Module 7 Flashcards
(26 cards)
“Palliative” is defined as
relieving pain without dealing with the cause of the condition.
Palliative care focuses primarily on
anticipating, preventing, diagnosing, and treating symptoms experienced by patients with a serious or life-threatening illness and helping patients and their families make medically important decisions.
8 domains of palliative care
structure/ process of care
physical aspects of care
psychological aspects of care
spiritual aspects of care
cultural aspects of care
care of imminently dying pts
ethical/legal aspects of care
Hospice care provides care to
patients at the end of life.
A patient receiving hospice care must be considered
terminally ill or within 6 months of death
Palliative care is ideally delivered by
an interdisciplinary team that focuses on the needs of both the patient and family.
most important aspect of communication when initiating palliative care
is letting patients know that they are being heard, their perspective is important
Total pain, is defined as
the sum of the patient’s physical, psychological, social, and spiritual pain, is a central concept to palliative care
In addition to management of physical symptoms such as pain, palliative care also includes
reducing prolongation of the dying process, giving the patient a sense of self-control, and relieving the care burden on families and loved ones while helping to strengthen these relationships.
Several studies have demonstrated that the most difficult end-of-life symptoms to manage are
pain, respiratory distress, and confusional state
most common treatment for dyspnea
oxygen, opioids, benzos
The best practice is to ask the patient if the oxygen makes them feel
better and if not, to remove the oxygen
s the most effective medication for treating the agitation from delirium
Haloperidol i; however, removal of the cause of the dementia is the best overall treatment.
can decrease these secretions and stop the rattling breath
Placing a scopolamine patch behind the patient’s ear
nociceptive pain
represents a normal response to injury of tissue
2 categories nociceptive pain
(1) somatic pain, which is pain arising from muscles joints, and cutaneous tissue; and (2) visceral pain, which is pain arising from organs and smooth muscle
Aspirin should never be given to children younger than 8 years because it can cause
Reye’s syndrome, which can be fatal.
an antiepileptic medication that is effective for nerve pain
Gabapentin is
a tricyclic antidepressant that is effective for neuropathic pain as well
Amitriptyline is
considered the most effective medication for pain in terminally ill patients
Morphine, because it has fewer side effects, can be given orally or intravenously, and has a simple route of metabolism
Acute pain
is a normal, predictable, physiological response to pain that lasts a short time.
not as difficult to manage as chronic pain because it is short term, and once the injury heals, the pain goes away.
Chronic pain
lasts longer than 12 weeks and often persists long after the cause of the pain is healed.
Efforts to control the pace of the opioid epidemic are focused on three areas:
(1) monitoring patient need, (2) shortening the amount of time medication is prescribed, and (3) reducing the overall number of opioid prescriptions in medical practice.
When initiating opioid use for patients with chronic pain
, immediate-release preparations should be used instead of long-acting opioids
