Palliative Care

Question 1

ReSPECT Elements

Answer 1

1. Emergency care
2. Understanding of health and condition
3. What matters to me
   
   • Values
   • Things to avoid
4. Clinical recommendation
   
   • Extending life vs comfort vs balance
5. DNACPR
6. Capacity
7. Clinician signatures
8. Emergency contacts

Question 2

Nutrition Options in Palliations

Answer 2

Palliative Nutrition

1. PEG
   
   • Percutaneous endoscopic gastrostomy
2. RIG
   
   • Radiologically inserted gastrostomy
3. IV

Question 3

Pancreatic cancer

Presentation

Answer 3

Pancreatic cancer S&S

1. Painless obstructive jaundice
2. Weight loss
3. Upper abdominal/back pain
4. Steatorrhoea
5. Thirst/polyuria/nocturia-

Question 4

WHO Performance Status

- Scale

Answer 4

Performance Status Scale (WHO)

0. Normal
1. Restricted in strenuous
2. Unable to carry out any work
3. Limited self-care
4. Cannot self-care
5. Dead

Question 5

Lung Cancer

- Treatment for Stages I & II
- Treatment for Stages III & IV

Answer 5

Lung Cancer

Treatment for Stages I & II
1. Curative surgery

Treatment for Stages III & IV

1. Chemotherapy
2. Curative radiotherapy
3. Palliative care
4. Watchful waiting

Question 6

CPAP vs NIV

Answer 6

CPAP
- Constant positive pressure

NIV
- Bi-level of pressure (IPAP and EPAP)