Quiz 3 Flashcards
(14 cards)
WHO def of palliative care
approach that improves the QoL of patients and their families facing the problem associated with life threatening illness, through prevention and relief if suffering by means of early id and assessment and treatment of pain and other problems
palliative care v. hospice
- both provide holistic care and comfort during ilness
- palliative care can get better, help patient physically
- hospice usually for people with less than 6 months to live; help patient physically, mentally, and spiritually
hospice and palliative care: music services
- individual/family sessions
- music groups, environmental music
- CD/ipod library
- co-therapy options
- bereavement groups
- memorial services
therapeutic approaches in palliative care
use validation therapy (meeting people where they are) within a therapeutic relationship
methods of MT in palliative care
- receptive: most common since people at end of life may not have energy or ability to actively interact with music, guided imagery
- improvisation
- compositional: legacy work to reflect, recieve closure, or have something to pass on
spirituality in MT
sense of meaning, hope, graditiude, transcendence; not neccessarily related to religion or beliefs; important to subjective well being (happiness) and QoL
music and pain perception
is a audioanalgesic; when people listen to favourite music decrease cortisol and feel less pain
MT in palliative care on outcomes
- decrease fears and anxiety, insomnia, pain
- improve id and self concept, vitality and well being, release emotions
- allow for life review and communication
cognition and influences of cognition
cognition are mental processes influenced by body state (mind-body connection), negative or heightened emotions related to decline in cognition, distractions in the environment takes up mental space
dementia
1. overview
2. impairments
3. statistics
- progressive cognitive decline, Alzhemier most common form, medication can slow decline but have side effects
- Impaired memory, communication, loss of visual/spatial abilities, reasoning/problem-solving, personality, difficulties with ADLs and motor control
- 1 in 4 seniors over the age 85, not all living LTC but 2/3 of residents in LTC or nursing homes, higher risk of receiving antipsychotics without psychosis
Canada’s national dementia strategy
first for Canada in 2019, innovative and effective non-drug therapies for holistic approach compared to drug therapies which have moderate effects and have negative side effects
music and dementia
medial PFC is where music, memory, emotions intersect and is one of the last brain regions to atrophy in Alzheimer’s
interventions for people with dementia
therapeutic singing, bell choirs are easy way to interact with music, reminiscence on positive memories, and promote socialization
MMSE
mini-mental state exam is a widely used test of cog function among the elderly, tests orientation, attention, memory, language, and visual-spatial skills
