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FoPC 3rd Year > End of Life Care > Flashcards

Flashcards in End of Life Care Deck (14)
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What is the most common cause of death?

 Most common causes of death are cancer and IHD.

 Since 1995 cancer has outstripped IHD.


What is the emphasis of palliative care?

Improving quality of life


pain and symptom relief, spiritual and psychosocial support


Who provides palliative care?


Multi-disciplinary team

Primary care mostly - palliative care units (hospices)


What might be in anticipatory care planning?

 Where do they want to be cared for?

Do they want to be resuscitated in the event of cardiac arrest? Or do they want to be allowed to die naturally?

Who do they want to be informed of their care and any changes in their condition?

Are they fully aware of their prognosis?

Is their family aware of their prognosis?


How is the anticipatory care plan inmplemented?

Patient is placed on the palliative care register


Plan should be sent ot hte out of hours service - so that anyone who is involved in the patients care is aware of the patients wishes.


What are the domains of the palliative performance scale?


Activity and evidence of disease

Self - care


Conscious level


What are the goals of palliative care according to WHO?

 Affirms life and regards dying as a normal process

 Intends neither to hasten nor postpone death

 Integrates the psychological and spiritual aspects of patient care

 Offers a support system to help patients live as actively as possible until death

 Offers a support system to help the family cope during the patients illness and in their own bereavement.

 Uses a team approach to address the needs of patients and their families, including bereavement counselling if indicated.


Which professionals might be involved in palliative care situations?

Macmillan Nurses (liase with palliative medicine and provide support to patient and family)


Marie Curie Nurses 

Religious or Cultural Groups amongst other support networks.


What makes a good death?

Pain-free death

Open acknowledgement of the imminence of death

Death at home surrounded by family and friends

An 'aware' death, in which personal conflicts and unfinished business are resolved

Death as personal growth

Death according to personal preference and in a manner that resonates with the person's individuality


What might help GP's offer end of life care at their homes?

Gold Standards Framework


Important pointers for breaking bad news


 Set the Scene

 Find out what the patient understands

 Find out how much the patient wants to know

 Share information using a common language

 Review and summarise

 Allow opportunities for questions

 Agree follow up and support


What are the different reactions to bad news?














What is the definition of voluntary euthanasia, non-voluntarty euthanasia and physician assisted suicide?

Voluntary Euthanasia – patients request


Non Voluntary Euthanasia – no request


Physician assisted suicide – Physician provides the means and the advice for suicide.


If someone expresses the wish to die, how should you respond?


 Acknowledge the issue

 Explore the reasons for the request

 Explore ways of giving more control to the patient

 Look for treatable problems

 Remember spiritual issues

 Admit powerlessness