Palliative Care and Hospice Models

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Questions and Answers

What type of grief occurs before the actual death of a loved one?

Adaptive grief

Complicated mourning

Anticipatory grief (correct)

Prolonged grief disorder

What is a key aspect of adaptive grief?

Seeing good resulting from the death (correct)

Intense mourning

Denial of loss

Recurrent distressing emotions

What is a characteristic of prolonged grief disorder?

Recurrent positive memories

Denial of loss for less than 6 months

Self-care and acceptance

Recurrent and severe distressing emotions (correct)

What is an important consideration when assessing spiritual needs?

Respect for the patient's wishes Signup and view all the answers

What is the primary focus of bereavement and grief counselling in hospice palliative care?

Supporting patients and families during the bereavement period Signup and view all the answers

What determines the duration of the bereavement period?

The individual's unique response Signup and view all the answers

What is the primary focus of an integrative palliative approach to care?

Meeting the patient's and family's full range of needs Signup and view all the answers

What is the main difference between palliative care and end-of-life care?

Palliative care is provided during the entire illness, while end-of-life care is provided at the end of life Signup and view all the answers

What is the primary reason for the varying provision of hospice palliative care across the country?

Provision of health care is a provincial/territorial responsibility Signup and view all the answers

At what stage of illness is end-of-life care typically provided?

During the last months, weeks, and days of a person's life Signup and view all the answers

What is the primary benefit of caregiver benefits for individuals who wish to take time away from work to care for a loved one?

Financial support for the caregiver Signup and view all the answers

What happens to the body's metabolism and body systems during the dying process?

They slow down and eventually stop functioning Signup and view all the answers

What is one of the factors that may influence a person's response to bereavement?

History of depression Signup and view all the answers

What is an important consideration for nurses when providing post-mortem care?

Respecting the family's wishes Signup and view all the answers

What is a key aspect of caring for the patient's body after death?

All of the above Signup and view all the answers

Why is it important for nurses to check orders before providing post-mortem care?

To check for special orders or specimens Signup and view all the answers

What is an exception to the usual post-mortem care protocol?

Sudden or unexpected death Signup and view all the answers

What is a recommended intervention for family caregivers?

Discussing activities to maintain control Signup and view all the answers

What is the primary goal of palliative sedation in the care of dying patients?

To relieve suffering and symptoms Signup and view all the answers

What is the main concern for terminally ill patients when it comes to medication?

Uncontrolled pain and symptoms Signup and view all the answers

What is the term increasingly being used to replace DNR?

Allow Natural Death (AND) Signup and view all the answers

What is the primary focus of nursing management at the end of life?

Managing symptoms of the disease Signup and view all the answers

What is one of the decisions that patients and families struggle with during terminal illness?

The decision to donate organs and tissues Signup and view all the answers

What is a key aspect of supporting a patient's autonomy during the end-of-life period?

Encouraging realistic hope within the limits of the situation Signup and view all the answers

What is the focus of culturally competent care when it comes to dying patients?

Understanding the patient's cultural background Signup and view all the answers

What is the purpose of advance directives and advanced care planning?

To ensure that the patient's wishes are respected Signup and view all the answers

What is a common emotion experienced by patients during the end-of-life period, according to the text?

Fear Signup and view all the answers

What is the purpose of therapeutic communication in end-of-life care?

To empathize and actively listen to patients and families Signup and view all the answers

What is a priority in physical care for dying patients?

Meeting their physiological and safety needs Signup and view all the answers

What should nurses look for among family members in end-of-life care?

Signs and behaviors of abnormal grief reactions Signup and view all the answers

Study Notes

Grief and Bereavement

Grief can manifest as anger, guilt, anxiety, sadness, depression, despair, or a combination of these emotions
Physical symptoms, changes in appetite, and sleep disruptions can occur during grief
Bereavement is the period after the death of a loved one during which grief is experienced and mourning occurs

Types of Grief

Anticipatory grief: occurs before the death of a loved one, involving consideration of what life will be like after the death
Adaptive grief: a healthy response to grief, allowing the person to accept the reality of death and find some good resulting from it
Prolonged grief disorder (complicated grief): prolonged or intense mourning, characterized by recurrent and severe distressing emotions, intrusive thoughts, self-neglect, and denial of loss (lasting 6+ months)

Spiritual Needs and Hospice Palliative Care

Spiritual needs relate to the search for existential meaning and purpose
Hospice palliative care involves an interprofessional team and an integrative approach to care, focusing on meeting the patient's and family's full range of needs
End-of-life care is provided during the last months, weeks, and days for a person with a life-limiting illness

Physical Manifestations at the End of Life

During the dying process, metabolism is altered, and body systems gradually slow down until they no longer function
Physical manifestations may include dependency, negative feelings, sleep disturbances, and concurrent life crises

Care of the Dying Patient and Family

Interventions for caregivers: encourage usual activities, discuss activities, and maintain control over their lives
Post-mortem care involves dignified and sensitive care of the patient's body, according to policies and procedures, cultural, and religious beliefs

Culturally Competent Care

Understanding of death and practices concerning care of the body upon and immediately after death vary across cultures
Legal and ethical issues affecting end-of-life care include organ and tissue donations, advance directives, and medical assistance in dying.

Nursing Management: End of Life

This approach to care prioritizes the patient's quality of life, focusing on holistic, psychosocial, and physical needs, respecting the patient's dignity, comfort, and autonomy. It acknowledges the importance of emotional and spiritual well-being, in addition to physical comfort, to provide a comprehensive care experience.
Symptom management and comfort are prioritized, and the patient's involvement in decision-making is supported, ensuring that their values, preferences, and goals are respected and integrated into the care plan. This collaborative approach enables patients to maintain a sense of control and autonomy, even in the face of declining health.

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Description

This quiz explores the shared-care model of hospice palliative care, its interdisciplinary approach, and the success factors for integrating it into healthcare. Learn about the focus on meeting patients' and families' needs throughout all stages of illness.