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21 Cards in this Set

  • Front
  • Back

Typical medicine

restoration of function, cure, "fight death at all costs"

medicine in dying patient

pain and symptom management, enhancing QOL, finding meaning in the face of death, "relieving suffering"

Palliative care goal

to provide the best possible QOL for patient and their families

palliative care addresses:

bio psycho and social aspects

palliative emphasizes:

state of the art pain and symptom management, fresh look at prognosis and goals

"" for palliative care

both and , hope for the best.. prepare for the worst

Hospice care

comprehensive care for the dying patient via a multidisciplinary team, patients have a terminal diagnosis

hospice care for those with life expectancy

<6 months

hospice care: patient agrees to

forego disease directed therapies and hospitalization

Nonabandonment

help patient face future with courage and dignity

Barriers to nonabandonment

time, emotions, personalities, providers feelings

dealing with grief may prevent

depression

preparatory/anticipatory grief

physical abilities, social position, pleasurable routines

transitions

stepwise decline present pts. and families with feelings of loss

in dying process the search for __ and __ are always present

hope and meaning

__ helps endure suffering

hope

double effect

legal

withholding or withdrawing life-sustaining treatment

legal with the proper consent

palliative sedation to unconsciousness (terminal sedation)

legal with proper consent

physician aid-in-dying (physician assisted suicide)

illegal in most US states except for Oregon, Washington, Montan, and Vermont but difficult to prosecute

Active euthanasia

illegal, and likely to be successfully prosecuted in the united states if discovered.