End of Life

Question 1

Achievement of the best quality of life for patients and their families

Answer 1

Palliative care

Question 2

Does palliative care = hospice care?

Answer 2

No; All hospice is palliative care, but not all palliative care is hospice

Question 3

Conditions that prompt palliative care

Answer 3

Debility/Failure to Thrive
Cancer
Heart disease
Pulmonary disease
Dementia
Liver disease
Renal disease
Neurologic

Question 4

Most distressing symptom of dying patients is…

Answer 4

dyspnea

Question 5

How do you treat dyspnea in dying pts?

Answer 5

O2
morphine
benzos

Question 6

What do you do for xerostomia?

Answer 6

oral swabs

ice chips

Question 7

focuses on controlling pain and other symptoms of illness so patients can remain as comfortable as possible near the end of life

Answer 7

hospice care

Question 8

To be eligible for hospice care under most insurance plans, patients must have a life expectancy of ________ or less and agree to forgo curative treatment

Answer 8

6 months

Question 9

What cover hospice costs?

Answer 9

MEdicare
Medicaid
Other health insurance plans

Question 10

Ability to understand the significant benefits, risks and alternatives to proposed health care and to make and communicate a decision

Answer 10

Capacity

Question 11

4 elements of decisional capacity

Answer 11

Understanding, appreciation, reasoning, choice

Question 12

Who decides competency?

Answer 12

court of law

Question 13

Legal document that allows the patients to convey their decisions about what type of care they want to receive in the event that they are unable to express their wishes

Answer 13

AD

Question 14

Spells out types of medical treatments and life-sustaining measures you would like or don’t want

Answer 14

living will

Question 15

Legal document designating an individual to make medical decisions for you if you are unable to do so

Answer 15

Medical or health care power of attorney (POA)

Question 16

Request to not have CPR if heart stops or if you stop breathing

Answer 16

DNR

Question 17

Interventions that sustains or prolongs the operation of vital bodily functions that don’t happen independently

Answer 17

Life sustaining medical treatment

Question 18

Therapy that should NOT be performed

Data shows that it will not improve the patient’s medical condition

Answer 18

futile care

Question 19

States assisted suicide is legal

Answer 19

Oregon, Washington, Vermont and Montana

Question 20

administering a lethal agent by a health care provider to a patient in order to relieve that patient’s unbearable and incurable suffering

Answer 20

Euthanasia

Question 21

A capable adult Oregon resident who has been diagnosed, by a physician, with a terminal illness that will kill the patient within six months may request in writing, from his or her physician, a prescription for a lethal dose of medication for the purpose of ending the patient’s life.

Answer 21

Death with Dignity Act