Palliative Care Flashcards Preview

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Flashcards in Palliative Care Deck (16):
1

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

2

How is QoL measured?

Difference between reality and expectations

3

How is palliative care provided?

In teams

4

What is the most troublesome symptom of being old/ill?

Fatigue (74%)
Pain (71%)
Lack of energy (69%)

5

Name 5 oral problems associated with meds?

Xerostaemia
Oral thrush
Sore mouth
Drooling
Osteonecrosis of the jaw

6

What causes xerostaemia?

Tumours
Radiotherapy
Drugs - morphone, anticholinergics

7

What are the associated problems with xerostaemia?

Increase in plaque related diseases
tooth decay
more bacterial growth and increase acidity
Dry lips
angular chelitis
Hard to eat, swallow and communicate

8

How do we treat xerostaemia?

Lots of small sips of water
ice chips
pineapple (sialogog so increased saliva production)
chewing gum

9

How do we treat oral thrush?

Advise management and denture care

10

What are the treatments for sore mouth?

GCSF for chemo induced mucositis
Good OH
Bland foods
Gelclair
Difflam spray
Bonjela

11

Why are systemic analgesics not good to manage skin and mucosal pain?

Don't work

12

What causes drooling?

Over production of saliva or inability to swallow

13

When does drooling occur?

Motorneurone disease, head/neck cancer, Parkinsons, cerebral palsy, stroke

14

How is drooling managed?

Positioning
Suction
Drugs to dry secretions

15

What is osteonecrosis of the jaw associated with?

Bisphosphonates, multiple myeloma, oversuppression of bone turnover

16

What are the symptoms of osteonecrosis of the jaw?

Pain, swelling, loose teeth, exposed bone, numb, can also be asymptomatic