Guest Lecturer Flashcards
When are at least half of DNR written
within 2 days of death
1800s pallative care
easing symptoms, most died anyway from onset illness
early 1900s pallative care
shift in philosophy –> from comfort to CURE
patient dying is seen as a failure
4D experience of death
physical, social, psychological, spiritual
4 paths to death
slow decline with periodic crises
sudden unexpected cause
lingering but expected death
steady decline with short terminal phase
Barriers to a good end of life
lack of proper training
hospice care is poorly understood
rules and regulations limit getting hospice care
pain and symptom management is not sufficient
people dont want to stop treatment despite limits of medicine –> like giving up
hospice care
pallative care patients given home place in inpatient facility who need medical, psychological, spiritual, social support
number of hospices
increasing
hospice care includes
medicinal team
various appliances and drugs for symptoms and relief
counseling
bevreavement support
volunteer services
palliative care
quality of life and symptom management–> relieve suffering
difference between palliative care and hospice care
palliative care still offers specific treatment options like chemo that actually targets illnesses while hospice care stops that entirely
impact of palliative
people who recieved early palliative care tended to live longer than those who did not
hospice support
most insurance programs cover
medicare, medicaid
palliative care
philanthropy, hospitals support it themselves
hospice eligibility
doctor certification that patient is terminally ill with 6 months or less to live
choose to receive hospice care rather than curative treatment
