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Palliative Care Exam With Complete Solutions Latest Update 2024
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Palliative Care Exam With Complete SolutionsLatest Update 2024
Terminology - correct answers - Palliative Care: refers to a philosophy of care (also
sometimes referred to as hospice palliative care or supportive care)
- Hospice palliative care: gages individuals and families in the planning
- end- of life care
- supportive care
- hospice/residential hospice: refers to the care setting
Models of Palliative Care - correct answers - the original model suggests that
there's distinct moment in time where the trajectory of the disease becomes
palliative (which is not correct)
- the modern- day model is a shifted approach that offers a more holistic approach
(patients have palliative care at the same time as curative treatment)
The aim of palliative care is to prolong life? - correct answers FALSE
The term supportive care can appropriately be used when describing the term
palliative care? - correct answers TRUE
The disease entered model of care best describes the approach used in health care
today for providing palliative care? - correct answers FALSE
,Progression of Illness: The Past (pre- 1930s, 40s) - correct answers - before
antibiotics: infection, accidents, life span into 60s
- death was often sudden... hours to days for infections of accidents
- morphine used to manage pain
Progression of Illness: 1940s-80s - correct answers - prolonged dying
- predictable decline
- introduction of penicillin prolonged life but also prolonged dying
- beginning of hospice/palliative care thanks to Cicely Saunders
Present Day Illness Progression - correct answers - patients living linger- Canadian
Life Span >80yrs
- cancer diagnosis with metastatic disease can be curable with thyroid, testicular,
Hodgkin's and childhood leukaemia
- metastatic disease can be managed and spread can be stopped or slowed
- COPD, atherosclerotic disease, CHF, diabetes, systemic auto immune disorders-
Progression slowed significantly
- digital imaging plays an active part in the management of these patients and their
families
Domains of Need/Care/Suffering - correct answers - Disease Management
- Loss/Grief
- End of life care/death management
- physical
,- patient and family
- psychological
- social
- spiritual
- practical
Advantages of Optimal Palliative Care - correct answers - more appropriate
referrals
- fewer emergency room visits and hospitalizations
- less use of ineffective intensive interventions
- better use of hospices and other end-of-life settings which can result in:
- reduced impact on patient/family and health care system resources
- growth of individual and support network
Hospice Palliative Care - correct answers - hospice palliative care is aimed at
relieving suffering and improving the quality of life for persons who are living with,
or dying from, advanced illness or are bereaved
- palliative care is a special kind of health care for individuals and families who are
living with a life-limiting illness that is usually at an advanced stage
- the goal of palliative care is to provide comfort and dignity for the person living
with the illness as well as the best quality of life for both this person and his or her
family
- a "family" is whoever the person says his or her family is. It may include relatives,
partners and friends
, - quality hospice palliative care neither hastens death or prolongs life
Guiding Principles of Palliative Care - correct answers 1. Person/Family Centred
Care
- the person is engaged in and directs his or her care, including deciding how
family members will be involved
- the person and family are treated as a unit
- care is provided in a manner that is sensitive to the person's and family's
personal, cultural, and religious values, beliefs and practices and their
developmental state and preparedness to deal with the dying process
2. Ethical
- all hospice palliative care activities are guided by the ethical principles of
autonomy, beneficence, non-maleficence, justice, truth-telling and confidentiality
3. High Quality
- all hospice palliative care activities are guided by standards of practice based on
national accepted principles and norms of practice, and standards of professional
conduct for each discipline.
4. Team based/circle of care
- hospice palliative care is most effectively delivered by an inter professional team
of health care providers who are both knowledgable and skilled in all aspects of
care within their discipline of practice
- the professional team comes together with family members and friends and
other caregivers to form a circle of care around that person and family.
5. Safe and Effective
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