10: Palliative and Hospice Care Flashcards
Automatic or suggested referral to peds palliative care?
Severe progressive scoliosis
Suggested
Automatic or suggested referral to peds palliative care? Pulmonary atresia (especially if associated with hypoplastic pulmonary arteries)
Automatic
Hospice falls under what section of government healthcare?
Medicare Part A
Automatic or suggested referral to peds palliative care?
Severe encephalitis
Suggested
Automatic or suggested referral to peds palliative care?
Severe mitochrondrial disorder
Suggested
Automatic or suggested referral to peds palliative care?
Tay Sachs disease
Automatic
Automatic or suggested referral to peds palliative care?
Down syndrome with significant cardiac abnormality
Automatic
Automatic or suggested referral to peds palliative care?
Asphyxiating thoracic dystrophy
Automatic
Automatic or suggested referral to peds palliative care?
Bone marrow/stem-cell transplant
Automatic
Automatic or suggested referral to peds palliative care?
Progressive neurodegenerative conditions
Automatic
Automatic or suggested referral to peds palliative care?
Renal failure, not transplant candidate
Suggested
Automatic or suggested referral to peds palliative care?
Severe immunodeficiency syndromes, particularly those for which BMT is a consideration
Suggested
Automatic or suggested referral to peds palliative care?
Menke’s disease
Automatic
Automatic or suggested referral to peds palliative care?
Hunter’s/Hurlerí’s disease
Automatic
Automatic or suggested referral to peds palliative care?
Immersion injury
Suggested
Automatic or suggested referral to peds palliative care?
VLBW infants
Suggested
Automatic or suggested referral to peds palliative care?
Short-gut syndrome with TPN dependence
Suggested
Automatic or suggested referral to peds palliative care?
Patients with CF with vent dependence or those ineligible for lung transplant
Automatic
Automatic or suggested referral to peds palliative care?
Family with limited social supports
Suggested
Automatic or suggested referral to peds palliative care?
Congenital CMV/toxoplasmosis with neurological sequelae
Suggested
Automatic or suggested referral to peds palliative care?
Persistent vegetative state
Automatic
Automatic or suggested referral to peds palliative care?
Severe pulmonary hypertension
Automatic
Automatic or suggested referral to peds palliative care?
Sandoff’s disease
Automatic
Automatic or suggested referral to peds palliative care?
Sanfilippo syndrome
Automatic
Automatic or suggested referral to peds palliative care?
Patients with CF with pain, dyspnea, or other symptoms who would benefit from symptom management
Suggested
Automatic or suggested referral to peds palliative care?
Need for hospice resource utilization
Suggested
Automatic or suggested referral to peds palliative care?
ECMO candidate
Suggested
Automatic or suggested referral to peds palliative care?
New diagnosis of life-limiting/threatening condition
Suggested
Automatic or suggested referral to peds palliative care?
Difficult pain or symptom management
Suggested
What level of HF qualifies for hospice?
NYHA Class 4
Automatic or suggested referral to peds palliative care?
Irreversible brain injury that will impact functional status
Suggested
T/F A palliative care approach decreases length of hospital stay, including the ICU/CCU, and eases the transition between care settings for patients. This results in increased patient and family satisfaction and compliance with hospital standards (JCAHO). Integrative and consultant services have been used with success.
True
Automatic or suggested referral to peds palliative care?
Krabbe’s disease
Automatic
Automatic or suggested referral to peds palliative care?
New diagnosis with complex pain or symptom management issues
Suggested
Automatic or suggested referral to peds palliative care?
Severe birth asphyxia
Automatic
Automatic or suggested referral to peds palliative care?
Long-segment Hirshsprung’s
Suggested
Stems from the word “hospitality.” Beginning in medieval times, monks offered shelter to weary or ill travelers.
Hospice
Automatic or suggested referral to peds palliative care?
Neonatal polycystic kidney disease
Automatic
Automatic or suggested referral to peds palliative care?
Severe metabolic disorders for which BMT is a therapeutic consideration
Suggested
Automatic or suggested referral to peds palliative care?
Severe head injury following NAT
Automatic
Automatic or suggested referral to peds palliative care?
Fabry’s disease
Automatic
Automatic or suggested referral to peds palliative care?
Patients with CF with multiple hospitalizations
Suggested
Automatic or suggested referral to peds palliative care?
Three or more hospitalizations within six months
Suggested
Automatic or suggested referral to peds palliative care?
Niemann-Pick disease
Automatic
5 cues that could prompt a referral to palliative care.
- Unacceptable level of pain or other symptom or distress.
- Uncontrolled psychosocial or spiritual issues.
- Frequent visits to the emergency department for the same diagnosis.
- More than one hospitalization for the same diagnosis in the last 30 days.
- Team/resident/family needs help with complex decision making and determination of goals of care.
Automatic or suggested referral to peds palliative care?
Any newly diagnosed malignant disease with an EFS
Suggested
Automatic or suggested referral to peds palliative care?
MRCP with comorbidities
Suggested