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FoPC year 3 > Tutorial 1 - end of life care > Flashcards

Tutorial 1 - end of life care Flashcards

1
Q

End of life care in community compared to hospital

A

continuity
knowledge of patient and family
allow time for conversation and planning

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2
Q

Most common causes of death

A

cancer and IHD

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3
Q

death in young

A

accidents = 38% deaths in boys and 23% in girls

suicide

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4
Q

Life expectancy increase in Scotland since 1861

A
  1. 3yrs for men

34. 1yrs for women

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5
Q

Terminal care

A

last phase of care when death is close

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6
Q

Who performs palliative care?

A

MDT
specialist palliative care units or hospices
macmillan nurses, CLAN
marie curie

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7
Q

Concepts of palliative care

A

identify early the patients that likely will need it

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8
Q

How do you know your patients are at palliative stage?

A

supportive and palliative care indicators tool

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9
Q

PPS use

A

communication tool - current functional level

prognostic value

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10
Q

What does PPS stand for?

A

palliative performance scale

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11
Q

WHO - palliative care

A

provide relief from pain and other distressing symptoms
affirm life and regard dying as normal process
neither hasten or postpone death
psychological and spiritual
offers support system - patient and family
bereavement counselling

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12
Q

A “good” death

A 
pain free
open acknowledgment of imminence of death 
death at home 
"aware" death - resolved
personal preference
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13
Q

Preferred place of care/death

A

home death - only 26%

most of final year spent at home

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14
Q

Tools to enable primary care to provide palliative care at home

A

cancer register
review patients
reflective practice

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15
Q

Breaking bad news

A 
listen 
set the scene 
find out what patient understands
find out how much patient wants to know 
share info with common language 
review and summarise
allow questions 
agree follow up and support
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16
Q

Reactions to bad news

A 
immobilisation - shock,anger
denial 
anger 
depression 
acceptance
17
Q

Hospices

A

15-20% deaths
MDT
underfunded

18
Q

Voluntary euthanasia

A

patients request

19
Q

non voluntary euthanasia

A

no request

20
Q

Physician assisted suicide

A

physician provides the means and advice for suicide

21
Q

euthanasia - legal or illegal in UK?

A

illegal

22
Q

Why do people request euthanasia?

A

unrelieved symptoms or dread of further suffering
depression
advanced disease

23
Q

Responses to euthanasia

A 
listen 
acknowledge the issue
explore reasons for request
explore ways to give more control to patient 
treatable options 
spiritual issues 
admit powerlessness

FoPC year 3 (5 decks)

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