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End of life topic
Game
| Term | Definition |
|---|---|
| The acronym for EoL | End of life |
| When someone new that they are likely to die soon from an illness or condition is | End of life |
| End of life is refer to | Last year of life |
| ___ refer to health care, not only of pati in the final hours or days of their lives, but broadly care for those with terminal illness or terminal condition that has become advance, progressive and incurable | End of life care |
| A special medical care focus on identifying and relieving the pain and other symptoms of a serious illness is refer to as | Palliative care |
| A special concept (system) of care designed to provide comfort and support to patients and their families when a life limiting sickness is no longer responds to cure -oriented is | Hospice |
| A disease that cannot be cured and that is reasonably expected to result in the death within a short period of time is term as | Terminal illnesses |
| What mean by “last few days of life “ | When death is expected within the next few days or hours |
| End of life refer to as | Last year of life |
| Traditionally _____ is the cessation of apical pulse, respiration and blood pressure | Death, Cardio respiratory death or heart lung death |
| In what year part two of the definition of death was introduced, | 1960 |
| What is regarded as less specific, individualized process in which an organism life come to an end is | Dying |
| —-define death as the cessation of vitals functions without capability of resuscitation | The United Nations vitals statistics |
| —— view death and dying as a supernatural event caused by wicked spirit that work through possessed person | The ijaws |
| The major causes of death in Africa is | Communicable disease |
| Advance culture caused of death include | Old age, life threatening illness, like CORPD (lung disease ) cancer |
| What is end of life care | A care that is not only provided for a patient in his/her final hours or year of their life, but more broadly care of all those with terminal illness or terminal condition that become advance, progressive and incurable |
| When a family or patient is not aggressivee for cure, they are diagnosed as | “Giving up” |
| Healing can take place via thorough | Spiritual, physical, emotional, and social interventions |
| Africans (Bayelsa) first point to seek healing | *message *Spiritual interventions *Health care institution |
| Kubler-Ross in her ____ in study title ____ observed patient were usually uninformed about life threatening illness like cancer by cliniciansbut are work discov | 1969 in study titled On death and dying |
| What was kubler - Ross discovered about death and dying | That if a patient where informed, though it may be difficult for the patient initially, but with time they go through the process, accepting the diagnosis |
| Early, in _____ , two sociologists, ____ and ____in their study discovered that ______ | In 1965 Glaser and Strauss, that clinicians avoided direct communication with patients on dying and death but believe patients will discover on their own. |
| Clinicians identified 4 awareness context about death | 1) closed awareness 2) suspected awareness 3) mutual pretense awareness 4) open awareness |
| Patient is unaware because clinicians and family keep the diagnosis as a secret for fear that patients will not be able to cope | Closed awareness |
| Clinician, family and patient are aware that patient is dying but yet pretend that all is well | Mutual pretense awareness |
| Clinician, family and patient is aware that patient is dying and openly acknowledge it | Open awareness |
| Patient suspect health situation due to attitude of clinician, family and non- improving of health, so they attempt find out what is wrong | Suspected awareness |
| Knowledge of diagnosis help ____and ____ to _____ with____ to make appropriate choice for treatment | Patient, family to collaborate with the clinicians |
| Lack of knowledge causes _____ of the course of ____ for the ____ and ____ | Misconception, disease , patient and family |
| The process in which the physician assist the the patient to terminate his/her own life by providing a lethal dose of medication for that purpose | Assisted suicide |
| Assisted suicide is an issue where the interest of the ——— cannot be separated from those of ——- as a whole | Individual, society |
| Types of assisted suicide are | Euthanasia Physicians assisted suicide |
| Patient and not the physician administer the treatment intended to terminate the patient life to relieve suffering | Physician assisted suicide |
| Physicians prescribed and directly administer the treatment to the patient to relief suffering | Euthanasia |
| Types of euthanasia are | Active Voluntary Passive euthanasia Involuntary |
| Patient ask to assisted to die | Voluntary |
| Administering the treatment to end life | Active euthanasia |
| Patient is unable to content to terminate his/her life because they are in coma, so a relative takes the decision | Involuntary euthanasia |
| Withholding/withdrawing from treatment that will sustain life | Passive euthanasia |
| ONS | Oncology nurses society |
| The first hospice was founded in | 1974 |
| The concept of hospice as an alternative to depersonalized death in institution began in the early ___ | 1970 |
| The goal of hospice is to | -enable the patient die peacefully at home surrounded by family and object valuable to the person throughout life -Help relative to appreciate life and live each moment to the fullest |
| Ethical issues affecting end of life care | Advance directive Organ donation |
| _____ is used to describe the document that give instructions about future medical care and treatment when the patient is no longer conscious to make decisions. | Advance directive |
