Palliative Care - FM

Question 1

What is the primary goal of palliative care?

Answer 1

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

Question 2

Who founded the first modern hospice, and when?

Answer 2

Dame Cicely Saunders in 1967.

Question 3

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

Answer 3

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

Question 4

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

Answer 4

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

Question 5

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

Answer 5

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

Question 6

What are the six strategies of primary palliative care?

Answer 6

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

Question 7

Describe the rapid trajectory of illness.

Answer 7

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

Question 8

What are the common limitations of home palliative care?

Answer 8

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

Question 9

Name three models of palliative care delivery.

Answer 9

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

Question 10

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

Answer 10

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

Question 11

Why is community involvement crucial in palliative care?

Answer 11

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

Question 12

What is the significance of hospice-based outpatient clinics?

Answer 12

They provide early palliative care access and specialist services.

Question 13

How does hospice care improve quality in nursing homes?

Answer 13

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

Question 14

What are the attributes of quality palliative care?

Answer 14

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

Question 15

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

Answer 15

It is often the only accessible level of care.

Question 16

What is the main aim of community palliative care?

Answer 16

To support caregivers and integrate care into the community.

Question 17

Why is communication essential in palliative care?

Answer 17

It ensures understanding of needs and aligns care goals.

Question 18

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

Answer 18

They bridge palliative and active treatments in complex cases.

Question 19

Name two benefits of early palliative care referrals.

Answer 19

Better symptom management and emotional support.

Question 20

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

Answer 20

It ensures care plans meet specific expectations and needs.

Question 21

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

Answer 21

Primary care teams.

Question 22

Define holistic care in the context of palliative care.

Answer 22

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

Question 23

List one benefit of palliative care at home.

Answer 23

Greater autonomy and comfort for patients.

Question 24

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

Answer 24

Enhancing primary palliative care delivery through advanced practices.

Question 25

What is the historical importance of St. Christopher’s Hospice?

Answer 25

It was the first modern hospice, setting the standard for care.

Question 26

Describe the gradual frailty trajectory of illness.

Answer 26

A variable trajectory with prolonged support for functional and cognitive decline.

Question 27

What is one key consideration in developing a palliative care model?

Answer 27

Accessibility, affordability, sustainability, and effectiveness.

Question 28

How does palliative care address spiritual needs?

Answer 28

By integrating spiritual care as part of holistic treatment.

Question 29

What role do family caregivers play in palliative care?

Answer 29

They provide emotional and practical support during care and bereavement.

Question 30

How does integration improve the continuity of care in palliative services?

Answer 30

It allows seamless transition across care settings based on patient needs.