Week 7 - Palliative, Hospice, Advanced Care Planning, Death and Dying Flashcards

1
Q

Palliative care

A

healthcare for people with serious illness which focuses on relief from symptoms and stress, and improving quality of life and comfort for the patient and their family.

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2
Q

Functions of palliative care

A
  1. Symptom assessment and treatment
  2. Assistance with decision making
  3. Help with establishing goals of care
  4. Collaborative transitions in care
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3
Q

When to refer to palliative care

A
  1. Needs cannot be met with existing resources
  2. Refractory symptoms
  3. Difficulty with decision making
  4. Healthcare team burnout
  5. Patient/family distress
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4
Q

Hospice

A

Offered once lift prolonging treatments are no longer appropriate.

  • Optimize symptom management and psychosocial support while not prolonging life
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5
Q

Advanced Directives

A
  1. Durable power of attorney for healthcare
  2. Medical orders for life sustaining treatment
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6
Q

POLST form

A

Physician orders for life-sustaining treatment (POLST)

  1. Orders directing how care should be provided in event of acute injury or illness
  2. Patient’s goals for treatment (aggressive, limited, comfort focused), CPR, hospitalization, antibiotics, hydration, nutrition
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7
Q

SPIKES protocol

A

Strategy for communicating sensitive information about Advanced Care Plan while focusing on patient emotions

  1. Setting
  2. Perception – what the patient already knows
  3. Invitation – clarify information preferences
  4. Knowledge – Give the information
  5. Empathy – respond to emotion
  6. Summary – next steps and follow up
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8
Q

Kübler-Ross’s stages of death and dying

A
  1. Denial
  2. Anger
  3. Bargaining
  4. Depression
  5. Acceptance
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9
Q

Types of grief

A
  1. Normal
  2. Anticipatory
  3. Disenfranchised
  4. Prolonged
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10
Q

Normal grief

A

Sadness, guilt, loneliness, crying, sleep changes, lack of energy, appetite changes, temp withdrawal from normal activities

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11
Q

Anticipatory grief

A

Response to an expected loss occurs before the actual death

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12
Q

Disenfranchised grief

A

Loss cannot be socially acknowledged – no recognition by others (miscarriage)

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13
Q

Prolonged grief

A

Grief symptoms like sadness, anger, bitterness, and guilt, are disabling, limiting day-to-day functioning.
Prolonged grief may involve difficulty accepting the reality of a loss, self-destructive behavior, or suicidal thoughts.

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