Education and Advocacy Flashcards
Ways to advocate
Openly verbalize importance of care
Help create and support care communities
identify and recommend others for membership
request training
participate in training
estalish and execute methods
formulate policies
work with insurance companies
Learning: mild anxiety
can facilitate learning by enhancing awareness and promoting information-seeking behaviors
Learning: mild anxiety individual able to
absorb, process and test new information within personal parameters
Learning:moderate anxiety
begins to narrow perceptual field
Learning:moderate anxiety indivdual able to
observe and learn from new information
Learning: severe anxiety
reduces individual’s ability to absorb new information because focus is on providing immediate relief
Learning: severe anxiety: behaviors
automatic, distancing, or self-soothing attempt to re-establish equilibrium
Learning: uncontrolled, severe anxiety
feelings of panic, awe, dread
Learning: uncontrolled, severe anxiety: behaviors
information is scattered and misinterpreted inability to focus attention outside of themselves or immediate needs
Learning: uncontrolled, severe anxiety: establish
control before learning can take place
Delivering bad news: 8 steps (Girgis and Sanson-Fisher)
provide privacy and adequate time assess understanding provide information simply and honestly avoid euphemisms encourage expression of feelings be empathetic give a broad realistic time frame for disease arrange for a review or follow up
Delivering bad news: provide privacy and adequate time
create a setting that is quiet and comfortable where participants will feel unrushed and uninterrupted establish who should be present
Delivering bad news: assess understanding
be informed about the condition determine what the family and patient already know
Delivering bad news: provide information simply and honestly
give a warning and allow participants to prepare themselves for discussion express goals of meeting establish a foundation of basic information that can be built upon use common language and easy to understand explanations provide an interpreter if necessay
Delivering bad news: avoid euphemisms
discuss matters in a clear and direct manner
Delivering bad news: encourage expression of feelings
confirm and accept all emotional responses
Delivering bad news: be empathetic
sit quietly and allow time for information to be absorbed listen carefully and refrain from judgement
Delivering bad news: broad realist time frame for disease progression
allow for questions and comments discuss need for a legal decision maker watch for indication of self-harm intention
DNR: steps
establish an appropriate setting establish what family and patient know find our patient’s future expectations discuss DNR order discuss parameters in which resuscitation would be considered respond to emotion and assist in developing a plan
DNR: establish understanding of patient’s condition
build on current knowledge
DNR: discuss so patient can understand
given present condition and expectorations for future use language patient can understand identify specific examples and options
DNR: respond to emotion and develop plan
encourage and respect any responses document patient’s wishes in care plan
Ways to advocate: verbalize importance
of quality terminal care nad educationg the community about issues surrounding end-of-life care
Ways to advocate: create and support
palliative care communities and recommend other health care providers and others fro membership in palliative care commuities
