Comfort Flashcards

1
Q

Most Americans would prefer to die in their own homes
-50% die in hospitals
-25% in long-term care facilities
-20% at home
-5% in other settings
High degree of stress when in the hospital. most want to die @ home around their own stuff.
-Data from numerous studies demonstrate high degree of symptoms distress in hospitalized patients/long-term care residents

A

Pathophysiology & Etilogy

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2
Q

Improves quality of life of patients and families facing life-threatening illness by preventing, assessing, treating pain and physical, psychosocial, and spiritual problems. Mostly impatient.
Used for life prolonging methods

A

Palliative Care

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3
Q

Palliative care appropriate for some conditions that may be cured, but treatment failure is also a possibility;

  1. Acute, serious, life-threatening illness
  2. Progressive chronic illness
A

Palliative Care; specialized medical treatment

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4
Q

Support and care of persons in last phase of an incurable disease so that they may live as fully and comfortably as possible
-end of life care at home, long-term care settings and hospitals
-added to medicare program
-two physicians determined that the person has 6 months or less to live
;Generally given @ home
some hospitals have inpatient hospice

A

Hospice Care

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5
Q

Culture encompasses dimensions such as race, ethnicity, gender, age, abilities/disabilities, sexual orientation, religion and spirituality and socio-economic status.
Religion and spirituality play important role in forming beliefs, practices that are paramount when death is imminent.

A

Cultural and Religious Considerations

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6
Q

Rights:

  • To be treated as a living human being until I die,
  • To maintain a sense of hopefulness
  • To express my feelings and emotions about my approaching death in my own way
  • To participate in decisions concerning my care
  • To expect continuing medical and nursing attention even though cure goals must be changed to comfort goals
A

Dying Persons Bill of Rights

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7
Q

Rights:
-Not to die alone
-To be free from pain
-To have my questions answered honestly
Not to be deceived
-To have help from and for my family in accepting my death
-To die in peace and with dignity
-To retain my individuality and not be judged for my decisions, which may be contrary to the beliefs of others
-To be cared for by caring, sensitive, knowledgeable people who will attempt to understand my needs and will be able to gain some satisfaction in helping me face my death.

A

Dying Person’s Bill of Rights

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8
Q

Patient Self Determination Act-1991

  • living will
  • health care surrogate
  • durable power of attorney
A

Advance directives; legal and ethical issues

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9
Q

Written by physician

  • based on wishes of client, family
  • comfort measures only
A

Do not resuscitate orders (DNR)

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10
Q

3 states have legislation legalizing; VT, OR, WA

2 states made legal by court ruling; MT, NM

A

Physician Assisted Suicide

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