FoPC 3 Flashcards
Life limiting illness?
An incurable condition shorten life,
may continue to live active lives for many years
Impacts psychological, social, medical, ethical?
Euthanasia - illegal in the UK
Impact on relatives/staff. nurses
Mostly provided in primary care and specialist care units (hospices)
Support available?
Macmillan nurses
CLAN
Marie Curie nurses
Religious or cultural groups
Issues around death and dying?
Pain feared by patients
Preferred place of care
WHO definition of palliative care
Relief from pain and distressing symptoms
Affirms life, dying is a normal process
Intends neither to hasten or postpone death
Integrates psychological and spiritual aspects of patient care
Offers support to patient
Offers support to family
Team approach
Factors for palliative care
Most want to die at home, only 26% do
Factors in palliative performance scale
Ambulation Activity and evidence of disease Self-care Intake Conscious level
Stages of grief
Shock Denial Anger Bargaining Relief Sadness Fear Guilt Anxiety Distress Testing Acceptance
Social and socio-economic factors health
Gender Ethnicity Physical environment/housing Education Employment Income/ social status/ financial security Health system Social environment
Patient level inequalities in health?
Language concerns
Beliefs
Understanding the health system
Inverse care law
Dr Julian Tudor Hart
Those who most need medical care are least likely to receive it and conversely, those with least need of health care tend to use health services more, and more effectively
Health care needs of vulnerable groups
Homeless - alcohol and drug problems, risks of BBV, poor oral health, less likely to be registered with a GP
Learning disability - barriers, transport, undiagnosed LD, anxiety or lack of confidence in diagnosis,
LGBT - higher suicide, homophobia from staff,
Provider level inequalities in health?
Understanding differences due to ethnicity
Provider skills/ attitudes
Definition of sustainability
Able to continue over a period of time
