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Week 1 Psych > May Lecture > Flashcards

May Lecture Flashcards

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1
Q

What are the 3 meds given to every dying patient

A

opioid
benzo
glycopyrrolate

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2
Q

what med is given for pain and dyspnea

A

opioid

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3
Q

what med is given for anxiety and aggitation

A

benzo

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4
Q

what is given for terminal secretions

A

glycopyrolate

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5
Q

do opiods may patients die faster

A

yes

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6
Q

what are 4 things that dying patients need to hear

A

i forgive you
i love you
thank you
please forgive me

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7
Q

what are the logistics of death

A 
pronounce - provider
notify next of kin 
notify decedent affairs
notify medical examiner
notify tn donor services
notify funeral home
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8
Q

what are 3 things to remember about opiates at end of life

A

inform patient of side effects
palliate - provide symptom relief
do not intend death

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9
Q

a patient has a religous objection to a child getting life limb sustaining treatment what allows you to get a court order

A

parens patriae

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10
Q

if a patient lacks decisional capacity what allows you to have decision making processes to seek and protect the patient

A

parens patriae

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11
Q

what does decision making capacity mean

A

possing adequate cognitive capcity to provide consent or refusal for ones own healthcare decisions

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12
Q

what are the 4 major elements of decisional capacity

A

understanding
reasoning
situation appreciation
communicate choice

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13
Q

is dmc the same as competence

A

false

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14
Q

who determines capacity vs competency

A 
capacity = medical 
competence = legal
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15
Q

who is the onus on to assess capacity

A

the physician

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16
Q

if you are uncertain about capacity which side should you err on

A

on the side of capacity

17
Q

what does situation appreciation mean

A

does the patient grasp the significance of the decision

how does the situation affect the patietn now

how might the patient be affected by their choice

os the patients thinking strongly affected by delusional beleifs

18
Q

what are 2 things that make up evidencing a choice

A

clearly communicate a choice

does not unduly waver or flip flop in their choice

19
Q

what are some triggers to evaluate DMC

A 
Learning  or cognitive disabilty 
delerium 
dementia
mental illness
medical conditions
psyciatric symptoms
advanced age
polypharm
20
Q

are there certain mental illnesses that prevent a patient from having DMC

A

NO

21
Q

Are pyschiatrists needed to consult DMC

A

no they are no better at assessing , but they can help because they do it so much

Week 1 Psych (7 decks)

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