End of Life Flashcards
What is palliative care [4]
Provide pain + symptom relief
Spiritual and psychological support
From diagnosis to end of life
Bereavement counselling for family
What is the palliative care plan for Scotland
Living and Dying Well
What is resilience
The positive capacity of people to cope with change / stress / adversity
What influences resilience [6]
Positive schooling
Good parenting, positive childhood experience
Development of self-esteem
Social support, good communities + social policies
Individual traits and good problem solving skills
Poor upbringing = protective factor
What is regarded as a good death [5]
Dignified and pain free
Open acknowledgement of imminence, prepared emotionally
Death at home, according to personal preference
Conflicts resolved, no regrets
Personal growth
What support is there in palliative care [5]
Health and social care partnership team Macmillan CLAN Marie curie Religious / cultural
How do you break bad news: 9 steps
Listen to patient Set the scene Check if patient wants family member Avoid jargon Find out what patient understands Find out what patient wants to know Review and summarise Allow opportunities for question Agree follow up and support
What is used to consider and highlight when people needs supportive and palliative care
Supportive + Palliative Care Indicators Tool (SPICT)
What indicates that patient requires palliative care [3]
Patient will not live 6-12 months
Two general indiciators
- Weight loss
- Poor performance status
- 2 unplanned admissions
- 2+ advanced diseases
- In nursing home / care unit
2 disease specific indicators
What is anticipatory care planning [2]
Discussion in which individuals / carers make decision about future health and personal aspects of care
Shared in key information summary
What does anticipatory care planning involve
State 3 legal aspects
Legal
- Financial POA
- Welfare POA
- Guardianship
What is used to evaluate how quickly a patients situation is changed
Palliative performance Scale
Where are the 5 stages of grief
Denial - does not believe Anger - at healthcare or themselves Bargaining - tries to change something Sadness / depression - low mood Acceptance
What are other reactions to bad news [5]
Shock - tearful / anxious Relief - able to plan Fear / anxiety - about dying / family Guilt - can't provide or own behaviour caused Distress - unable to cope / teary
How do you respond to a euthanasia request [7]
Listen Acknowledge Explore reasons for request Explore ways of giving more control to patient Look for treatable problems Remember spiritual Admit powerlessness
