Podcast
Questions and Answers
What is the nurse's role in addressing spiritual care needs in palliative and end-of-life care?
What is the nurse's role in addressing spiritual care needs in palliative and end-of-life care?
- Assessing and addressing the patient's social needs only
- Assessing and addressing the patient's financial needs only
- Assessing and addressing the patient's spiritual and emotional needs (correct)
- Assessing and addressing the patient's physical needs only
According to the Clinical Practice Guidelines for Quality Palliative Care, what is recommended in relation to cultural considerations for patients and families facing end of life?
According to the Clinical Practice Guidelines for Quality Palliative Care, what is recommended in relation to cultural considerations for patients and families facing end of life?
- Advising patients and families to abandon their cultural practices
- Excluding cultural practices from the care plan
- Ignoring cultural considerations to focus solely on medical care
- Paying attention to cultural considerations for patients and families (correct)
In end-of-life care, according to the World Health Organization (WHO), what is considered paramount?
In end-of-life care, according to the World Health Organization (WHO), what is considered paramount?
- Control of pain, other symptoms, and psychological, social, and spiritual problems (correct)
- Control of pain only
- Control of social problems only
- Control of psychological problems only
Which domain is included in holistic care?
Which domain is included in holistic care?
What does spirituality involve?
What does spirituality involve?
What is a means of expressing spirituality?
What is a means of expressing spirituality?
What does spiritual care involve?
What does spiritual care involve?
Which tool can be used for spiritual assessment?
Which tool can be used for spiritual assessment?
What is culture?
What is culture?
How does culture shape individuals' understanding of illness and death?
How does culture shape individuals' understanding of illness and death?
What does culture influence in palliative care?
What does culture influence in palliative care?
What is an example of cultural competency in palliative care?
What is an example of cultural competency in palliative care?
What is included in a spiritual assessment using the FICA spiritual assessment tool?
What is included in a spiritual assessment using the FICA spiritual assessment tool?
What aspects does culture influence in palliative care?
What aspects does culture influence in palliative care?
What does a spiritual assessment involve?
What does a spiritual assessment involve?
What is the main goal of providing culturally competent care?
What is the main goal of providing culturally competent care?
Which model of care has evolved to include cultural awareness and sensitivity?
Which model of care has evolved to include cultural awareness and sensitivity?
What is cultural safety based on?
What is cultural safety based on?
What is cultural humility a process of?
What is cultural humility a process of?
How may lack of cultural safety affect patients?
How may lack of cultural safety affect patients?
What aspects of healthcare may be influenced by culture?
What aspects of healthcare may be influenced by culture?
Why can providing palliative care to newcomers in Manitoba be complex?
Why can providing palliative care to newcomers in Manitoba be complex?
What fundamental value is recognized in Canada's constitution?
What fundamental value is recognized in Canada's constitution?
What principle recognizes a person's right to decide their healthcare based on their beliefs, values, and life plan?
What principle recognizes a person's right to decide their healthcare based on their beliefs, values, and life plan?
In non-western cultures, who may be involved in healthcare decisions?
In non-western cultures, who may be involved in healthcare decisions?
What kind of needs and values do recent immigrants have primarily due to cultural and religious differences?
What kind of needs and values do recent immigrants have primarily due to cultural and religious differences?
What does multiculturalism allow individuals to practice?
What does multiculturalism allow individuals to practice?
In Filipino hospitals, which system allows family members, especially mothers, to stay with the dying person?
In Filipino hospitals, which system allows family members, especially mothers, to stay with the dying person?
Why is organ donation generally not accepted in Filipino spiritual beliefs?
Why is organ donation generally not accepted in Filipino spiritual beliefs?
What is the Chinese cultural view on revealing a prognosis to dying patients?
What is the Chinese cultural view on revealing a prognosis to dying patients?
In Canadian hospitals, what do Hindu families prefer to do before the deceased loved ones are removed from the hospital?
