END OF LIFE ISSUES

Terms in this set (14)

Depression factors =
anxiety, 4/5 people with terminal cancer suffer anxiety.
*life-limiting illness
*transition from active or curative to palliative care
*uncontrolled pain or other symptoms
*meds effects
IMPORTANT CONTRIBUTING FACTORS =
*past history of depression
*history of substance misuse/dependance
*social isolation
*family distress/dysfunction
Nutrition and diet =
loss of taste, nausea, medications, constipation, dysphagia or dyspnoea, anorexia .
Respiratory=
lung cancer, end stage cardiac failure, neuromuscular disease eg motor neuron disease
Gastrointestinal =
Nausea, chronic constipation affects 40-70% of cancer patients treated with oral morphine
Pain=
effective management of pain is a core element of palliative care practice
lack of Sleep may be caused by-
* movement disorders eg restless legs
*depression, anxiety
* pain
*delirium
*dementia
*sleep disorders eg sleep apnoea
*nausea, vomiting
*cough
Fatigue is=
extremely common amongst palliative care patients, presence and intensity of symptoms increase as the disease progresses
Things that impact on appetitie =
depression, mouth probs, nausea, food presentation, taste changes, meds, constipation, difficulty swallowing or breathing.
Palliative conditions which cachexia anorexia occurs=
progressive malignancy
HIV/AIDS
end-stage cardiac failure
end-stage renal failure
chronic liver disease
advanced dementia
anxiety triggered by =
untreated poorly managed pain & other symptoms
underlying anxiety disorder
fear of death
family distress
drug induced
OTHER FACTORS=
previous psychiatric history
alcohol/nicotine dependance
loss of control - real or perceived
SLEEPING ISSUES CAUSED BY=
*pruritis - itching, in skin not on skin
*environmental disruption
*changed activity patterns
*day/night confusion
*altered circadian rhythm
*reduced bed mobility
*meds
*incontinence
*fear of not waking up
*restlessness
PALLIATIVE CARE =
Medical supportive care of treatment that concentrates on reducing the severity of disease symptoms, rather than providing a cure. Intends to neither hasten nor postpone death.
Palliative care used for Disease states =
*Cancer,
*chronic and progressive pulmonary disorders,
*end stage renal disease,
*end stage liver disease,
*chronic heart failure,
*neurological conditions,
*AIDS
Philosophy =
patient centred, focused on quality of life, incorporates psychological and spiritual care for person and their family members, bereavement care, negotiations of goals of treatment to respect persons values, beliefs, cultural background, personal preferences
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