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BM End of Life
Care of the patient at the End of Life
| Question | Answer |
|---|---|
| Advanced Directives | Living will, Health Care Power of Attorney |
| Euthanasia | Root words: good death. Two states where euthanasia is legal in the US: Washington and Oregon |
| Double Effect Ethical Principle | When the potential to hasten death accompanies as an unintended consequence the primary intention to provide comfort and relieve suffering, this is acceptable. |
| End of Life Constipation | Don't give fiber, gut will stop. |
| Best evaluation of Dyspnea | Ask pt "how short of breath do you feel?". Better than tests to assess 02 and breathing |
| Question to ask family members of a patient who is no longer eating | Talk wiht family about how they can commune with the patient other than eating |
| In asking about pain, what is important hx to note? | Chronic opioid use |
| Anxiety tx | Anxiolytics for non-dyspnea related anxiety; morphine for dyspnea related anxiety |
| Delirium is not caused by | Depression. Can be caused by alcohol, infection, medication. |
| Tertiary control | meds used as sx control |
| Secondary Prevention | chronic asymptomatic disease control |