28 September – 2 October 2009, Trondheim, Norway
A. INTRODUCTION TO PALLIATIVE MEDICINE (1/2 day)
Aim: To have an understanding of palliative medicine, its characteristics, advantages, and limitations. To introduce the course participants to the basic ideas of the course.
Topics: The history and development of palliative medicine. Concepts and definitions. Hospice philosophy. The palliative medicine curriculum and the contents and working methods of the Nordic course.
B. INTRODUCTION TO COURSE PROJECT (2 days)
Aim: To be able to read and analyse scientific literature. To have an understanding of research ethics. To be prepared to plan a simple study in a palliative medical subject, write a protocol, find a tutor, and start the study.
Topics: Introduction to evidence-based medicine. Epidemiology and research methods in palliative medicine. Introduction to quantitative and qualitative research methods. Research ethics. Critical reading and literature review. How to write a protocol. Planning of own project.
C. SYMPTOM MANAGEMENT IN PALLIATIVE CARE (2 1/2 days)
Aim: To know and understand the epidemiology, biology, and complexity of
symptoms in palliative medicine, and to be able to assess and handle the
symptoms of the advanced cancer patient.
Topics: Assessment (including assessment tools), diagnosis, and management (treatment) of symptoms, such as anxiety, depression, fatigue, cognitive failure, gastrointestinal symptoms, respiratory symptoms, cachexia, anorexia. Introduction to surgical and oncological palliative care interventions. Symptom assessment in the cognitively impaired.
Program
Monday 28 September
A INTRODUCTION TO PALLIATIVE MEDICINE
09.00-09.30 Introduction. Presentation. Dagny Faksvåg Haugen and
Sebastian von Hofacker
09.30-10.30 Palliative Medicine
What are the challenges for the next decade? Dagny Faksvåg Haugen and Sebastian von Hofacker
10.45-11.45 Group discussions
11.45-12.15 Plenary discussion
12.15-13.15 Lunch
B INTRODUCTION TO COURSE PROJECT
13.15-13.30 Your project – time to start thinking about it? Sebastian von Hofacker
13.30-14.15 What is meant by “course project”? Dagny Faksvåg Haugen
14.15-14.45 Research design in medicine: From open studies to RCT. Ola Dale
15.00-16.30 Groups
16.30-17.15 Plenary
Tuesday 29 September
08.30-09.15 How to plan your project and write a protocol. Ola Dale
09.30-10.15 Research ethics. Ola Dale
10.30-12.30 Qualitative research methods. Aslak Steinsbekk
12.30-13.15 Lunch
C SYMPTOM MANAGEMENT IN PALLIATIVE CARE
13.15-14.00 Anxiety and depression. Jon Håvard Loge
14.15-15.00 Cognitive failure, delirium. Jon Håvard Loge
15.15-16.30 Groups: Depression, anxiety. Jon Håvard Loge
16.30-17.00 Plenary discussion
19.30 Dinner at Chablis Brasserie & Bar, Øvre Bakklandet 66, next to the Old Town Bridge
Wednesday 30 September
B INTRODUCTION TO COURSE PROJECT
08.30-09.30 Resources for evidence-based medicine. Inger Norderhaug, Kunnskapssenteret
09.30-11.00 Literature search. Inger Norderhaug, Kunnskapssenteret
11.15-12.00 Epidemiological research design. Geir Jacobsen
12.00-13.00 Lunch
13.00-13.45 How to read a scientific paper. Stein Kaasa
13.45-14.30 Summing up Part B
The written assignment for Module 1 is to write a protocol. This means that the course participants have to plan their own project and find a tutor in their own country/region within two months after completing the first module.
C SYMPTOM MANAGEMENT IN PALLIATIVE CARE
14.45-15.30 Symptom assessment. From “paper and pencil” to computers.
Stein Kaasa
15.30-17.00 Groups: Assessment
Thursday 1 October
08.30-09.15 Introduction to oncological palliative care interventions.
Dagny Faksvåg Haugen
09.30-11.30 Gastrointestinal problems (groups and plenum)
11.30-12.45 Guided visit to the cathedral
12.45-13.30 Lunch
13.45-14.30 Introduction to surgical palliative care interventions. Erling Bringeland
14.40-15.15 Cancer cachexia – short overview. Tora Skeidsvoll Solheim
15.20-16.30 Groups: Cachexia/anorexia, nutrition, fluids
16.30-17.15 Plenum
19.30 Tapas Dinner at Rica Nidelven Hotel, Havnegt. 1-3, opposite shopping area “Solsiden”
Friday 2 October
08.30-10.00 Groups: How to plan your own project
10.15-10.45 Symptom assessment in the cognitively impaired. Ingvild Saltvedt
10.45-11.15 How to implement the tools. Dagny Faksvåg Haugen
11.15-11.45 Discussion.
11.45-13.00 Lunch and visit to the Palliative Medicine Unit. Three groups rotating during lunch time.
13.00-14.00 Plenary evaluation and introduction to Module 2.
14.00 Finish
Teachers and facilitators, NSCPM Module 1, 2009:
Facilitators from the NSCPM Steering Group: Stein Kaasa, Sebastian von Hofacker, Dagny Faksvåg Haugen
Erling Audun Bringeland, MD, PhD, Consultant, Department of Surgery, St. Olav’s Hospital, Trondheim
Ola Dale, MD, PhD, Professor in Pharmacology, Department of Circulation and Medical Imaging, Faculty of Medicine, NTNU, Trondheim
Dagny Faksvåg Haugen, MD, PhD, Consultant in Oncology and Palliative Medicine, Head of the Regional Centre of Excellence for Palliative Care, Western Norway, Haukeland University Hospital, Bergen, and Project Executive Officer, European Palliative Care Research Collaborative (EPCRC), Department of Cancer Research and Molecular Medicine, Faculty of Medicine, NTNU, Trondheim
Sebastian von Hofacker, MD, Consultant in Palliative Medicine, Sunniva Clinic for Palliative Care, Haraldsplass Deaconal Hospital and Regional Centre of Excellence for Palliative Care, Western Norway, Haukeland University Hospital, Bergen
Geir Jacobsen, Professor, Department of Public Health and General Practice, Faculty of Medicine, NTNU, Trondheim
Stein Kaasa, MD, PhD, Professor in Palliative Medicine, Department of Cancer Research and Molecular Medicine, Faculty of Medicine, Norwegian University of Science and Technology (NTNU), and National Cancer Director, Norwegian Directorate of Health, Oslo
Jon Håvard Loge, MD, PhD, Consultant, National Resource Centre for Studies of Long-term Effects after Cancer, Department of Clinical Cancer Research, Rikshospitalet University Hospital, and Professor, University of Oslo
Inger Natvig Norderhaug, PhD, Section Head, Norwegian Knowledge Centre for the Health Services, Oslo
Ingvild Saltvedt, MD, PhD, Consultant, Department of Geriatrics, St. Olav’s Hospital, and Assistant Professor, Department of Neuroscience, Faculty of Medicine, NTNU, Trondheim
Tora Skeidsvoll Solheim, MD, PhD student, Department of Cancer Research and Molecular Medicine, Faculty of Medicine, NTNU, Trondheim
Aslak Steinsbekk, PhD, Researcher, Department of Public Health and General Practice, Faculty of Medicine, NTNU, Trondheim
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