Framework for the blended learning course on Holistic approach to patient problems: integration and prioritization of health problems Natalia Zarbailov natalia.zarbailov@usmf.md

Case study On a Saturday morning, a daughter brings her 75-year old father to your practice. You know that he is living alone, since his wife died of cancer 3 months ago. He missed all his scheduled appointments in practice for the last six months. Today he looks much worse than the last time you have seen him. He is tired. He has lost weight because he lost his appetite. He is dirty and smelling of alcohol. Holistic approach.

How to apply blended learning to teach holistic approach using traditional method (Case study)?

Part I. Independent preparation work (example) Theory Practice Individual Case study written report based on clear instructions, check list and future reflection Introductive audio course supported by slide presentation about holism and science, with focus on holistic approach in medicine and its implementation in medical practice (Bio-Psycho- Social Model)

Step by step approach (example) TRANSLATING IN PRACTICE What are my practical advices and actions? How do I tolerate my emotions? Task 1 List all the health problems present in this patient. Task 2 Prioritize listed health problems. Task 3 Assess biological, psychological and social aspects of the listed health problems (describe). Task 4 What are your practical advices and actions relevant for this patient? Task 5 What are the interventions which you could delegate? Whom? …

Part II. Group work /seminar (face to face group learning) Agenda (example) Introduction of the subject by learners Holistic approach in medicine / main statements Questions and answers Presentation of the case study Case discussion Take home messages Conclusions Assessment

Holistic approach in medicine Understanding the illness (not disease) as a process, which gives equal importance to biological, psychological and social determinants for pathogenesis, diagnosis and therapy, forms the holistic approach with its consequent implementation to practical measures. Holistic approach.

Develop your own blended learning course on Holistic approach to patient problems: integration and prioritization of health problems Natalia Zarbailov natalia.zarbailov@usmf.md