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21 Cards in this Set
- Front
- Back
Typical medicine |
restoration of function, cure, "fight death at all costs" |
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medicine in dying patient |
pain and symptom management, enhancing QOL, finding meaning in the face of death, "relieving suffering" |
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Palliative care goal |
to provide the best possible QOL for patient and their families |
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palliative care addresses: |
bio psycho and social aspects |
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palliative emphasizes: |
state of the art pain and symptom management, fresh look at prognosis and goals |
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"" for palliative care |
both and , hope for the best.. prepare for the worst |
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Hospice care |
comprehensive care for the dying patient via a multidisciplinary team, patients have a terminal diagnosis |
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hospice care for those with life expectancy |
<6 months |
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hospice care: patient agrees to |
forego disease directed therapies and hospitalization |
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Nonabandonment |
help patient face future with courage and dignity |
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Barriers to nonabandonment |
time, emotions, personalities, providers feelings |
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dealing with grief may prevent |
depression |
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preparatory/anticipatory grief |
physical abilities, social position, pleasurable routines |
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transitions |
stepwise decline present pts. and families with feelings of loss |
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in dying process the search for __ and __ are always present |
hope and meaning |
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__ helps endure suffering |
hope |
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double effect |
legal |
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withholding or withdrawing life-sustaining treatment |
legal with the proper consent |
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palliative sedation to unconsciousness (terminal sedation) |
legal with proper consent |
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physician aid-in-dying (physician assisted suicide) |
illegal in most US states except for Oregon, Washington, Montan, and Vermont but difficult to prosecute |
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Active euthanasia |
illegal, and likely to be successfully prosecuted in the united states if discovered. |