Lecture 6 - Palliative Care Flashcards
What are the 5 stages of anticipatory grief? (psychological stages of dying)
Anger
Denial
Bargaining
Depression
Acceptance or resignation
What is palliative care?
Care/improvemtn of the quality of life for those who have a life threatening progressive incurable disease which is far advanced with a limited prognosis
Where the advent of death is certain and not far off
What are the 2 main aspects tot palliative care?
Symptoms treatment
Communication
What aspects are important in holistic care?
Physical, psychological, emotional, social and spiritual care
What are the challenges to maintaining a good death?
Truthfulness
Enabling informed consent
Allowing time to prepare
Avoiding isolation
Ovecominggg a wall of silence
Maintaingin hope by accompanying them on a journey
What is the problem with palliative care?
At what point do we transition from treatment trying to cure to palliative care
What is futility?
Where curative treatment is continued where there is no prospect of success
Why is it really important to obtain informed consent for transitioning from curative treatment to palliative care?
It is important in enabling acceptance of the condition as part of the emotional healing process
Preparing patient and loved ones
What is considered spiritual pain?
Not resolving conflicts
Not letting go
Pain of saying good bye
What is the ReSPECT form?
An agreeed care plan for deciding managed states like DNAR
Ability to die ones own death
What are the principles of a good death?
Patients to be warned when death is coming and learn what can be expected
To be able to retain control of what happens
To be afforded dignity and privacy
Control over pain relief and symptom control
Choice and control over where death occurs
Access to info and expertise
Spiritual and emotionless support
Hospice care access
