Long-Term Care Transitions Quiz

The average time it takes for an older adult to be placed in a long-term care facility in Ontario.

The number of older adults waiting to be placed in a long-term care facility (LTC) in Ontario.

Extended wait times in Ontario's LTC system put strain on other healthcare systems and patient families.

Methods used to smoothly move older adults across different levels of care, such as from hospital to LTC.

The projected increase in the number of older adults in Ontario by the next 30 years, which will put strain on the system.

Various housing choices for older adults who want to live independently, such as home ownership, social housing, life leases, adult communities, and shared housing.

Buildings designed for older adults providing basic personal support worker (PSW) and nursing care, social support, and recreational activities.

Facilities with bedrooms where older adults receive health and social support programs.

Facilities providing 24-hour specialized care for older adults unable to perform activities of daily living (ADLs).

A care model in long-term care settings emphasizing the preferences and autonomy of residents, empowering them to make decisions regarding their daily routines.

A care approach in long-term care that prioritizes institutional routines over individual preferences and independence.

An approach to care that prioritizes the preferences and independence of the individual resident.

Basic self-care tasks, such as eating, bathing, dressing, and transferring.

The range of living situations and caregiving options available for older adults as they age. It's about providing the right care in the right place at the right time.

The preference of many older adults to remain in their homes, living independently for as long as possible.

The different living arrangements available for older adults, ranging from independent living to complete dependence.

The ability to live independently, manage daily activities and make decisions without assistance.

When an older adult needs some help with daily tasks but can still manage some activities independently.

When an older adult needs full-time care for most aspects of daily living.

As an older adult's health needs change, they might move through different levels of care, potentially starting at home and progressing to assisted living or a long-term care facility.

The services and support available to help older adults maintain their independence and quality of life.

Services provided to individuals and their loved ones during the last year of life, including bereavement support after death.

A peaceful and dignified death free from unnecessary suffering, aligned with the patient's and family's wishes, and consistent with ethical and clinical standards.

A framework for caring for dying individuals, focusing on six essential needs: care, control, composure, communication, continuity, and closure.

Providing expert symptom management and support to meet the physical, emotional, and spiritual needs of the dying individual.

Allowing the dying individual to maintain a sense of agency and autonomy, even as physical limitations increase, to combat feelings of helplessness and loss.

Providing a calming and supportive environment for the dying person, helping them to cope with emotional distress and maintain dignity.

Establishing open and honest communication with the dying person, their family, and the care team, addressing fears and concerns openly.

Ensuring a consistent and coordinated approach to care, with seamless transitions between different health providers and settings.

An approach to care that focuses on improving the quality of life for patients with life-threatening illnesses by preventing and relieving suffering. It aims to provide comfort and support to both the patient and their family.

A specialized type of palliative care that provides comprehensive support for individuals with a terminal illness and their families, often in a home-like setting.

The overall well-being of a person, encompassing their physical, mental, social, and spiritual aspects. In palliative care, it's about enhancing the individual's comfort and happiness.

The process of controlling and relieving symptoms like pain, nausea, shortness of breath, and anxiety experienced by patients with terminal illnesses, aiming to improve their comfort.

Providing assistance and emotional care to family members of patients undergoing palliative care, helping them cope with the challenges of the illness and bereavement.

The period of grief and sorrow experienced after the death of a loved one. It involves emotional, social, and practical adjustments.

The process of preparing for and accepting death, allowing individuals to make peace with their life and have a sense of closure before passing.

Shortness of breath, noisy breathing and gurgling due to saliva collecting in the back of the throat, irregular shallow breathing, and periods of apnea.

Use a mohair or light weight blanket to keep the client cool. Oxygen therapy may be used, but opioid medication is a stronger option. Manage disturbing noise and utilize pharmacological and non-pharmacological interventions.

Muscle weakness may cause swallowing problems as illness progresses.

Don't force the client to eat or drink to avoid aspiration pneumonia. Provide small amounts if they show interest, offer ice chips, and ensure good mouth care.

Assess and treat pain frequently using effective narcotics. Titrate doses based on pain intensity and duration.

Vision often reduces towards the end of life. Eyes may feel very dry.

Turn the patient's head towards a light source. Keep soft, indirect lights on in the room.

To provide a peaceful and dignified death free from unnecessary suffering, aligned with the patient's and family's wishes.

Care, control, composure, communication, continuity, and closure.

Establish honest and open communication with the dying person, their family, and the care team. Address fears and concerns openly.

Loss is the experience of losing someone or something, whether it's a relationship, a possession, health, or even a dream.

