Exam 2, Ch 10 (Week 3): Palliative Care @ End of Life

Question 1

What is Palliative care?

Answer 1

Care for the seriously ill that promotes further life, and wellness.

Question 2

What is Hospice care?

Answer 2

End of life care. The path to death is accepted.

Question 3

psychosocial care, spiritual support.
pain control, and interdisciplinary collaboration to promote further health are all included in what type of care?

Answer 3

Palliative care

Question 4

“Meaningful life can be experienced during terminal illness though supported, in-home care” is in reference to what type of care?

Answer 4

Hospice care

Question 5

What are some aspects of care that make up a continued palliative health plan of care?

Answer 5

psychosocial care, spiritual support.
pain control, and interdisciplinary collaboration

Question 6

Medicaid and Medicare are reimbursed in what type of care?

Answer 6

Hospice care

Question 7

Medicaid and Medicare are NOT reimbursed in what type of care?

Answer 7

Palliative care

Question 8

“Live comfortably while dying with dignity” best encapsulates what type of care?

Answer 8

Hospice care

Question 9

What is the average time frame of life given to patients starting Hospice care?

Answer 9

6 months or less

Question 10

Palliative care uses a Holistic approach to managing what?

Answer 10

Pain and suffering

Question 11

The Structure of Palliative care is Interdisciplinary. What does that mean?

Answer 11

Interdisciplinary means a team of professionals working to provide a plan of care.

Question 12

True or False: An Interdisciplinary team works Soley with the patient to achieve palliative care.

Answer 12

False. An interdisciplinary team works with both the patient AND the patient’s family.

Question 13

The Physical domain of Palliative care works at managing and relieving what?

Answer 13

Pain and symptoms

Question 14

Addressing the patient’s AND family’s social needs and care environment is what domain of Palliative care?

Answer 14

Psychosocial

Question 15

Assessing if a patient has access to reliable food, housing, and transportation are all factors in what domain of Palliative care?

Answer 15

Psychosocial

Question 16

Belief’s, values, and purpose related to the search for existential meaning are all factors that make up what domain of Palliative care?

Answer 16

Spirituality/Religious

Question 17

Does spirituality equate to religious beliefs in a higher power?

Answer 17

No. Spirituality is a broad concept. It encompasses beliefs, values and purpose.

Question 18

“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?

Answer 18

Spiritual/Religious distress.

Question 19

“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?

Answer 19

Existential distress

Question 20

There are 7 Domains of Palliative care. Name them.

Answer 20

Structure, Physical, Psychosocial, Bereavement & Grieving, Religious/Spiritual, Cultural, and Ethical.

Question 21

Bereavement and Grief in Palliative care concerns the Kubler-Ross stages of grief. Name the stages of grief.

Answer 21

-Denial
-Anger
-Bargaining
-Depression
-Acceptance

Question 22

The domain of Ethics and Laws is in regard to patient control over what 5 things?

Answer 22

-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

Question 23

“A patient’s goals and choices are respected within limits of the state and federal laws.”
What domain of Palliative care is this?

Answer 23

Ethics and Laws

Question 24

The addressal of a patients Organ and Tissue donation is addressed in what domain of Palliative care?

Answer 24

Ethics and Laws.

Question 25

"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?

Answer 25

Domain: Ethics and Law It is defining an Advanced Directive (Other Answer) A Living Will, which is an example of an Advanced Directive.

Question 26

What is an Advanced Directive?

Answer 26

Oral and written instructions about end-of-life care, should the Pt become unable to make decisions.

Question 27

"A legal document that authorizes an individual to make medical decisions on behalf of the patient" is known as what?

Answer 27

A Durable Power of Attorney

Question 28

A Durable Power of Attorney is defined as what?

Answer 28

A legal document that gives an individual the right to make medical decisions on behalf of the patient.

Question 29

What is POLST?

Answer 29

Physician Order for Life-Sustaining (Saving) Treatment

Question 30

A Legal form made by a physician and a patient that lists treatments wanted, not wanted, or limited is an example of what?

Answer 30

POLST Physician Order for Life-Sustaining Treatment

Question 31

A POLST does what?

Answer 31

Translates advanced directives into medical orders.

Question 32

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.

Answer 32

False The ANA is against euthanasia in all circumstances.

Question 33

What is Palliative Sedation?

Answer 33

Giving pain meds to sedate a patient who is imminently dying.

Question 34

True or False: Palliative Sedation is a method of care to shorten a suffering life through the act of euthanasia via medication.

Answer 34

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.

Question 35

What are the 5 physical manifestations of Death?

Answer 35

-Pain -Dyspnea (Cheyne-Stokes) -Nutrition (Lack of) -Delerium -Depression

Question 36

What's the difference between Grief and Bereavement?

Answer 36

Bereavement is a period of grief and morning after a loss. Grief is the physiological and psychological response to loss.

Question 37

During the physical manifestations of death, what two "-xia's" are common in the Nutrition manifestation?

Answer 37

Anorexia and Cachexia

Question 38

Being Therapeutic is about being what?

Answer 38

Being Present.

Question 39

Following Post-Mortem care for a patient, you should follow the practices of what two things?

Answer 39

-The Cultural customs of the patient -The agency policy

Question 40

What should be the primary focus for the care of patients close to death?

Answer 40

Comfort

Question 41

What does Hope represent to a patient?

Answer 41

Hope represents an imagined future.

Question 42

What are some 'Hope-Fostering" categories?

Answer 42

-Love of family and friends -spirituality & faith -humor -positive relationships -uplifting memories