NUR 426 EXAM 3.Palliative care &
organ donation
False - answer(T/F) Once you elect Hospice you can no longer see your primary care
doctor or subspecialists
False - answer(T/F) Hospice provides 24-hour in-home care
True - answer(T/F) Patients can receive curative treatments and Palliative Care at the
same time
FALSE - answer(T/F) Hospice patients must be DNR
FALSE - answer(T/F) Palliative Care is appropriate only for those that are going to die
soon.
TRUE - answer(T/F) Hospice provides family with 12 months of grief support services
after a patient's death.
FALSE - answer(T/F) Only Medicare patients can receive Hospice services.
FALSE - answer(T/F) If you live longer than 6 months you can no longer receive
Hospice care
-To achieve pain & symptom control
-To avoid prolongation of dying process
-To gain a sense of control
-To relieve burden on family
-To strengthen relationships - answerWhat do patients want with palliative care?
Palliative care - answeran approach that improves the quality of life of patients and their
families facing life-threatening illness, through prevention and relief of suffering by
means of early identification and assessment and treatment of pain and other problems,
physical, psychosocial and spiritual
is specialized medical care for people with serious illnesses. It focuses on providing
patients with relief from the symptoms, pain and stress of a serious illness - whatever
the diagnosis. The goal is to improve quality of life for both patient and family...to
provide an extra layer of support...appropriate at any age and at any stage in a serious
illness, and can be provided together with curative treatment - answerPalliative care
hospice - answer-Defined as an insurance benefit
, -Focused on comfort & quality of life
-Required prognosis of ≤6 months (certified by 2 physicians)
-Delivered in the "home"
-Provided as an interdisciplinary team - answerhospice
*Support system for patients/families (and primary teams) as they cope with serious
illness & death
-Social Work
-Psychology
-Family Counseling
-Child Life
-Pastoral Care
-Music Therapy - answerSocial, Emotional, & Spiritual Care for palliative care
-Legacy building
-Screening for complicated grief
-Sibling grief
-Counseling
-Support groups
-Community resources - answerBereavement Care
-Participating in a clinical trial
-Withholding or withdrawing treatments
-Use of artificial hydration & nutrition
-Do not resuscitate (DNR)
-Preferred location of death - answerWhat are the decisions that this patient/family will
need to make in the future?
-There is considerable unrelieved suffering in patients with serious illness.
-Palliative Care is a (newer) specialty focused on improving quality of life.
-Hospice is a specific delivery model for end-of-life care outside of the hospital.
-Palliative Care can help with refractory symptom management & complex medical
decision-making.
-Good communication leads to lower utilization, improved quality of life, and less
caregiver burden - answerSummary for palliative care
TRUE - answer(T/F) End-of-life discussions are associated with less aggressive
medical care near death and earlier hospice referrals
TRUE - answer(T/F) Aggressive care is associated with worse patient quality of life and
worse bereavement adjustment.
Cheyne-Stokes respirations.
organ donation
False - answer(T/F) Once you elect Hospice you can no longer see your primary care
doctor or subspecialists
False - answer(T/F) Hospice provides 24-hour in-home care
True - answer(T/F) Patients can receive curative treatments and Palliative Care at the
same time
FALSE - answer(T/F) Hospice patients must be DNR
FALSE - answer(T/F) Palliative Care is appropriate only for those that are going to die
soon.
TRUE - answer(T/F) Hospice provides family with 12 months of grief support services
after a patient's death.
FALSE - answer(T/F) Only Medicare patients can receive Hospice services.
FALSE - answer(T/F) If you live longer than 6 months you can no longer receive
Hospice care
-To achieve pain & symptom control
-To avoid prolongation of dying process
-To gain a sense of control
-To relieve burden on family
-To strengthen relationships - answerWhat do patients want with palliative care?
Palliative care - answeran approach that improves the quality of life of patients and their
families facing life-threatening illness, through prevention and relief of suffering by
means of early identification and assessment and treatment of pain and other problems,
physical, psychosocial and spiritual
is specialized medical care for people with serious illnesses. It focuses on providing
patients with relief from the symptoms, pain and stress of a serious illness - whatever
the diagnosis. The goal is to improve quality of life for both patient and family...to
provide an extra layer of support...appropriate at any age and at any stage in a serious
illness, and can be provided together with curative treatment - answerPalliative care
hospice - answer-Defined as an insurance benefit
, -Focused on comfort & quality of life
-Required prognosis of ≤6 months (certified by 2 physicians)
-Delivered in the "home"
-Provided as an interdisciplinary team - answerhospice
*Support system for patients/families (and primary teams) as they cope with serious
illness & death
-Social Work
-Psychology
-Family Counseling
-Child Life
-Pastoral Care
-Music Therapy - answerSocial, Emotional, & Spiritual Care for palliative care
-Legacy building
-Screening for complicated grief
-Sibling grief
-Counseling
-Support groups
-Community resources - answerBereavement Care
-Participating in a clinical trial
-Withholding or withdrawing treatments
-Use of artificial hydration & nutrition
-Do not resuscitate (DNR)
-Preferred location of death - answerWhat are the decisions that this patient/family will
need to make in the future?
-There is considerable unrelieved suffering in patients with serious illness.
-Palliative Care is a (newer) specialty focused on improving quality of life.
-Hospice is a specific delivery model for end-of-life care outside of the hospital.
-Palliative Care can help with refractory symptom management & complex medical
decision-making.
-Good communication leads to lower utilization, improved quality of life, and less
caregiver burden - answerSummary for palliative care
TRUE - answer(T/F) End-of-life discussions are associated with less aggressive
medical care near death and earlier hospice referrals
TRUE - answer(T/F) Aggressive care is associated with worse patient quality of life and
worse bereavement adjustment.
Cheyne-Stokes respirations.
