1: Definitions

Question 1

What is the WHO definition of palliative care

Answer 1

• Approach improves quality of life for patients and families associated with life-threatening illness
• Through prevention and relief of suffering by means of early identification and impeccable assessment, treatment of pain including physical, psychosocial and spiratual

Question 2

Give 5 principles of palliative care

Answer 2

1. Affirms dying as part normal process
2. Neither hastens or postpones death
3. Relieves symptoms
4. Involves psychological and social aspects of palliative care
5. Support patients to life actively until death
6. Team to address needs of patient’s and loved ones

Question 3

What is advance care planning

Answer 3

Conversation between relatives and patient about carers wishes for the future

Question 4

What is advanced direct to refuse treatment

Answer 4

Outcome of advanced care planning - individual decides what treatment they do not want. Including DNAR

Question 5

What are the 4 pillars of palliative care

Answer 5

1. Biological
2. Psychological
3. Social
4. Spiritual

Question 6

What is used to assess symptoms in palliative care

Answer 6

Memorial symptom assessment scale (MSAS)

Question 7

What may individuals qualify for financially in last few years

Answer 7

DS1500 - used to exempt benefits

Question 8

What is the GMC definition of palliative care

Answer 8

Patients approaching end of life and likely to die within 12-months. Including:
- Advanced progression incurable condition
- Frailty and co-existing conditions meaning they are
likely to die in 12-months
- Existing conditions where they are at-risk of dying from
acute crisis
- Life-threatening acute conditions caused by sudden
catastrophic events