| Document that is made in advance of serious illness is called | Advance directive |
| Advance directive document include | The living will Do not resuscitate (DNR) |
| The first advance directive document is | The living will |
| What DTP | Directive to physicians |
| ___ is a written document specify the patient wish to be allowed to die without without medical intervention | Directive to physicians |
| The living will is replace by | Directive to physicians (DTP) Durable power of attorney for health care (DPAHC) Medical power of attorney (MPOA) |
| ___ is a document that use to list persons to make health care decion should a patient become unable to make informed decision | Durable power of attorney for health care (DPAHC) |
| A written physicians order instructing health care provider not to attempt CPR | Do not resuscitate |
| Do not resuscitate is requested by | Family and must be sign by the physicians |
| Types of Do Not Resuscitate | Full code Chemical code DNI ( do not intubate ) DNR or "no code " |
| Who is eligible for palliative care ? | *patient of any age with life limiting disease who may sti be seeking curative treatment *Sufferer of chronic condition which require aggressive pain management and symptoms management |
| Hospice is got from the root word hospice meaning | Host |
| ___ is define as the coordination programs of interdisciplinary service provided by professional caregiver and trained volunteer to patient with serious, progressive illness that are not responsive to cure | Hospice care |
| HC | Hospice care |
| PC | Palliative care |
| Who is the founder of world renowned ST. Christopher hospice care in london | Dame cicely saunders (1918-2005 ) |
| ST. Christopher hospice care was founded in the year | (1918-2005) |
| What are the key component of hospice | Respect for the worth and dignity of each person Dedication and commitment to the highest quality of compassionate Neither the hastening nor the postponing of death Quality of life is distinct from the length of life |
| Who is eligible for hospice care ? | An individual who has a life expancy of six months or less if the terminal illness runs it normal course as determine by the physicians and |
| Hospice is.based on ______ ,______ and the cooperation of interdisciplinary teams needed for the patient rely on | Knowledge communication |
| Hospice care include ____ ,_____,____ and ____ care for both the patient and their family | Physical, psychosocial, spiritual and emotion |
| Hospice care provide _____,____ and dignity during time for patient and family | Support, choice and dignity |
| People who are diagnose with a serious or life-threatening illness, such as cancer experience many changes in their life these include | Physical, psychosocial and spiritual changes |
| According to maslow hierarchy of needs, ____ needs must be met before other needs | Physiological needs |
| Maslow hierarchy of needs are | Physiological need Safety and security Love and belongings Self-esteem Self actualization needs |
| If the maslow hierarchy need are unmet it could result to | Emotional distress |
| A multidimensional constructs that provide comfort as a person endure life threats and personal challenges. | Hope |
| Attribute that can hinder or foster hope in terminally patient | Abandonment and isolation, uncontrollably pain/discomfort and devaluation |
| WHO in 2016 define palliative care as | An approach that improve the quality of life of patient (adult and children) and their families who are facing problems associated with life-threatening illness |
| ___ define pain as what the person says it is and exist whenever he or she says it | Nurse mcCaffery in 1968 |
| Types of pain | Acute and chronic pain |
| Question for pain assessment? | When did it start? What does it feel like? What words would you use to describe the pain? Does it go anywhere else? How often does it occurs? Is it there all the time? |
| What are the tools used in assessing pain | Numerical rating scale (NRS) The verbal rating scale (VRS) |
| What are the 3 main principles of the WHO analgesic ladder are | By the clock By the mouth By the ladder |
| DTP | Directive to physicians |
| DPAHC | Durable power of attorney for health care |
| MPOA | Medical power of attorney |
| Uses of nursing care plan to nurse terminally ill patient | Assessment Diagnosis Planning/outcome identification Implementation and evaluation |
| Assessing a dying client are : | -client and family goals and expectation -client awareness that illness is terminal -identificatkon of support system -history of positive coping - client perception of unfinished bi to be completed |
| Criteria Nursing skill for end of life | Communication skills Provide hand on care Effective management of pain symptoms Health education |
| A state of mental confusion that developed quickly and usually fluctuate in intensity is refer to as | Delirium |
| What are the signs and sympy of delirium | Patient may become hypoactive or hyperactive Restless Irritable Insomnia Hallucinations |
| Causes of delirium | -relatex treatable underlying conditions such as Full bladder Impacted stool Pain Hypoxia or dyspnoea Medication side effects |
| Other causes of delirium are | Brain metastases in case of cancer Metabolic changes Infection Organ failure Unmet spiritual needs |
| Pharmacological management of delirium | -neuroleptic or benzodiazepine may decrease distressing symptoms Haloperidol (haldo) may reduce hallucination and agitation Benzodiazepine (lorazepam, (Ativan) can reduce anxiety |
| Nursing management of delirium | |
| Acronym of HFA | Hospice foundation America |
| High technology gadget are used to | Prolong life |
