prescription course Palliative medicine amp EndofLife care Welcome to Module Five Palliative Medicine and EndofLife Care This module provides an overview of the special considerations for addressing dental painoral issues when the ID: 780248
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Slide1
requirements for
opioid
prescription
course
Palliative medicine & End-of-Life care
Slide2Welcome to Module Five:
Palliative Medicine and End-of-Life CareThis module provides an overview of the special considerations for addressing dental pain/oral issues when the treatment goal is to maximize the comfort of the patient (palliative care) and
compassionately address end-of-life
oral discomfort or complications.
2
@ copyright New York State Dental Foundation
Slide3
Understanding the Role of Dentistry and the Dental Professional
Managing Pain with Analgesics
Alternative
Methods for Managing Pain
The role of Dentistry
Slide4The dentist is a “
team member
” providing oral care comfort measures to the patient receiving palliative and/or
end-of-life
care. Comprehensive oral care will contribute to both proper patient health management and comfort/quality of life.
The role of the dentist may include
:
Providing or encouraging oral hygiene
Alleviating pain or discomfort
Managing potential oral
side effects associated with cancer therapy (e.g., mucositis, candida)
Eliminating site of infection or potential infectionUnderstanding the patient’s preferences for enhancing oral functionProtecting self-esteem through aesthetic maintenanceUnderstanding the Role of Dentistry
Slide5Provide
post-treatment comfortHelp manage pain through all phases
Listen
to the patient in order to gain insight into other concerns that may arise during treatment and
offer appropriate referrals to resources
Diagnose and refer for cancer treatmentProvide patient education and preparation for cancer treatment(s)
Address
any oral side effects while patient is in treatment
5
The Role of Dentistry During a Patient’s Cancer Treatment
Slide66
Managing Pain with
Analgesics
Pain
is an “
unpleasant sensory and emotional experience
.” Reducing the severity of pain and discomfort is the greatest assistance for a patient receiving
palliative care.
Take time to listen
to the patient for the cause of pain or discomfort to determine whether it’s associated with the disease or related to the psychological aspects of cancer
.
Note: Any drugs should be prescribed in conjunction with the patient’s palliative or end-of-life managing physician.
Slide77
Cognitive therapy
Physical therapy
Acupuncture for regional chronic pain
Hypnosis to modify responses to various stimuli
“Pain clinic” referral
Alternative pharmacologic agents (e.g., tricyclics, anticonvulsants, SNRIs)
Capsaicin
Biofeedback
Transcutaneous nerve stimulation (TENS)
Heat and
cryotherapy (used individually or in combination)Long-term regional anesthesia or block
Alternative Methods for Managing Pain
Alternatives
to analgesics
may include: