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Flashcards in End of Life Deck (21):
1

Achievement of the best quality of life for patients and their families

Palliative care

2

Does palliative care = hospice care?

No; All hospice is palliative care, but not all palliative care is hospice

3

Conditions that prompt palliative care

Debility/Failure to Thrive
Cancer
Heart disease
Pulmonary disease
Dementia
Liver disease
Renal disease
Neurologic

4

Most distressing symptom of dying patients is...

dyspnea

5

How do you treat dyspnea in dying pts?

O2
morphine
benzos

6

What do you do for xerostomia?

oral swabs
ice chips

7

focuses on controlling pain and other symptoms of illness so patients can remain as comfortable as possible near the end of life

hospice care

8

To be eligible for hospice care under most insurance plans, patients must have a life expectancy of ________ or less and agree to forgo curative treatment

6 months

9

What cover hospice costs?

MEdicare
Medicaid
Other health insurance plans

10

Ability to understand the significant benefits, risks and alternatives to proposed health care and to make and communicate a decision

Capacity

11

4 elements of decisional capacity

Understanding, appreciation, reasoning, choice

12

Who decides competency?

court of law

13

Legal document that allows the patients to convey their decisions about what type of care they want to receive in the event that they are unable to express their wishes

AD

14

Spells out types of medical treatments and life-sustaining measures you would like or don’t want

living will

15

Legal document designating an individual to make medical decisions for you if you are unable to do so

Medical or health care power of attorney (POA)

16

Request to not have CPR if heart stops or if you stop breathing

DNR

17

Interventions that sustains or prolongs the operation of vital bodily functions that don’t happen independently

Life sustaining medical treatment

18

Therapy that should NOT be performed
Data shows that it will not improve the patient’s medical condition

futile care

19

States assisted suicide is legal

Oregon, Washington, Vermont and Montana

20

administering a lethal agent by a health care provider to a patient in order to relieve that patient’s unbearable and incurable suffering

Euthanasia

21

A capable adult Oregon resident who has been diagnosed, by a physician, with a terminal illness that will kill the patient within six months may request in writing, from his or her physician, a prescription for a lethal dose of medication for the purpose of ending the patient's life.

Death with Dignity Act