Management of Selected Non-pain II Flashcards Preview

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Flashcards in Management of Selected Non-pain II Deck (48):
1

When pain persists without meaning, it becomes what?

Suffering

2

When an individual feels voiceless, what happens?

Suffering

3

What are the four aspects of total pain?

Physical pain
Mental anguish
Spiritual suffering
Emotional distress

4

When should you suspect suffering?

When physical pain > lesion

5

Which factor of total pain particularly exacerbates physical pain?

Spiritual pain

6

When do deep wounds from childhood present themselves?

End of life

7

What are the four predictors of suffering?

1. Regret for past events
2. Current marital probs
3. Little social support
4. Pessimistic attitude toward life

8

What is the difference between pain and suffering?

Split between self and now malfunctioning body

9

When does suffering occur, according to Cassell?

When there is a threat to the integrity of the person

10

True or false: suffering is intensely personal

True

11

Suffering is about the loss of what?

Control
Relationship b/t body

12

Does suffering need to be fixed?

No--we usually cannot

13

Loss of control creates a sense of what?

insecurity

14

Can suffering be greater in the caregiver?

Yes

15

What is the three aspects of suffering in terms of loss or relationships?

To others
To previous body
Diminishment of the person

16

Does a body suffer?

No, only the person

17

True or false: human suffering requires the felt loss of meaning and purpose

True

18

Is meaning central to the human experience?

Yes

19

When a pt raises a question, what should you do?

Listen, rather than give an answer. Most of the time, they just want to talk

20

True or false: you can't solve suffering

True

21

What are the four common goals of care in serious illness?

1. Control pain
2. Alleviate psychosocial probs
3. Communicate well
4. Empathy
5. Foster hope

22

When should you suspect psychological and spiritual pain?

At end of life

23

How do you start the psychosocial assessment?

Express an interest and ask a question

24

What should you listen for when listening to a pt during a psychosocial assessment?

Broader meanings

25

Why is it important to communicate effectively? (3)

-Increases their sense of control/worth
-Reduces symptoms
-Creates a bond

26

True or false: hope is an essential to quality of life

True

27

What are the hope strategies?

-control pain
-develop relationships
-humor
-reminisce

28

What does it mean to be present?

Allow oneself to be exposed to suffering

29

Can presence cure suffering?

nope

30

What is spirituality?

An awareness that there are levels of reality not immediately apparent, and that there is a quest for personal integration

31

Spiritual activity is largely relational with what? (3)

Self
Others
The Other

32

What is the most important part of assesses spirituality?

Humanity

33

What are the three aspects of assessing spirituality?

1. Listen
2. Enable conversation
3. Don't let personal beliefs get in the way

34

What is the FICA model of spirtual assessment?

Faith
Importance
Community
Address/action in care

35

What is the HOPE model of spirtual assessment?

-Hope = what are sources of hope
-Organized religion
-Personal spirituality/practices
-Effects on medical care

36

What are the three parts to the conversational approach to assessing spirituality?

-Determine sense of crises
-Determining spiritual connections
-Identify care gates

37

What determines an individual's sense of crises?

Disruption
Discomfort
Disfigurement
Disability
Death

38

What are the three outcomes of the spiritual connection assessment?

Connected
Unconnected
Disconnected

39

What is the awareness of the holy gate?

Having something that is sacred

40

What is the sense of providence gate?

Something beyond self

41

What is a sense of faith gate?

Is there there a sense of openness toward life

42

What is the sense of grace gate?

Being grateful

Be a blessing to others

43

What is the "sense of repentance" gate?

Seek to change

44

What is the "sense of communion" gate?

Feeling of connection to others or an Other

45

What is the "sense of vocation" gate?

Purpose in life

46

What is the value of the gates of care?

Identify strengths
Weaknesses
Touchstone for spiritual care

47

Why are referrals important to end of life?

Keeps caregiver's role clear

48

What are the three responses to suffering of health care professionals?

Self assessment
Self reflection
Self care