Palliative Care Flashcards
what is the PURPOSE of palliative care?
- enhances choice
- relieves suffering
- ensures quality of care during living, dying and grieving
what is palliative care?
- holistic approach
- focuses on physical, social, psychological and spiritual suffering
- help to fulfill goals
- provide comfort and quality of life
- child and family centred approach
- based on shared decision-making
- sensitivity to culture, values and beliefs
palliative care regards dying as a process that is _______________
personal
what is the leading cause of non-accidental death in children?
cancer
palliative care is NOT limited to ___________________
end of life care
when should palliative care be built in?
initiation of any treatment plan
what did the TRADITIONAL model focus on?
cure
palliative
death
what does the hospice palliative care model focus on?
- therapy to modify disease
- therapy to relieve suffering
- end of life care
- bereavement care (death)
palliative care ENHANCED model
- moves between management and palliative care
- fluid shift depending on trajectory
how can we provide social, psychological, emotional and spiritual support?
- support caregivers
- offer information and teaching
- assist with their daily tasks
form the moment of diagnosis the ___________________ is often foremost in a parent’s mind
threat of death
parents bear a heavy responsibility for _____________________
- care of the child
- decision making on the child’s behalf
what should siblings be encouraged to do?
- be involved in care
- ask questions
we should assume that the child ________________________
- knows more than we think
- is always right
how does palliative care for children differ?
- overwhelmed
- developmental levels
- what are they missing out on in life?
- different skills and needs
- communicate differently
- understanding their illness, death and dying
how can we help to facilitate better reintegration to normal life?
reach out and inform, schools, teachers, friends and family
what are some ethical considerations for palliative care?
- ability to consent
- information that can be shared with family
- decision making
- pain management
- life sustaining treatments, DNR
what are some important end-of-life supports that are in place for families?
- open door policy
- parents can access peds 24/7
- physician provides home care
- supporting final arrangements
when are siblings typically impacted by loss and grief?
year later
does the child have to be terminally ill or at end of life for palliative care?
NO
does the child need to be DNR for hospice care?
NO
does palliative care mean abandoning all disease-directed treatment?
NO
do opioids cause respiratory depression or quicken death?
NO