In Canadian hospitals, what do Hindu families prefer to do before the deceased loved ones are removed from the hospital?
How soon must the body be cremated after death according to Hindu traditions?
How soon must the body be cremated after death according to Hindu traditions?
Why do Muslim families prefer not to disclose a prognosis to dying relatives?
Why do Muslim families prefer not to disclose a prognosis to dying relatives?
What is the primary focus of Buddhist perspectives of end-of-life care?
What is the primary focus of Buddhist perspectives of end-of-life care?
What is the focus of WRHA Indigenous Health?
What is the focus of WRHA Indigenous Health?
What was the significance of the case of Brian Sinclair?
What was the significance of the case of Brian Sinclair?
Which culture emphasizes the importance of family in end-of-life care interactions?
Which culture emphasizes the importance of family in end-of-life care interactions?
What does the term 'cultural safety' primarily entail?
What does the term 'cultural safety' primarily entail?
Which country's population increase is mentioned in the text?
Which country's population increase is mentioned in the text?
What is the primary concern raised in Ontario related to health care bias?
What is the primary concern raised in Ontario related to health care bias?
Which culture's values include finding meaning in existence and death?
Which culture's values include finding meaning in existence and death?
What is the main focus of the required readings that were removed?
What is the main focus of the required readings that were removed?
What is a top intervention for Filipino patients at end of life according to the text?
What is a top intervention for Filipino patients at end of life according to the text?
Which symptom do many people fear most after a diagnosis of advanced cancer?
Which symptom do many people fear most after a diagnosis of advanced cancer?
According to M. McCaffery in 1968, how has pain been defined?
According to M. McCaffery in 1968, how has pain been defined?
What is one of the most frequent reasons for palliative consultations?
What is one of the most frequent reasons for palliative consultations?
What is predictive for the last 6 months for advanced cancer patients?
What is predictive for the last 6 months for advanced cancer patients?
What percentage of cancer pain is caused by the cancer itself?
What percentage of cancer pain is caused by the cancer itself?
According to the Winnipeg Regional Health Authority (WRHA), what do the clinical practice guidelines recommend for pain assessment and management?
According to the Winnipeg Regional Health Authority (WRHA), what do the clinical practice guidelines recommend for pain assessment and management?
What does the Canadian Virtual Hospice identify as the fifth vital sign?
What does the Canadian Virtual Hospice identify as the fifth vital sign?
How much more potent is fentanyl compared to common opioids?
How much more potent is fentanyl compared to common opioids?
What percentage of patients can achieve adequate pain control with proper assessment and management?
What percentage of patients can achieve adequate pain control with proper assessment and management?
What is a common misconception about morphine mentioned in the text?
What is a common misconception about morphine mentioned in the text?
What does the World Health Organization (WHO) pain ladder recommend for pain management?
What does the World Health Organization (WHO) pain ladder recommend for pain management?
What is a common barrier to optimal pain assessment mentioned in the text?
What is a common barrier to optimal pain assessment mentioned in the text?
What is a potential outcome of opioidphobia mentioned in the text?
What is a potential outcome of opioidphobia mentioned in the text?
What percentage of patients reported being asked about their pain during clinical visits?
What percentage of patients reported being asked about their pain during clinical visits?
According to the Winnipeg Regional Health Authority (WRHA), what is crucial before treatment to determine the cause, type, severity, and impact of pain on the patient?
According to the Winnipeg Regional Health Authority (WRHA), what is crucial before treatment to determine the cause, type, severity, and impact of pain on the patient?
What aspect of pain is not only physical but also includes emotional, social, financial, spiritual, and bureaucratic aspects?
What aspect of pain is not only physical but also includes emotional, social, financial, spiritual, and bureaucratic aspects?
What is the primary focus of managing breakthrough pain in cancer patients?
What is the primary focus of managing breakthrough pain in cancer patients?
What is the maximum recommended dose of fentanyl for treating breakthrough pain, given every 15 minutes up to 3 times per hour?
What is the maximum recommended dose of fentanyl for treating breakthrough pain, given every 15 minutes up to 3 times per hour?
What is the common side effect of opioids that can limit their use in some patients?
What is the common side effect of opioids that can limit their use in some patients?
According to Pal (2010), when should healthcare professionals give incident pain medications to cover peak pain?
According to Pal (2010), when should healthcare professionals give incident pain medications to cover peak pain?
What did Ferrell & Coyle (2019) note about the knowledge and confidence of oncology professionals in managing breakthrough pain?
What did Ferrell & Coyle (2019) note about the knowledge and confidence of oncology professionals in managing breakthrough pain?
What is the impact of end-of-dose failure of background analgesic on breakthrough pain?
What is the impact of end-of-dose failure of background analgesic on breakthrough pain?
What is the primary challenge in using opioids to manage peak pain and maintain a steady level between painful episodes?
What is the primary challenge in using opioids to manage peak pain and maintain a steady level between painful episodes?
Which short-acting analgesic is often given approximately 10 minutes prior to activity for treating breakthrough pain?
Which short-acting analgesic is often given approximately 10 minutes prior to activity for treating breakthrough pain?
What is the defining characteristic of nociceptive pain?
What is the defining characteristic of nociceptive pain?
Which type of pain originates from mesodermal tissues like bone, muscle, ligaments, and fascia?
Which type of pain originates from mesodermal tissues like bone, muscle, ligaments, and fascia?
What term describes experiencing pain from a non-painful stimulus, which is a possible element of neuropathic pain?
What term describes experiencing pain from a non-painful stimulus, which is a possible element of neuropathic pain?
What is the primary cause of bone pain for cancer patients?
What is the primary cause of bone pain for cancer patients?
What type of pain arises from the endoderm layer and is often felt on the body surface with referred pain?
What type of pain arises from the endoderm layer and is often felt on the body surface with referred pain?
Which type of pain can be easily mapped out with dermatome charts and is described as sharp, burning, or tingling?
Which type of pain can be easily mapped out with dermatome charts and is described as sharp, burning, or tingling?
What type of pain arises from nerve damage and is often described as burning, numb, tingling, or crawling sensations?
What type of pain arises from nerve damage and is often described as burning, numb, tingling, or crawling sensations?
What term describes an unpleasant sensory and emotional experience associated with tissue damage?
What term describes an unpleasant sensory and emotional experience associated with tissue damage?
What term describes the experience of having various pains with different causes?
What term describes the experience of having various pains with different causes?
What approach involves thorough assessment of pain, discussions about goals of care, investigations, treatments, and ongoing reassessment?
What approach involves thorough assessment of pain, discussions about goals of care, investigations, treatments, and ongoing reassessment?
What is a common assessment tool used for patients with palliative care, especially those with cancer, to assess chronic pain?
What is a common assessment tool used for patients with palliative care, especially those with cancer, to assess chronic pain?
What type of pain often goes down to a specific dermatome and can change its location according to the Neuropathic Pain Assessment Guideline?
What type of pain often goes down to a specific dermatome and can change its location according to the Neuropathic Pain Assessment Guideline?
In pain assessment, which tool uses a scale of 0 (no symptom) to 10 (worst possible symptom) to assess pain, tiredness, drowsiness, nausea, lack of appetite, shortness of breath, anxiety, depression, and wellbeing?
In pain assessment, which tool uses a scale of 0 (no symptom) to 10 (worst possible symptom) to assess pain, tiredness, drowsiness, nausea, lack of appetite, shortness of breath, anxiety, depression, and wellbeing?
What is a key aspect of pain assessment questions?
What is a key aspect of pain assessment questions?
Which assessment tool is commonly used for patients with palliative care, especially those with cancer, to assess chronic pain?
Which assessment tool is commonly used for patients with palliative care, especially those with cancer, to assess chronic pain?
