40 Questions
Which document provides a set of instructions in which an individual would not want certain treatments?
ADRT Directive
In which country is the POLST (Portable Medical Orders) in wide use?
United States of America
Which directive allows a person to decide that they do not want resuscitation attempted in the event of sudden cardiac arrest?
DNACPR Directive
Which document appoints a person to manage the property and financial affairs of another person if the donor becomes unable to make financial decisions?
EPA
Which legal declaration provides for the distribution of a person's property at death?
Will
Which document indicates patient preferences for resuscitation and scope of treatment?
POLST
Which document cannot be used to refuse any basic care needed to keep the individual comfortable?
ADRT Directive
Which assessment considers spirituality as an essential component of geriatric care for elderly patients facing illness and potentially life-threatening events?
Spiritual Wellbeing Assessment
What must be satisfied in order to state that capacity is lacking?
Both parts of the test
According to the U.K. Mental Capacity Act 2005, decisions and actions should be tested against how many key principles?
5
How should advance statements be reviewed as the patient's condition changes?
Regularly to ensure they reflect the patient's current condition and treatment preferences
What should doctors do in relation to relevant discussions with the patient and changes to the Advance Statement?
Record them in the patient's medical record
What is the purpose of a Universal Form of Treatment Options (UFTO) in Hospital settings?
To provide a guideline for doctors and medical professionals
How should advance statements be taken into account by health and social care professionals?
They should be considered when making decisions about care and treatment
What must be done with changes in an Advance Statement?
They must be recorded in the patient's medical record
What is the legal status of an advance statement?
Not legally binding
What is the FICA Spiritual History Tool used for?
To assess spirituality and its potential effect on healthcare
How is spiritual distress defined according to Carpenito-Moyet (2004)?
A state where the individual experiences a disturbance in their system of belief or value
Who may physicians consider conducting a spiritual assessment with?
Patients with new or persistent mental health disease
What may spiritual distress be associated with in end-of-life patients?
More severe depression
What is the primary purpose of the SDAT (Spiritual Distress Assessment Tool)?
Identifying patients at risk of spiritual distress
When might physicians consider initiating a spiritual conversation with a patient?
If the patient has expressed concerns about their faith or spirituality
What should physicians consider before conducting a spiritual assessment?
Their personal faith tradition, beliefs, and practices, and comfort and ability to participate in another's spirituality ONLY
What is the significance of spirituality in palliative care?
It is considered an important component of care alongside physical, psychological, and social support
What should physicians avoid when asking patients about their spiritual practices?
Making assumptions
Why is it important for physicians to ask patients about their spiritual beliefs and practices?
To avoid making assumptions
What are some helpful questions that physicians can ask during a spiritual assessment?
Do you have spiritual practices that you find helpful or comforting?
When should physicians offer faith-specific support?
If the patient requests it
What should be the goal of a spiritual assessment according to the text?
To identify spiritual beliefs and resources affecting health
In what instances should physicians avoid assuming that their spirituality mirrors that of their patients?
When dealing with patients from different faith traditions
What is the focus of a spiritual assessment according to the text?
Identifying spiritual beliefs and resources affecting health
What should physicians not attempt to do during a spiritual assessment according to the text?
Encourage agreement on specific faith issues
What is the main purpose of the Religious/Spiritual Struggle Screening Protocol (RSSSP)?
To identify patients who may be experiencing religious/spiritual struggle and those who would like a visit from a chaplain
Which tool uses an acronym to guide health professionals through a series of questions related to patient spirituality and its potential effect on health care?
The FICA Spiritual History Tool
What types of questions does the HOPE tool ask in relation to patients' spirituality and practices?
Questions about faith and belief, importance to the patient, patient's community of faith, and how the patient wishes the physician to address spirituality in care
What is the main objective of the Open Invite tool for spiritual dialogue?
To encourage a spiritual dialogue between physicians and patients, allowing patients who are spiritual to speak further or opt out easily
What is the purpose of the Spiritual Distress Assessment Tool (SDAT)?
To assess unmet spiritual needs in hospitalized elderly patients and determine the presence of spiritual distress
How can physicians incorporate spiritual assessment results into patient care?
By documenting the patient's spiritual perspective, background, stated impact on medical care, and openness to discussing the topic
How might different traditions and practices impact standard medical practice?
They may influence acute or chronic health states and result in refusals of specific medical treatments or examinations
What is one way for physicians to signal their care for their patients' beliefs?
By listening compassionately to their patients' beliefs
Test your knowledge about the spiritual dimension in palliative care, including its importance and components. Explore topics such as the Religious/Spiritual Struggle Screening Protocol and the FICA Spiritual History Tool.
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