End-of-Life Care

Question 1

Supportive care framework services

Answer 1

• Ongoing patient and family education
• Emotional support and peer information
• Psycho-educational (group or one to one)
• Adjustment/supportive counseling
• Crisis intervention
• Psychotherapy
• Nutritional intervention
• Pain/symptom management
• Practical and functional assistance

Question 2

4 things contributing to how people experience and cope with cancer

Answer 2

(1) Human needs
(2) Cognitive appraisal
(3) Coping
(4) Adaptation

Question 3

human needs

Answer 3

• Physical, emotional, psychological, social, & spiritual needs
• Actions such as sleeping help humans to cope with their world
• Life events/changes may cause usual ways of coping to be ineffective; therefore new skills must be developed
• If needs are not met, humans feel distressed

Question 4

cognitive appraisal

Answer 4

• An evaluative process in which people think about & categorize events
• No two people will respond to a situation in the same way → variation is a function of individual cognitive appraisal
• Influenced by knowledge, experiences, culture, beliefs etc.
• If a person feels there is little they can do about a negative situation, emotional distress
• Supportive Care Framework

Question 5

coping

Answer 5

• What an individual does to deal with a situation and emotional distress
• Ongoing, challenging process
• Humans use a variety of coping strategies

Question 6

adaptation

Answer 6

• Adjustment to life events happens over time and is influenced by social supports, resources, access to information etc.
• Given the variety of coping strategies humans use, it can be challenging to determine how to help an individual person
• What may be useful for one person may not be useful for another
• Supportive Care Framework

Question 7

concept of uncertainty

Answer 7

Living with a condition in which the individual constantly questions the risk of recurrence, exacerbation, & the unknown future

Question 8

concept of survivorship

Answer 8

As the number of cancer survivors has grown, the concept of survivorship has become increasingly important

Question 9

Phase 1 Acute Survival

Answer 9

diagnosis to completion of initial treatment

Question 10

Phase 2 Extended Survival

Answer 10

return to normal life, fear of recurrence

Question 11

Phase 3 Permanent Survival

Answer 11

adaptation to life beyond cancer

Question 12

pain management is influenced by

Answer 12

culture, anxiety, coping styles, control, personalities

Question 13

pain can affect the ____________ nervous system

Answer 13

sympathetic

Question 14

pain assessment

Answer 14

Onset
Provoking
Quality
Region / radiation
Severity
Timing
Understanding
Values

Question 15

pts with opioid use disorder tolerance will

Answer 15

will require a higher dose of to meet desired effects

Question 16

pts with opioid use disorder and dependency will

Answer 16

“clock watch”

Question 17

withdrawal symptoms can occur within _____ hrs, peak at _____ hrs, and last for _____ days

Answer 17

6-12 hrs; 36-72 hrs, 7-10 days