palliative care

Question 1

what is palliative care

Answer 1

palliative medicine works for people who have symptoms from an illness which medicine cannot cure

Question 2

what is the focus of palliative care

Answer 2

quality of life

Question 3

According to WHO, what aspect of palliative care is important

Answer 3

pain control
other symptom:
psychological
social, spiritual problem
qualify of life

Question 4

who are some palliative patient

Answer 4

cancer
HIV/AIDS
COPD
neuromuscular disease with pending respiratory failure

Question 5

when does palliative care begin

Answer 5

• FEV1 less than 30% predicted
• o2 dependence
• left heart failure
• 1 or more hospital admission past year
• cachexia or weight loss
• increase dependence
• more than 70 yrs

Question 6

when does palliation begin in children

Answer 6

begins when illness is diagnosed and continues regardless of treatment directed at disease

Question 7

reasons of inadequate pain control

Answer 7

• reluctance of patient to report pain
• fear of medication and side effect
• want to be brave

Question 8

what is the purpose of inhaled morphine?

Answer 8

1. relief of SOB
   - ->increase exercise tolerance
   - ->decrease anxiety by decreasing SOB

Question 9

how to administer morphine sulphate?

Answer 9

start off at lower dosage, then see at what dosage that its helping the patient

starting out: 5ml of morphine and 3 ml of saline, Q2-4 , prn
*
if doesnt help, increase the dosage by 5 ml
*
nebuizing it is better because it bypass the first bypass mechanism

Question 10

what are the side effect of morphine

Answer 10

• contraindicated if patient is allergy to opiates

3. brnochospasm with reactive airway

Question 11

what are the stages of grief?

Answer 11

Shock:
denial
anger
bargining
depression
acceptance 

Guilt

Question 12

what are some commom symptoms as death approaches

Answer 12

diminish energy level
irregular breathing pattern
decrease LOC
impaired renal system
inadequate circulation
sensitive to light