Flashcards in Management of Selected Non-pain II Deck (48):
When pain persists without meaning, it becomes what?
When an individual feels voiceless, what happens?
What are the four aspects of total pain?
When should you suspect suffering?
When physical pain > lesion
Which factor of total pain particularly exacerbates physical pain?
When do deep wounds from childhood present themselves?
End of life
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
What is the difference between pain and suffering?
Split between self and now malfunctioning body
When does suffering occur, according to Cassell?
When there is a threat to the integrity of the person
True or false: suffering is intensely personal
Suffering is about the loss of what?
Relationship b/t body
Does suffering need to be fixed?
No--we usually cannot
Loss of control creates a sense of what?
Can suffering be greater in the caregiver?
What is the three aspects of suffering in terms of loss or relationships?
To previous body
Diminishment of the person
Does a body suffer?
No, only the person
True or false: human suffering requires the felt loss of meaning and purpose
Is meaning central to the human experience?
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
True or false: you can't solve suffering
What are the four common goals of care in serious illness?
1. Control pain
2. Alleviate psychosocial probs
3. Communicate well
5. Foster hope
When should you suspect psychological and spiritual pain?
At end of life
How do you start the psychosocial assessment?
Express an interest and ask a question
What should you listen for when listening to a pt during a psychosocial assessment?
Why is it important to communicate effectively? (3)
-Increases their sense of control/worth
-Creates a bond
True or false: hope is an essential to quality of life
What are the hope strategies?
What does it mean to be present?
Allow oneself to be exposed to suffering
Can presence cure suffering?
What is spirituality?
An awareness that there are levels of reality not immediately apparent, and that there is a quest for personal integration
Spiritual activity is largely relational with what? (3)
What is the most important part of assesses spirituality?
What are the three aspects of assessing spirituality?
2. Enable conversation
3. Don't let personal beliefs get in the way
What is the FICA model of spirtual assessment?
Address/action in care
What is the HOPE model of spirtual assessment?
-Hope = what are sources of hope
-Effects on medical care
What are the three parts to the conversational approach to assessing spirituality?
-Determine sense of crises
-Determining spiritual connections
-Identify care gates
What determines an individual's sense of crises?
What are the three outcomes of the spiritual connection assessment?
What is the awareness of the holy gate?
Having something that is sacred
What is the sense of providence gate?
Something beyond self
What is a sense of faith gate?
Is there there a sense of openness toward life
What is the sense of grace gate?
Be a blessing to others
What is the "sense of repentance" gate?
Seek to change
What is the "sense of communion" gate?
Feeling of connection to others or an Other
What is the "sense of vocation" gate?
Purpose in life
What is the value of the gates of care?
Touchstone for spiritual care
Why are referrals important to end of life?
Keeps caregiver's role clear