End of Life

Question 1

What determines the concept of a good death?

Answer 1

Faith cultures, Individualist Society and Personal Autonomy, Multicultural society and beliefs, Informed choice and ACP

Question 2

Compare a good death and a bad death

Answer 2

Good
- Communication, Well Controlled Symptoms, Not Distressing, Time to Plan, Preferred Place of Death

Bad
- Poor Communication, Perception of Failure of Healthcare Team, Distressing Symptoms, Sudden and Catastrophic event, Disagreement, No time to plan ahead

Question 3

What is quality of life enhanced by?

Answer 3

Caring attitude of staff, family visits, physical environment, maintaining control, feeling safe

Question 4

What diminished quality of life?

Answer 4

Lost independence, lost activities, pain/fear of pain, feeling a burden

Question 5

Define collusion?

Answer 5

A secret agreement made between clinicians and family members to hide diagnosis of a serious or life threatening illness from patient

Question 6

What are the reasons for collusion ?

Answer 6

Disclosure causes patient to lose hope/leads to depression/hastens progression of illness and death/ risk of suicide/psychological pain for patient

Question 7

Why does collusion go against clinical practice?

Answer 7

It goes against autonomy and breaches confidentiality

Patient are unable to give informed consent