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katse101 > Management of Selected Non-pain II > Flashcards

Management of Selected Non-pain II Flashcards

1
Q

When pain persists without meaning, it becomes what?

A

Suffering

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2
Q

When an individual feels voiceless, what happens?

A

Suffering

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3
Q

What are the four aspects of total pain?

A

Physical pain
Mental anguish
Spiritual suffering
Emotional distress

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4
Q

When should you suspect suffering?

A

When physical pain > lesion

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5
Q

Which factor of total pain particularly exacerbates physical pain?

A

Spiritual pain

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6
Q

When do deep wounds from childhood present themselves?

A

End of life

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7
Q

What are the four predictors of suffering?

A
  1. Regret for past events
  2. Current marital probs
  3. Little social support
  4. Pessimistic attitude toward life
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8
Q

What is the difference between pain and suffering?

A

Split between self and now malfunctioning body

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9
Q

When does suffering occur, according to Cassell?

A

When there is a threat to the integrity of the person

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10
Q

True or false: suffering is intensely personal

A

True

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11
Q

Suffering is about the loss of what?

A

Control

Relationship b/t body

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12
Q

Does suffering need to be fixed?

A

No–we usually cannot

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13
Q

Loss of control creates a sense of what?

A

insecurity

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14
Q

Can suffering be greater in the caregiver?

A

Yes

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15
Q

What is the three aspects of suffering in terms of loss or relationships?

A

To others
To previous body
Diminishment of the person

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16
Q

Does a body suffer?

A

No, only the person

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17
Q

True or false: human suffering requires the felt loss of meaning and purpose

A

True

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18
Q

Is meaning central to the human experience?

A

Yes

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19
Q

When a pt raises a question, what should you do?

A

Listen, rather than give an answer. Most of the time, they just want to talk

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20
Q

True or false: you can’t solve suffering

A

True

21
Q

What are the four common goals of care in serious illness?

A
  1. Control pain
  2. Alleviate psychosocial probs
  3. Communicate well
  4. Empathy
  5. Foster hope
22
Q

When should you suspect psychological and spiritual pain?

A

At end of life

23
Q

How do you start the psychosocial assessment?

A

Express an interest and ask a question

24
Q

What should you listen for when listening to a pt during a psychosocial assessment?

A

Broader meanings

25
Q

Why is it important to communicate effectively? (3)

A
  • Increases their sense of control/worth
  • Reduces symptoms
  • Creates a bond
26
Q

True or false: hope is an essential to quality of life

A

True

27
Q

What are the hope strategies?

A
  • control pain
  • develop relationships
  • humor
  • reminisce
28
Q

What does it mean to be present?

A

Allow oneself to be exposed to suffering

29
Q

Can presence cure suffering?

A

nope

30
Q

What is spirituality?

A

An awareness that there are levels of reality not immediately apparent, and that there is a quest for personal integration

31
Q

Spiritual activity is largely relational with what? (3)

A

Self
Others
The Other

32
Q

What is the most important part of assesses spirituality?

A

Humanity

33
Q

What are the three aspects of assessing spirituality?

A
  1. Listen
  2. Enable conversation
  3. Don’t let personal beliefs get in the way
34
Q

What is the FICA model of spirtual assessment?

A

Faith
Importance
Community
Address/action in care

35
Q

What is the HOPE model of spirtual assessment?

A
  • Hope = what are sources of hope
  • Organized religion
  • Personal spirituality/practices
  • Effects on medical care
36
Q

What are the three parts to the conversational approach to assessing spirituality?

A
  • Determine sense of crises
  • Determining spiritual connections
  • Identify care gates
37
Q

What determines an individual’s sense of crises?

A 
Disruption
Discomfort
Disfigurement
Disability
Death
38
Q

What are the three outcomes of the spiritual connection assessment?

A

Connected
Unconnected
Disconnected

39
Q

What is the awareness of the holy gate?

A

Having something that is sacred

40
Q

What is the sense of providence gate?

A

Something beyond self

41
Q

What is a sense of faith gate?

A

Is there there a sense of openness toward life

42
Q

What is the sense of grace gate?

A

Being grateful

Be a blessing to others

43
Q

What is the “sense of repentance” gate?

A

Seek to change

44
Q

What is the “sense of communion” gate?

A

Feeling of connection to others or an Other

45
Q

What is the “sense of vocation” gate?

A

Purpose in life

46
Q

What is the value of the gates of care?

A

Identify strengths
Weaknesses
Touchstone for spiritual care

47
Q

Why are referrals important to end of life?

A

Keeps caregiver’s role clear

48
Q

What are the three responses to suffering of health care professionals?

A

Self assessment
Self reflection
Self care

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