Conditions
- Advanced cardiac failure
- Dementia
- Liver disease, chronic advanced
- Kidney disease, chronic advanced
- Motor neurone disease
- Respiratory disease, chronic advanced, including:
- bronchiectasis
- chronic obstructive pulmonary disease
- interstitial lung disease
For each presentation and condition, Advanced Trainees will know how to:
Synthesise
- recognise the clinical presentation
- identify relevant epidemiology, prevalence, pathophysiology, and clinical science
- take a comprehensive clinical history
- conduct an appropriate examination
- establish a differential diagnosis
- plan and arrange appropriate investigations
- consider the impact of illness and disease on patients and their quality of life when developing a management plan
Manage
- provide evidence-based management
- prescribe therapies tailored to patients’ needs and conditions
- recognise potential complications of disease and its management, and initiate preventative strategies
- involve multidisciplinary teams
Consider other factors
- identify individual and social factors and the impact of these on diagnosis and management
Conditions
- Neurodegenerative conditions, such as:
- Huntington disease
- muscular dystrophy
- Parkinson disease
- Non-malignant haematological conditions, such as:
- bone marrow failure
- immune thrombocytopenia (ITP)
- People with advanced illness and comorbid intellectual disabilities
- Young adults transitioned from paediatric palliative care services
For each presentation and condition, Advanced Trainees will know how to:
Synthesise
- recognise the clinical presentation
- identify relevant epidemiology, prevalence, pathophysiology, and clinical science
- take a comprehensive clinical history
- conduct an appropriate examination
- establish a differential diagnosis
- plan and arrange appropriate investigations
- consider the impact of illness and disease on patients and their quality of life when developing a management plan
Manage
- provide evidence-based management
- prescribe therapies tailored to patients’ needs and conditions
- recognise potential complications of disease and its management, and initiate preventative strategies
- involve multidisciplinary teams
Consider other factors
- identify individual and social factors and the impact of these on diagnosis and management
-
Pharmacological considerations in relevant populations, including:
- liver failure
- older persons
- renal failure
Clinical assessment tools
- Tests of cognition, such as Montreal Cognitive Assessment (MoCA)
- Severity scores, such as:
- Model for End-stage Liver Disease (MELD)
- New York Heart Association (NYHA) classification
Procedures
- Ascitic drainage
- Pleural tap
Investigations
- Blood tests
- Imaging, such as:
- CT scan
- echocardiogram
- MRI
- ultrasound
- x-ray
- Lung function tests
Treatment
- Continuous positive airway pressure (CPAP)
- Enteral feeding
- Haemodialysis
- High-flow oxygen therapy
- Non-invasive ventilation
- Peritoneal dialysis
- Pharmacological management
