Preface Worldwide status of PC

Question 1

Sidell et all identified four patterns of dying. What are they?

Answer 1

Sudden death
terminal illness
organ failure
frailty

Question 2

Describe the “rights ethos” that exists in PC

Answer 2

Suffering can and must be relieved

Question 3

List four traits that the modern PC provider must have

Answer 3

care
compassion
empathy
justice

Question 4

What is resilience in PC?

Answer 4

Resilience is the quality that enables health care provdiers to cope, adapt, and continue giving and growing despite the tidial surge of suffering that we dare to confront

Question 5

List three broad areas of research that are required in PC

Answer 5

communication
service delivery
quality
ethics
biomedical
psychosocial

Question 6

What is the access to opioid medication europe project and what approach does it take to the use of opioids

Answer 6

Aim: improve access in 12 euro countries where there is low morphine use per capita

Question 7

what are three aspects of education curriculum?

Answer 7

formal
informal
hidden

Question 8

What is the cardinal goal of medicine when cure no longer possible

Answer 8

Relief of suffering

Question 9

What is suffering?

Answer 9

Adverse experience characterized by perception of personal distress that is generated by factors that undermine QOL

Question 10

List two major domains that contribute to suffering (5)

Answer 10

Physical 
Psychological 
Spiritual 
Family
Social

Question 11

Three main categories of GOC

Answer 11

Prolonging survival
optimizing comfort
optimizing function

Question 12

List the 4 most common bothersome symptoms for youth in PC

Answer 12

Physical fatigue
Decreased mobility
Pain
Decreased appetite

Question 13

List five factors that contribute to psychological distress in PC

Answer 13

Presence of advanced
Distressing physicial symptoms
disability
Feelings of frustration/hopelessness
lack of perceived support from loved ones
economic concerns
impaired cognitive abilities
unsatisfactory communication

Question 14

3 spiritual needs of a patient in PC

Answer 14

overcoming fears
finding hope
finding meaning in life
finding spiritual resources
having someone to talk about meaning of life and death

Question 15

List four sources of psychological distress for family members in PC

Answer 15

emotional strain
physical demands
uncertainty
fear patient will die
alteration in role and lifestyle
financial concerns
perceived inadequacy of care 
sexuality 
existential concerns

Question 16

What are the four major triggers/transitions that result in grief or loss

Answer 16

unrecoverable weakness
loss of mobility
loss of ability to do personal care
loss of mental clarity

Question 17

List three factors which identify families at risk of distress

Answer 17

perceived lack of caregiver social support
caregiver hx drug/etoh abuse
poor caregiver coping skills
caregiver hx mental illness
pt is child

Question 18

List three protective factors that suggest a family will cope well when a loved one is in PC

Answer 18

Ability to work cohesively
Prior successful experiences handling stress
good coping strategies
family stability
finanical security
availability of outside support
readiness to view difficult period as growth producing

Question 19

List three factors which contribute o health care worker distress in PC

Answer 19

field where pt have high morbidity and mortality
high work pressure
frequent life and death decisions in ambiguous circumstances
high consumer expections
interstaff conflict
high pt family expectation