Final - 14 Comfort

Question 1

how long left to live to be put on hospice

Answer 1

6 months

Question 2

which one is broader: palliative or hospice

Answer 2

palliative

Question 3

Prevent and relieve suffering regardless of stage of disease or need for other therapies: Symptom management, surgical procedures.

Answer 3

palliative care

Question 4

Most beneficial when provided with disease-remitting treatment: Relieve suffering and pain.

Answer 4

palliative care

Question 5

goal of palliative care

Answer 5

improve quality of life to both pt and family in comfort-focused approaches to care in conjunction with cure-focused treatment

Question 6

_____: include the family members & purpose is to improve quality of life

Answer 6

Palliative

Question 7

_____: care-minded, not “cure-minded”

Answer 7

hospice

Question 8

goal of hospice

Answer 8

allow pt to be able to die at home, if the pt so chooses, in comfort & with family by side

Question 9

statistically, those who have _____ do better

Answer 9

spirituality

Question 10

what is most feared at EOL

Answer 10

pain

Question 11

Tx for step one: mild pain (1-3)

Answer 11

• acetominophen
• NSAIDS
• adjuvant meds (tricyclics, muscle relaxants)

Question 12

Tx for step 2: moderate pain (4-6)

Answer 12

• combination opioids (hydrocodone & acetominophen) or oxycodone & acetominophen)
• continued adjuvant meds

Question 13

Tx for Step 3: Severe Pain (7-10)

Answer 13

• opioids (morphine, hydromorphone)

- continued adjuvant meds

Question 14

which medications is the global gold standard for cancer pt’s

Answer 14

morphine

Question 15

if the pt is unable to swallow the _____ method works well for morphine

Answer 15

sublingual

Question 16

for EOL, usually put meds on a schedule rather than _____

Answer 16

PRN

Question 17

are you worried about addiction at EOL

Answer 17

no

Question 18

Hospice or Palliative:

- May also use Moderate Sedation if patient is in ICU

Answer 18

Palliative

Question 19

Hospice or Palliative:

- May use in conjunction with other treatments that are cure-oriented

Answer 19

palliative

Question 20

Hospice or Palliative:

- holistic care (spiritual, singing, music, holding hands)

Answer 20

both

Question 21

Moderate Sedation:

• IV administration of sedatives, analgesics to reduce _____ and _____.
• Assures patient comfort, ease of _____.
• Must continually assess vital signs, LOC, and _____ and _____ functions.

Answer 21

• IV administration of sedatives, analgesics to reduce anxiety and pain.
  Assures patient comfort, ease of breathing.
  Must continually assess vital signs, LOC, and cardiac and respiratory functions.