Lec 07 Terminal Care

Question 1

What are the components of care for a dying patient?

Answer 1

physiological comfort, physical comfort, social comfort, spiritual comfort, bereavement support

Question 2

What are the characteristics of hospice care?

Answer 2

• goal shifts from cure to care

* allow individuals to live fully and with as much comfort and dignity until death

Question 3

Who are the members of the multidisciplinary care team?

Answer 3

physicians, nurses, therapists, psychologists and paramedical personnel, educators, religious and social personnel, relatives and close family members

Question 4

Why is Nalbuphine not used in chronic care?

Answer 4

displaces other opioids from the mu-opioid receptors and will cause more pain

Question 5

What is the 4-principle approach to resolving bioethical issues?

Answer 5

beneficence, non-maleficence, respect for autonomy, justice

Question 6

What are the other “Principles of Healthcare”?

Answer 6

well-formed conscience, free and informed consent, professional communication

Question 7

T/F Men whine more when informed about terminal disease

Answer 7

T - men worry more due to breadwinner status

Question 8

T/F When the patient’s family tells you to withhold information from the patient, you should do so.

Answer 8

F - patient has the right to know about his condition

Question 9

What are the stages that patients go through when hearing bad news?

Answer 9

Denial
Anger
Bargaining
Depression
Acceptance