The Challenge of Appropriate Therapy

Question 1

setting goals of care with surviving sepsis campaign

Answer 1

• discuss goals of care and prognosis with patients and families (grade 1B)
• Incorporate goals of care into treatment and end‐of‐life care planning, utilizing palliative care principles where appropriate (grade 1B)
• Address goals of care as early as feasible, but no later than within 72 hours of ICU admission (grade 2C)

Question 2

what is palliative care

Answer 2

an approach that improves the quality of life of patients and families facing the problems associated with life-threatening illness, through the prevention and relief of suffering by means of early identification and impeccable assessment and treatment of pain and other problems, physical, psychosocial and spiritual

Question 3

who is responsible in palliative care

Answer 3

everyone

Question 4

challenge of palliative care

Answer 4

To provide optimal treatment and care for the dying person and family according to the needs of each individual irrespective of the setting of care

Question 5

know the illness trajectory graphs

Answer 5

OK

Question 6

how many ECOG performance statuses are there

Answer 6

5 (0, 1, 2, 3, 4)

Question 7

what happens in 0

Answer 7

fully active, able to carry out all pre disease performance without restriction

Question 8

what happens in 1

Answer 8

restricted in physical activity but ambulatory and able to carry out light work

Question 9

what happens in 2

Answer 9

ambulatory and capable of all self care but unable to carry out work activities; up and about for more than 50% of waking hours

Question 10

what happens in 3

Answer 10

capable of only limited self care; confined to be and chair more than 50% of waking hours

Question 11

what happens in 4

Answer 11

completely disabled; cannot carry out self care; totally confined to bed or chair

Question 12

what is the importance of ECOG performance status

Answer 12

to judge how aggressive treatment should be

Question 13

what are the phases of illness

Answer 13

curative, palliative, terminal

Question 14

what is the supremacy for the phases of illness

Answer 14

curative - survival

palliative and terminal - quality/value of life

Question 15

what is the toxicity for the phases of illness

Answer 15

curative - high
palliative - low
terminal - none

Question 16

are there nutritional/systems support for the phases of illness

Answer 16

curative - yes
palliative - maybe (for quality only)
terminal - no

Question 17

what are the priorities for care of the dying person

Answer 17

recognize
communicate
involve
support
plan and do