C AN CER &
C ON T I N UI N G
C AR E
4TH YEAR MEDICINE
Indeera Shankla
|
0
, Table of Contents
Overall Objectives for the ICU .............................................................................................................................. 3
Clinical Skills ........................................................................................................................................................ 4
Core Conditions ................................................................................................................................................... 5
Oncology ......................................................................................................................................................... 5
Aetiology of Cancer ...................................................................................................................................................5
Approach to Cancer Patient ......................................................................................................................................6
Tumour Markers .......................................................................................................................................................7
Imaging ......................................................................................................................................................................8
Surgery ......................................................................................................................................................................9
Bio-psychosocial assessment of a person with cancer ...........................................................................................10
Radiotherapy ...........................................................................................................................................................12
Chemotherapy.........................................................................................................................................................14
Oncological Emergencies ........................................................................................................................................16
Breast Cancer ..........................................................................................................................................................19
Prostate Cancer .......................................................................................................................................................21
Lung Cancer .............................................................................................................................................................23
Colorectal Cancer ....................................................................................................................................................25
HOSPICE ........................................................................................................................................................ 27
Symptom Management ..........................................................................................................................................27
Opiates ....................................................................................................................................................................30
Breaking Bad News..................................................................................................................................................32
End of Life Care .......................................................................................................................................................33
PRIMARY CARE .............................................................................................................................................. 34
Asthma ....................................................................................................................................................................34
Diabetes ..................................................................................................................................................................36
Coronary Heart Disease ..........................................................................................................................................37
Epilepsy ...................................................................................................................................................................38
Heart Failure ............................................................................................................................................................39
Stroke ......................................................................................................................................................................42
TIA ...........................................................................................................................................................................44
Palliative care ..........................................................................................................................................................45
Chronic kidney disease ............................................................................................................................................46
Cancer......................................................................................................................................................................47
Hypertension ...........................................................................................................................................................48
Atrial Fibrillation ......................................................................................................................................................49
Chronic Obstructive Pulmonary Disease .................................................................................................................50
OTHER CORE CONDITIONS.............................................................................................................................. 51
Neurological ............................................................................................................................................................51
MSK .........................................................................................................................................................................54
Mental Health .........................................................................................................................................................57
Respiratory ..............................................................................................................................................................67
Gastrointestinal .......................................................................................................................................................70
Dermatology............................................................................................................................................................74
OSCE NOTES....................................................................................................................................................... 76
OSCE Stations ................................................................................................................................................ 76
Anticipatory Prescribing ................................................................................................................................. 77
NG Tube Insertion .......................................................................................................................................... 78
1
,Breaking Bad News ........................................................................................................................................ 79
Superior Vena Cava Obstruction ..................................................................................................................... 80
Hypercalcaemia ............................................................................................................................................. 81
Neutropenic Sepsis ........................................................................................................................................ 82
Metastatic Spinal Cord Compression .............................................................................................................. 83
2
, Overall Objectives for the ICU
• Understand the prevalence and management of long-term conditions and cancer
• Develop understanding from different perspectives about how illnesses may evolve, including acute episodes and
chronic phases, from diagnosis to end of life
• Develop and demonstrate further communication skills in consulting with patients, by applying and developing an
integrated bio-psychosocial assessment with clinical problem solving
• Develop approaches to difficult communication challenges, such as breaking bad news and discussing risk with
patients
• Develop understanding of how multidisciplinary and multi-professional teams work together to deliver care in the
NHS
• Develop an understanding of how clinical information systems support long-term condition management
• Are able to identify and use reference resources for prescribing
• Outline the principles of cancer care
- Patient journeys before, during and after an episode of cancer
- How cancer is diagnosed,
- Management, treatment and patient support in cancer care
- Evaluate patients presenting with acute oncological problems, and describe the management of these oncological
emergencies
• The role of multi-professional teams and the charity sector in cancer care
• Understand long-term conditions
- Patient journeys
- How common long-term conditions present, are diagnosed, assessed and managed, through exacerbation and
remission.
