Week 9- Palliative Care

Question 1

What is palliative care?

Answer 1

symptom management in a patient with a life limiting illness and is a form of ACTIVE care

Question 2

When is palliative care provided?

Answer 2

at time of diagnosis, ideally

Question 3

How is palliative care provided?

Answer 3

in conjunction with ongoing treatment

Question 4

Palliative Performance Scale (PPSv2) Percentages

Answer 4

• stable = 100-80%

- hospice approximate= 70-0%

Question 5

PPSv2 Domains

Answer 5

• ambulation
• activity & evidence of disease
• self-care
• intake
• conscious level

Question 6

Pain Scale Domains

Answer 6

• Onset
• Provoking/Palliating
• Quality
• Region/Radiation
• Severity
• Treatment
• Understanding/ Impact on You
• Values

Question 7

Delirium

Answer 7

- SAVE A HAART
▪ Identify delirium
1. acute onset and fluctuating course
2. inattention
3. disorganized thinking
4. altered level of consciousness
*must have 1 & 2+ 3 or 4
▪ Remove any offending agents
▪ Treat delirium

Question 8

End of Life

Answer 8

• There are no measurement tools for this
• With proper palliative care a patient and their family can experience peace at death
• We don’t always get it right
• Our job is not done: family supports

Question 9

Kristen’s Conclusions

Answer 9

• Nothing is a substitute for eyes on a patient
• Use both clinical tools AND assessment for best outcomes
• Palliative care is life-changing, for all involved