Management of Selected Non-pain II

Question 1

When pain persists without meaning, it becomes what?

Answer 1

Suffering

Question 2

When an individual feels voiceless, what happens?

Answer 2

Suffering

Question 3

What are the four aspects of total pain?

Answer 3

Physical pain
Mental anguish
Spiritual suffering
Emotional distress

Question 4

When should you suspect suffering?

Answer 4

When physical pain > lesion

Question 5

Which factor of total pain particularly exacerbates physical pain?

Answer 5

Spiritual pain

Question 6

When do deep wounds from childhood present themselves?

Answer 6

End of life

Question 7

What are the four predictors of suffering?

Answer 7

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

Question 8

What is the difference between pain and suffering?

Answer 8

Split between self and now malfunctioning body

Question 9

When does suffering occur, according to Cassell?

Answer 9

When there is a threat to the integrity of the person

Question 10

True or false: suffering is intensely personal

Answer 10

True

Question 11

Suffering is about the loss of what?

Answer 11

Control

Relationship b/t body

Question 12

Does suffering need to be fixed?

Answer 12

No–we usually cannot

Question 13

Loss of control creates a sense of what?

Answer 13

insecurity

Question 14

Can suffering be greater in the caregiver?

Answer 14

Yes

Question 15

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

Answer 15

To others
To previous body
Diminishment of the person

Question 16

Does a body suffer?

Answer 16

No, only the person

Question 17

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

Answer 17

True

Question 18

Is meaning central to the human experience?

Answer 18

Yes

Question 19

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

Answer 19

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

Question 20

True or false: you can’t solve suffering

Answer 20

True

Question 21

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

Answer 21

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

Question 22

When should you suspect psychological and spiritual pain?

Answer 22

At end of life

Question 23

How do you start the psychosocial assessment?

Answer 23

Express an interest and ask a question

Question 24

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

Answer 24

Broader meanings

Question 25

Why is it important to communicate effectively? (3)

Answer 25

- Increases their sense of control/worth - Reduces symptoms - Creates a bond

Question 26

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

Answer 26

True

Question 27

What are the hope strategies?

Answer 27

- control pain - develop relationships - humor - reminisce

Question 28

What does it mean to be present?

Answer 28

Allow oneself to be exposed to suffering

Question 29

Can presence cure suffering?

Answer 29

nope

Question 30

What is spirituality?

Answer 30

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

Question 31

Spiritual activity is largely relational with what? (3)

Answer 31

Self Others The Other

Question 32

What is the most important part of assesses spirituality?

Answer 32

Humanity

Question 33

What are the three aspects of assessing spirituality?

Answer 33

1. Listen 2. Enable conversation 3. Don't let personal beliefs get in the way

Question 34

What is the FICA model of spirtual assessment?

Answer 34

Faith Importance Community Address/action in care

Question 35

What is the HOPE model of spirtual assessment?

Answer 35

- Hope = what are sources of hope - Organized religion - Personal spirituality/practices - Effects on medical care

Question 36

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

Answer 36

- Determine sense of crises - Determining spiritual connections - Identify care gates

Question 37

What determines an individual's sense of crises?

Answer 37

``` Disruption Discomfort Disfigurement Disability Death ```

Question 38

What are the three outcomes of the spiritual connection assessment?

Answer 38

Connected Unconnected Disconnected

Question 39

What is the awareness of the holy gate?

Answer 39

Having something that is sacred

Question 40

What is the sense of providence gate?

Answer 40

Something beyond self

Question 41

What is a sense of faith gate?

Answer 41

Is there there a sense of openness toward life

Question 42

What is the sense of grace gate?

Answer 42

Being grateful Be a blessing to others

Question 43

What is the "sense of repentance" gate?

Answer 43

Seek to change

Question 44

What is the "sense of communion" gate?

Answer 44

Feeling of connection to others or an Other

Question 45

What is the "sense of vocation" gate?

Answer 45

Purpose in life

Question 46

What is the value of the gates of care?

Answer 46

Identify strengths Weaknesses Touchstone for spiritual care

Question 47

Why are referrals important to end of life?

Answer 47

Keeps caregiver's role clear

Question 48

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

Answer 48

Self assessment Self reflection Self care