University of Liege | Version française
Study programmes 2013-2014Last update : 16/04/2014
Version 2012-2013
MEDE1163-2  Incorporation of competences
- Surgery
- Medicine
- Paediatrics
- Gynaecology and obstetrics
- Workshop of complex problem solving
- Ambulatory medicine
- Palliative and End of Life Medicine
- Critical Analysis of Alternative Practices
- Questions of ethics (conferences)
- Pathological anatomy
- Administrative and organizational aspects of medicine

Duration :  Surgery : 30h Th, 9h Pr
Medicine : 30h Th, 9h Pr
Paediatrics : 30h Th, 9h Pr
Gynaecology and obstetrics : 30h Th, 9h Pr
Workshop of complex problem solving : 48h LBOPS
Ambulatory medicine : 4h Pr
Palliative and End of Life Medicine : 10h Th
Critical Analysis of Alternative Practices : 10h Th
Questions of ethics (conferences) : 10h Th
Pathological anatomy : 7h Pr
Administrative and organizational aspects of medicine : 10h Th
Number of credits :  
Master in medecine, 4th year8
Lecturer :  Surgery : Jean-Olivier Defraigne, Philippe Gillet, Didier Martin, Michel Meurisse, David Waltregny
Medicine : Albert Beckers, Yves Beguin, Vincenzo D'Orio, Guy Jerusalem, Jean-Marie Krzesinski, Renaud Louis, Edouard Louis, Michel Malaise, Pierre Maquet, Michel Moutschen, Jean Petermans, Luc Pierard, André Scheen
Paediatrics : Oreste Battisti, Jean-Pierre Bourguignon, Masendu Kalenga, Jean-Paul Misson, Marie-Christine Seghaye
Gynaecology and obstetrics : Patrick Emonts, Frédéric Kridelka, Michelle Nisolle
Workshop of complex problem solving : Didier Giet
Ambulatory medicine : Didier Giet
Palliative and End of Life Medicine : Jean-François Brichant, Marie-Elisabeth Faymonville, Didier Giet, Guy Jerusalem
Critical Analysis of Alternative Practices : Marie-Elisabeth Faymonville, André Scheen
Questions of ethics (conferences) : Philippe Boxho, Jean-Yves Reginster
Pathological anatomy : Philippe Delvenne
Administrative and organizational aspects of medicine : Jean-Luc Belche, Corine Bouüaert, Geneviève Bruwier, Philippe Burette, Pierre Firket, Didier Giet, André Migeotte, Christian Montrieux, Marc Vanmeerbeek
Coordinator :  André Scheen
Language(s) of instruction :  
French language
Course contents :  
Surgery

Complex clinical situations

Medicine

The student is trained to recognize signs and symptoms related to kidney diseases under the supervision of seniors in nephrology, dialysis and transplantation. They will learn how to manage water and electrolytes disturbances and tu use immunosuppresive drugs.
Therapeutic courses are moreover organized to complete this formation.

Palliative and End of Life Medicine

· Overview of potential paths to care and their goals
· The ethics of communication in cancer and palliative care
· Communication skills for oncology and palliative care
· Breaking bad news
· Communication to achieve shared treatment decisions and how to respond to difficult emotions and difficult questions
· Information about the wide spectrum of unique patient family responses to a potentially fatal illness
· Pathophysiology of cachexia - asthenia - cough - nausea - vomiting - cognitive problems - cancer pain
· Description of possible causes, treatment options for symptoms relief and management of side effects
· Prevention of symptoms
· When and to whom and for what kind of problem can we propose radiotherapy
· Role of psychologist in Oncology - Palliative care
· Global pain and its approach : correct diagnosis - clinical observations
· Cancer pain management pharmacological approach - opioids - non opioids - neuropathic pain management
· How to initiate a therapy, opioid rotation, side effects and their treatment, concept of tolerance - dependence
· Alternative routes of administration to control complex pain syndrome
· Development of palliative care and legalisation of euthanasia
· Control of end life stressful situation with palliative sedation
· Anticipating demand of euthanasia and ethical questioning about euthanasia in patients with altered consciousness
· Death - the dying process and notion about how to support bereaved
· Stress and burnout in palliative caregivers

Learning outcomes of the course :  
Palliative and End of Life Medicine

This course will give skills to :
· Enable each student to demonstrate stratagems for resolving ethical issues about palliative rather than life prolonging treatment
· Demonstrate techniques for communicating distressing information to patients and families
· Provide understandable information and convey hope by emphasizing what can be done
· Welcome questions, listen to and interpret with concern
· Use techniques to ensure that you are hearing the patient's and family's primary areas of concern in order to assist them with appropriate decision-making
· Learn about interdisciplinary approach and global care of patient
· Identify correctable causes of dyspnae - vomiting - caught - constipation - cognitive impairment
· Develop skills in using pharmacological and non pharmacological approaches to manage undesirable symptoms line cachexia - asthenia - constipation - dehydration - vomiting
· Apply pharmacological treatment and the impact of their therapy on the patient's symptoms
· Utilize the concepts of tolerance - physical dependence in pain management
· Adopt a perspective on the limitation of treatments (chemotherapy - enteral - parenteral nutrition)
· Do a functional assessment of dying patient at home
· Set up an appropriate medication calendar
· Assess emotional status and appropriately support patient and other caregiver
· Assess family functioning to intervene as necessary
· Use resources available for home care
· Give information to the patients - families about euthanasia, anticipated demand of euthanasia and provide ethic questioning when families were confronted with patients in altered states of consciousness
· When and how to use sedation with dying people to control complex symptoms
Prerequisites and co-requisites/ Recommended optional programme components :  
Planned learning activities and teaching methods :  
Mode of delivery (face-to-face ; distance-learning) :  
Surgery

Lectures
Recommended or required readings :  
Assessment methods and criteria :  
Work placement(s) :  
Organizational remarks :  
Contacts :  
Surgery

Prof Philippe Gillet Chirurgie de l'appareil locomoteur Centre Hospitalier Universitaire B4000 Liège Belgique +32 4 3667222 fax +32 43667537 philippe.gillet@chu.ulg.ac.be

Medicine

Prof. J-M Krzesinski, service de Néphrologie CHU Liège
Tél. : +32 (0)4 366 72 03
email: jm.krzesinski@chu.ulg.ac.be

Palliative and End of Life Medicine

Valérie MASSART Département de Médecine Générale www.dumg.be Faculté de Médecine - Université de Liège Avenue de l'Hôpital, 1 CHU B23 4000 Liège - Sart-Tilman Tél : +32 4 366 42 78 Fax : +32 4 366 42 77 V.Massart@chu.ulg.ac.be



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