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6 Cards in this Set
- Front
- Back
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What are some risk factors for poor pain control?
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1. mixed nociceptive / neuropathic pain
2. rectal/perineal/pelvic infiltration 3. history of substance abuse 4. delirium / cognition impairment 5. multifocal bone metastosis 6. unaddressed spiritual / psychiatric morbidity |
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What are some patient fears of dying?
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1. Burden to loved ones
2. Loss of control / dignity - bowel/bladder, capacity 3. dyspnea / suffocating 4. pain 5. prolonged lingering / suffering |
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Patients with an ECOG scale of what are less likely to benefit from aggressive anti-cancer treatment?
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>2
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Patients with a Palliative Performance Scale (PPS) of less than what are less likely to tolerate aggressive treatments?
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<60
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What drugs are the standard of care to treat the "death rattle?"
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anti-cholinergics:
glycopyrrolate (doesn't cross BBB) scopolamine atropine |
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What are the 4 key steps in comprehensive pain assessment?
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1. assess severity/intensity
2. classify pain (nociceptive, neuropathic) 3. assess how it affects function, emotion, quality of life 4. identify risk factors for poor pain control |
