PPN 202 - WEEK 8 EXAM QUESTIONS AND ANSWERS GRADED A+
End of Life Care (EOL) - Answers Care given to people who are near EOL and have stopped
treatment to cure or control their disease
- EOL care includes physical, emotional, social, and spiritual support for pts and their families
Palliative Care - Answers Care that intends to relieve suffering and improve the quality of living
and dying for individuals and their families faced with life threatening illnesses
What is the Difference Between EOL and Palliative Care - Answers - EOL includes palliative care
- If you have an illness that cannot be cured, palliative care makes you as comfortable as
possible, by managing your pain and other distressing symptoms
- EOL care occurring in the last part of a pt's life, typically i the last few months, depending on
the underlying diagnosis and clinical course and also includes planning for EOL care
- Palliative care includes EOL care but also entails much more
Factors Affecting Place of Death - Answers - Pt preference
- Availability of caregiver
- Family and community support
- Nature of illness
- Level of disability
Access to Palliative Care in Canada - Answers - 1 in 6 Canadians (15%) who died in 2016-2017
received publicly funded palliative home care in their last year of life
- 62% of Canadians who received palliative care did so in an acute care hospital in their last
month of life
- Few Canadians (15%) have early access to palliative care in the community
- Canadians who got palliative care at home were 2.5 times more likely to die there than those
who received regular home care
- 80% of the time palliative care that was provided during admission was unplanned or through
ED
Care Environment and Included Services: Home Care - Answers - Friends/family provide most
home palliative care (99%)
- 2.5 times more likely to die at home if palliative care is received at home
, Care Environment and Included Services: Long Term care (LTC) - Answers - Most who received
palliative care in LTC died in LTC
- Average length of stay is 2 years until death
Care Environment and Included Services: Hospice Care - Answers - Canada has 88 residential
hospices
- Majority ask pts to be 3 months or less regarding life expectancy
What is the Background of Article #1 about Comfort Conversations & Palliative Care Needs?
(Konietzny & Anderson, 2017) - Answers - In Ontario's complex continuing care (CCC) settings,
approx 29% of pts passed away while in hospital
- A palliative care needs assessment was implemented as a quality improvement initiative
- Research lacks on CCC settings and palliative care
- CCC care providers require more education and assistance when dealing with families in
relation too palliation and EOL care
Kolcaba's Theory of Comfort (Konietzny & Anderson, 2017) - Answers - A tool to ease the
practitioner's experience of discomfort by engaging in comfort conversations
- Comfort as the goal for nursing interventions and pts in care
- Comfort can lead to health-seeking behaviors that can improve health or well-being
- A good death is one example - conflicts resolved, peaceful, symptoms managed, dignity
protected, death accepted
- Comfort occurs in 3 states and 4 domains
Comfort: 3 States (Konietzny & Anderson, 2017) - Answers 1) Relief
2) Ease
3) Transcendence
Comfort: 4 Domains (Konietzny & Anderson, 2017) - Answers 1) Physical
2) Psychospiritual
3) Environmental
4) Sociocultural
Comfort: PHYSICAL DOMAIN + 3 States (Konietzny & Anderson, 2017) - Answers Relief:
Experiencing pain or discomfort from lying in bed or sitting in a wheelchair that needs relief
End of Life Care (EOL) - Answers Care given to people who are near EOL and have stopped
treatment to cure or control their disease
- EOL care includes physical, emotional, social, and spiritual support for pts and their families
Palliative Care - Answers Care that intends to relieve suffering and improve the quality of living
and dying for individuals and their families faced with life threatening illnesses
What is the Difference Between EOL and Palliative Care - Answers - EOL includes palliative care
- If you have an illness that cannot be cured, palliative care makes you as comfortable as
possible, by managing your pain and other distressing symptoms
- EOL care occurring in the last part of a pt's life, typically i the last few months, depending on
the underlying diagnosis and clinical course and also includes planning for EOL care
- Palliative care includes EOL care but also entails much more
Factors Affecting Place of Death - Answers - Pt preference
- Availability of caregiver
- Family and community support
- Nature of illness
- Level of disability
Access to Palliative Care in Canada - Answers - 1 in 6 Canadians (15%) who died in 2016-2017
received publicly funded palliative home care in their last year of life
- 62% of Canadians who received palliative care did so in an acute care hospital in their last
month of life
- Few Canadians (15%) have early access to palliative care in the community
- Canadians who got palliative care at home were 2.5 times more likely to die there than those
who received regular home care
- 80% of the time palliative care that was provided during admission was unplanned or through
ED
Care Environment and Included Services: Home Care - Answers - Friends/family provide most
home palliative care (99%)
- 2.5 times more likely to die at home if palliative care is received at home
, Care Environment and Included Services: Long Term care (LTC) - Answers - Most who received
palliative care in LTC died in LTC
- Average length of stay is 2 years until death
Care Environment and Included Services: Hospice Care - Answers - Canada has 88 residential
hospices
- Majority ask pts to be 3 months or less regarding life expectancy
What is the Background of Article #1 about Comfort Conversations & Palliative Care Needs?
(Konietzny & Anderson, 2017) - Answers - In Ontario's complex continuing care (CCC) settings,
approx 29% of pts passed away while in hospital
- A palliative care needs assessment was implemented as a quality improvement initiative
- Research lacks on CCC settings and palliative care
- CCC care providers require more education and assistance when dealing with families in
relation too palliation and EOL care
Kolcaba's Theory of Comfort (Konietzny & Anderson, 2017) - Answers - A tool to ease the
practitioner's experience of discomfort by engaging in comfort conversations
- Comfort as the goal for nursing interventions and pts in care
- Comfort can lead to health-seeking behaviors that can improve health or well-being
- A good death is one example - conflicts resolved, peaceful, symptoms managed, dignity
protected, death accepted
- Comfort occurs in 3 states and 4 domains
Comfort: 3 States (Konietzny & Anderson, 2017) - Answers 1) Relief
2) Ease
3) Transcendence
Comfort: 4 Domains (Konietzny & Anderson, 2017) - Answers 1) Physical
2) Psychospiritual
3) Environmental
4) Sociocultural
Comfort: PHYSICAL DOMAIN + 3 States (Konietzny & Anderson, 2017) - Answers Relief:
Experiencing pain or discomfort from lying in bed or sitting in a wheelchair that needs relief
