Chapter 24: Caring for Dying Patient
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Questions and Answers

What is one way outpatient palliative care services are helping to advance palliative care according to the text?

  • Moving palliative care further downstream
  • Offering services exclusively at the end of life
  • Enhancing quality of life before death is imminent (correct)
  • Providing care only once curative treatments are no longer effective

    • What is an essential aspect of palliative care's effectiveness according to the text?

  • Providing care only during the final days of life
  • Preventing all challenging symptoms from arising
  • Managing symptoms and challenges related to serious illness (correct)
  • Exclusively focusing on curative treatments

    • How does palliative care adapt as a disease progresses according to the text?

  • By increasing palliation over the course of disease progression (correct)
  • By solely focusing on curative options
  • By ceasing its interventions
  • By becoming less effective over time

    • Why are efforts being made to expand the tenets of palliative care according to the text?

    <p>To enhance quality of life for chronic disease patients early on (A)</p> Signup and view all the answers

    When does palliative care become most effective according to the text?

    <p>Throughout the disease progression journey (B)</p> Signup and view all the answers

    What does Figure 24-1 illustrate about the delivery of palliative care at the time of diagnosis?

    <p>Increasing palliation as the disease progresses (B)</p> Signup and view all the answers

    How are outpatient palliative care services described in relation to advancing palliative care in the text?

    <p>Moving palliative care further downstream (B)</p> Signup and view all the answers

    Why is outpatient palliative care emphasized in the text?

    <p>'For enhancing quality of life before death is imminent' (B)</p> Signup and view all the answers

    What is a key difference between community-based programs and hospice or home care programs?

    <p>They can assist with complicated regimens outside of the hospital. (D)</p> Signup and view all the answers

    In addition to providing care, what role do specifically trained teams in community-based programs play?

    <p>Assist in education and support of end-of-life decision making. (D)</p> Signup and view all the answers

    What is an example of an innovative program mentioned in the text that is aimed at improving end-of-life care?

    <p>Sutter Health System’s AIM27 program (D)</p> Signup and view all the answers

    How have innovative community-based programs been shown to impact patients with advanced illnesses?

    <p>Provide high-quality care and lower costs. (D)</p> Signup and view all the answers

    Why are alternative systems needed to address the needs of homeless or socially isolated patients?

    <p>Because they present unique challenges due to vulnerability. (D)</p> Signup and view all the answers

    What is a key aspect of the partnership between Mission Hospice and Ottawa Inner City Health Project?

    <p>Bringing palliative care directly into homeless shelters. (C)</p> Signup and view all the answers

    What is a resource for nurses with international outreach mentioned in the text?

    <p>End­of­Life Nursing Education Consortium (ELNEC) (C)</p> Signup and view all the answers

    Where can one find a Web-based comprehensive database of educational materials for end-of-life care?

    <p>Center to Advance Palliative Care website (C)</p> Signup and view all the answers

    Which program was specifically adapted for other healthcare providers?

    <p>EPEC program (C)</p> Signup and view all the answers

    What type of files are the Fast Facts files available through the Center to Advance Palliative Care?

    <p>Peer-reviewed one-page outlines (C)</p> Signup and view all the answers

    Which group acted as a companion to Mr. Smith at the time of his death?

    <p>Hospice chaplain and nurse (D)</p> Signup and view all the answers

    What kind of training courses did the Institute for Palliative Care at California State University develop?

    <p>For nurses, social workers, and chaplains (C)</p> Signup and view all the answers

    What is the focus of the American Academy of Hospice and Palliative Medicine self-study UNIPAC curriculum?

    <p>Educating physicians on end-of-life care (B)</p> Signup and view all the answers

    Which program offers continuously updated, peer-reviewed one-page outlines of key information on end-of-life clinical topics?

    <p>Center to Advance Palliative Care Fast Facts files (D)</p> Signup and view all the answers

    Why are the elderly, poor, and other vulnerable persons at greater risk of their pain being mismanaged?

    <p>Adequate physician training in pain management (B)</p> Signup and view all the answers

    What is a common barrier to accessing opioid medications according to the text?

    <p>Fear of regulatory scrutiny by physicians (C)</p> Signup and view all the answers

    Why might some physicians fail to prescribe opioids for patients with serious pain?

    <p>Adequate physician training in pain management (C)</p> Signup and view all the answers

    What contributes to inequities in pain treatment for minority patients in various healthcare settings in the United States?

    <p>Inaccessibility to opioid medications in the country (C)</p> Signup and view all the answers

    What is a possible consequence of the lack of availability of opioids for patients with serious pain?

    <p>Inequities in pain management among vulnerable populations (C)</p> Signup and view all the answers

    How do formularies for less expensive healthcare plans impact patients' access to certain medications?

    <p>Formularies may limit access to specific medications (B)</p> Signup and view all the answers

    What is the main focus of the Five Wishes Program?

    <p>End-of-life wishes and preferences (D)</p> Signup and view all the answers

    Which organization provides education through the Education in Palliative and End-of-Life Care Curriculum (EPEC(c))?

    <p>American Academy of Hospice and Palliative Medicine (D)</p> Signup and view all the answers

    Where can one find the Global Atlas of Palliative Care at the End of Life according to the text?

    <p>World Health Organization (A)</p> Signup and view all the answers

    What is the main goal of the End of Life Nursing Education Consortium (ELNEC)?

    <p>To educate nurses on end-of-life care (B)</p> Signup and view all the answers

    Which organization is responsible for the Being Mortal program featured on Frontline?

    <p>American Academy of Hospice and Palliative Medicine (D)</p> Signup and view all the answers

    What does the National Consensus Project primarily focus on?

    <p>Educational initiatives for healthcare providers (C)</p> Signup and view all the answers

    What is considered a human right in palliative care?

    <p>Quality end-of-life pain management (D)</p> Signup and view all the answers

    Which organization offers information on palliative care as a human right through General Comment 14?

    <p>Committee on Economic, Social, and Cultural Rights (CESCR) (C)</p> Signup and view all the answers

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