Palliative Care

Question 1

Define grief

Answer 1

Personal response to loss

Question 2

Define bereavement

Answer 2

The period after loss

Question 3

Define mourning

Answer 3

the outward and active expression of grief

Question 4

What are the 5 stages of the kubler-ross steps of grief

Answer 4

Denial
Anger
Bargaining
Depression
Acceptance

Question 5

Gesser Wong and reker looked at 3 types of death acceptance. What are they

Answer 5

Neutral death acceptance - facing death rationally as an inevitable end of every life

Approach acceptance - seeing death as a gateway to a better life

Escape acceptance - choosing death as a better alternative to a painful life

Question 6

How could palliative care differ with indigenous populations

Answer 6

Strong importance of land and place

May rather die in their community than recurve treatment

Question 7

How could palliative care differ with indigenous populations

Answer 7

Strong importance of land and place

May rather die in their community than recurve treatment

Question 8

How to determine when a person has died

2 steps

Answer 8

Irreversible cessation of circulation of blood in the body or person

Or

Irreversible cessation of all function of the brain of the person

Question 9

Steps in verifying death

Answer 9

No palpable carotid pulse and
No heart sounds for 2 mins and
No breath sounds for 2 mins
Fixed and dilated pupils and
No response to Central stimulus and
No motor response to pain
ECG shows no rhythm

Question 10

Steps in verifying death

Answer 10

No palpable carotid pulse and
No heart sounds for 2 mins and
No breath sounds for 2 mins
Fixed and dilated pupils and
No response to Central stimulus and
No motor response to pain
ECG shows no rhythm

Question 11

Difference between passive and active euthenasia

Answer 11

Passive is when the disease causes death rather than the withholding or withdrawal of treatment

Active isnwhere you would provide patient with lethal dose of something

Question 12

Define palliative care

Answer 12

Approach that improve quality of life through prevention and releif of suffering by means of treatment of pain and other problems

Question 13

Palliative care goals

Answer 13

Reduce symptoms
Support patient and family
Offer choices
Meet needs of whole person

Question 14

Principles of symptom management in palliative care

Answer 14

Assessment
Explanation
Discussion
Individualised treatment
Monitoring
Dose escalation

Question 15

Support for care giver is often overlooked true or false

Answer 15

Truuuu

Question 16

Symptoms associated with end stage care

Answer 16

Sleepiness and difficulty waking
Difficulty swallowing
Loss of bladder and bowel control
Restless movements
Changes in breathing
Cold limbs
Confusion and disorientation

Question 17

2 Types of pain

Answer 17

Somatic

Visceral

Question 18

Types of somatic pain

Answer 18

Superficial somatic

Skin, muscous membranes

Hit sharp stinging well localised

Deep somatic - connective tissue, lymph nodes, organ

Dull ache throbbing well localised

Question 19

Signs of visceral pain

Answer 19

Dull 
Deep
Poorly localised
Imrpjved by movement
Referred pain

Autonomic effect Inc nausea vomiting sweating BP and HR changes

Question 20

Neuropathic pain has what symptoms

Answer 20

Shooting stabbing burning

Question 21

Is itching a form of pain

Answer 21

Yes

Question 22

Itching (pruitis) can be a sign of what

Answer 22

Sever liver or renal disease

Question 23

Are there benefits of dehydration

Answer 23

In palliative patients it means less toilet trips

Conserves energy

Reduces GI issues
Decreased mucous secretions making it easier to swallow

Can act as a natural analgesic