What is an Advanced Care Plan? CORRECT ANSWER Mentally competent adult canadians have the right to make decisions regarding their health care, including the right to refuse or request life-sustaining care
This decision making process is referred to as advanced care planning
Aimed at improving hea...
Palliative care questions with correct answers
What is an Advanced Care Plan? CORRECT ANSWER Mentally competent adult canadians have the right to make decisions regarding their health care, including the right to refuse or request life-sustaining care
This decision making process is referred to as advanced care planning
Aimed at improving health care decisions and choices at the end of life
Particularly important in the event that the person becomes incapable (legally incompetent) of personally directing their health care
Written Advanced Directives CORRECT ANSWER Instructional directives:
- Such as living wills and treatment directives
- Provide direction about person's wishes for future care & tx
Proxy directives:
- Or "power of attorney for personal care"
- Appoint substitute decision maker authorized to make health care & treatment decisions when the person is unable to
RQHR - My Voice for Life Sustaining Treatment (MVLST)
Verbal Advanced Directives CORRECT ANSWER - Can be given to a physician by a person
- In the event that the person is not capable of communicating their wishes, the family and the physician/health care team discuss and agree upon treatment goals
- Both of these decisions and the plan of care should be documented by the physician in the health record "Do Not Resuscitate" (DNR) orders
Compassionate care CORRECT ANSWER - Allow natural death - Allow comfort measures, pain and symptom management will be offered but the natural progression of death is not delayed
DNR CORRECT ANSWER - No CPR will be performed but does not preclude other forms of care that may sustain life (infection would be treated with antibiotics, IV fluids, parenteral nutrition)
Palliative Illness Trajectory: A shift in care goals and expectations CORRECT ANSWER From active tx - compassionate tx
From cure - improving the quality of life
Surviving disease - living day to day
Pain relief - not suffering
Living longer - hope for peaceful death
Discuss the goals of palliative care CORRECT ANSWER - Uses team approach to meet patient and family needs
- Provides relief from pain and other distressing symptoms
- Affirm life and enhances the quality of life
- Regards dying as a natural process that is profoundly personal for the person and familly
- Integrates psychological and spiritual aspects of care
- Support life completion and life closure
- Care of the whole person as they are dying
Hospice CORRECT ANSWER - A concept of care that provides compassion, concern and support for persons in the last stages of incurable disease
- Goal is to live as fully and comfortably as possible at home or in a home-like environment
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