Grief is the emotional response to a loss. It can manifest in various ways and is unique to each individual.

Loss is the actual event of something being taken away, while grief is how we feel emotionally about that loss.

Mourning and bereavement are often used interchangeably and are active processes of incorporating the loss into life. They may involve rituals and behaviors to cope.

Cultural norms and traditions strongly influence how individuals mourn. Different cultures have different ways of expressing grief and performing rituals.

A nurse plays an important role in supporting patients and loved ones going through loss and grief. This includes listening, providing comfort, and connecting them with resources.

Weisman's 6 C's are care, control, composure, communication, continuity, and closure. They are a framework for providing compassionate care in end-of-life settings.

Open and honest communication is crucial for both the dying person and their family. It helps address fear and concerns, providing emotional and practical support.

A response to a loss before it actually occurs; may involve preoccupation with the loss, detailed planning, or a sudden change in attitude towards the person/thing.

Loss of connection with the dying person; others withdraw.

Dying person withdrawing from others and the environment.

A crisis with intense, physical, and emotional symptoms of distress occurring in waves.

Grief that resurfaces from time to time but doesn't persist.

Grief that doesn't improve over time; normal grief responses are blocked, and memories are hard to reframe.

Grief that continues or resurfaces on significant dates, like birthdays or anniversaries.

Another term for pathological grief, characterized by excessive anger, insomnia, and depression.

A peaceful and dignified passing, free from avoidable suffering, aligned with the patient's and family's wishes, and consistent with ethical and clinical standards.

The process of preparing for and accepting death, allowing individuals to make peace with their life and have a sense of closure before passing.

Administering medication intended to cause death of a patient. Only a Nurse Practitioner or Physician is legally allowed to do this.

A nurse's right to refuse to participate in a procedure, such as MAiD, due to personal beliefs. They must transfer care to another nurse who will meet the patient's needs.

Providing high-quality care focused on pain and symptom management to improve a patient's comfort and quality of life during their final stages.

Various locations where a patient can choose to die, including hospitals, homes, or long-term care facilities, all focused on quality care.

Nurses educating patients about MAiD must not pressure or encourage them to choose this option. They must remain neutral and provide balanced information.

A nurse can refuse to participate in educating patients about MAiD for personal reasons, but must transfer the education responsibility to another nurse.

Nurses provide supportive care to patients choosing MAiD, but they do not administer the medication. This is the responsibility of a Nurse Practitioner or Physician.

Palliative care prioritizes comfort and symptom management, not heroic measures to prolong life.

A person legally authorized to make healthcare decisions for you if you are unable to.

Medical Assistance in Dying; a legal option in Canada for individuals with a grievous and irremediable medical condition.

To be eligible for MAiD, individuals must be 18 years old or older, have a grievous and irremediable medical condition, be capable of making health-related decisions, request assistance voluntarily, provide informed consent, be informed of other options, and be eligible to receive health services in Canada.

Safeguards include written requests with limitations on who can witness, a second opinion, a waiting period, the ability to withdraw the request, ensuring the patient understands other options, communication strategies to clarify decisions, express consent before the procedure, and communication between physicians and pharmacists.

Nurses provide support to the patient and the healthcare team, provide education and support to the patient and family, can insert an IV, and may act as an independent witness.

A Nurse Practitioner or Physician administers medication to a patient, at their request, that causes their death.

A Nurse Practitioner or Physician prescribes or provides medication to a patient, at their request, so that they may self-administer it and cause their own death.

The Canadian legislation currently does not allow MAiD for individuals where the only underlying condition is a mental illness.

A patient's agreement to a procedure or treatment after fully understanding the risks, benefits, and alternatives.

A decision made freely and without coercion or undue influence.

A type of care that focuses on comfort and quality of life for individuals with life-threatening illnesses, rather than seeking a cure. It addresses physical, emotional, social, and spiritual needs.

A palliative care approach aims to relieve suffering and improve the quality of living and dying for the patient and their family. It addresses physical, psychological, social, spiritual, and practical issues.

Nurses play a crucial role in managing pain and symptoms, providing emotional support to patients and families, and helping them cope with the challenges of a life-limiting illness.

As the likelihood of a cure becomes less probable, the emphasis on palliative care increases. This care continues even after the person has passed, supporting the family during bereavement.

Life closure is the process of preparing for death, allowing individuals to make peace with their life, have a sense of completion, and accept their mortality.

Grief responses can vary widely but may include intense sadness, anger, guilt, denial, isolation, anxiety, and physical symptoms like fatigue or loss of appetite.