Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Vertical Curriculum > End of Life OSCE > Flashcards

End of Life OSCE Flashcards

1
Q

Obtain a thorough pain history.

A 
Location
Radiation
Severity
Quality
Timing
Aggravating/Alleviating
Previous strategies
Impact on patient
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What types of medication are available for mild, moderate, and severe pain?

A

Mild - aspirin, acetaminophen, NSAIDs

Moderate - codeine/…, hydrocodone/…, oxycodone/… …/acetaminophen or NSAID, tramadol

Severe - codeine, morphine, hydrocodone, oxycodone, hydromorphone

Adjuvant at any stage

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

List 7 adjuvant analgesics.

A 
Antidepressants
Anticonvulsants
Corticosteroids
Local anesthetics
Osteoclast inhibitors
Muscle relaxants
Benzodiazepines
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

List some non-pharmacologic pain management options.

A 
Heat/cold
Massage
PT/OT
Accupuncture
Behavioral
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Immediate release oral opioids - peak effect, duration, general doing

A

Peak effect in 60-90 minutes
Total duration 3-4 hours

Generally Q4hr dosing
PRN for episodic pain, scheduled for continuous

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Options for ER?

A

Morphine, oxycodone, fentanyl (transdermal patch), hydrocodone, hydromorphone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Dosing of ER opioid preparations?

A

Q12 in general, but product specific

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

When should immediate release opioids be used?

A

Breakthrough pain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

List the equianalgesic table elements (mg)

A 
Codeine - 200 / 130
Morphine - 30 / 10
Hydrocodone 30 / NA
Oxycodone 20 / NA
Hydromorphone 7.5 / 1.5
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

List side effects of opioids.

A 
Constipation
N/V
Urinary retention
Pruritis
Lethargy, mental clouding
Somnolence
Respiratory depression
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What are advance directives?

A

Legal documents saying “treat me how I want to be treated”

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is the difference between a living will and a durable POA?

A

Living will - written document in which a patient’s wishes regarding the administration of medical treatment are described if the patient becomes unable to communicate

Durable POA - appoints someone to do the above

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is the philosophy of hospice?

A

Symptomatic relief and comprehensive support of patient and family

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What is palliative care?

A

Specialized medical care

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is hospice?

A

Palliative care in the last 6 months of life in the setting of a terminal condition; insurance benefit allowing more services/meds to be provided at home

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Steps in delivering serious news?

A 
Setting - privacy, connect, sit
Perception - assess understanding
Invitation
Knowledge - I'm so sorry to tell you that
Empathic response/silence
Summary/strategy
17
Q

Communication tasks of a physicain when a patient dies?

A

Pronounce patient dead
Notify next of kin
Contact medical examiner in certain settings
Provide time for the family to process -> request autopsy, collaborate with gift of hope, complete death certificate

Vertical Curriculum (4 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions