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level: chapter 40

Questions and Answers List

level questions: chapter 40

QuestionAnswer
hospice is from the latin wordhospitium; meaning hospitality or lodging
what types of diseases does hospice servethe most common being cancer 27.7%, dementia 18%, cardiac and kung disease 18.7%
the core interdisciplinary team consist ofmedical director, nurse coordinator, social worker, spiritual coordinator
what is required for a patient to be admitted to hospicehealthcare provider must certify that then pt is terminally ill and pt has 6 months or less to live
who could the hospice caregiver beimmediate family member, significant other, friend, or hired care giver
when does caregiver services become vitalwhen the patient is no longer able to care for themselves
what other criteria is met when a patient is admitted to hospicestaff performs a complete physical, psychosocial, and spiritual assessment
what does the volunteer coordinator docompanionship, respite care, emotional support
appropriate services for the volunteer to provide are what are considered typical of a good neighbor such asgrocery shopping, yard work, reading to the patient, or keeping the patient company while the caregiver leaves the home for short periods
what medications are commonly used for hospice caremorphine sulfate immediate release , morphine sulfate controlled release, fentanyl transdermal patch, doperidol(inapsine). prochlorperazine, Senna(senokot), lorazepam (Ativan)
what is a priority in hospice and whypain management; of all the symptoms that a dying patient experiences, pain is the most dreaded and feared
what does pain disruptactivities as well as the quality and enjoyment of life
to a healthy person pain is usually temporary and tolerable but to a terminally ill patient it can beExcruciating, constant and terrifying
pain takes unmanly forms such asphysical, psychosocial, spiritual, and addressing and alleviating it is correct and proper
the healthcare provider may find pain related to what and how do you remove with those types of paintumor invasion, compression of organs or nerves, erosion of tissue, or other pathologic factors; removing the cause is not always possible; the symptoms become central to successfully manage pain
what does OLD CARTS stand forOnset, Location, Duration, Character of pain, Aggravating factors, Relieving factors, Treatments, and Severity
define somatic painarises from the musculoskeletal system and is described as aching, stabbing or throbbing
how is somatic pain typically treatednonsteriodal antiinflammatory drugs, non opioid drugs, and opioid drugs
define visceral painpain that originates from the internal organs commonly described as cramping, pressure, dull or squeezing pains
how is visceral pain typically treatedhealthcare provider typically prescribe an anticholinergic med alone or as an adjuvant to nonopioids or opioids
define neuropathy painarises from nerves and the nervous system; commonly described as tingling, burning, or shooting pains
how is neuropathy pain typically treatedhealthcare providers sometimes order anticonvulsants as an adjuvant to assist with pain control
why are morphine derivatives often the drug of choice when dealing with hospice patientsbecause they can be delivered by all routes and the dosage can be titrated to control the pain
ineffective pain management is usually associated withundermedication as a result of common myths and fears
what are the myths and fears of using pain meds such as opioidsaddiction, tolerance, and respiratory depression
how is pain best managedas an individualized approach
when giving pain meds lifestyle considerations are important in determiningthe route and type of medication to administer for pain control
what is one of the most common problems with terminally ill patientsconstipation; and an assessment is fundamental for finding the cause and treatment of constipation
constipation can cause more what then pain itselfanxiety and discomfort
constipation can cause other symptoms such asabdominal pain, nausea, vomiting,
factors that contribute to constipation includepoor diet intake, poor fluid intake, hypercalcemia, hyponatremia, tumor compression of bowel, use of opioids for pain control, and decrease in physical activities
define the philosophy of hospiceprovide care and support to patients with terminal illness and their families
in hospice the interdisciplinary team promotescomfort, care, and support through compassion, interest and genuine concern to promote quality of life as the end approaches