EOL/Organ Donation

Question 1

70% of people prefer to die

Answer 1

in their home

Question 2

The time during which a patient has a progressive, irreversible illness leading to death. Often defined as within 6 months for hospice qualification.

Answer 2

end of life period

Question 3

Care involving realistic goal-setting for EOL care focused on pain/anxiety/stress relief & maintenance of physical, mental, spiritual comfort. Can also be used for chronic, not necessarily terminal, conditions (i.e. pain)

Answer 3

palliative care

Question 4

what is hospice

Answer 4

Hospice care is end-of-life care. A team of health care professionals and volunteers provides it. They give medical, psychological, and spiritual support. The goal of the care is to help people who are dying have peace, comfort, and dignity. The caregivers try to control pain and other symptoms so a person can remain as alert and comfortable as possible. Hospice programs also provide services to support a patient’s family.

Question 5

what is palliative care

Answer 5

Palliative care is treatment of the discomfort, symptoms, and stress of serious illness. It provides relief from distressing symptoms

Hospice care, care at the end of life, always includes palliative care. But you may receive palliative care at any stage of an illness. The goal is to make you comfortable and improve your quality of life.

Question 6

5 stages of grief

Answer 6

Deny
Anger
Bargain
Depression
Acceptance

Question 7

There are four main areas of care for

those who are coping with dying:

Answer 7

– Physical
– Psychological
– Social
– Spiritual

Question 8

Biggest concern of dying person is

Answer 8

the control of acute and chronic physical pain

Question 9

pt.’s right to guide own care (direct involvement or via advance care plan)

Answer 9

autonomy

Question 10

our duty to treat all patients fairly and equitably

Answer 10

justice

Question 11

: our obligation to do no harm.
e.g. Stopping a medication that is shown to be harmful, refusing to provide a treatment that has not been shown to be effective

Answer 11

non-maleficence

Question 12

our obligation to act in the best interest of the patient. e.g. Resuscitating a drowning victim, providing vaccinations for the general population, encouraging a patient to quit smoking and start an exercise program.

Answer 12

beneficence

Question 13

***All POAs are surrogates, not all surrogates are POAs.

Answer 13

-The health care power of attorney is not authorized to make non-medical financial decisions.

Question 14

program to facilitate end of life medical decision making in NYS

Answer 14

MOLST