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Palliative care: case studies
1) Tony is a 70-year-old patient with widespread bone metastases following non-small-cell lung cancer. His pain worsens despite treatment with paracetamol and codeine at full dose and it is decided to start morphine.
What adverse effects are likely? How do you plan for these? What might be useful as an adjunct for pain?
2) Megan is an 86-year-old patient with NYHA class IV heart failure. She is breathless at rest and sometimes restless. There is no further scope for medication change for her heart failure and her family worry that she is in pain.
How might you manage this situation now? How would you manage agitation and rattling breath sounds as Megan approaches the final days of life?
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The WeMeReC module on Appropriate antibiotic use- whose responsibility? is available for review and to complete online.
Stopping Medicines Series
Now available in e-notes is information on stopping proton pump inhibitors.
Cardiff University Medical Students
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|MSc/PgDip/PgCert in Therapeutics
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|Depression in young people||Bulletin|
|Management of chronic non-malignant pain||Bulletin|
|Newer oral anticoagulants||Bulletin|
Helping patients understand risks - 7 simple strategies
Please return all completed case studies to
Welsh Medicines Resource Centre
Vale of Glamorgan
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