Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Special pops Exam 3 > Palliative And EOLC > Flashcards

Palliative And EOLC Flashcards

1
Q

Specialized care provided to patients with serious Illness with a goal of managing symptoms and helping patients to cope with their illnesses

A

Palliative care

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

A Medicare defined insurance benefit and is a form of palliative care that is focused on caring for patients with a life expectancy of 6 months or less

A

Hospice care

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What are the 5 common disease that cause patients to receive palliative care?

A
  1. Cancer
  2. HF
  3. COPD
  4. Organ failure ( liver or renal)
  5. Neurologic diseases
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What are 6 symptoms that need to be managed in palliative care?

A
  1. Pain
  2. Constipation
  3. N/V
  4. Anxiety
  5. Delirium
  6. Dyspnea
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What 4 things are used for a patient to be eligible for hospice care?

A
  1. Opinion of two physicians that agree the natural course of their disease will result in death in 6 months
  2. The hospice medical director determines and documents the terminal diagnosis
  3. Hospice medical director recertification eligibility at defined intervals
  4. Specific criteria based on hospice diagnosis must be met
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What PPS score is appropriate for hospice?

A

70% or less

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What are 3 common tools used to assess the quality of life in hospice?

A
  1. Palliative Performance Score
  2. ECOG
  3. FAST Scale
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What tool describes a patients level of functioning in terms of ability to care for themselves?

A

ECOG

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What tool assesses a patients ability to function and determine how to move toward end of life?

A

PPS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What tool identifies the progressive activity limitations associated with Alzheimer’s disease?

A

FAST Scale

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What are the 7 drugs that have potential harmful effects and no short term benefit?

A
  1. Statins
  2. Antihypertensives
  3. Antiglycemics
  4. Vitamins
  5. GI prophylactics
  6. Aspirin primary prevention
  7. Osteoporosis medications
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

When is hospice expected to pay for all medications?

A

For all medications related to the primary or secondary diagnosis or prognosis of 6 months or less to live

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Who is eligible for palliative care?

A

Anyone with a serious long term illness regardless of the stage

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Who is eligible for hospice care?

A

Anyone with a terminal illness whose doctor determines they have less than 6 months t9 live

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Can patients still get curative treatment when they are in hospice care?

A

No

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

How long can patients stay with palliative care?

A

Depends of insurance coverage

17
Q

How long can patients stay with hospice care?

A

As long as the patient is eligible

18
Q

When can palliative care start?

A

When a diagnosis is received

19
Q

When can a patient get started on hospice care?

A

When the illness is terminal or life limiting

20
Q

What are the 3 “early” signs for a predictive value of death in 3 days?

A
  1. Decreased level of consciousness
  2. Decreased performance status
  3. Dysphagia of liquids
21
Q

What are the 4 main medications used for end of life care?

A
  1. Morphine
  2. Lorazepam
  3. Haloperidol
  4. Atropine/scopolamine/glycopyrrolate
22
Q

What is preferable for patients with persistent nociceptive pain?

A

Scheduled around the clock analgesics

23
Q

What is the opioid conversion for Morphine (ORAL: IV/SQ)

A

3:1

24
Q

When switching from morphine to another analgesic, what should you do to the dose?

A

Decrease dose by 25-50% when switching to another opiate

25
Q

What are the 7 non pharmacologic interventions?

A
  1. Music
  2. Aromatherapy
  3. Massage
  4. Touch
  5. Active listening
  6. Therapeutic presence
  7. Empathy

Special pops Exam 3 (4 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions