Module 14 Palliative care

Question 1

Palliative care

Answer 1

patient and family centered care that optimized quality of life by anticipating, preventing, and treating suffering.
- not to hasten death or postpone life

Question 2

palliative care addresses

Answer 2

throughout the continuum of illness
- physical
- intellectual
- emotional
- social
- spiritual 
Facilitates autonomy, access to info, and choice

Question 3

Palliative care focuses on providing

Answer 3

patients with relief from

• s/s
• pain
• stress

Question 4

Palliative care is appropriate for

Answer 4

any age
any stage in a serious illness
can be provided with a curative treatment

Question 5

Hospice care

Answer 5

a specific type of palliative care for individuals with a life expectancy of months, not years.

Question 6

Core elements of palliative care

Answer 6

aligning treatment
patient goals
basic symptom management
- managed by PCP

Question 7

3 models of palliative care

Answer 7

consultative
co-management
primary management

Question 8

consultaive model

Answer 8

the palliative team will act solely in the consultant role

- provides recommendations

Question 9

co-management model

Answer 9

palliative care specialist may assume management of one or more aspects of the care plan

Question 10

Primary management

Answer 10

palliative care assumes the overall care of the patient

- rare, usually if pt does not have PCP

Question 11

Palliative care consultation points

Answer 11

PMH
social, emotional, spiritual hx
ROS
recommendations for symptom management
Advance care planning
discussion of illness, tx, and pt values
goals of care
points of conflict

Question 12

SPIKES communication

Answer 12

setting
perception: what pt knows of illness
invitation: how much do they want to know
knowledge: share info in a straightforward, sensitive way
empathize: allow time to express feelings, validate
summary

Question 13

NURSE communication

Answer 13

Name the emotion
Understand the emotion
Respect the patient
Support the patient
Explore the emotion

Question 14

Ask-Tell-Ask communication

Answer 14

Ask: the pt to tell their understanding
Tell: relay info in an understandable manner
Ask: pt if they understand, teach back

Question 15

advance care planning

Answer 15

understand patient preferences
- identify goals 
- recognize goals may change
Main goal:
- help medical care be consistent with pt values

Question 16

Advance care planning documents

Answer 16

Advance directive
Power of attorney
Living will/ instructional directives

Question 17

Power of attorney

Answer 17

person identified to serve as a surrogate for decision-making

• consults with physicians
• views medical records
• makes all decisions related to health care, according to wishes of pt

Question 18

living will

Answer 18

provide direction about the type and amount of medical care desired when the person becomes incapacitated

Question 19

Advanced directive

Answer 19

must be executed by an individual with decision-making capacity
explaining whether or not a person wants to be on life support if they fall terminally ill and will die shortly without life support,
- or falls into a coma or persistent vegetative state and lacks decisional capacity.

Question 20

Health care proxy

Answer 20

who is closest to the patient at the time being

• cannot override a valid living will, or CPR directive
• not authorized to make decisions other than directly related to health care.

Question 21

POLST

Answer 21

physician orders for life sustaining treatment

Question 22

Benson’s tips

Answer 22

1. identify the need for a conversation
2. clarify the prognosis
3. prepare for the conversation
4. determine goals of care
5. create and document plan
6. offer support