Which aspect of pain assessment considers the patient's experience and is included in assessment tools like the NRS and Wong-Baker FACES pain rating scale?
Which aspect of pain assessment considers the patient's experience and is included in assessment tools like the NRS and Wong-Baker FACES pain rating scale?
What does the ESAS-R assess besides pain for patients with palliative care?
What does the ESAS-R assess besides pain for patients with palliative care?
Which assessment tool uses facial expressions to rate pain for patients?
Which assessment tool uses facial expressions to rate pain for patients?
What is a common tool used for assessing pain that includes verbal descriptors such as 'mild,' 'moderate,' or 'severe'?
What is a common tool used for assessing pain that includes verbal descriptors such as 'mild,' 'moderate,' or 'severe'?
Which assessment tool includes assessing symptoms on a scale from 0 (no symptom) to 10 (worst possible symptom) for patients receiving palliative care?
Which assessment tool includes assessing symptoms on a scale from 0 (no symptom) to 10 (worst possible symptom) for patients receiving palliative care?
Study Notes
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Manitoban population increased due to immigrant influx (Census2011, Winnipeg Free Press 08/8/12)
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Importance of cultural awareness and knowledge for palliative care health professionals (Feser, 2003)
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Discussion on cultural safety spurred by the case of Brian Sinclair, an Aboriginal man who died in a Winnipeg hospital after waiting 34 hours in a wheelchair (CMAJ, November 27, 2014)
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Health care bias concerns in Ontario raised by the death of an Indigenous mother (Global News Winnipeg, Dec. 18, 2023)
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Cultural safety is not just about awareness, but actions that lead to safe and inclusive environments (CMAJ, Nov. 27, 2014)
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WRHA Indigenous Health focuses on communication, identifying and implementing culturally safe environments, practices, and services (WRHA Indigenous Health)
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Contact information for Indigenous patient services
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Required readings on end-of-life care among Indigenous Canadians removed
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Importance of family in Filipino culture and its impact on end-of-life care interactions (Virola, 2010, Wright et al, 2008)
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Top interventions for Filipino patients at end of life include spiritual comfort (Journal of Palliative Care, 15(1), 31-38)
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Filipino values of finding meaning in existence and death preserve dignity at the end of life (Religious Understanding of a Good Death in Hospice Palliative Care)
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Disregard for dignity shown to a woman who died curled up in pain on the floor of Seven Oaks General Hospital (no specific source)
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Patients with chronic illnesses like arthritis may experience new pain as a sign of disease recurrence or new areas of disease.
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Indigenous health services may incorporate traditional herbs and consult with spiritual teams in pain assessment and management.
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The Neuropathic Pain Assessment Guideline mentions that neuropathic pain often goes down to a specific dermatome, and its location can change.
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Pain can have cultural and spiritual influences on its expression, meaning, and treatment.
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Pain assessment questions include asking about the location, description, duration, and severity of pain. Some assessment tools include the Numeric Rating Scale (NRS), Verbal Descriptors, Victoria Symptom Assessment Scale, and Wong-Baker FACES pain rating scale.
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Patients with palliative care, especially those with cancer, commonly experience chronic pain and should have it assessed regularly using tools like the Edmonton Symptom Assessment System Revised (ESAS-R).
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The ESAS-R assesses pain, tiredness, drowsiness, nausea, lack of appetite, shortness of breath, anxiety, depression, and wellbeing on a scale of 0 (no symptom) to 10 (worst possible symptom).
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The Canadian Problem Checklist includes a variety of concerns in physical, spiritual, practical, and emotional categories, such as concentration/memory, sleep, weight, constipation, and fears/worries.
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The assessment tools aim to provide healthcare professionals with accurate and comprehensive information about the patient's pain experience to develop effective treatment plans.
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Description
Test your knowledge on providing culturally competent care to diverse cultural groups at end of life. Explore the application of knowledge, skills, and attitudes required by nurses to maximize respectful relationships with diverse populations of clients and coworkers.
