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FOPC > End of Life Care > Flashcards

End of Life Care Flashcards

1
Q

What are the most common causes of death today?

A

Cancer and IHD

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2
Q

What is the most common cause of death in men aged 15-34?

A

Suicide

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3
Q

What is terminal care?

A

The last phase of care when a patients condition is deteriorating and death is close.

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4
Q

What is palliative care?

A

Philosophy of care that emphasises quality of life close to death

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5
Q

Who is palliative care performed by?

A

Multi disciplinary team (MDT)

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6
Q

What is a guide for doctors to consider whether supportive/palliative care should occur for a patient?

A

Supportive and Palliative Care Indicators Tool

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7
Q

What does palliative care planning start with?

A

Anticipatory Care Planning

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8
Q

What sort of questions may be included in anticipatory care planning?

A

Where do they want to be cared for?
Do they want to be resuscitated in the event of cardiac arrest/allowed to die naturally?
Who do they want to be informed of their care and any changes in their condition?
Are they/their family fully aware of their prognosis?

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9
Q

Once palliative care has been agreed, where should this be noted?

A

The practice’s Palliative Care Register

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10
Q

What can be used to review how quickly the situation is changing for the patient in palliative care?

A

The Palliative Performance Scale

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11
Q

What are the increments used in the PPS Scoring?

A

10% Increments

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12
Q

Who else is noted of palliative cases outside of the practice?

A

Out of Hours services

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13
Q

What are the WHO components of palliative care?

A
  • Provides relief from pain and other distressing symptoms
  • Affirms life and regards dying as a normal process
  • Intends neither to hasten nor postpone death
  • Integrates the psychological and spiritual aspects of patient care
  • Offers a support system to help patients live as actively as possible until death
  • Offers a support system to help the family cope during the patients illness and in their own bereavement.
  • Uses a team approach to address the needs of patients and their families, including bereavement counselling if indicated.
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14
Q

What other professionals may be involved in palliative care situations, aside from the health and social care team?

A
  • Macmillan Nurses
  • CLAN
  • Marie Curie Nurses
  • Religious or cultural groups
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15
Q

What are some of the components of a ‘good death’ in Western Culture?

A
  • Pain-free death
  • Open acknowledgement of the imminence of death
  • Death at home surrounded by family and friends
  • An ‘aware’ death, in which personal conflicts and unfinished business are resolved
  • Death as personal growth
  • Death according to personal preference and in a manner that resonates with the person’s individuality
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16
Q

Where do most people express a preference for dying?

A

At home

17
Q

What can be used to offer tools to enable primary care to provide palliative care at home?

A

Gold Standard Framework

18
Q

What are the steps involved in breaking bad news?

A 
Listen
Set the Scene
Find out what the patient understands
Find out how much the patient wants to know
Share information using a common language
Review and summarise
Allow opportunities for questions
Agree follow up and support
19
Q

List some common reactions to bad news

A 
Shock
Anger 
Denial
Bargaining
Relief 
Sadness
Fear
Guilt
Anxiety
Distress
20
Q

Around how many deaths occur in hospices?

A

15-20%

21
Q

What is meant by voluntary euthanasia?

A

Euthanasia at the patient’s request

22
Q

What is meant by non-voluntary euthanasia?

A

Euthanasia not at the patient’s request

23
Q

What is meant by physician assisted suicide?

A

Physician provides the means and advice for suicide

24
Q

What are some appropriate responses to a patient request for euthanasia?

A 
Listen
Acknowledge the issue
Explore the reasons for the request
Explore ways of giving more control to the patient
Look for treatable problems
Remember spiritual issues
Admit powerlessness

FOPC (9 decks)

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