Year 3 Flashcards
What are the most common causes of death?
Cancer
IHD
What are some of the implications of unexpected death?
Shock
Accidents with multiple deaths, legal involvement & press coverage
What are some of the implications of expected death?
Terminal care in last phase of death
What is the term for the management of conditions in terminal phase?
Palliative care
Where is palliative care provided?
Primary care
Specialist practitioners
Specialist palliative care units
What is the name of the Scottish Government End of life action plan?
Living & Dying Well
WHO states that palliative care…
Improves Q of L of patient & families who face life-threatening illnesses by providing pain & symptom relief, spiritual & psychological support from diagnosis to end of life & bereavement
What are the concepts of palliative care?
End of life care regardless of cause of illness
Consider patients who would benefit from palliative planning & treatment earlier in illness
What can you use to assess whether a patient is palliative?
Support & Palliative Indicator Tools
What does the Support &Palliative Indicator Tools allow doctors to do?
Consider patients who have life-limiting diagnosis or worsening chronic illness & highlight if they are at a stage where palliative care should take place
What is the name of the document which can help plan patients future care?
Anticipatory Care Plan
What does the ACP contain?
Where cared for? Resuscitated? DNA CPR Die naturally? Do they want to be informed of changes to their care? Are they fully aware of their prognosis?
What register is a person placed on after ACP produced?
Palliative Care Register
What scale is used to evaluate how quickly a patients end of life care is progressing?
Palliative Performance Scale
What are the different categories assessed in PPS?
Ambulation Activity & Evidence of Disease Self-care Intake Conscious level
What does the PPS hep assess?
Helps to describe patients current functional situation
Value for criteria for workload assessment
Prognostic value
How do primary care maintain care of PC patient?
Once on PC register, have MDT meeting (communication between team members)
Out of Hours informed
Regularly reviewed
According to WHO, what are the 7 core concepts to palliative care?
- Provides relief from pain & other distressing symptoms
- Affirms life & regards dyning as normal process
- Intends to neither hasten or postpone life
- Integrates psychological & spiritual aspects f patient care
- Offers support system to help familiarise live as actively as possible until death
- Offers support system to help family cope during patient illness & in their bereavement
- Uses team approach to address the needs of patient & families including bereavement counselling
How are the members of the PC team ?
Health & Social Care Partnership team
Macmillan nurses
Marie Curie Nurses
CLAN
What are the main factors of a ‘good death’?
Pain-free
Open acknowledgement of imminence of death
Death at home surrounded by family & friends
An ‘aware’ death in which personal conflicts & unfinished business are resolved
Death as personal growth
Death according to personal preference & in manner the resonates with persons individuality
Where is the preferred place of care?
Preferred home death
What framework offers tools to enable primary care to provide palliative care at home?
The Gold Standards Framework
What are the main points to breaking bad news?
Listen Set the scene Find out what the patient knows Find out how much the patient wants to know Share information using common language Review & summarise Allow opportunities for questions Agree follow up & support
What are the main reactions to bad news?
Shock Anger Denial Relief Sadness Fear Guilt Anxiety Distress