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NURS 1415 > Gregory Chapter 30: Creating Comfort and Managing Pain > Flashcards

Gregory Chapter 30: Creating Comfort and Managing Pain Flashcards

1
Q

What are the 3 focuses of palliative care?

A
  1. Treat all active concerns
  2. Prevent new issues from occurring
  3. Promote opportunities for meaningful and valuable experiences, personal and spiritual growth, and self-actualization
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2
Q

Palliative care promotes opportunities for meaningful and valuable: (3)

A
  • Experiences
  • Personal and Spiritual Growth
  • Self-Actualization
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3
Q

4 things nurses draw on when providing holistic care:

A
  • nursing Knowledge
  • Theories
  • Expertise
  • Intution
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4
Q

Empathy vs. Compassion

A

Compassion is an emotion evoked by the suffering of others. it is a strength that allows one person to connect with another to acknowledge that suffering and the desire to ease the accompanying pain

Empathy is the ability to truly know another person within a trusting, mutually respectful relationship. The most essential ingredient one must have to care for another person

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5
Q

What is the most essential ingredient one must have to care for another person

A

Empathy

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6
Q

What is compassion fatigue and what 5 domains can it affect?

A

The distress that accumulates over time after continuous exposure to caregiving situations that are interpreted as traumatic

  • Physical
  • Emotional
  • Moral
  • Intelectual
  • Spiritual
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7
Q

Holistic Nursing recognizes the totality of the human being–the interconnectedness of which 8 things?

A
  • Body
  • Mind
  • Emotion
  • Spirit
  • Social/cultural factors
  • Relationships
  • Context
  • Environment
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8
Q

Where does the term palliative or palliate come from and what does it mean?

A

Comes from the Latin word palliaire and it means to cloak or cover

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9
Q

Palliative care refers to all activities that ________________________

These activities aim to help patients and their families ________________________

A

Palliative care refers to all activities that:

  • alleviate the intensity of suffering and symptoms

These activities aim to help patients and their families

  • prepare for and manage life closure and the dying process
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10
Q

What is the primary task as a novice nurse?

A

To learn how to engage in relational practice with your patients and their families

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11
Q

What is relational practice?

A

The art and skill of being able to connect with people across difference by joining with them as they are and where they are

Learning to engage in it is the primary task as a novice nurse

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12
Q

What is the gold standard for palliative care?

A

Quality of life

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13
Q

What is quality of life?

A

Well-being as defined by the person living with advanced illness

Relates to experiences that are meaningful to the individual

  • Gold standard of palliative care
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14
Q

What is suffering?

A

A state of distress associated with events that threaten the integrity of a person.

May be accompanied by a perceived lack of options for coping

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15
Q

Suffering may be accompanied by:

A

a perceived lack of options for coping

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16
Q

What is total pain?

A

Suffering related to, and the result of, the person’s physical, psychological, social, and spiritual, and practical state

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17
Q

An existential construct inclusive of all the ways in which a person makes meaning and organizes sense of self around a personal set of beliefs, values, and relationships is known as:

A

Spirituality

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18
Q

As a nurse, what is the consequence of being unaware of the person and the context in which she lives and having the inability to meet her where she is?

A

You will not be able to effectively apply your knowledge in a way that respectfully acknowledges her humanity and her care needs

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19
Q

RNs are committed to providing _________ and _______________ to people in a wide variety of health-related situations.

A

holistic and compassionate care

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20
Q

Some of the most critical moments in life happen at times of transition between _______________________
Being present during this transitions means that a RNs work must be done with great _____________, ______________ and _______________

A

” what was” and “what will be”

  • sensitivity
  • empathy
  • awareness
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21
Q

What are the roots of the word :care: and what is the basic meaning of care?

A

roots in the Gothic “Kara” which means lament

Basic meaning: to grieve, to experience, to cry out with

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22
Q

In the cases where there are pains that can’t be eliminated and wounds that can’t be fixed, providing comfort consists of what?

A

attending to the individual’s complex physical, emotional, social, and spiritual needs within a context of authentic presence and compassion

23
Q

The ability to engage with people in the moment and share intimacy requires what 3 traits?

A
  • courage
  • persistence
  • openess
24
Q

Who is the most consistent professional directly involved in care and what additional responsibilities do they have?

A

Nurse

communicate, advocate, and effectively engage the interdisciplinary team to respond to needs of patient and family

25
Q

Flo observed that nursing is based on __________

However, it requires __________________ and ____________

A

Flo observed that nursing is based on KNOWLEDGE

However, it requires ETHICAL DEPORTMENT and the ability to ACT ARTFULLY

26
Q

According to Flo, it is important that nurses learn and apply ____________ within a ___________ and ________ context that ____________ for everyone.

A

According to Flo, it is important that nurses learn and apply EMPIRIC KNOWLEDGE within a HUMANISTIC and EQUITABLE context that PROMOTES HEALTH for everyone.

27
Q

Three components of empathy

A
  1. Authentic presence and compassion
  2. Communication
  3. Advocacy
28
Q

What is compassion?

A

an emotion leading to one desiring to ease another’s suffering & accompanying pain

29
Q

What is the most common reason people seek health care?

A

Pain

30
Q

_______________ is a disease itself

A

Pain

31
Q

3 Characteristics of Acute Pain

A
  • identifiable cause
  • predictable ending
  • short duration
32
Q

3 Characteristics of Chronic Pain

A
  • not productive
  • has no purpose
  • may not have identifiable cause
33
Q

Cancer pain can be _______ or __________

A

acute or chronic

34
Q

This kind of pain is nociceptive (visceral, somatic) or neuropathic

A

Inferred physiological

35
Q

What is pain tolerance?

A

The amount of pain a patient can ensure without its interfering with normal function
Point beyond which pain becomes unbearable

36
Q

Pain tolerance is a ___________ response to pain, not a _____________ function

A

subjective

physiological

37
Q

What is Pain Threshold? What is it a measure of?

A

It is the level of sitmulus needed to produce the percetion of pain
It is a measure of the physiological response of the nervous system

38
Q

Differentiate between Pain Tolerance and Pain Threshold

A

Pain Tolerance = amount of pain a patient can ensure without its interfering with normal function (subjective)

Pain Threshold = level of stimulus needed to produce the perception of pain (measure of physio response of the NS)

39
Q

9 factors that can lower pain threshold:

A
  • anger
  • anxiety
  • chronic pain
  • depression
  • discomfort
  • fear
  • isolation
  • sleeplessness
  • tiredness
40
Q

5 factors that can raise pain threshold

A
  • diversion
  • empathy
  • rest
  • sympathy
  • meds
41
Q

3 types of medications that can raise pain threshold

A
  • analgesics
  • anti-anxiety
  • antidepressants
42
Q

Flo beleived that a nurse’s role is to create conditions in which__________

A

healing can take place

43
Q

What is healing?

A

re-establishing integrity or making whole again

44
Q

Healing has more to do with ___________ than __________

A

person than disease

45
Q

Quinn suggests that healing is not the disappearance of a set of signs and symptoms, instead it is what?

A

“process of emergence” or coming to know the inner-self

46
Q

Dossey say that healing may or may not occur simultaneously with _______

A

curing

47
Q

Gottlieb says that healing invites nurses to observe the patient’s status in 4 domains

A

emotional
spiritual
biologic
existential

48
Q

3 ways that a nurse can promote healing in the individual:

A
  • consciously creating a welcoming space in which both can feel secure
  • listening closely
  • emphasizing and maintaining hope for the possibility of wellness
49
Q

-
-

A
  • contributing factors
  • threats to normal daily routines
  • personal meaning
50
Q

The hollistic approach is particularly significant for what kind of patient?

A

one who is experience a life-threatening condition

51
Q

Two things you must do when dealing with someone facing end of life

A
  1. have the courage to be present

2. approach each person as unique

52
Q

Why is palliative care typically understoof to be appropriate for persons who are dying?

A

because events at end of life are often associated with suffering

53
Q

What is hospice often called?
What kind of approach is it?
What are the two intentions?

A

Palliative care

Philosophical approach to caring for people

Intention of:

  • Reducing suffering
  • Improving QOL

NURS 1415 (1 decks)

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