Palliative Care Panel Flashcards
1
Q
What is the role of clinical nurse specialist?
A
- Coordinate HPC services
- Works at regional and local level to ensure systems are in place that meets family and patient needs
- Provides consultation and support in all locations
- Education
- Special projects
2
Q
What is the role of the clinical resource nurse?
A
- Coordinate clinical aspect of care by meeting with patients and families to determine goals of care and assist with complex care needs
- Acts as resource for primary care givers
- Palliative response nurse for BC NurseLine after hours service
- Education
3
Q
What is the role of the physician?
A
- Provide medical support to care program through direct consultation and by acting in an advisory capacity
- Attend weekly rounds
- Participate in planning and educational activities
4
Q
What is the role of the pharmacist?
A
- Provide consultative service to staff, physicians, patients and families regarding med/symptom management
- Participate in planning and education
5
Q
What is the role of the social worker?
A
- Work with patients and families to provide support and assist in realizing goals
- Counseling, requesting community services, advocating and providing bereavement support
- Case conferences and complex d/c planning
- Staff support
- Participates in team activities (e.g. rounds, planning, education)
6
Q
What is the role of the dietician?
A
- Works with patients and families to assess and provide nutritional support PRN
- Participate in hospital rounds
- Consultative service available for patients at home
7
Q
What is the role of the home support supervisor?
A
- Works with patient and family to develop a care plan
- Supervises community health workers and ensure they are providing appropriate care
- Education
8
Q
What is the role of the hospice society program manager?
A
- Coordinates services provided by hospice society volunteers (one to one support, hospital teams, vigil services)
- Provides training and support for volunteers
- Participate in HPC activities such as rounds and planning
9
Q
What is the nursing role?
A
- Nurses in all locations to manage day-to-day care for patients and families
- Using a holistic approach provides care to ensure all needs are met
10
Q
What is the role of rehab services?
A
- Assess patients functional and mobility issues, safety concerns and equipment needs
- Do interventions and teaching PRN
11
Q
What is the role of the spiritual care coordinator?
A
- Provide spiritual support, counseling and bereavement follow-up PRN
- Staff support
- Participates in team activities such as rounds, planning and education
12
Q
What is the palliative performance scale?
A
- Based on ambulation; activity and evidence of disease; self-care ability; intake; and conscious level
- 100% = full ambulation; normal activity, no evidence of dx; full self care; normal intake; full LOC
- 50% = Mainly sit/lie ambulation; unable to do any work, extensive dx; considerable assistance required for self-care; normal or reduced intake; full or confusion LOC
- 10% = totally bed bound; unable to do any activity, extensive dx; total care; mouth care only intake; drowsy or coma, +/- confusion
- 0% is death
- Determined based off of best-fit after assessment
13
Q
Who is eligible for BC palliative care benefits?
A
- Two types of benefits includes PharmaCare BC Palliative care drug plan and local health authority, which includes assessment and coverage for certain medical supplies and equipment
- Drug plan covers 100% of prescription meds needed for palliative care, and certain OTC drugs necessary to support care
- Supplies and equipment may include med administration supplies (e.g. syringes); IV therapy supplies; wound care supplies; equipment like walkers, commodes, hospital beds, etc.
- Anyone who wants to receive palliative care at home can ask HCP about assessment for eligibility, and HCP submits forms
14
Q
What makes up the medical orders for scope of treatment form?
A
- Code status (either CPR or CNR)
- A MOST designation indicating decisions regarding scope of medical interventions
- M1, M2, M3 or C1, C2
15
Q
What is M1?
A
- Supportive care, symptom management and comfort measures
- Allow natural death
- Transfer to higher level of care only if comfort needs not met in current location
16
Q
What is M2?
A
- Med treatments available within location of care
- Transfer to higher level of care only if patient’s comfort needs not being met
17
Q
What is M3?
A
- Full medical treatments excluding critical care, OR:
- C1: critical care interventions excluding intubation
- C2: critical care interventions including intubation and resuscitation
18
Q
Define: Advance care planning
A
- Process of a capable adult talking over their beliefs, values and wishes about the health care they wish to consent to or to refuse, with their HCP or family, in advance of a situation when they are incapable of making health decisions
- A advance care plan is a written summary
