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
2
Q
Supportive care
A
-care that is intended to assist in the coping process for both the individual and their family
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
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
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
6
Q
Psychological dimensions
A
- fear
- worry
- anxiety
- increased risk of depression
- loss of identity and self-worth
- maintaining self-identity
7
Q
Social dimensions
A
- loss of prior social roles and networks, communication, interactions with family and caregivers, and living situation
- communicate their legacy
8
Q
Existential dimensions
A
- life crisis
- define meaning of life
- awareness of end of life
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
10
Q
4 major outcomes
A
- help pts live as normally as possible
- helping pts achieve a sense of control
- helping pts and caregivers manage the care needed so they feel safe and supported
- 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*
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
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
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
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
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.)
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
