Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

NURS 3510 - Supportive and Palliative Care > Week 1 > Flashcards

Week 1 Flashcards

1
Q

what is palliative care

A
  • a philosophy and approach to care that focuses on helping people live well
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

what is a chronic illness

A
  • illness that lasts a year or longer

- requires ongoing med care

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

what is a life-limiting illness

A
  • chronic disease or condition that doesn’t respond to curative treatments, leading to a terminal diagnosis
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

what is a life threatening illness

A

any chronic illness,
medical condition or allergy, such as diabetes, severe allergies, epilepsy, and asthma, that in
certain conditions, when left untreated or improperly treated, could lead to death

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

what is a terminal illness

A
  • a disease that cannot be cured or adequately treated and is reasonably expected to result in the death of the patient
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

what is a end-stage disease

A

The last phase in the course of a progressive disease

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

what is an advanced illness

A
  • when one or more conditions become serious enough that general health and functioning decline, and treatments begin to lose their impact
  • a process that continues to the end of life.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

on medical and surgical wards, pts have expressed umet nursing care needs r/t (6)

A
  • communication
  • self-management, autonomy, education
  • fundamental physical care
  • emotional and psychological care
  • personal sphere
  • privacy and dignity
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

what are the 4 interrelated aspects of an individual

A
  • physical
  • emotional
  • social
  • spiritual
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

what is the physcial aspect of an individual? what are examples?

A
  • includes physical health & fnxn

ex. ability to do ADLs, nutrition, hygeine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

describe the emotional aspect of an individual. what does it include?

A
  • our ability to understand, express, and manage emotions

- includes coping mechanisms, how we respond to other’s emotions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

describe the social aspect of an individual (4)

A
  • relating, interacting and communicating well with others
  • our bonds and connections with other people
  • what roles we have ex. sister
  • includes where born, how live, work, play, learn
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

describe the spiritual aspect of an individual (4)

A
  • connecting with what’s meaningful to you in a way that lightens or enriches your spirit
  • does not necessarily mean religion!
  • includes things that give us purpose, meaning, and hope
  • sense of “who am i” and “where am i going”
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

why is it important to address the whole person during care?

A
  • to maintain our pts dignity

- and dignity is associated w quality of life

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

what is dignity (3)

A
  • feeling valued and important
  • sense of self worth
  • state of physical, emotional, social, and spiritual comfort
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

what are some characteristics of dignity (2)

A
  • inherent to all of us

- highly individualized

17
Q

what 3 things can impact our dignity

A
  • illness-related concerns
  • nature & quality of interaction w others
  • personal perspectives and practices to preserve dignity
18
Q

in what way can nature and quality of interactions with others impact dignity (3)

A
  • our social support
  • privacy boundaries
  • care tenor (the attitude and behaviors of HCP)
19
Q

in what ways can illness-related concerns impact dignity (2)

A
  • symptoms can lead to physical and psychological distress & uncertainty
  • can impact our lvl of independence and ADLs
20
Q

how can personal perspectives impact our dignity and what practices can conserve dignity (5)

A
  • able to live in the moment
  • sense of normalcy
  • spiritual comfort
  • ability to maintain hope
  • ability to preserve roles
21
Q

what are 3 ways to get to know the whole person

A
  • formal assessment tools ex. OPQRSTU
  • observation
  • conversation
22
Q

how can observation help get to know the whole

A
  • observe the pt, interactions, and enviro

ex. consider pics in room, what they watch on tv etc.

23
Q

how can conversations help get to know the whole person (5)

A
  • includes convo w the pt, family, and healthcare team
  • ask open ended questions ex. what does a good day look like to you
  • talk about things other than illnesses
  • biographical approaches
  • storytelling and story sharing
24
Q

what are examples of unhelpful assessment techniques (7)

A
  • focusing on only one domain ex. physical
  • using inappropriate or technical language (ex. medical terms, labelling them as the cancer pt)
  • changing the subject
  • interupting
  • assumptions abt the pt
  • jumping to conclusions
  • asking leading questions that suggest right answers
25
Q

how can we assess the physical domain (4)

A
  • understand their diagnosis and treatment
  • H2T assessment
  • symptom assessment
  • OPQRSTU
26
Q

how can we assess the emotional domain (8)

A

observe/assess for

  • anxiety/fear
  • sadness
  • anger/irritability
  • positive motivation (do they have hope?)
  • burden (feelings of guilt to HCP, family)
  • disengagement/withdrawl
  • coping strategies
  • facial expressions
27
Q

how can we assess the social domain (7)

A

observe/assess/consider

  • relationships
  • ability to engage in leisure activities
  • ability to perform household chores (need help or independent?)
  • ability to perform ADLs
  • living accommodations (alone? w someone? any concerns?)
  • ability to work (retired? working? where?)
  • caregiviing role (are they supporting others?)
28
Q

how can we assess the spiritual domain (5)

A

assess/observe

  • sources of help or support(what gives them strength)
  • beliefs
  • spirituality
  • source of hope
  • meaning in life (what keeps them going, whats most meaningful to you)
29
Q

what is a simple question to ask that provides the pt with dignity

A
  • what do i do need to know about you as a person to provide you with the best care that I can
30
Q

what is the benefit to promoting expressions of personhood? what happens when we ignore it?

A
  • ignore = compromised dignity

- promote = dignity upheld

31
Q

describe the illness trajectory of cancer

A
  • function is typically high for a period of time, but then has a sharp decline
32
Q

describe the illness trajectory of organ failure

A
  • function is good, then experience an exacerbation
  • once recover from an exacerbation, their functioning doesn’t get quit to where it was before

this continues , with function declinign with each exacerbation

33
Q

describe the illness trajectory of physical and cognitive fraility

A
  • low lvls of function carries on til death
34
Q

what factors influence illness experience (13)

A
  • disease focused v whole person approach to care
  • available health services
  • education and literacy
  • physical enviro
  • social supports
  • personal health practices
  • coping skills
  • social enviro
  • culture
  • employment/working conditions
  • financial status
  • social status
  • age
35
Q

what is a progressive illness

A
  • a disease or health condition that gets worse over time, resulting in a general decline in health or function
36
Q

what are some examples of organ failure (3)

A
  • COPD
  • CHF
  • CKD

NURS 3510 - Supportive and Palliative Care (11 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions