palliative care part 1 Flashcards

1
Q

Principles of PC

A

-Non-abandonment
-Team-approach
-Continuum of care
- Bereavement support

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2
Q

Non-abandonment

A
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3
Q

Team-approach

A
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4
Q

Continuum of care

A
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5
Q

Bereavement support

A
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6
Q

what does good palliative care look like(NB slide)

A
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7
Q

Life-limiting conditions

A
  • A condition that limits the activities of daily living.
  • There is no cure, will most likely result in a shortened life span.
  • e.g: chronic renal failure, cystic fibrosis, HIV and metastic cancer
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8
Q

Life-threatening illness

A
  • A condition where there is a more immediate like hood of death
  • Curative treatment is feasible but may fail
  • E.g: severe meningitis, PE,Early cancer
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9
Q

Terminal illness

A
  • An irreversible life-limiting or life-threatning illness
  • There is no cure, will result in a rapid inevitable decline in function until death
  • e.g
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10
Q

When is the right ime to introduce PC

A
  • disease course based
  • Function based
  • Treatment effect based
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11
Q

Time-based vs function-based prognostication

A
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12
Q

Three types of wellbeing trajectories

A
  1. 2.Endstage chronic illnesss trajectory
    3.fraility/Dementia
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13
Q
A
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14
Q

End stage chronic illness trajectory

A
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15
Q

Fraility demetia

A
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16
Q

SPICT

A
17
Q

Discussing prognosis: true or false
<20% have accurate perception
70-80% want to know: 15% don’t want to know
Majority do want to control timing

A
18
Q

Time vs function

A

dependence on care
pain ad other symptoms
Tiredness
Sadness
Drowsiness

19
Q

prognostic awareness is key

A

clinician: know when to integrate palliative care
Patient: define wishes for end of life