NSG 6340 ADVANCED
PATHOPHYSIOLOGY CERTIFICATION
EVALUATION 2026 DETAILED DISEASE
PROCESS SOLUTIONS PROFESSIONAL
GUIDE
◉ Goals of PC.
Answer: relief of pain, Maximize quality of life. Understand what PT
and family wants in respect to values, culture and religion
◉ Who can get PC.
Answer: HF, COPD, cancer, dementias, Parkinson's and others
◉ When is it used.
Answer: when treatment isn't really an option anymore. Or the PT is
not going to be getting better
◉ Advanced Directive.
Answer: pts written goals about how they want their care to
proceed. Used as a guide for families in what choices they should
make in terms of care
,◉ DNR.
Answer: Do not resuscitate- avoid CPR
◉ Living Will.
Answer: descried pt preference about future health care decisions
and choices.
◉ Health care proxy.
Answer: naming someone to make decisions when you are no longer
able to do so.
◉ MOLST Form.
Answer: Medical Orders for Life Sustaining Treatment. Kind of
comprehensive of all other documents. All of PT wishes
◉ Palliative vs Hospice.
Answer: hospice is picked up after a pt has been on palliative care,
usually when they have less than 6 months to live
◉ Hospice.
, Answer: very brief period of palliative care. 6mo or left to live. Focus
on comfort and dying with respect and dignity. Can be used for
pediatric pts going through hard diseases and life challenges
◉ Meds for end of Life.
Answer: My Little Robot Helps Me-->
Morphine- help with pain.
Lorazepam- benzo, help with anxiety and agitation.
Robinul- anticholinergic, decreases secretion.
Haloperidol- for agitation
Methadone- symptom control for PC and hospice pt's
◉ S/S of active dying.
Answer: urinary/ bowel incontinence, BP drops, skin color change
(mottling) and extremities cold (body trying to keep internal central
vital organs functions and BF focus is there). Hallucinations,
Delirium and agitation. Little to no food or drink
◉ Death Rattle.
Answer: ↓consciousness pt lose ability to swallow and clear
secretions. Pooling creates noisy ventilation when breathing,
"gurgling/rattling". Meds, suctions, decreased fluid intake, and
positioning side to side can help to relive this
PATHOPHYSIOLOGY CERTIFICATION
EVALUATION 2026 DETAILED DISEASE
PROCESS SOLUTIONS PROFESSIONAL
GUIDE
◉ Goals of PC.
Answer: relief of pain, Maximize quality of life. Understand what PT
and family wants in respect to values, culture and religion
◉ Who can get PC.
Answer: HF, COPD, cancer, dementias, Parkinson's and others
◉ When is it used.
Answer: when treatment isn't really an option anymore. Or the PT is
not going to be getting better
◉ Advanced Directive.
Answer: pts written goals about how they want their care to
proceed. Used as a guide for families in what choices they should
make in terms of care
,◉ DNR.
Answer: Do not resuscitate- avoid CPR
◉ Living Will.
Answer: descried pt preference about future health care decisions
and choices.
◉ Health care proxy.
Answer: naming someone to make decisions when you are no longer
able to do so.
◉ MOLST Form.
Answer: Medical Orders for Life Sustaining Treatment. Kind of
comprehensive of all other documents. All of PT wishes
◉ Palliative vs Hospice.
Answer: hospice is picked up after a pt has been on palliative care,
usually when they have less than 6 months to live
◉ Hospice.
, Answer: very brief period of palliative care. 6mo or left to live. Focus
on comfort and dying with respect and dignity. Can be used for
pediatric pts going through hard diseases and life challenges
◉ Meds for end of Life.
Answer: My Little Robot Helps Me-->
Morphine- help with pain.
Lorazepam- benzo, help with anxiety and agitation.
Robinul- anticholinergic, decreases secretion.
Haloperidol- for agitation
Methadone- symptom control for PC and hospice pt's
◉ S/S of active dying.
Answer: urinary/ bowel incontinence, BP drops, skin color change
(mottling) and extremities cold (body trying to keep internal central
vital organs functions and BF focus is there). Hallucinations,
Delirium and agitation. Little to no food or drink
◉ Death Rattle.
Answer: ↓consciousness pt lose ability to swallow and clear
secretions. Pooling creates noisy ventilation when breathing,
"gurgling/rattling". Meds, suctions, decreased fluid intake, and
positioning side to side can help to relive this
