CH. 12 Palliative Care Exam 42 Questions with Verified Answers,100% CORRECT

Document Content and Description Below

CH. 12 Palliative Care Exam 42 Questions with Verified Answers Hospice - CORRECT ANSWER Inter professional approach to end of life care Patient and family are unit of care Symptom control rathe... r than curative treatment Disease is considered end stage with progression to death Palliative Care - CORRECT ANSWER Approach that improves quality of life of patients and families facing problems associated with life-threatening illness HPNA Standards of Practice for Palliative Care Nurses - CORRECT ANSWER -Provide age appropriate, culturally, ethically, and spiritually sensitive care and support -maintains a safe environment -educates to identify appropriate setting and treatment options -Assures continuity of care and safe transitions to next setting -Coordinates care across settings and among caregivers -Manages info and protects confidentiality -Communicates promptly and effectively With initial diagnosis, what can help guide therapy? - CORRECT ANSWER Palliative care With disease progression to an end stage condition, what is an option of care? - CORRECT ANSWER Hospice Palliative Performance Scale - CORRECT ANSWER general tool that identifies functional decline and scores it Indication of disease progression to death Karnofsky Scale - CORRECT ANSWER Appropriate for patients with a cancer diagnosis Prognostication - CORRECT ANSWER Based on Lab findings and diagnostic test results After gathering data, meet with patient and family Hope - CORRECT ANSWER For a cure For more time For no pain For a good death Peaceful Road to death - CORRECT ANSWER "Usual" The patient begins sleeping more and being less and less responsive Comatose state to death Peaceful and comfortable Difficult Road to death - CORRECT ANSWER "Unusual" Is one of restlessness with increased confusion and frequently with hallucinations How is death verified? - CORRECT ANSWER Absence of Heart rate of respirations, fixed dilated pupils, or absence of corneal reflex Triggers for Palliative Care Consult - CORRECT ANSWER "Would I be surprised if this patient died within 6 months to 1 year? Multifaceted care such as ventilators, feedings, and assistance with ADLs Age Cognitive Impairment Metastatic Cancer Hx of Hospice No advanced care plan End-of-Life Nursing Education Consortium (ELNEC) - CORRECT ANSWER Goals to improve palliative care Educate nurses 8 modules Core Curriculum of ELNEC - CORRECT ANSWER Nursing care at EOL Pain management Symptom management Ethical/legal issues Cultural considerations Communication Loss/grief/bereavement Final hours National Consensus Project - CORRECT ANSWER Task force organizations striving to improve palliative care American Academy of Hospice/Palliative Medicine (AAHPM) Center to Advance Palliative Care (CAPC) Hospice/Palliative care Nurses Association (HPNA) National Hospice and Palliative Care Organization NCP Domains - CORRECT ANSWER 1-Structure and Processes of Care 2-Addesses Physical Aspects of care 3-Psycholigical and Psychiatric Aspects of care 4-Social Aspects of care 5-Spiritual, Religious, and Existential Aspects of Care 6-Cultural Aspect of care 7-Care of Patient at EOL 8-Ethical and Legal Aspects of Care Domain 1: Structure and Processes of Care - CORRECT ANSWER Inter professional team to work together and assess/plan care with patient Domain 2: Addresses Physical Aspects of Care - CORRECT ANSWER Uses of validated tools for assessment and treatment Domain 3: Psychological and Psychiatric Aspects of Care - CORRECT ANSWER Assessment and treatment of psychiatric concerns Bereavement programs Domain 4: Social Aspects of Care - CORRECT ANSWER Engages patient and families in the patient's care Taking advantage of their strengths Domain 5: Spiritual, Religious, and Existential Aspects of Care - CORRECT ANSWER Involving chaplain in the plan of care throughout disease trajectory Domain 6: Cultural Aspects of Care - CORRECT ANSWER Inclusion of cultural aspects when providing care and holds that the team should be culturally competent Domain 7: Care of the Patient at EOL - CORRECT ANSWER Communication Physical signs and symptoms of dying process Ongoing education Domain 8: Ethical and Legal Aspects of care - CORRECT ANSWER Advanced care planning Unrelieved Pain - CORRECT ANSWER Provokes or exacerbate distress Disturbs coping and adjustment Augments a sense of vulnerability Interferes with ability to eat, sleep, think, and interact with others Correlated with fatigue in cancer patients Benefits of Palliative Care - CORRECT ANSWER - Relief of suffering - Optimization of function - Promotion of healing and comfort - Fostering of appropriate hope - Genuine coordination of care at times of transitions between health care providers - If anticipated, patient and family are given opportunity and assistance in exploring and preparing for hospice Suffering - CORRECT ANSWER A state of severe distress associate with events that threaten the intactness of a person The experience of a person Can coexist with pain, but independent of pain Barriers to Palliative Care - CORRECT ANSWER Lack of a general understanding by healthcare professionals as well as the consumers of the role and nature of palliative care Limit numbers of palliative care trained professionals Payment for Palliative care services Communication Challenges to Palliative Care - CORRECT ANSWER Barriers related to patient safety and independence Treating the patient for the family's sake Withholding/withdrawing food/fluids Areas of expertise for Hospice/palliative Nurse - CORRECT ANSWER Clinical Judgement Advocacy and ethics Professionalism Collaboration Systems thinking Cultural competence Facilitator of learning Communication Certified Hospice Palliative Nurse (CHPN) - CORRECT ANSWER Generalist level Certified Hospice Palliative Administrator (CHPA) - CORRECT ANSWER Palliative nurse administrator Certified Hospice Palliative Nurse (ACHPN) - CORRECT ANSWER Advanced level Special training and certification through Joint Commission Institutional Certification - CORRECT ANSWER Voluntary Certification Recognition for high quality palliative care Available through Joint Commission National Hospice and Palliative Care Organization (NHPCO) - CORRECT ANSWER Committed to the improvement of multiple areas of quality Patient centered measures related to management of pain within 48 hours of admission Avoiding unwanted hospitalization Avoiding unwanted CPR Patient safety Barriers to Research - CORRECT ANSWER It is a new subspecialty Numerous ethical issues Lack of funding lack of staff lack of trained researcher Obtaining subjects Ethical Concern for Advanced Planning - CORRECT ANSWER Patient Self-determination act Gave patients the right to treatment decisions Living will and durable power of attorney Ethical Concern for Double Effect - CORRECT ANSWER The action with two possible effects, good or bad Double effect is ethically acceptable if these 4 conditions satisfied - CORRECT ANSWER Good effect intended and not morally wrong Bad effect is not intended but can be foreseen The bad effect cannot be means to the good effect Symptoms must be severe enough to warrant risks Medically Futile Care - CORRECT ANSWER Treatment option that offers no possibility of physiologic benefit related to diagnosis, prognosis, or the current medical treatment Palliative sedation - CORRECT ANSWER manage intolerable symptoms need informed consent [Show More]

Last updated: 8 months ago

Preview 1 out of 7 pages