- How professionals work together, in teams, to deliver modern health care
• Understand palliative and end-of-life care
- The evolving nature of palliative care in the course of illness
- Palliative care as a generic skill of all healthcare professionals
- How primary and specialist palliative care interact to manage symptoms
- Symptom management in patients with advanced cancer and other long-term conditions
- An approach to end of life care including communication, advance care planning and symptom management, in
primary and secondary care
3
C ON T I N UI N G
C AR E
4TH YEAR MEDICINE
Indeera Shankla
|
0
, Table of Contents
Overall Objectives for the ICU .............................................................................................................................. 3
Clinical Skills ........................................................................................................................................................ 4
Core Conditions ................................................................................................................................................... 5
Oncology ......................................................................................................................................................... 5
Aetiology of Cancer ...................................................................................................................................................5
Approach to Cancer Patient ......................................................................................................................................6
Tumour Markers .......................................................................................................................................................7
Imaging ......................................................................................................................................................................8
Surgery ......................................................................................................................................................................9
Bio-psychosocial assessment of a person with cancer ...........................................................................................10
Radiotherapy ...........................................................................................................................................................12
Chemotherapy.........................................................................................................................................................14
Oncological Emergencies ........................................................................................................................................16
Breast Cancer ..........................................................................................................................................................19
Prostate Cancer .......................................................................................................................................................21
Lung Cancer .............................................................................................................................................................23
Colorectal Cancer ....................................................................................................................................................25
HOSPICE ........................................................................................................................................................ 27
Symptom Management ..........................................................................................................................................27
Opiates ....................................................................................................................................................................30
Breaking Bad News..................................................................................................................................................32
End of Life Care .......................................................................................................................................................33
PRIMARY CARE .............................................................................................................................................. 34
Asthma ....................................................................................................................................................................34
Diabetes ..................................................................................................................................................................36
Coronary Heart Disease ..........................................................................................................................................37
Epilepsy ...................................................................................................................................................................38
Heart Failure ............................................................................................................................................................39
Stroke ......................................................................................................................................................................42
TIA ...........................................................................................................................................................................44
Palliative care ..........................................................................................................................................................45
Chronic kidney disease ............................................................................................................................................46
Cancer......................................................................................................................................................................47
Hypertension ...........................................................................................................................................................48
Atrial Fibrillation ......................................................................................................................................................49
Chronic Obstructive Pulmonary Disease .................................................................................................................50
OTHER CORE CONDITIONS.............................................................................................................................. 51
Neurological ............................................................................................................................................................51
MSK .........................................................................................................................................................................54
Mental Health .........................................................................................................................................................57
Respiratory ..............................................................................................................................................................67
Gastrointestinal .......................................................................................................................................................70
Dermatology............................................................................................................................................................74
OSCE NOTES....................................................................................................................................................... 76
OSCE Stations ................................................................................................................................................ 76
Anticipatory Prescribing ................................................................................................................................. 77
NG Tube Insertion .......................................................................................................................................... 78
1
,Breaking Bad News ........................................................................................................................................ 79
Superior Vena Cava Obstruction ..................................................................................................................... 80
Hypercalcaemia ............................................................................................................................................. 81
Neutropenic Sepsis ........................................................................................................................................ 82
Metastatic Spinal Cord Compression .............................................................................................................. 83
2
, Overall Objectives for the ICU
• Understand the prevalence and management of long-term conditions and cancer
• Develop understanding from different perspectives about how illnesses may evolve, including acute episodes and
chronic phases, from diagnosis to end of life
• Develop and demonstrate further communication skills in consulting with patients, by applying and developing an
integrated bio-psychosocial assessment with clinical problem solving
• Develop approaches to difficult communication challenges, such as breaking bad news and discussing risk with
patients
• Develop understanding of how multidisciplinary and multi-professional teams work together to deliver care in the
NHS
• Develop an understanding of how clinical information systems support long-term condition management
• Are able to identify and use reference resources for prescribing
• Outline the principles of cancer care
- Patient journeys before, during and after an episode of cancer
- How cancer is diagnosed,
- Management, treatment and patient support in cancer care
- Evaluate patients presenting with acute oncological problems, and describe the management of these oncological
emergencies
• The role of multi-professional teams and the charity sector in cancer care
• Understand long-term conditions
- Patient journeys
- How common long-term conditions present, are diagnosed, assessed and managed, through exacerbation and
remission.
- How professionals work together, in teams, to deliver modern health care
• Understand palliative and end-of-life care
- The evolving nature of palliative care in the course of illness
- Palliative care as a generic skill of all healthcare professionals
- How primary and specialist palliative care interact to manage symptoms
- Symptom management in patients with advanced cancer and other long-term conditions
- An approach to end of life care including communication, advance care planning and symptom management, in
primary and secondary care
3
