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Flashcards in Palliative care Deck (12):
1

Illness trajectory of cancer

Maintenance of function until treatment stops working, then fairly rapid decline. Occurs over weeks/months/years

2

Illness trajectory of chronic diseases such as heart failure/COPD

Gradually declining function over months/years. Regular exacerbation events which they usually recover from- hard to predict which exacerbation will be terminal

3

Reason why the Liverpool care pathway was criticised

Terminal patients weren't being hydrated/fed properly

4

Cheyne-Stokes respiration

abnormal pattern of breathing characterized by progressively deeper and sometimes faster breathing, followed by a gradual decrease that results in temporary apnea

5

Hypercalcaemia

Reversible factor which may mimic the dying process

6

Sensitive sign to diagnose dying

Struggling to take oral medicine, and loss of interest in food and fluid

7

Best way of delivering control of symptoms in dying patients

Syringe driver with up to three medicines

8

Mechanism of a syringe driver

Continuous subcutaneous infusion

9

Morphine

Pain/SOB

10

Distress

Midazolam

11

Nausea

Levopromazine (also helps terminal delirium)

12

Pooling of respiratory secretions

Buscopan