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Palliative Care

Terms in this set (15)

Palliative Care includes
symptom management
pain management
comfort care
emphasis on qualify of life


** does not mean death is imminent
palliative care goes from the point of...
diagnosis to the end of life
hospice care forgoes...
curative treatments

* palliative care is an aspect in hospice care
what does advanced care planning include?
life values, priorities, individual needs, planning for illness trajectory, local documents, legal documents
What is the national POLST paradigm?
approach to end of life planning based on conversations between patients, loved ones and medical providers

- designed to ensure that seriously ill patients can choose treatment
pediatric considerations for end of life care
-setting realistic future goals
-planning for the future in a gradual process
-plan for transition into adulthood
-family considerations (siblings?)
end of life care is considered when...
cure is not an option

ex: HF, ESKD, COPD
end of life care needs to be...
holistic
stages of grief
1. denial
2. anger/bargining
3. depression
4. acceptance
when end of life care one needs to plan not just how to die but...
also how to live
- patient priorities
- family priorities
-ability to plan for death
-functional and quality living
-goals
what is an important outcome for those who are terminally ill?
adequate pain relief

based on nonmaleficence: preventing or reducing harm to he patient
what is beneficence?
care that is provided to benefit the patient
What is the double effect?
an action that has one good effect and one bad, and is permissible if the ALL following conditions are met:

- good or indifferent, good consequences must be the only ones intended
- good effect not produced by the bad
- compelling or proportionate reason for permitting the foreseeable bad effect
role of the nurse in the health care team of palliative care..
advanced care planning, patient advocate
anticipatory grief
vs
adaptive grief
vs
prolonged grief
anticipatory grief: occurs before a loss
adaptive greif: emotional Response to a loss , helps a person accept reality
prolonged grief: those that are functionally impaired after a loss
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