PSW-201 Integrating a Palliative Approach Into Caregiving - Exam Questions and Answers, Latest Updated 2024/2025 (100% Verified Answers)

PSW-201 Integrating a Palliative Approach Into Caregiving - Exam Questions and Answers, Latest Updated 2024/2025 (100% Verified Answers) Cicely Saunders heard and saw that the needs of the dying were not being met in acute care - ANSWER She took action She earned her MD and worked to create a hospice St Christopher's Hospice - ANSWER Founded in London, 1967_, by Dame Cicely Saunders Provided care for the unique needs of the dying Palliative care established 1974 - ANSWER In Montreal, Dr. Balfour Mount established "palliative care" after studying with Dame Saunders Coined term "palliative" "hospice" and "palliative" - ANSWER In Canada, these terms are often used together and may mean the same thing HPC = hospice palliative care Hospice Pallative Care (HPC) - ANSWER helps people manage symptoms People can benefit - ANSWER from HPC from time of diagnosis Palliative and curative care - ANSWER can occur together Principles: HPC is care that - ANSWER =Affirms life =Regards dying as a normal process =Considers the dying person and family to be the unit of care =Continues through death and bereavement HPC promotes care that - ANSWER =Improves quality of life PSW-201 Integrating a Palliative Approach Into Caregiving - Exam Questions and Answers, Latest Updated 2024/2025 (Verified Answers) =Does not speed or delay death =Provides pain relief and manages distressing symptoms =Attends to the dying person in a holistic way BUT less than 30% of dying people receive HPC! - ANSWER WHY? 1. Very few specialty HPC teams Most providers are in urban areas 2. HPC is accessed most frequently by people with a steady, predictable decline (cancer) i.e. when the time of death can be predicted But remember: predictable deaths account for less than 20%! A solution? - ANSWER A Palliative Approach AUSTRALIA - ANSWER =integrated palliative care into primary health care Provided by ALL MEMBERS of the team Supported by input from specialists when necessary What is a PALLIATIVE APPROACH - ANSWER "Integrating the principles, practices and philosophy of HPC into the care of people with any life-threatening disease, early in the disease process, across all care settings" Integrating a palliative approach in LTC - ANSWER People enter LTC later in disease than previously -the length of stay is SHORTER -more people die in LTC each YEAR A palliative approach - ANSWER can improve care for those dying in long term care Reduces number of emergency room visits A palliative approach works well - ANSWER with dementia care principles People with dementia or multiple illnesses - ANSWER benefit from a pallative approach early on in their disease A palliative approach can also apply in other settings: - ANSWER Emergency Acute medical / surgical Home and community care End of life care is... - ANSWER "LAST DAYS and WEEKS" for the purpose of this class Each place = different def'n - ANSWER Therefore, when you hear someone say "end of life care" you might ask "Can you tell me more about what you mean by END OF LIFE CARE?" Be by their side or make them comfortable Terms used in HPC may vary in their definition, depending on location and facility Definitions "Palliative" is a type of care - ANSWER REFRAIN from labelling a person as "palliative" Consider saying these phrases instead: "He is in his last days and hours" "She is actively dying" Dying person and family are the focus of care - ANSWER PSW holds the family in a safe warm embrace 7 Key Principles of Care Team - ANSWER 1. Dying person and family are the UNIT OF CARE 2. PSW holds and supports the person and family 3. "HOLDS" suggests creating a safe place 4. PSW is supported by colleagues 5. Larger team is less visible 6. The team needs to communicate to be effective 7. PSW communicates information from the dying person and family to the team Care teams vary greatly - ANSWER Depending on 1. Location - urban vs rural 2. Care facility or home care 3. Preferences of dying person and family PSWs integrate a palliative approach by: - ANSWER 1. Holding the dying person and family at the centre of care 2. Gathering information 3. Considering the needs of the WHOLE PERSON 4. Providing physical and psychosocial support by implementing the care plan and individualizing comfort measures. 5. Communicates and advocates for the dying person and family What is a good or bad death? - ANSWER Subjective terms Reflect personal preferences Use instead "appropriate death" to include preferences of the person, dying with dignity How do PSWs provide support? - ANSWER Create a nurturing place for the person and family by: Being REAL Expressing empathy Avoiding ROADBLOCKS to communication Offering a compassionate presence Supporting dignity Communicating Being REAL? - ANSWER Express empathy, not sympathy - ANSWER Empathy "It sounds really hard for you" Sympathy "I am sorry for you" Avoid communication roadblocks - ANSWER Communication roadblocks are phrases or responses that shut down communication.