Exam (elaborations)
Nurs 517 Exam Questions answers latest update
- Course
- NURS 517
- Institution
- University Of Hawaii - Manoa
Nurs 517 Exam Questions answers latest update
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Nurs 517 ExamThe way forward in palliative care - In an ideal world all practitioners have a
baseline knowledge on palliative care and can then specialize. A vision of the way
forward is where hospice palliative care is available to Canadians when and where
they need it, where living well into death is the goal of care.
HOW TO COMMUNICATE WITH PALLIATIVE CLIENTS - Seeking to understand
pt/families understanding of what's happening, their perspective, thoughts,
wishes.
palliative emergencies - pain, acute dyspnea, major bleeding, acute function loss,
acute anxiety, delirium, epileptic seizures, acute decompensation with aggressive
behavior of the nonprofessional caregiver. AKA intractable symptoms. sedation
can be used.
palliative goals or care - C2 & C1
What is the PPS (palliative performance scale) - Measurement of function for
clients who are palliative
Graded from 100-0%
Incorporates 6 different measurements in 5 categories :
Ambulation, Activity & Evidence of disease, Self-care, Intake, and Level of
consciousness
, Why use PPS - Has prognostic value
Function is one of the most important predictors of prognosis in cancer
Excellent communication tool - Multidisciplinary
Helpful to triage workload, make comparisons
T/F as pps % goes down survival rate in days goes down - true
When to use PPS - - often done daily (patient rounds)
- when patient's condition changes.
- first admission or in community (baseline)
challenges of PPS - - User variation: often experience related
- May be difficult to use with individuals with dementia. (Significant cognitive
decline but highly functioning physically)
- difficult to apply in individuals w functional losses: paraplegia
- Not using the 'best fit' (Individual's who do not seem to be in one category fully:
there are no ½ scores
what is spirituality - - One's search for life's meaning and purpose
- a person's sense of peace, purpose and connection to others as well as their
beliefs about the meaning of life
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