Final - 14 Comfort Flashcards
how long left to live to be put on hospice
6 months
which one is broader: palliative or hospice
palliative
Prevent and relieve suffering regardless of stage of disease or need for other therapies: Symptom management, surgical procedures.
palliative care
Most beneficial when provided with disease-remitting treatment: Relieve suffering and pain.
palliative care
goal of palliative care
improve quality of life to both pt and family in comfort-focused approaches to care in conjunction with cure-focused treatment
_____: include the family members & purpose is to improve quality of life
Palliative
_____: care-minded, not “cure-minded”
hospice
goal of hospice
allow pt to be able to die at home, if the pt so chooses, in comfort & with family by side
statistically, those who have _____ do better
spirituality
what is most feared at EOL
pain
Tx for step one: mild pain (1-3)
- acetominophen
- NSAIDS
- adjuvant meds (tricyclics, muscle relaxants)
Tx for step 2: moderate pain (4-6)
- combination opioids (hydrocodone & acetominophen) or oxycodone & acetominophen)
- continued adjuvant meds
Tx for Step 3: Severe Pain (7-10)
- opioids (morphine, hydromorphone)
- continued adjuvant meds
which medications is the global gold standard for cancer pt’s
morphine
if the pt is unable to swallow the _____ method works well for morphine
sublingual
for EOL, usually put meds on a schedule rather than _____
PRN
are you worried about addiction at EOL
no
Hospice or Palliative:
- May also use Moderate Sedation if patient is in ICU
Palliative
Hospice or Palliative:
- May use in conjunction with other treatments that are cure-oriented
palliative
Hospice or Palliative:
- holistic care (spiritual, singing, music, holding hands)
both
Moderate Sedation:
- IV administration of sedatives, analgesics to reduce _____ and _____.
- Assures patient comfort, ease of _____.
- Must continually assess vital signs, LOC, and _____ and _____ functions.
- 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.
