Chapter 10 Flashcards
The goals of hospice care are?
To support and care for people in the last phase, usually the last six months of an incurable disease.
The goals of palliative care are?
To prevent and relieve suffering and to support the best possible quality of life for patients and their families, regardless of the stage of the disease or the need for other therapies.
A document naming a person to make decisions for another person if the patient is no longer capable of making his or her wishes known.
Durable power of attorney and health care proxy.
A personal statement of how one wishes to die, setting forth instructions for those providing end-of-life care.
Living will
Phases of grief include (4)?
Phase 1, number shock. Phase 2, emotional turmoil. Phase 3, loneliness. Phase 4, reorganization.
Any older adults with cardiovascular diseases considered healthy enough for sexual activity if?
If he or she can climb two flights of stairs without discomfort, or walk at a rate of 2 mph without chest pain or shortness of breath.
The use of erectile dysfunction drugs such as Viagra should not be taken along with what?
Oral nitrates.
What is a good rule of thumb for administering pain medications for end-of-life treatment of pain?
In general avoid the use of PRN medications to treat pain once the patient voices a complaint. It is more beneficial to achieve good baseline control the pain with long-acting medications rather than waiting for pain to recur. If The patient experience frequent breakthrough pain, Increase the long acting medication to compensate.
True or false, if the medication given for pain relief during end-of-life care, has the unintended consequence of shortening the patient’s life is this considered a mercy killing or euthanasia?
False, because the intent is to relieve pain and not to hasten death.
What is a good intervention for a patient suffering from dyspnea during end-of-life care?
Administer opiates to slow rate, and provide humidified oxygen for comfort.
What interventions and medications would you use for a person who is at end-of-life and was suffering from anxiety?
Use antidepressants and benzodiazepines for sleep and relaxation, provide support, and encourage socialization.
What are the current recommendations for women using hormone replacement therapy?
Current recommendations are that hormone replacement therapy should be used at the lowest dose for the shortest period of time to relieve severe hot flashes, help those at high risk for osteoporosis and fracture, and prevent colorectal cancer.
Recent research indicates that hormone replacement therapy in women increases the risk for what complications?
Hormone replacement therapy is associated with higher rates of myocardial infarction, stroke, breast-cancer, pulmonary embolism, and deep vein thrombosis.
Instead of hormone replacement therapy, women can use what for atrophic vaginitis?
Topical estrogen cream’s applied directly to the vaginal tissues.
Research has shown that older adults who are abused neglected or exploited are how many times more likely to die within 10 years of such experiences then those who are not?
Three times.
