Final Exam: NR601/ NR 601 Primary Care of the Maturing & Aged Family Practicum Final Exam Review | Complete Guide with Questions and Verified Answers|
... [Show More] 2023/ 2024 Newly Update
QUESTION
What is palliative care
Answer: specialized medical care for people with serious illness. It focuses on providing relief from the symptoms and stress of a serious illness.
QUESTION
What is the goal of palliative care
Answer: The goal is to improve quality of life for both the patient and the family
QUESTION
Who is involved in providing palliative care and hospice care
Answer: Client & Family Clinical Pharmacist Spiritual Care Specialist MD Social Worker Music Therapy Nursing Services Physical Therapy Dietician Psychological Services Art Therapy Massage Therapist all dependent on pts needs
QUESTION
When is palliative care appropriate?
Answer: anytime during course of patient's illness; often when patients feel *too sick to live and not sick enough to die*
QUESTION
What is hospice care
Answer: care and services provided for pts with a serious or incurable illness with lead than 6 months to live.
QUESTION
What is the goal of hospice care
Answer: minimize pain and suffering and prepare the pts and family for the end of life
QUESTION
When is hospice care appropriate
Answer: prognosis of 6 months or less to live
QUESTION
Who can deliver primary palliative care
Answer: providers who are not palliative care specialists such as primary care providers or providers who a disease specialists and everyone else a prat of the palliative care team
QUESTION
What are the 8 domains of palliative care?
Answer:
QUESTION
What is encompassed in the ethical and legal aspect of palliative care-
Answer: development of advanced directives or identification of healthcare surrogates to support end of life care
QUESTION
What assessment tools can be used to determine patients prognosis and hospice eligibility
Answer: Karnofsky performance status (KPS)palliative performance scale (PPS)reisberg functional assessment staging tool (FAST)
QUESTION
Karnofsky performance status (KPS) tool for hospice
Answer: identifies pt func- tional statusscore from 100 (normal) to 0 (dead)KPS score <70% indicates eligibility for hospice
QUESTION
palliative performance scale (PPS) tool for hospice
Answer: modified KPSmeasures functional performance and predicts survival at end of life scores 100 (normal) to 0 (dead)<70% are eligible for hospice
QUESTION
reisberg functional assessment staging tool (FAST) tool for hospice
Answer: -staging of Alzheimers and related disorder16 item scale broken into 7 stages with multiple substages score of 7a or below is eligible for hospice
QUESTION
Barriers to end of life care
Answer: healthcare focuses on cure financial criteria: reimbursement and operating costscultural issues social issuesdiscomfort with addressing issues of death both pt, family and HCPpsychological of coping response to death, dying (denial).
QUESTION
rural challenges for hospice and palliative
Answer: culture geography limited workforce recruitment and retention lack of or limited Internet
QUESTION
what is advanced care planning
Answer: process through which individuals identify their goals, values, and priorities that should guide decision making when they are unable to make decisionsgenerally documented through an advanced directive
QUESTION
What are the components of a advanced directive
Answer: living will durable power of attorney for health careDNRCC or DNRCC-Arrest
QUESTION
what is a living will
Answer: a written statement detailing a person's desires regard- ing their medical treatment in circumstances in which they are no longer able to express informed consent, especially an advance directive.directed at healthcare providers
QUESTION
durable power of attorney for health care
Answer: legal document that designates a health care proxy, who is authorized make health care decisions for a client who is unable
QUESTION
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