TERM 3- MY NOTES FOUNDATIONS OF NURSING CH.40 "Hospice Care" Flashcards Preview

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Hospice Care

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1

Hospice is a philosophy of care about providing support to patients with a terminal illness (a disease in an advanced stage with no known cure and poor prognosis) and their families.
A)true
B)false

A

2

The philosophy of hospice is to promote comfort and use compassion, interest, and genuine concern to allow the patient to live a better lifestyle during the dying process.
A)true
B)false

A

3

With hospice support, the patient and the family recognize that dying is a natural part of life. Care and support are managed by an interdisciplinary team, and the goals are to maximize the quality of life and keep the patient as comfortable as possible in the home setting that he or she chooses.
A)true
B)false

A

4

HISTORICAL OVERVIEW

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5

Hospice is from the Latin word hospitium, meaning hospitality and lodging. The concept originated in Europe, where hospices were resting places for travelers. Monks and nuns believed that service to one's neighbor was a sign of love and dedication to God.
A)true
B)false

A

6

Typical medieval hospices run by monks and nuns were a combination guest house and infirmary. They were places of refuge for the poor, the sick, and travelers on religious journeys. They provided food, shelter, and care to ill guests until they were strong enough to continue their journey or they died
A)true
B)false

A

7

The idea of hospice was renewed in the 1960s in London, when Dame Cicely Saunders, a nurse and physician, realized that the terminally ill needed a different kind of care.

She had a patient who was dying of a terminal illness, and she found that quality of life was not the main emphasis of his care. She then devoted her life to improving pain management and symptom control for people who were dying.

She believed it is important that each patient know his or her own contribution to life and that his or her life had meaning
A)true
B)false

A

8

The philosophy of hospice migrated to the United States in the early 1970s, with the first hospice program opening in Connecticut in 1971.
A)true
B)false

A

9

Hospices vary in structure and organization. Some hospices are based in a hospital, and some in a home health agency or community-based organization. Hospice care usually occurs in the patient's home
A)true
B)false

A

10

Occasionally, the hospice patient goes into the hospital and receives hospice services for control of acute pain or respite care for the family or care provider. The patient will sometimes receive hospice care intermentily and sometimes on a continuous basis
A)true
B)false

A

11

If the hospice is a freestanding facility, the atmosphere is more like that of a friendly dormitory than that of a hospital. The patients usually wear their own clothes, move about the hospice as they choose, and socialize with each other and with the staff. The kitchen is always open for individually prepared food, as well as for conversation.
A)true
B)false

A

12

Life Span Considerations
Older Adults
Hospice Care

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13

• Many older adult patients at home or in nursing homes will likely meet the criteria and benefit from hospice care.

• The Hospice Medicare Benefit covers all expenses for palliative care related to the terminal illness, including professional staff visits, medication, equipment, and respite and acute care.

• Hospice often provides the dying older adult with a higher level of control and dignity than other types of health care.

• The primary caregiver is often an older adult spouse.

• The Hospice Medicare Benefit provides for bereavement follow-up care for at least 1 year following the death.

True

14

PALLIATIVE VERSUS CURATIVE CARE

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15

Palliative care, as defined by the World Health Organization (WHO), is the active, complete care of a patient whose disease has not responded to curative therapy.
A)true
B)false

A

16

Palliative care emphasizes the control of pain, relief of symptoms, and provision of psychological, social, and spiritual assistance (WHO, n.d.).
A)true
B)false

A

17

lt is possible to begin palliative care earlier in the dying process, whereas hospice is usually available only in the last 6 months of life. As such, palliative care provides the framework for future hospice assistance.
A)true
B)false

A

18

Curative treatment is aggressive care in which the goal and intent is curing the disease and prolonging life at all cost.
A)true
B)false

A

19

Palliative care is not curative in nature but aims to relieve pain and distress and to control symptoms of the disease.
A)true
B)false

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20

Hospice care emphasizes quality and not quantity of Life
A)true
B)false

A

21

Hospice care is appropriate when active, curative treatment is no longer efffective and supportive measures are necessary to assist the terminally ill patient through the dying process. It offers the patient a supported and safe passage from life to death in a way that preserves dignity and important relationships.
A)true
B)false

A

22

Hospice is appropriate mainly for those individuals who believe that how they live is more important than how long they live
A)true
B)false

A

23

Palliative care is not giving up hope; it is full of hope of a good, fulfilling life.
A)true
B)false

A

24

CRITERIA FOR ADMISSION

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25

The patient is required to meet certain criteria to be admitted into hospice:

• The attending physician has to certify that the patient's illness is terminal and the patient has a prognosis of 6 months or less to live. The attending physician is required to be a doctor of medicine or osteopathy and be the patient's desiggnated physician.

• For the patient to qualify for Medicare or Medicaid assistance, two physicians are required to verify that the patient is dying and has less than 6 months to live. The hospice patient who continues to live beyond the estimated time period will still qualify for Medicare providing hospice criteria are still met.

• It is mandatory that the patient desires the services. The patient has to be willing to for go any further curative treatment and be willing to seek only palliative care.

• The patient and caregiver are required to understand and agree that hospice staff will plan the care according to comfort and that they will not necessarily perform life-support measures.

• The patient and caregiver are required to underrstand the prognosis and be willing to participate in the planning of the care.

True

26

Most hospices in the United States request that the patient have a primary caregiver (one who assumes ongoing responsibility for health maintenance and therapy for the illness).

The caregiver is sometimes an immediate family member and sometimes a significant other, a friend, or a hired caregiver.
A)true
B)false

A

27

Caregivers become vital when patients are no longer able to care for themselves safely. If the patient resides in a freey. standing hospice residence, a long-term care facility, or a residential home, the nursing staff is designated as the primary caregiver.
A)true
B)false

A

28

GOALS OF HOSPICE

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29

To provide effective hospice care, you will need an understanding of the philosophy and its relationship with the patient's responses and points of view
A)true
B)false

A