Palliative care part 2

Question 1

What is advanced Care Planning?

Answer 1

Involves discussing and making decisions about future medical care if one becomes seriously ill.
aligned with the patient’s values and principles.
covers aspects such as:
- place of care
- who will care for you
- life support
-placed of death

Question 2

Documenting ACP

Answer 2

Document your decisions:
- advance healthcare directives
- Name a healthcare proxy
- DNR order
-Not legally binding, but the healthcare practitioner can accommodate some of the aspects stated
- Can be changed at any point.

Question 3

Passive vs active decision-making process.

Question 4

shared in active

Answer 4

involving another party: family, when there was initially on the patient and doctor

Question 5

Serious illness conversations

Answer 5

-Ongoing conversations to help your patient understand their prognosis and guide them through the process of exploring the the things that are important to them

Question 6

Ongoing process

Answer 6

-Things change: goals, values, and priorities.
- Evidence based results:
increased:mood, satisfaction, bereavement outcomes , more and earlier hospice referral
decreased: healthcare costs, decision related stresss, hospitalisation shortly before death,

Question 7

What is the right time for SIC

Answer 7

START EARLIER

Question 8

SIC Guide

Answer 8

1. It does not come naturally
   - hard to find the right time
   - Uncer

Question 9

SIC steps
(nb step 5)

Answer 9

1. Set up the conversation.
   2.assess patient’s understanding of their illness

Question 10

Step 1: set up the conversation