principles of palliative care Flashcards

1
Q

What is palliative care?
(WHO, 2022)

A
  • an apporach improving the quality of life of patients and families facing the porblem associated with life-threateneing illness
  • this is through prevention and relief of suffering by means of early identification and assessment and treatment of pain and other problems
  • these problems could be physucal, psychological and spiritual
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2
Q

What is end of life care?
(NIH, 2022)

A
  • used to describe the support and medical care given during the time surrounding death
  • in the UK this refers to the last year of life
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3
Q

What does the RCN (2021) say about end-of-life care and nurses?

A
  • responsibility of all nurses and healthcare support workers in all settings
  • end-of-life care should be considered for anyone with a progressive life-limiting condition who is potentially in their last year of life
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4
Q

What are the impacts on nurses on delivering palliative and end of life care?
(Gardiner and Bolton, 2021)

A
  • significant emotional effects for those not specialised in this area
  • being supported by training and clinical supervision can lead to a more prepared and better skilled workforce
  • its crucial nurses have access to information and resources on self care
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5
Q

What are some common challenges for nursing students providing palliative and end-of-life care?
(Davenport, 2020)

A
  • lack of preperation at time of death
  • caring for dying is challenging, stressful, and demanding
  • fear of not knowing enough: what to do, what to say, how to manage the situation
  • fear of making mistakes, being insensitive, or putting a life at risk
  • manage emotions
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6
Q

List some good practices in palliative and end-of-life care.
(Davenport, 2020)

A
  • having clear guidelines and protocols
  • confidence in competencies- clinical skills
  • communication skills
  • support network
  • prep-placement sessions
  • keep communication open
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7
Q

How does person-centered care tie in to end of life care?
(Boole and Watson, 2021)

A
  • crucial to determine the person’s wishes and preferences regarding their treatment and place of care e.g. home, hospice, or hospital
  • this is found out via advance care plannings and ‘ceilings of care’ discussions with the pateint and family
  • aspects to consider: anticipratory prescribing, verification of death, bereavement support
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8
Q

What are some areas to discuss when talking about death?
(Hospice UK)

A
  • type of care they would like
  • where they would want to die
  • how long you wat doctors to treat you
  • after death arrangements e.g. funeral, will, care of dependents
  • how would you like to be remembered
  • anything you want people to know before you die
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9
Q

How can healthcare professionals support relatives and carers and the end of a patients life?
(Berry et al, 2017)

A
  • communicate and anticipate individual needs
  • discuss the process of dying
  • ensure dignity for pateint and relatives
  • provide support
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