Module 5

Lars Ofstad January 12th, 2009

MODULE 5, 19-23 January, 2009, Copenhagen

COMMUNICATION – PART 2 (2 days)

Aim:  To improve the knowledge and skills of the participants in communicating with patients and relatives during all stages of the patient’s illness. To improve the knowledge and skills of the participants in communicating with colleagues.

Topics: Skills in empathic listening and open questioning to:
     -   elicit concerns across physical, psychological, social and spiritual domains
     -   establish extent of awareness about illness and prognosis
Common barriers to communication with both patients and professionals.
Management of difficult questions and information given sensitively and as appropriate to wishes and needs of the individual. Facilitation of decision-making and promotion of patient autonomy. Recognition and management of conflicts between confidentiality and the need to share information with others.
Theories and evidence base for communication practice. Awareness and practice of a range of structures and styles of consultations. Critical evaluation of own consulting skills.

The course focuses on theoretical teaching alternating with intense practice in small groups. The main emphasis is laid on role-plays, using the clinical experience of the participants and focusing on problems in their own clinical practice. Starting with the more simple situations and gradually increasing the
degree of difficulty.

The aim and topics are the same as in Communication part 1 (module 3), but with an increasing degree of difficulty:
In part 2 we focus on the clinical video mentioned below an if we have spare time on further role-plays.
In the time span between communication part 1 and part 2, the participants will be requested to practice the communicative skills acquired in part 1.
All participants must prepare a video illustrating clinical communication in palliative care, which will be used in the teaching sessions in part 2. Approval of the course will be subject to the preparation of such a video.

 
Monday 19 January, 2009

Communication course, Part 2:

09.00 – ca. 09.30 Welcome to Communication part 2, including:
Framework for the next two days
The Groups
Questions
By: The panel of teachers and facilitators (see list)
09.30 – 10.00 Coffee
10.00 – ca. 12 Agenda Setting (in groups)
12.00 – 13.00 Lunch
13.00 – 14.30 Video-supervision, roleplay and homework (in groups)
14.30 – 15.00 Coffee
15.00 – ca 17 Role Plays and/or homework (in groups)

Tuesday 20 January
09.00 – 12.00 Video-supervision, roleplay and homework (in groups), broken by
10.00 – 10.30 Coffee
12.00 – 13.00 Lunch
13.00 – 16.00 Video-supervision, roleplay and homework (in groups)
16.00 – 17.00 Closing of Communication
(plenum)

17.00 – ca 17.30  Rundvisning I Palliativ Medicinsk afdeling, Bispebjerg hospital for interesserede kursister. (Gentages d. 21. og 22. januar 2009.)

PAIN  ( 3 days) 21-23 January 2009

Wednesday 21 January
09.00 – 09.30  Welcome and introduction.  Bodil Jespersen and Lena Lundorff

Cancer Pain and Pain Assessment
09.30 – 10.30  Cancer pain:  Epidemiology, etiology and mechanisms
                        Per Sjøgren, Denmark
10.30 – 10.50  Coffee Break
10.50 – 11.30  Pain assessment
                        Mogens Grønvold, Denmark
11.30 – 12.00  Assessment Group work
12.00 – 12.30  Discussion

12.30 – 13.15  Lunch

Bone Pain
13.15 – 15.00  Bone pain, mechanisms and treatment (radiotherapy, bisphosphonates i.e)
                        Anders Bonde, Denmark
15.00 – 15.15  Coffee Break

Nordic Specialist Course in Palliative Medicine
15.15 – 16.15  State of the course projects – group session
                        Dagny Faksvåg Haugen, Norway
16.15 – c. 16.45 Rundvisning I Palliativ Medicinsk afdeling, Bispebjerg hospital for interesserede kursister.

Thursday 22 January
09.00 – 09.10  Comments and reflections from day 1

Opioids
09.10 – 09.50  Pharmacology of important opioids in palliative medicine
                        Tarja Heiskanen, Finland
09.50 – 10.30  Opioid side effects
                        Per Sjøgren, Denmark
10.30 – 10.50  Coffee Break
10.50 – 11.30  Opioid rotation
                        Stephen Butler, Sweden
11.30 – 12.30  Panel discussions and cases
                        T. Heiskanen/ P. Sjøgren/ S. Butler
  
12.30 – 13.15  Lunch

Nordic Specialist Course in palliative medicine
13.15 – 14.00 The organisation of palliative care . An introduction to a small task for module 6  
                       in  stockholm.
                       Tove Vejlgård, Denmark
 
Multidisciplinary pain treatment
14.00 – 15.00  Group Work
15.00 – 15.20  Coffee Break
15.20 – 16.20  The psychological dimension of pain and existential pain
                        Peter la Cour, Denmark
16.20 – 17.00  Discussions from group work and session.

17.00 – c.17.30 Rundvisning I Palliativ Medicinsk afdeling, Bispebjerg hospital for interesserede kursister.

Friday 23 January
09.00 – 09.10 Comments and reflections from day 2

Neuropathic Pain
09.10 – 10.10  Patophysiology, mechanisms and treatment
                        Mads Werner, Denmark
10.10 – 10.20  Discussion
10.20 – 10.40  Coffee Break
10.40 – 11.30  Cases and discussion

Visceral Pain
11.30 – 12.30  Patophysiology, mechanisms and treatment
                        Asbjørn M Drewes, Denmark

12.30 – 14.00  Lunch: Sandwich and evaluation!

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