Palliative care

Question 1

Aims of palliative care

Answer 1

provides relief from pain + other distressing symptoms
affirms life and regards dying normal process
intends neither hasten nor postpone death
integrates psychological and spiritual aspects of patient care
offers a support system to help pt live as actively as possible until death
offers a support system to help family cope during patients illness and in their own bereavement
uses team approach address needs of patients and their families - including bereavement counselling, if indicated
will enhance QOL and may also positively influence course of illness
applicable early in course of illness - in conjunction with other therapies that are intended to prolong life such as CT, RT and includes those investigations needed

Question 2

Palliative care for children

Answer 2

active total care of the child’s body, mind and spirit and also involves giving support to the family

Question 3

Treat pain

Answer 3

mild pain - acetaminophen or NSAID
moderate-severe pain - NSAID, acetaminophen, morphine
NO CODEINE

Question 4

Non pharmacological pain management

Answer 4

distraction - bubbles
muscle relaxation
guided imagery - focusing on pleasant activity “safe place”
hypnosis

Question 5

Good death?

Answer 5

adequate pain and symptom management
avoiding inappropriate prolongation of dying
a sense of control
strengthening relationships with loved ones