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17 Cards in this Set
- Front
- Back
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Admitting requirements for hospice
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Physician certifies terminal illnes, less than 6 mos to live
No more curative treatment, palliative care only Understand hospice staff will plan care for comfort, not necessarily perfom life support measures Understand prognosis and participate in plan of care |
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First hospice in US
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Connecticut 1971
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The Medicare Hospice Benefit came into effect in what year?
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1983
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What does hospice care emphasize?
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Quality of life, not quantity of life
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Hospice core interdisciplinary team members are?
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Medical Director
Nurse Coordinator Social Worker Spiritual Coordinator |
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Who is the mediator between the hospice team and the primary physican?
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Medical Director
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Give 3 medications used in hospice care
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Morphine Sulfate (Roxanol)
Droperidol (Inapsine) Prochlorperazine (Compazine) Senna (Senokot) Lorazepam (Ativan) Fentanyl (Duragesic Patch) |
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What is the most dreaded and feared symptom a dying patient experiences?
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Pain
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A period of relief from the responsibilities of caring for a terminally ill person
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Respite Care
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Somatice pain arises from?
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The musculoskeletal system
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Visceral pain arises from?
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Internal Organs
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Neuropathic pain arises from?
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The nerves and the nervous system
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To slowly increase the amount of a drug to find the therapeutic dose
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Titrate
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Common myths and fears related to undermedicating a terminally ill person
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Addiction
Tolerance Respiratory Depression |
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Hospice care usually continues for how long after the patient has died
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1 year
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Signs and symptoms of approaching death
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Arms and legs become cool to the touch
Sleeps more, difficult to wake Confusion Incontinence (bladder & bowel) Death Rattle Cheyne-Stokes Respirations Decreased need for food & drink |
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Pain assessment tool OLD CARTS stands for?
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O- onset
L- location D- duration C- Character of pain A- aggravating factors R- relieving factors T- treatments S- severity |
