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Lecturer(s)
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Course content
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Autochthonous disease model, anthropological paradigm in psychiatry. Psychopathology in advanced somatic diseases. Depression in palliative medicine. Etiopathogenesis, differential diagnosis of depression and dementia. Pharmacotherapy and psychotherapy of depression in oncological diseases. Primary and symptomatic brain lesions in advanced oncological diseases. Pseudoneurasthenia and dementia in paraneoplastic, metabolic, and iatrogenic encephalopathy. Delirium in the advanced stages of oncological diseases. Etiopathogenesis, clinical picture, treatment. Treatment of pain and its psychopathological complications in oncology. Pharmacoeconomics in psychiatry. V. E. Frankl's logotherapy. I. D. Yalom's existential psychotherapy I. Psychology and psychopathology of dying. Possibilities and limits of psychiatry and psychotherapy in palliative hospice care. Limit situations in palliative medicine, prevention of the burnout syndrome.
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Learning activities and teaching methods
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Monologic (reading, lecture, briefing), Dialogic (discussion, interview, brainstorming), Work with text (with textbook, with book)
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Learning outcomes
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The aim of the lectures is to introduce the basic mental problems typical of palliative medicine, with an emphasis on pre-terminal and terminal stages of oncological diseases, their etiopathogenesis, clinical picture, differential diagnostics, and their prevention and treatment, including psychotherapy. Next, the aim is to introduce existential psychotherapy, as the theoretical foundation for guiding patients at the end of life.
The graduate will be able to independently diagnose mentioned disorders and to manage their treatment using a complex nursing process framework, will be able to make independent decisions during the physician's absence about complementing laboratory examinations and, if need be, about changes in pharmacological therapy, about the necessity of an examination by the treating physician as well as about consulting examinations by other physicians, or, if need be, by psychologists, and to indicate hospitalization of patients in home care. He/she will be able to organize the diagnostic and treatment process in a hospital as well as in home care.
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Prerequisites
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unspecified
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Assessment methods and criteria
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Home assignment evaluation, Didactic test
Completion of compulsory 80% attendance at the practicum sessions and seminars. Successful completion of a written test. Completing assigned written work.
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Recommended literature
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DUŠEK, K.; VEČEŘOVÁ, A. Diagnostika a terapie duševních poruch. 1. vyd. Praha: Grada, 2010.
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Grawe, Klaus. Neuropsychoterapie : nové přístupy k terapii na základě poznatků neurovědy. Praha: Portál, 2007. ISBN 978-80-7367-311-6.
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Marková, A. a kol. Hospic do kapsy : Příručka pro domácí paliativní týmy. 1. vyd. Praha : Hospicové občanské sdružení, 2009. ISBN 978-80-254-4552-5.
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PRAŠKO, J. a kol. Klinická psychiatrie.
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RABOCH, J.; PAVLOVSKÝ, P. et al. Klinická psychiatrie v denní praxi. Praha: Galén, 2008.
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TSCHUSCHKE, V. Psychonkologie. 1. vydání, Praha: Portál, 2004.
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VORLÍČEK, J. a kol. Paliativní medicína. Praha: Grada Publishing, 2004.
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YALOM, D. I. Existenciální psychoterapie. Praha: Portál, 2006.
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