• ELU

1 hour

Foundation doctors,Medical trainees

Ask the consultant: Palliative care

In our series for internal medicine trainees, Dr Chris Farnham, consultant in palliative medicine at Whipps Cross hospital, Bart’s Health NHS Trust, answers trainees’ questions on switching opioids, managing nausea and vomiting, prescribing in patients with renal and liver disease, starting fluids, and coping with sudden terminal bleeds.

Learning outcomes

After completing this module, you should:

  • Know how to convert dosages among different formulations of opioid
  • Understand the principles behind prescribing in specific clinical circumstances such as renal and liver disease
  • Know how to manage vomiting when first choice antiemetics have failed
  • Understand the implications of starting parenteral fluids in end of life care
  • Know how to approach the management of subacute malignant bowel obstruction
  • Know how to manage a catastrophic bleed in a terminally ill patient.

Contributors:

Chris Farnham

Peer reviewed by:

Suzanne Bradnum-Williams

Last updated

17 Nov 2017

Release date

17 Aug 2015

Accreditation

Accreditor credit Accreditation statement
ASCOFAME 1:00 hour BMJ Learning has assigned 1 hour of CPD/CME credit to this module. BMJ Learning modules are being certified for ASCOFAME VIRTUAL (Colombia).
Australian College of Nursing 1 credit, 1:00 hour ACN 3LP participants can claim 1 CNE point per hour of active learning for modules that are directly related to their area of nursing practice (no limit).
Austrian Academy of Physicians 1 credit, 1:00 hour BMJ Learning modules have been certified for DFT Punkte. DFT Punkte are accepted in Austria
BMJ Learning 1 credit, 1:00 hour BMJ Learning has assigned one hour of credit to this module
Bahrain Defence Force Hospital 1 credit, 1:00 hour The Bahrain Defence Force Military Hospital represented by the Ministry of Defence Bahrain recognises BMJ Learning as being accredited for the purpose of continuous medical education (CME)/continuous professional development (CPD) in BDF. Healthcare professionals can thus claim continuous professional development credits for their activity in BMJ Learning. Completion of one module is considered the equivalent of one credit or one hour of learning.
Bhutan Medical and Health Council 1 credit, 1:00 hour Bhutan Medical and Health Council has formally accredited all BMJ Learning online modules for continuous professional development. Bhutan Medical and Health Council will accept the CME credit provided by BMJ Learning to any registered members of Bhutan Medical and Health Council for renewal of their registration.
Delhi Medical Council 1 credit, 1:00 hour The Delhi Medical Council recognises BMJ Learning as being accredited for the purpose of continuous medical education (CME)/continuous professional development (CPD). Doctors can thus claim continuous professional development credits for their activity in BMJ Learning. Completion of one module is considered the equivalent of 1 credit or 1 hour of learning.
Dubai Health Authority 1 credit, 1:00 hour BMJ Learning is approved as a CME resource by the Dubai Health Authority (accreditation number 0254/11)
Iraqi Ministry of Health 1 credit, 1:00 hour The Iraq Ministry of Health has accredited BMJ Learning for the purposes of CME. One module is the equivalent of one hour or one credit point.
Kuwait Institute for Medical Specialization 1 credit, 1:00 hour Kuwait Institute for Medical Specialization (KIMS) of the Ministry of Health, State of Kuwait is the authority responsible for organising all aspects of postgraduate training of medical practitioners and other health professionals in Kuwait. Users within Kuwait can claim one hour or one credit per hour of learning completed.
Oman Medical Specialty Board 0.5 credits The Oman Medical Specialty Board accredits this module for 0.5 credit points under Category II
Pakistan Society of Family Physicians 1 credit, 1:00 hour The Pakistan Society of Family Physicians has assigned 1 hour of credit to this module.
Royal Australasian College of Physicians 1:00 hour The RACP does not accredit CPD activities, but MyCPD Program guidelines state that fellows can claim a maximum of 50 credits per year for online learning under 'Category 6 - Other Learning Activities'.
The Colleges of Medicine of South Africa 3 credits The Colleges of Medicine of South Africa has accredited this BMJ Learning module (accreditation number: MDB014/254/06/2010)
The Ministry of Public Health in Qatar 1 credit, 1:00 hour The Ministry of Public Health in Qatar represented by the Accreditation Department of the Qatar Council for Health Practitioners recognizes the continuous medical education (CME)/continuing professional development (CPD) modules provided through BMJ Learning as Category II self-directed learning activities in the State of Qatar. Healthcare professionals in Qatar can thus claim continuing professional development credits for their activity on BMJ Learning, calculated as 1 credit unit per 1 hour (Organization Code OP-02).
The Royal New Zealand College of General Practitioners 1 credit, 1:00 hour RNZCGP endorses the British Medical Journal online CME programmes
Trinidad and Tobago Medical Association 0.5 credits, 1:00 hour The Trinidad and Tobago Medical Association has accredited BMJ Learning. One module equates to 0.5 credits.
UAE Ministry of Health and Prevention 1 credit, 1:00 hour This Program has been awarded 1 CPD Credit Hour by the UAE Ministry of Health and Prevention.
University of Health Sciences Lahore 1 credit, 1:00 hour University of Health Sciences Lahore has assigned 1 hour of credit to this module.