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  • Palliative Symptom Management: Principles and Tools: Patama Gomutbutra MD. 3 August 2015

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    med4107
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    This document outlines frameworks for palliative symptom management. It discusses Robert Twycross's quality of life concept of narrowing the gap between aspirations and possibilities. It also outlines Twycross's EEMMA framework for evaluating, explaining, managing, monitoring, and paying attention to details in palliative patient symptom management. Additionally, it presents a simplified "What Why What How" framework inspired by David Currow's "Why" framework for determining priorities of concern, identifying reversible causes, setting acceptable goals, and reaching goals through solving reversible causes or using non-medication or medication approaches. Finally, it provides two brief case examples on palliative tracheostomy and determining a patient's needs and requirements.

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    Palliative care symptom management

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    symptomprinciple_2015

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    This document outlines frameworks for palliative symptom management. It discusses Robert Twycross's quality of life concept of narrowing the gap between aspirations and possibilities. It also outlines Twycross's EEMMA framework for evaluating, explaining, managing, monitoring, and paying attention to details in palliative patient symptom management. Additionally, it presents a simplified "What Why What How" framework inspired by David Currow's "Why" framework for determining priorities of concern, identifying reversible causes, setting acceptable goals, and reaching goals through solving reversible causes or using non-medication or medication approaches. Finally, it provides two brief case examples on palliative tracheostomy and determining a patient's needs and requirements.

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    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    11 views9 pages

    Palliative Symptom Management: Principles and Tools: Patama Gomutbutra MD. 3 August 2015

    Uploaded by

    med4107
    This document outlines frameworks for palliative symptom management. It discusses Robert Twycross's quality of life concept of narrowing the gap between aspirations and possibilities. It also outlines Twycross's EEMMA framework for evaluating, explaining, managing, monitoring, and paying attention to details in palliative patient symptom management. Additionally, it presents a simplified "What Why What How" framework inspired by David Currow's "Why" framework for determining priorities of concern, identifying reversible causes, setting acceptable goals, and reaching goals through solving reversible causes or using non-medication or medication approaches. Finally, it provides two brief case examples on palliative tracheostomy and determining a patient's needs and requirements.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 9

    Palliative symptom management:

    Principles and tools

    Patama Gomutbutra MD.


    3rd August 2015

    Outline
    Twycrosss concept of Quality of life
    Twycrosss EEMMA frame work
    Simplify What Why What How frame
    work

    Robert Twycross DM FRCP. is one of the founders of


    modern palliative medicine. Research Fellow in
    Therapeutics at St Christopher's Hospice in 1970

    Twycrosss concept of Quality of life

    To improve quality of life is to narrow the gap


    between aspiration
    and what is possible

    Twycross EEMMA
    framework
    Scientific approach for symptom
    management in Palliative patient
    EEMMA
    Evaluation
    Explanation
    Management
    Monitoring
    Attention to detail
    Twycross RG. Symptom Management in Advanced
    Cancer 2001

    What Why What How


    framework

    What Why What How


    : What is priority of concern

    : Why it happen *Any reversible cause*
    -
    : What is the acceptable goal
    - ()
    : How to reach that goal
    -> Solve reversible cause (Including
    Iatrogenic)
    -> Non-Medication
    -> Medication
    Inspired by David Currows Why
    framework

    Case I : Palliative
    tracheostomy?

    Case II : NR = ?

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