Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Selected Topics > Hospice > Flashcards

Hospice Flashcards

1
Q

definition: a place of rest or shelter for the ill and wearly

A

hospice

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What are the goals of hospice?

A
  • QOL
  • self-determined closure of life
  • patient/family-care independence
  • effective grieving and support for the family
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

How is hospice covered?

A

Medicare A and Private insurance

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What are the requirements for hospice?

A

physician certification of a life-limiting illness and prognosis of less than 6 months to live

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

(true/false) Hospice care cannot exceed 6 months.

A

False (it can)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Can a person graduate from or discontinue hospice and then return at a later time in life?

A

Yes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Where do most patients pass away while receiving hospice?

A

Their place of residene

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

How many Americans receive hospice each year?

A

1.7 million

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Majority of people receiving hospice are > ____ y/o

A

85 y/o (white females are most common)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What are the top diagnoses in hospice?

A
  1. cancer
  2. dementia
  3. heart disease
  4. lung disease
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What are the four levels of hospice care?

A
  1. routine
  2. respite
  3. inpatient
  4. continuous
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Hospice level:
- traditional hospice in patient home or facility
- intermittent services by the multi-disciplinary team

A

routine level

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Hospice level:
- break for families when patient lives at home
- will bring the patient into SNF or a hospice house for short periods of time
- rest for the family

A

Respite level

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Hospice level:
- hospice inpatient unit
- short stay
- acute symptom mgmt
- often at very end of life if patient is having severe pain and can not be managed
- needs extensive IV pain medication

A

Inpatient level

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Hospice level:
- 24 hours in home or faciity
- combination of SN, HHA, LPN, and MSW
- for short periods of time to manage periods of significant disease exacerbation

A

continuous level

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

definition:
Legal Document that contains information regarding what care you want at end of life

  • Emergency persons may not follow because it is not a physician order
  • Need to have a copy with patient and in Chart
A

advanced directive

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

(true/false) advanced directives are a physician order.

A

FALSE

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What are the two components of an advanced directive?

A
  • living will
  • POA
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

definition:
-Legal document that expresses an individual’s care wishes
- Can guide care at end of life but can be overridden by healthcare providers and power of attorney
Outlines life-sustaining interventions such as Ventilation, Feeding tubes, Dialysis

A

living will

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

definition: person legally assigned to act and make decisions for someone financially and/or medically

A

POA

21
Q

definition:
Documents what medical care you want at end of life or during an emergency that can be changed any time by you and your physician

  • Will be honored by medical facilities
  • Meant for individuals with serious illness or at the end of their life
A

POLST (physician orders for life-sustaining treatment)

22
Q

(true/false) POLST documents are not a physician order

A

FALSE (it is)

23
Q

POLST documents are (medical/legal) documents.

A

Medical

24
Q

(true/false) POLST documents are available in every state.

A

False

25
Q

Are POLST documents available in PA?

A

yes

26
Q

(true/false) The 5 wishes can act as a living will completed by the patient AND family.

A

True

27
Q

definition: multidisciplinary and holistic assessment and management of physical, psychosocial and spiritual symptoms, with the goal of alleviating suffering

A

palliative care

28
Q

What is the goal of palliative care?

A

pain and symptom management

29
Q

Palliative care (is/is not) paid for by hospice benefit

A

is not

30
Q

(true/false) Palliation of symptoms is part of hospice but the program entitles “palliative care” is different.

A

true

31
Q

Who covers palliative care program costs?

A

Medicare A or B (depending on location)

–> some private insurances (EX: highmark includes this as a member benefit)

32
Q

Where is palliative care provided?

A
  • hospital
  • outpatient facility
  • home health
  • nursing homes
33
Q

What is considered as a bridge to hospice for patients?

A

Palliative care

34
Q

Who makes up the hospice team?

A

Physician
RN
MSW
Therapy
HHA
Spiritual and Bereavement support
Volunteers

35
Q

Who makes up a palliative care team?

A

Medical Model
Lead by physician or NP

36
Q

What is the description of cancer trajectory for functional decline?

A

Steady decline over time w/ aggressive intervention and then has a sharp decline

37
Q

What is the description of organ failure trajectory for functional decline?

A

Long term limitation with short severe periods of exacerbations followed by recovery to a lesser extent

38
Q

What is the description of frailty/dementia trajectory for functional decline?

A

Slow steady decline with intermittent social and medical complications triggering more decline

39
Q

definition: Palliative Care/Hospice documentation of patient decline over time that includes:
- Ambulation
- Evidence of the disease
- Self care
- Food Intake
- Level of Consciousness

A

Palliative Performance Scale (PPS)

40
Q

What is the most common assessment tool in hospice that can bbe used with ALL patients at ALL stages?

A

Palliative Performance Scale (PPS)

41
Q

(true/false) You can move in multipe directions on the PPS scale

A

true

42
Q

(true/false) you can move in multiple directions on the Functional Assessment Scale (FAST)

A

False

43
Q

definition: Assessment scale that was developed in 1984 to help identify Alzheimer’s/dementia patients at end of life:

Seven Stages of development:
- Normal without decline
- Normal with mild memory loss
- Early stage dementia
- Mild dementia
- Moderate dementia
- Moderately severe dementia
- Severe dementia

A

Functional Assessment Scale (FAST)

44
Q

definition: Examines patient symptoms
- Valuable in determining effectiveness of interventions
- Nine symptoms assessed on scale of 0-10

A

edmonton symptom assessment scale (ESAS)

45
Q

definition: Reliable and valid tool for assessing the impact of care giving that can be helpful for goal setting especially in case management

brief and easy to use

Measures strain in 5 major domains:
Financial
Physical
Psychological
Social
Personal

A

caregiver strain index

46
Q

(true/false) The end of life disease trajectory for functional decline is predictable for several diagnoses

A

True

47
Q

_____ tools play a role in managing patients at the end of life

A

Evidence based tools

48
Q

The ____ model provides a model of intervention based on disease trajectory.

A

Briggs Palliative Care Model

Selected Topics (8 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions