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Flashcards in The Challenge of Appropriate Therapy Deck (17)
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1

setting goals of care with surviving sepsis campaign

-discuss goals of care and prognosis with patients and families (grade 1B)

-Incorporate goals of care into treatment and end‐of‐life care planning, utilizing palliative care principles where appropriate (grade 1B)

-Address goals of care as early as feasible, but no later than within 72 hours of ICU admission (grade 2C)

2

what is palliative care

an approach that improves the quality of life of patients and families facing the problems associated with life-threatening illness, through the prevention and relief of suffering by means of early identification and impeccable assessment and treatment of pain and other problems, physical, psychosocial and spiritual

3

who is responsible in palliative care

everyone

4

challenge of palliative care

To provide optimal treatment and care for the dying person and family according to the needs of each individual irrespective of the setting of care

5

know the illness trajectory graphs

OK

6

how many ECOG performance statuses are there

5 (0, 1, 2, 3, 4)

7

what happens in 0

fully active, able to carry out all pre disease performance without restriction

8

what happens in 1

restricted in physical activity but ambulatory and able to carry out light work

9

what happens in 2

ambulatory and capable of all self care but unable to carry out work activities; up and about for more than 50% of waking hours

10

what happens in 3

capable of only limited self care; confined to be and chair more than 50% of waking hours

11

what happens in 4

completely disabled; cannot carry out self care; totally confined to bed or chair

12

what is the importance of ECOG performance status

to judge how aggressive treatment should be

13

what are the phases of illness

curative, palliative, terminal

14

what is the supremacy for the phases of illness

curative - survival
palliative and terminal - quality/value of life

15

what is the toxicity for the phases of illness

curative - high
palliative - low
terminal - none

16

are there nutritional/systems support for the phases of illness

curative - yes
palliative - maybe (for quality only)
terminal - no

17

what are the priorities for care of the dying person

recognize
communicate
involve
support
plan and do