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Care of the patient at the End of Life

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Question
Answer
Advanced Directives   Living will, Health Care Power of Attorney  
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Euthanasia   Root words: good death. Two states where euthanasia is legal in the US: Washington and Oregon  
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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.  
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End of Life Constipation   Don't give fiber, gut will stop.  
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Best evaluation of Dyspnea   Ask pt "how short of breath do you feel?". Better than tests to assess 02 and breathing  
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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  
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In asking about pain, what is important hx to note?   Chronic opioid use  
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Anxiety tx   Anxiolytics for non-dyspnea related anxiety; morphine for dyspnea related anxiety  
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Delirium is not caused by   Depression. Can be caused by alcohol, infection, medication.  
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Tertiary control   meds used as sx control  
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Secondary Prevention   chronic asymptomatic disease control  
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Created by: ltm12