6: ENT palliative care Flashcards Preview

ENT Week 2 2017/18 > 6: ENT palliative care > Flashcards

Flashcards in 6: ENT palliative care Deck (12)
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1

What is palliative care?

Treatment to improve QOL of patients and their families

2

Palliative care's purpose is to (prolong / improve) life.

improve

3

Which ENT problems require palliative care?

Head and neck cancers

Metastatic cancer

Other diseases in which ENT problems (e.g hearing loss) are a factor

4

What are red flag symptoms for ENT cancers?

Sore throat > 3 weeks

UNILATERAL PAIN

Hoarseness

Stridor

Dysphagia

Neck lump

5

The majority of head and neck cancers are ___.

SCCs

squamous cell carcinomas

6

Which age group develop cancers related to alcohol and smoking?

"" HPV infection?

Older people

Younger people

7

Are palliative care and "end of life" care the same thing?

No

Palliative care improves QOL and may be given at any time e.g during treatment

End of life care is a type of palliative care

8

Apart from the hands, which area is most innervated?

What does this mean in terms of palliative care?

Head and neck

Greater capacity to feel pain

9

Briefly outline the WHO Analgesic Ladder

1. Non-opioid +/- adjuvant

2. Mild opioid +/- non-opioid +/- adjuvant

3. Strong opioid +/- non-opioid +/- adjuvant

Non-opioids: paracetamol, NSAIDs

Mild opioids: codeine

Strong opioids: morphine

Adjuvants: amitriptyline, gabapentin, pregabalin

10

What is an adjuvant analgesic?

Analgesic whose primary indication isn't pain

11

What are the indications for

a) gabapentin, pregabalin

b) amitriptyline?

a) Anticonvulsants

b) Antidepressants

important to explain to patients that these are being given for analgesia and not the above

12

What are the side-effects of amitriptyline?

Anti-muscarinic effects:

dry mouth

dizziness

postural hypotension