Exam 2, Ch 10 (Week 3): Palliative Care @ End of Life Flashcards
What is Palliative care?
Care for the seriously ill that promotes further life, and wellness.
What is Hospice care?
End of life care. The path to death is accepted.
psychosocial care, spiritual support.
pain control, and interdisciplinary collaboration to promote further health are all included in what type of care?
Palliative care
“Meaningful life can be experienced during terminal illness though supported, in-home care” is in reference to what type of care?
Hospice care
What are some aspects of care that make up a continued palliative health plan of care?
psychosocial care, spiritual support.
pain control, and interdisciplinary collaboration
Medicaid and Medicare are reimbursed in what type of care?
Hospice care
Medicaid and Medicare are NOT reimbursed in what type of care?
Palliative care
“Live comfortably while dying with dignity” best encapsulates what type of care?
Hospice care
What is the average time frame of life given to patients starting Hospice care?
6 months or less
Palliative care uses a Holistic approach to managing what?
Pain and suffering
The Structure of Palliative care is Interdisciplinary. What does that mean?
Interdisciplinary means a team of professionals working to provide a plan of care.
True or False: An Interdisciplinary team works Soley with the patient to achieve palliative care.
False. An interdisciplinary team works with both the patient AND the patient’s family.
The Physical domain of Palliative care works at managing and relieving what?
Pain and symptoms
Addressing the patient’s AND family’s social needs and care environment is what domain of Palliative care?
Psychosocial
Assessing if a patient has access to reliable food, housing, and transportation are all factors in what domain of Palliative care?
Psychosocial
Belief’s, values, and purpose related to the search for existential meaning are all factors that make up what domain of Palliative care?
Spirituality/Religious
Does spirituality equate to religious beliefs in a higher power?
No. Spirituality is a broad concept. It encompasses beliefs, values and purpose.
“I feel as though God has abandoned me. Has my faith not been enough? Have my belief’s been a waste of time?” A patient saying these things is undergoing what type of distress?
Spiritual/Religious distress.
“My whole life, I’ve believed that there is something beyond death, but right now, I don’t think there is anything. Maybe there is just nothingness waiting for me.” This is an example of what kind of distress?
Existential distress
There are 7 Domains of Palliative care. Name them.
Structure, Physical, Psychosocial, Bereavement & Grieving, Religious/Spiritual, Cultural, and Ethical.
Bereavement and Grief in Palliative care concerns the Kubler-Ross stages of grief. Name the stages of grief.
-Denial
-Anger
-Bargaining
-Depression
-Acceptance
The domain of Ethics and Laws is in regard to patient control over what 5 things?
-Advanced Directives (e.g. Living Will)
-Specific treatments (Chemotherapy, surgeries)
-Whether to give CPR or not (Code status)
-Organ and Tissue donations
-Feeding Tube placement
“A patient’s goals and choices are respected within limits of the state and federal laws.”
What domain of Palliative care is this?
Ethics and Laws
The addressal of a patients Organ and Tissue donation is addressed in what domain of Palliative care?
Ethics and Laws.
“Oral and written instructions about end-of-life care, should the Pt become unable to make decisions.”
This is what domain of Palliative care?
What specifically is this statement defining?
Domain: Ethics and Law
It is defining an Advanced Directive
(Other Answer) A Living Will, which is an example of an Advanced Directive.
What is an Advanced Directive?
Oral and written instructions about end-of-life care, should the Pt become unable to make decisions.
“A legal document that authorizes an individual to make medical decisions on behalf of the patient” is known as what?
A Durable Power of Attorney
A Durable Power of Attorney is defined as what?
A legal document that gives an individual the right to make medical decisions on behalf of the patient.
What is POLST?
Physician Order for Life-Sustaining (Saving) Treatment
A Legal form made by a physician and a patient that lists treatments wanted, not wanted, or limited is an example of what?
POLST
Physician Order for Life-Sustaining Treatment
A POLST does what?
Translates advanced directives into medical orders.
True or False: The ANA allows for the act of Euthanasia (Physician-Assisted Suicide) in certain circumstances, so long as patient consent is not given under duress.
False
The ANA is against euthanasia in all circumstances.
What is Palliative Sedation?
Giving pain meds to sedate a patient who is imminently dying.
True or False: Palliative Sedation is a method of care to shorten a suffering life through the act of euthanasia via medication.
False
Palliative sedation is the act of sedation by giving meds to relieve pain of a dying patient. It is not to hasten death or shorten life.
What are the 5 physical manifestations of Death?
-Pain
-Dyspnea (Cheyne-Stokes)
-Nutrition (Lack of)
-Delerium
-Depression
What’s the difference between Grief and Bereavement?
Bereavement is a period of grief and morning after a loss.
Grief is the physiological and psychological response to loss.
During the physical manifestations of death, what two
“-xia’s” are common in the Nutrition manifestation?
Anorexia and Cachexia
Being Therapeutic is about being what?
Being Present.
Following Post-Mortem care for a patient, you should follow the practices of what two things?
-The Cultural customs of the patient
-The agency policy
What should be the primary focus for the care of patients close to death?
Comfort
What does Hope represent to a patient?
Hope represents an imagined future.
What are some ‘Hope-Fostering” categories?
-Love of family and friends
-spirituality & faith
-humor
-positive relationships
-uplifting memories
