Preface Worldwide status of PC Flashcards
Sidell et all identified four patterns of dying. What are they?
Sudden death
terminal illness
organ failure
frailty
Describe the “rights ethos” that exists in PC
Suffering can and must be relieved
List four traits that the modern PC provider must have
care
compassion
empathy
justice
What is resilience in PC?
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
List three broad areas of research that are required in PC
communication service delivery quality ethics biomedical psychosocial
What is the access to opioid medication europe project and what approach does it take to the use of opioids
Aim: improve access in 12 euro countries where there is low morphine use per capita
what are three aspects of education curriculum?
formal
informal
hidden
What is the cardinal goal of medicine when cure no longer possible
Relief of suffering
What is suffering?
Adverse experience characterized by perception of personal distress that is generated by factors that undermine QOL
List two major domains that contribute to suffering (5)
Physical Psychological Spiritual Family Social
Three main categories of GOC
Prolonging survival
optimizing comfort
optimizing function
List the 4 most common bothersome symptoms for youth in PC
Physical fatigue
Decreased mobility
Pain
Decreased appetite
List five factors that contribute to psychological distress in PC
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
3 spiritual needs of a patient in PC
overcoming fears finding hope finding meaning in life finding spiritual resources having someone to talk about meaning of life and death
List four sources of psychological distress for family members in PC
emotional strain physical demands uncertainty fear patient will die alteration in role and lifestyle financial concerns perceived inadequacy of care sexuality existential concerns
What are the four major triggers/transitions that result in grief or loss
unrecoverable weakness
loss of mobility
loss of ability to do personal care
loss of mental clarity
List three factors which identify families at risk of distress
perceived lack of caregiver social support caregiver hx drug/etoh abuse poor caregiver coping skills caregiver hx mental illness pt is child
List three protective factors that suggest a family will cope well when a loved one is in PC
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
List three factors which contribute o health care worker distress in PC
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
