Operational protocols
In an original and innovative educational process, 20 procedures have been designed for the educational and professional training, considered to coagulate the need for useful skills to provide the prospect of understanding the palliative phenomenon, but also to allow punctual interventions in their care.
In a partnership of five European centers of palliative medicine, through the synthesis of updated literature and based on scientific medical evidence, the medical protocols proposed have been designed to include the suite of stages to be covered in a holistic approach of the patient, not as an oral cavity, bladder, etc. but in its entirety approach as a human being.
Performing urethrovesical catheterization (foley probe) in female patients
Performimg paracentesis
Subcutaneous automatic syringe perfusion
Transferring the patient from sustained dorsal decubitus to sustained lateral decubitus
Conspiracy of silence - handling collusion
Active listening and empathic response
Communicating the diagnosis of severe illness (bad news)
Understanding patients suffering in the spiritual/religious domain and ways of coping and finding meaning and support through faith
Performing the bedridden patient’s nutrition
Perform daily hygiene of teeth, gums, mouth of incapacitated patients
Bed bath - washing a bedridden patient by using water and common soap
Pain Assessment - Measuring Pain In Conscious Adult Patients Using The Visual Analogue Scale
Prescribing pain medication according to the Who-pain ladder
Dealing with empathic reaction of overwhelming emotional exhaustion, feelings of ineffectiveness and self-doubt.
Discussion about end of life care (place of care, aggressive treatment, DNR)
Management of terminal phase
Prevention pressure ulcer - repositioning
Evaluation of the patient awareness level of his/her disease
Mapping patient’s network
Addressing caregiver’s needs
