palliative care part 1

Question 1

Principles of PC

Answer 1

-Non-abandonment
-Team-approach
-Continuum of care
- Bereavement support

Question 2

Non-abandonment

Question 3

Team-approach

Question 4

Continuum of care

Question 5

Bereavement support

Question 6

what does good palliative care look like(NB slide)

Question 7

Life-limiting conditions

Answer 7

• A condition that limits the activities of daily living.
• There is no cure, will most likely result in a shortened life span.
• e.g: chronic renal failure, cystic fibrosis, HIV and metastic cancer

Question 8

Life-threatening illness

Answer 8

• A condition where there is a more immediate like hood of death
• Curative treatment is feasible but may fail
• E.g: severe meningitis, PE,Early cancer

Question 9

Terminal illness

Answer 9

• An irreversible life-limiting or life-threatning illness
• There is no cure, will result in a rapid inevitable decline in function until death
• e.g

Question 10

When is the right ime to introduce PC

Answer 10

• disease course based
• Function based
• Treatment effect based

Question 11

Time-based vs function-based prognostication

Question 12

Three types of wellbeing trajectories

Answer 12

1. 2.Endstage chronic illnesss trajectory
   3.fraility/Dementia

Question 14

End stage chronic illness trajectory

Question 15

Fraility demetia

Question 16

SPICT

Question 17

Discussing prognosis: true or false
<20% have accurate perception
70-80% want to know: 15% don’t want to know
Majority do want to control timing

Question 18

Time vs function

Answer 18

dependence on care
pain ad other symptoms
Tiredness
Sadness
Drowsiness

Question 19

prognostic awareness is key

Answer 19

clinician: know when to integrate palliative care
Patient: define wishes for end of life