Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Death and Dying > Chapter 8 > Flashcards

Chapter 8 Flashcards

1
Q

in 1960s and 1970s, studies conducted in Great Britain, Canada, and the United States indicate

A
  • caregivers did not always realize the pain experienced by dying
  • did not have or think they had resources to help the dying
  • dying worried that their wishes would be ignored
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

the Hospice Philosophy: 10 central principles

A
  1. Is a philosophy, not a facility
  2. It affirms life, not death
  3. strives to maximize present quality in living
  4. offers care to the patient and family unit
  5. holistic care
  6. offers continuing care to family members
  7. combines professional skills and human presence thru interdisciplinary teamwork
  8. 24 hr a day 7 days a week
  9. participants support other participants
  10. can be applied to life threatening illness, dying, death, or bereavement
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

four programs of care for persons who are coping with dying

A
  1. Acute care: hospitals
  2. Chronic care: long-term care facilities
  3. Home care: Home health care programs
  4. End-of-life care: Hospice programs
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Acute Care: Hospitals

A
  • short term facilities
  • treat specific diseases and return ppl to society
  • medical professionals who see themselves involves with curing ppl
  • where 37% of people died
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Chronic care: Long-term facilities

A
  • provide place to live with help
  • nurses 24 hour care
  • paid for by medicare, medicaid, private insurance, and out of pocket payments
  • less than 3% of older adults
  • 20% of all deaths
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Home care: home health care programs

A
  • rapid growth over the past
  • services in the home
  • medicare, medicaid, and personal resources mostly pay for services
  • offer care for dying but don’t claim specialized expertise
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

end of life care: hospice programs

A
  • recent addition
  • In London England first
  • began in Connecticut in US
  • 6,100 programs in all 50 states, District of Columbia, Puerto Rico, Guam, and virgin islands
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Hospice programs in the United States?

A
  • independent freestanding agencies
  • hospital based
  • home health agencies
  • long term care facilities
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Types of agencies of hospice in the US?

A

28 % nonprofit
68% for profit
4% governmental

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

medicare benefit in hospice programs

A

federal entitlement for 65 years or older

private insurance, medicaid, and charitable donations cover costs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

bundled services in hospice programs

A

reimbursement is on a prospective flat rate

only services in the care plan are reimbersed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

admission criteria for hospice programs

A

physician order

life limiting illness with 6 months or less to live

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

four basic categories of hospice services

A
  1. routine home care
  2. general impatient care
  3. continuous in home care
  4. short term in patient respite care
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

hospice programs served between _____ patients

A

1.5 and 1.6 million

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

about ____ American died while receiving hospice care

about ___ % died in a hospice facility

only ____ % dies in acute facility

A

1.2 million

32%

9.3%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

about ___ % of patients in hospice were discharged alive

A

15%

17
Q

about ____% of patients in hospice died in a place they call home

A

59%

18
Q

average length of enrollment in hospice was ____ days

median length was ____

A
  1. 3 days

17. 4 days

19
Q

hospice care patients were

% male %female

_____% were older than 65

____% were Caucasian
_____% were minority

A
  1. 3% male
  2. 7% female

84%

76%
24%

20
Q

leading diagnosis in hospice programs

A 
advanced cancer 36.6%
dementia 14.8%
heart disease 14.7%
lung disease 9.3%
debility unspecified 5.4%
21
Q

volunteers of hospice

A

about 430,000 volunteers that worked 19 million hours giving support to patients and families.

22
Q

bereavement car in hospice programs

A

provided for one year minimum to an average of 2 family members

92% of programs provide bereavement

23
Q

finding in hospice care in the US

A
  • extends life
  • reduces medicare costs
  • improved quality of care
  • African Americans perceived disparities in care
24
Q

pediatric palliative and hospice care

A
  • a philosophy and organized method for delivering care to ill children and families
  • focused on minimizing suffering
  • provided with concurrent disease modifying therapy or as the main focus
25
Q

palliative care or medicine definitions

A

broad
- used to designate a type of medical care that addresses the relief of distressing symptoms with or without relationship to death and dying

narrow
- emphasis on physician, pain, symptom management, and hospital based care.

Death and Dying (14 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions