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Ministry of health of ukraine

Kharkiv National Medical University

Approved

on the methodical meeting Department of Oncology

 

Head of Department

MD, Professor VI Starikov

 

"30" August 2012

A methodical DEVELOPMENT

For teachers with practical lessons   Number 1

Course 6

Faculty of Medicine (specialty "General Medicine", "Pediatrics", "Prophylactic medicine")

Study Subject: Oncology

 

 

Topic

Number of g at Din

Topic 1. Emergency in Oncology

2

Theme 2. Emergency treatment for complications of chemotherapy and radiotherapy

2

Theme 3. Treatment of complicated forms of cancer

1

Theme 4. Palliative surgery

2

 

 

 

Kharkiv 2012

 

 

 

I. Background.

Exhaustion special features of anticancer therapy and start controlling disease progression demonstrates the need for the transition to palliative and symptomatic treatment aimed not to prolong life and to support its acceptable quality. Palliative and symptomatic treatment includes all the necessary types of care that may be required at this stage of the patient, including surgical techniques (overlay Stom, necrectomy, drainage, immobilization, etc.).

II. Study objective: Deepen the theoretical and practical knowledge of students from the technique of palliative surgical procedures.

2.1. Know:

1.       Features of the development of malignant tumors.

2.       Analyze the causes of abandonment of malignant tumors.

3.     understanding of the mechanism of complications diverse tumors that require palliative surgical procedures;

4.     ability to properly assess the clinical manifestations of the disease in its progression and justify the need for performance you's or another's palliative surgical procedures.

2.2. Be able to:

Conduct review of cancer.

Absorb the history and analyze it.

Evaluate the nature of complications of tumor

Perform the basis vni palliative surgical manipulation

 

III. Educational objective: depending on the type and complexity obosnovuvaty perform foun vni palliative surgical manipulation.

IV. Interdisciplinary integration.

Disciplines

Know

Be able

1.       Therapy

 

 

 

 

 

 

2.       Medical Psychology

3.       psychiatry

 

 

 

4.       surgery

 

 

 

Questioning and physical examination dos ­ ice ­ tion with cancer

 

 

 

 

Defining mental and psychological state of the patient

 

 

 

Indications and technique of palliative surgical procedures

 

 

1.       Absorb the history of disease and life

Conduct review and physical examination cancer vtochnyty type complications.

 

2.       establish contact with the patient

3.       explain to the patient the possibility of aproponovanoho treatment

 

4.       perform pleural puncture laparatsentez, puntsiyu bladder.

 

5.       spend caring for stoma

 

V. The plan and organization of practical training:

5.1. Duration of employment - 2 hours.

5.2. Stages classes (table)

№ pp

The main stages of employment and their contents

Place of employment

Level zasvoennya knowledge

Time

min

Control methods and teaching support

1.

Preparation stage:

organization of training;

definition of educational goals and motivation;

control the output level of knowledge and skills;

a) features of communication with cancer (principles of ethics in oncology);

b) determine the type of complication

c) care for the stoma

d) perform basic palliative surgical procedures

Classrooms

II

 

15

Frontal surveys, tables, tests, history of disease

2

Main stage:

Formation of professional skills and abilities:

A) Physical examination of the patient onolohichnoho

B) diagnosis of disease, including stage and clinical group, complications, treatment tactics drawing on patient

C) discussion and evaluation of Supervision and specific issues Clin ary peculiarities of tumor.

Specialized branch

 

 

 

 

 

 

 

 

 

 

 

Classrooms

III

 

 

 

 

 

 

 

 

 

 

 

 

III

15

 

 

 

15

 

 

 

 

 

 

 

 

15

4.3 inpatients, inpatients medical records, hospital records of patients. Leaves appointments maps.Clinical problem drugs.

d) solve situational clinical tasks.

 

 

 

15

3

Final stage:

control and correction of professional abilities and skills supply totals;

homework.

Classrooms

 

III

5

 

5

 

5

Individual control of practical skills and the results of Supervision case patients. Addressing clinical tests. A set of tests and standards replies

 

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