HONDROS NUR 212 EXAM 1
AND ITS EXPECTED SOLUTIONS
Interprofessional team members in palliative care
Medicine
Nursing
Social work
Dietician
Clergy
What is palliative care?
Provide comfort care for patients with life long illnesses.
curative treatment
-improves quality of life
-decreases health care costs
-alleviates burden of care
Why is the need for palliative care increasing?
Baby boomers
Demographic changes (new technology)
What is hospice?
End of life comfort care (may include palliative care to)
-Live fully
-Live comfortably
-Die with dignity
Why is hospice care underutilized?
Lack of information
-Physician feels like they failed
-Patients/family are scared and they do not understand
,how hospice works
-Cultural and ethical groups that do not want outsiders to
take care of dying family member
-Feel like they are giving up
Do patient need to be actively dying to need hospice
treatment?
No, hospice includes patients who typically have less than
6 months to live.
Most common hospice diagnosis
Cancer
Heart disease
Average hospice stay
21 days
What does hospice care focus on?
-Pain control
-Symptom management
-Spiritual assessment
-Family assessment/management of needs
Barriers to hospice
-Veterans
-Homeless patients
-Poverty
-Institutionalized
-Disabled
What 2 things are required before being admitted to
hospice?
1. Patient must have desire for hospice
2. Agree in writing that only hospice care will be used
How many physicians need to sign off on initial
hospice admit?
, 2 physicians for initial 6 month admission
1 physician for 6 months thereafter
What are advanced directives?
Legal directives that state your medical decisions
regarding of life.
-also called a living will
-patient must understand what is going on in order to
make advanced directive decisions
Healthcare planning
Does the patient want CPR?
Willing to be on a ventilator?
Artificial feeding?
Just strictly comfort care?
Durable Power of Attorney
Legal agreement that allows an agent or representative of
the patient to act on behalf of the patient
DNRCC
Do Not Resuscitate Comfort Care
-Patient receives care that eases pain, but no resuscitation
measures are taken to save life
DNRCC-Arrest
Dying patient receives treatment including resuscitative
efforts up until the time of cardiac or respiratory arrest
Which diagnostic tool would the nurse expect to
include in the plan of care for a patient who may have
leukemia?
A. BRCA studies
AND ITS EXPECTED SOLUTIONS
Interprofessional team members in palliative care
Medicine
Nursing
Social work
Dietician
Clergy
What is palliative care?
Provide comfort care for patients with life long illnesses.
curative treatment
-improves quality of life
-decreases health care costs
-alleviates burden of care
Why is the need for palliative care increasing?
Baby boomers
Demographic changes (new technology)
What is hospice?
End of life comfort care (may include palliative care to)
-Live fully
-Live comfortably
-Die with dignity
Why is hospice care underutilized?
Lack of information
-Physician feels like they failed
-Patients/family are scared and they do not understand
,how hospice works
-Cultural and ethical groups that do not want outsiders to
take care of dying family member
-Feel like they are giving up
Do patient need to be actively dying to need hospice
treatment?
No, hospice includes patients who typically have less than
6 months to live.
Most common hospice diagnosis
Cancer
Heart disease
Average hospice stay
21 days
What does hospice care focus on?
-Pain control
-Symptom management
-Spiritual assessment
-Family assessment/management of needs
Barriers to hospice
-Veterans
-Homeless patients
-Poverty
-Institutionalized
-Disabled
What 2 things are required before being admitted to
hospice?
1. Patient must have desire for hospice
2. Agree in writing that only hospice care will be used
How many physicians need to sign off on initial
hospice admit?
, 2 physicians for initial 6 month admission
1 physician for 6 months thereafter
What are advanced directives?
Legal directives that state your medical decisions
regarding of life.
-also called a living will
-patient must understand what is going on in order to
make advanced directive decisions
Healthcare planning
Does the patient want CPR?
Willing to be on a ventilator?
Artificial feeding?
Just strictly comfort care?
Durable Power of Attorney
Legal agreement that allows an agent or representative of
the patient to act on behalf of the patient
DNRCC
Do Not Resuscitate Comfort Care
-Patient receives care that eases pain, but no resuscitation
measures are taken to save life
DNRCC-Arrest
Dying patient receives treatment including resuscitative
efforts up until the time of cardiac or respiratory arrest
Which diagnostic tool would the nurse expect to
include in the plan of care for a patient who may have
leukemia?
A. BRCA studies
