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Geri > Geri Final: End of life care & Common dx > Flashcards

Geri Final: End of life care & Common dx Flashcards

1
Q

End of life

A

-describes the total circumstances of a person with a life threatening illness

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2
Q

Supportive care

A

-care that is intended to assist in the coping process for both the individual and their family

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3
Q

Palliative care

A
  • the total care of a person who has NOT responded to curative tx
  • can still be receiving curative services (i.e. chemo)
  • can be initiated at any time during the tx process
  • more of a specialty area
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4
Q

Hospice care

A
  • a comprehensive and interdisciplinary care system for individuals and their families
  • can NO longer be getting curative tx
  • 6 months or less to live
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5
Q

Physical dimensions

A
  • sx control (pain and fatigue)
  • compensatory/remedial
  • skills to be accomplished with help if the pt wants it
  • functional decline (mobility, endurance, body mechanics, loss of routines, ADLs, self-care, home-management, leisure
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6
Q

Psychological dimensions

A
  • fear
  • worry
  • anxiety
  • increased risk of depression
  • loss of identity and self-worth
  • maintaining self-identity
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7
Q

Social dimensions

A
  • loss of prior social roles and networks, communication, interactions with family and caregivers, and living situation
  • communicate their legacy
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8
Q

Existential dimensions

A
  • life crisis
  • define meaning of life
  • awareness of end of life
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9
Q

Similarities between Palliative and Hospice care

A
  • sx control
  • focus on tx is on emotional, social, spiritual, and functional needs of both pt and family
  • help to make sure pt is comfortable
  • promotes quality of life
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10
Q

4 major outcomes

A
  1. help pts live as normally as possible
  2. helping pts achieve a sense of control
  3. helping pts and caregivers manage the care needed so they feel safe and supported
  4. facilitating sense of closure by engaging in desired activities for a final time and making farewells to people, places, and things
    * Ultimate outcome is quality of life*
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11
Q

ALS: Stage 1 Full Ambulatory Mild Weakness

A
  • NO ADL problems
  • mild weakness in one hand, feet
  • foot drop
  • can have weakness in face
  • (I) in ADLs
  • mod level exercise to increase strength in both involved and uninvolved muscles
  • participate in activities
  • AROM
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12
Q

ALS: Stage 2 Ambulatory Mod Weakness

A
  • mod weakness in certain muscles
  • still some muscle groups not involved
  • start looking at environmental modifications
  • modest exercise
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13
Q

ALS: Stage 3 Severe Weakness

A
  • severe weakness in certain muscles
  • joint pain protection and management
  • assess and intro assistive equipment
  • AROM, AAROM, PROM
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14
Q

ALS: Stage 4 w/c confined, almost dependent

A
  • increase levels of care and assistance with ADLs
  • severe weakness in LE
  • PROM exercises
  • NOT independent
  • exercises in uninvolved muscles
  • assistive equip
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15
Q

ALS: Stage 5 w/c confined, pronounced weakness in legs, severe weakness in arms

A
  • more weakness in WHOLE body
  • pain management
  • PROM
  • positioning (reduce skin breakdown, blood clots, etc.)
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16
Q

ALS: Stage 6 Bedridden

A
  • can no longer perform ADLs independently

- max/total assist is required

17
Q

AIDS: OT interventions

A
  • normalize quality of life
  • restoring functional abilities
  • readjust life roles
  • reduce risk taking behaviors
  • adaptations (when permanently altered)
  • preserve (routines, habits, behaviors important)
  • restoration (work simplification with flare ups, rebuilding endurance after flare up, negotiate and adjust life roles)
18
Q

Cancer: OT interventions

A
  • fatigue management (progressive relaxation, energy conservation, aerobic exercise)
  • education (support groups, relaxation, w/c assessments/provisions, transfer training, assistive equip, joint protection, self-care)
  • sensory re-ed for desensitization
  • w/c seating and positioning
  • scar management
  • conditioning
  • fall prevention
  • lymphadema management
19
Q

Parkinson’s disease: OT interventions

A
  • motor learning
  • exercise and balance training
  • functional mobility training
  • home modifications
  • cognitive strategies

Geri (10 decks)

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