Palliative Care - FM Flashcards

1
Q

What is the primary goal of palliative care?

A

To provide holistic care addressing physical, emotional, social, and spiritual needs.

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2
Q

Who founded the first modern hospice, and when?

A

Dame Cicely Saunders in 1967.

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3
Q

What is the main difference between hospice care and palliative care?

A

Hospice care focuses on end-of-life, while palliative care is broader and includes earlier stages of illness.

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4
Q

Name one key component of the WHO Public Health Model for palliative care.

A

Appropriate policies, drug availability, education, or service implementation.

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5
Q

Why is early integration of palliative care important in chronic disease management?

A

It allows for adaptation to disease progression and redefinition of care goals.

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6
Q

What are the six strategies of primary palliative care?

A

Identifying patients early, addressing all aspects of care, community-based availability, support for caregivers, global access, and focus on needs, not prognosis.

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7
Q

Describe the rapid trajectory of illness.

A

A predictable course with a short decline, often seen in cancer.

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8
Q

What are the common limitations of home palliative care?

A

Challenges include lack of family support, financial constraints, or need for specialised care.

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9
Q

Name three models of palliative care delivery.

A

Home care, hospice care, outpatient clinics, inpatient hospice units.

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10
Q

What does the Gold Standards Framework approach emphasise in primary palliative care?

A

Identifying patients needing support, assessing needs, and planning future care.

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11
Q

Why is community involvement crucial in palliative care?

A

It helps normalise end-of-life discussions and supports practical care.

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12
Q

What is the significance of hospice-based outpatient clinics?

A

They provide early palliative care access and specialist services.

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13
Q

How does hospice care improve quality in nursing homes?

A

Improves symptom control, reduces hospital admissions, and enhances family satisfaction.

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14
Q

What are the attributes of quality palliative care?

A

Communication, coordination, symptom control, caregiver support, and continuity.

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15
Q

What is the role of primary care in palliative care delivery in less developed countries?

A

It is often the only accessible level of care.

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16
Q

What is the main aim of community palliative care?

A

To support caregivers and integrate care into the community.

17
Q

Why is communication essential in palliative care?

A

It ensures understanding of needs and aligns care goals.

18
Q

How do palliative care consult teams in acute care facilities function?

A

They bridge palliative and active treatments in complex cases.

19
Q

Name two benefits of early palliative care referrals.

A

Better symptom management and emotional support.

20
Q

Why is understanding patient and family needs vital in palliative care?

A

It ensures care plans meet specific expectations and needs.

21
Q

What is the primary level of care for palliative services in developing countries?

A

Primary care teams.

22
Q

Define holistic care in the context of palliative care.

A

Comprehensive care addressing all dimensions of a patient’s life.

23
Q

List one benefit of palliative care at home.

A

Greater autonomy and comfort for patients.

24
Q

What is the role of advanced practice providers in outpatient palliative care?

A

Enhancing primary palliative care delivery through advanced practices.

25
What is the historical importance of St. Christopher's Hospice?
It was the first modern hospice, setting the standard for care.
26
Describe the gradual frailty trajectory of illness.
A variable trajectory with prolonged support for functional and cognitive decline.
27
What is one key consideration in developing a palliative care model?
Accessibility, affordability, sustainability, and effectiveness.
28
How does palliative care address spiritual needs?
By integrating spiritual care as part of holistic treatment.
29
What role do family caregivers play in palliative care?
They provide emotional and practical support during care and bereavement.
30
How does integration improve the continuity of care in palliative services?
It allows seamless transition across care settings based on patient needs.