| Between 2010 and 2011, nursing organization like ____ ,____ state that nurses participating in assisted suicide is a violation of nursing ethics therefore oppose the motion of its legalisation | ANA, HPNA |
| Acronyms of AAHPM | America academy of hospice and palliative medicine |
| The living will is also called | Medial directive or treatment directive |
| What is hospice care | A care that is render at home or special facilities to patient who are likely to die within six months. |
| Goal of a palliative care | - is to improve the quality of life for such patient at any stage of illness regardless of the current treatment plans, |
| Both palliative And hospice care offer ? | -day to day care -equipment - beveavement counselling - symptoms management - -bereavment |
| Palliative care and hospice care program are differ greatly is in | *timing * Payment * Eligible of service |
| Four levels of care in hospice | 1) routine home care 2) inpatient care 3) continue care 4) general inpatient care 2) |
| End of life care is provided in a range of settings which include care in _____, _____, ____ | Community, hospital , care home |
| When patients is not responding to treatment (cure) and death in approaching , the goal of the treatment then shift from toward ____ | Care |
| Two approaches or systems to end of life care are | 1) palliative care and 2) hospice care |
| The current comprehensive care , address the management of patient symptoms , psychosocial care, and spiritual support to patients and family | Palliative care |
| A care that is render at home or special facilities to a patient who may likely die within six month | Hospice care |
| Hospice service began receiving Medicare and Medicare benefit in _____ , ten years after it introduction in U.S | 1983 |
| Signs when patients pass on | No more breathing Eye and mouth open Cannot be aroused Orifice open |
| A commons symptoms for patients at final stage of life for disease such as cancer, AIDS , heart COPD, and renal disease (dix ) | Pain |
| Assessment of pain is now recognized as the ____ | 5 vital sign |
| MOPAT | Multidimensional objective pain assessment tool |
| ___ is a tool Undergoing trial to determine it reliability , validity and feasibility in assessing pain , especially if patient cannot verbalized information | Multidimensional objective pain assessment tool |
| ____ define pain as what the person says it it and exist whenever he or she says it it does | Nurse McCaffery , 1968 |
| An unpleasant sensory and emotional experience associated with actual or potential tissue damage or describe in term of such damage | Pain |
| Types of pain are | Acute and chronic pain |
| Pain assessment tools are ? | A) the numerical rating scale (NRS ) B) the verbal rating score ( VRS |
| When patient are ask to rate their pain association with a list of word that describe pain increasing in intensity which are | O No pain 1 mild pain 2 moderate pain 3 severe pain |
| The 3 main principles of the WHO analgesic ladder are | 1) by the clock 2) by the mouth 3) by the ladder |
| If pain is severe treatment should begin at _____ | The top of ladder with a strong opioid |
| If the causes of pain is resolved , then ____ | Step down the ladder |
| A pain relieve that significantly impact the brain by reducing it ability to sense pain | Opioid |
| ____ is administer to shrink Tumor , relieving pain arising from tumor pressure | Palliative radio / chemo therapy |
| Non-pharmacological approach to pain relief is divided in the following therapies | - biological therapies - mind body medicine - energy medicine - manipulative and body based practice |
| Breathlessness is also known as | Dyspnoea |
| Dyspnoea can be seen in disease such as | - primary lung tumors , air way obstruction , lung metastasis , pleural effusion , restrictive lung disease , anemia , muscle weakness , advance heart disease , intra abdominal process |
| Assessment of breathlessness should include ___ | Physical Psychosocial Spiritual |
| ___ is a series of physical and psychological response related to loss | Grief |
| Grief is express in _____ , _____ , and _____ associated with overwhelming distress or sorrow | Thought, feeling, and behavior |
| A personal feeling that accompany an anticipated or actual loss | Grief |
| A behavioral process through which grief is eventually resolve or altered , it reflect the individual family , group and cultural expression of grief and associated behavior | Mourning |
| A subjective response of a living after losing a value one, it is the period of time during which high mourning take place | Bereavement |
| Types of grief are | 1) uncomplicated or normal grief 2)anticipatory grief 3) dysfunctional grief 4) disenfranchised grief |
| A grief that is not socially acceptable to mourn the loss of a significant other whom society do not value e.g pet | Disenfranchised grief |
| A grief that experienced before the loss | Anticipatory grief |
| Kubler-Ross (1969) describe five stages of emotional reaction to dying that applicable to the experience of any loss these are | 1) denial 2) anger 3) depression 4) bargaining 5) acceptance |
| A grief that is characterized by prolonged feelings of sadness and feelings of general worthlessness or hopelessness | Complicated grief |
| A state of unhappiness and hopelessness | Depression |
| A state of mental confusion that develops quickly and usually fluctuates in intensity | Delirium |
| A severe muscle wasting and weight loss associated with illness | Cachexia |
| ____ is the passage of small, hard faece infrequently and with difficulty | Constipation |
| A multifactorial syndrome characterized by server body weight , fat , and muscle loss and increased protein catabolism due to underlying disease | Cachexia |
Created by:
Faith111