Flashcards in Palliative Care Deck (16)
What is palliative care?
Provide relief, affirms life, dying is a normal process
It doesnt hasten or postpone death
Gives support to help pt live as actively as possible
How is QoL measured?
Difference between reality and expectations
How is palliative care provided?
What is the most troublesome symptom of being old/ill?
Lack of energy (69%)
Name 5 oral problems associated with meds?
Osteonecrosis of the jaw
What causes xerostaemia?
Drugs - morphone, anticholinergics
What are the associated problems with xerostaemia?
Increase in plaque related diseases
more bacterial growth and increase acidity
Hard to eat, swallow and communicate
How do we treat xerostaemia?
Lots of small sips of water
pineapple (sialogog so increased saliva production)
How do we treat oral thrush?
Advise management and denture care
What are the treatments for sore mouth?
GCSF for chemo induced mucositis
Why are systemic analgesics not good to manage skin and mucosal pain?
What causes drooling?
Over production of saliva or inability to swallow
When does drooling occur?
Motorneurone disease, head/neck cancer, Parkinsons, cerebral palsy, stroke
How is drooling managed?
Drugs to dry secretions
What is osteonecrosis of the jaw associated with?
Bisphosphonates, multiple myeloma, oversuppression of bone turnover