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Palliative Care - Cachexia
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Multifactorial syndrome that is defined by an ongoing loss of skeletal
muscle mass that cannot be fully reversed by conventional nutritional
support and leads to progressive functional impairment
,Components of Palliative Care
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- Effective symptom management
- Effective communication
- Psychological, social and spiritual support
- Rehabilitation
- Person centered care
- Coordination of services
- EOL care
- Support in bereavement
End-of-life care
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Is the term used to describe the support and healthcare given during the
time surrounding death - death can come suddenly or lingers on to
gradually failing
Incident Pain
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Pain on movement or activity - if action or movement stops = pain stops
Assessment of Cachexia
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- Assess and manage holistically
- Consider the person's illness trajectory
- Reversible or irreversible?
- Consider both pharmacological and non-pharmacological methods
- Record weight, appetite and factors affecting food intake
- Provide education and support to family regarding the emotional aspects
of withdrawal of nutritional support
- Pharmacological example like corticosteroids
Vulnerable populations - Homelessness
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- Lack of an adequate site to receive health care as they move from shelter
or streets
- Unable to attend appointments or be assessed for their daily needs - ED
is their site of care or first call
- Little support networks and little financial capacity
- Is an ACTING WILL in place?
- Pall care services need to identify and work alongside local homeless
services
Cachexia Symptoms
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- Loss of total body mass
- Decreased muscle strength, pronounced muscle wasting
- Reduced muscle mass
- Fatigue
- Anxiety