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Wien Med Wochenschr · Jan 2012
Case ReportsEvaluation of diagnostic and treatment approaches towards acute dyspnea in a palliative care setting among medical students at the University of Vienna.
- Gudrun Pohl, Christine Marosi, Karin Dieckmann, Gregor Goldner, Katarzyna Elandt, Marco Hassler, Michael Schemper, Kathrin Strasser-Weippl, Friedemann Nauck, Jan Gaertner, and Herbert Watzke.
- Department of Internal Medicine, Hospital Krems, Krems, Austria. gudrunpohl@gmx.at
- Wien Med Wochenschr. 2012 Jan 1;162(1-2):18-28.
BackgroundDyspnea is common in advanced cancer patients with opioids as first line treatment.ObjectivesTo evaluate the level of knowledge about diagnosis and treatment of dyspnea in palliative care patients among 4th year students.MethodsA case report was distributed to the students describing acute dyspnea in a lung cancer patient. Students were asked to rank their diagnosis and treatment options by importance.Results633 medical students in their 4th year attended a seminar about palliative care. Of these, 423 (77%) completed the case report. The most frequent diagnostic option was measuring patient's oxygen saturation (n = 388), followed by auscultation (n = 339). As treatment options, students chose the delivery of oxygen (n = 393) as most important. The application of opioids was suggested by a total of 138 students.ConclusionAlthough students did not have practical skills in treating advanced cancer patients with acute dyspnea, 32.6% would suggest an opioid as treatment option.
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