27-10-22 - End Of Life Care

Question 1

LEARNING OUTCOMES BITCH

Answer 1

-Define Palliative Care
-Discuss the principles of delivering good end of life care
-Identify areas for discussion during advance and anticipatory care planning
-Develop a framework to assess the validity of advance care decisions
-Discuss the importance of good quality care in the last days or hours of life
-Recognition of Death

JC be seeing u one day

Question 2

How many dead humans each year in Scotland

Answer 2

Over 54000 deaths each year

Question 3

Define Palliative Care…

Answer 3

Palliative care is an approach that** improves the quality of
life** of patients and their families facing the problem
associated with life-threatening illness
through the prevention and relief of suffering by
means of** early identification** and impeccable assessment
and treatment of pain and other problems, physical,
psychosocial and spiritual

Question 4

What’s the difference between the Old & New concept of Palliative care

Answer 4

Just remember this image

Question 5

Definitions for end of life

Answer 5

• “Approaching death”
  -Likely to die within next 12 months
• Those facing imminent death & those with:
  -advanced, progressive, incurable conditions
  -General fraility( likely to die in 12 months)
  -life threatening conditions caused by sudden catastrophic events

Question 6

Other than cancer, what other diseases require palliative care

Answer 6

• motor neurone disease
• end stage Cardiac failure
• End-stage COPD
• Advanced renal disease

Question 7

Think about family

Principles of good end-of-life care

Screw the NHS, I GOT FAMILY to cure my syphilis.

Answer 7

 Open lines of communication
 Anticipating care needs and encouraging discussion
 Effective multidisciplinary team input
 Symptom control – physical and psycho-spiritual
 Preparing for death - patient & family
 Providing support for relatives both before and after
death

Morbius be speaking facts yo

Question 8

Not really important but imagine who would be part of the multidisciplinary team for a dying geezer

This nurse had a modeling contract btw… For real

My man be dying with a hard wood.

Answer 8

-Specialist nurses (community, hospice, other)
 Palliative care doctors
 GP
 Secondary care (non-palliative teams)
 District nurses
 Occupational therapists
 Dieticians
 Physiotherapists
 Counsellors
 Chaplain etc…

Question 9

Outside drugs, what sort of complementary therapies are used for end-of-life?

Answer 9

-MUSIC
-GENTLE TOUCH
-Pets (U~w~U)
-Aromatherapy

Tiger playing flute. I can die in peace now

Question 10

What sort of physical symptoms are you looking to ameliorate?

Answer 10

-nausea / vomiting
 Anorexia / weight loss
 Constipation
 Fatigue
 Cough
 And many others!
 Medical / surgical
emergencies

Question 11

Adrian gay lol

Answer 11

lmao

Question 12

psycho: mind spiritual: soul

Pyscho-spiritual distress, dafaq is that?
Definitely nothing to do with American Psycho

Paul Allen is morbin at Dorsia's, Bateman...

Answer 12

**Exacerbates physical
symptoms **
 Multifactorial
 Remember to consider:
– Uncontrolled physical
symptoms
– Alcohol / drug withdrawal
– Depression
– Other medical causes e.g.
hyperthyroidism