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Med-surge > Exam 2, Ch 10 (Week 3): Palliative Care @ End of Life > Flashcards

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

1
Q

What is Palliative care?

A

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

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2
Q

What is Hospice care?

A

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

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3
Q

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

A

Palliative care

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4
Q

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

A

Hospice care

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5
Q

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

A

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

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6
Q

Medicaid and Medicare are reimbursed in what type of care?

A

Hospice care

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7
Q

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

A

Palliative care

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8
Q

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

A

Hospice care

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9
Q

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

A

6 months or less

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10
Q

Palliative care uses a Holistic approach to managing what?

A

Pain and suffering

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11
Q

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

A

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

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12
Q

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

A

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

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13
Q

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

A

Pain and symptoms

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14
Q

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

A

Psychosocial

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15
Q

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

A

Psychosocial

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16
Q

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

A

Spirituality/Religious

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17
Q

Does spirituality equate to religious beliefs in a higher power?

A

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

18
Q

“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?

A

Spiritual/Religious distress.

19
Q

“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?

A

Existential distress

20
Q

There are 7 Domains of Palliative care. Name them.

A

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

21
Q

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

A

-Denial
-Anger
-Bargaining
-Depression
-Acceptance

22
Q

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

A

-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

23
Q

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

A

Ethics and Laws

24
Q

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

A

Ethics and Laws.

25
Q

“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?

A

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

26
Q

What is an Advanced Directive?

A

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

27
Q

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

A

A Durable Power of Attorney

28
Q

A Durable Power of Attorney is defined as what?

A

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

29
Q

What is POLST?

A

Physician Order for Life-Sustaining (Saving) Treatment

30
Q

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

A

POLST
Physician Order for Life-Sustaining Treatment

31
Q

A POLST does what?

A

Translates advanced directives into medical orders.

32
Q

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.

A

False
The ANA is against euthanasia in all circumstances.

33
Q

What is Palliative Sedation?

A

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

34
Q

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

A

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.

35
Q

What are the 5 physical manifestations of Death?

A

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

36
Q

What’s the difference between Grief and Bereavement?

A

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

37
Q

During the physical manifestations of death, what two
“-xia’s” are common in the Nutrition manifestation?

A

Anorexia and Cachexia

38
Q

Being Therapeutic is about being what?

A

Being Present.

39
Q

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

A

-The Cultural customs of the patient
-The agency policy

40
Q

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

A

Comfort

41
Q

What does Hope represent to a patient?

A

Hope represents an imagined future.

42
Q

What are some ‘Hope-Fostering” categories?

A

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

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