End-of-life symptom management, advance directives, and hospice care team concepts for the bedside nurse.
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- What is palliative care?
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Care focused on relieving symptoms and improving quality of life for patients with serious illness, at any stage, alongside or instead of curative treatment.- What is hospice care?
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End-of-life care focused on comfort rather than cure for patients with a terminal prognosis.- Can a hospice patient continue curative treatment for their terminal illness?
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No, hospice requires forgoing curative treatment in favor of comfort-focused care.- Medicare hospice eligibility requires a physician to certify a prognosis of ____ if the disease runs its usual course.
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6 months or less- What is the role of the hospice chaplain?
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Providing spiritual support to the patient and family, regardless of religious affiliation.- What is the role of the hospice social worker?
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Addressing psychosocial needs and connecting the patient and family to practical and emotional resources.- What is the role of a hospice volunteer?
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Providing companionship, respite for family caregivers, and non-medical support to the patient and family.- What is the role of a bereavement counselor in hospice?
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Supporting the family's grief process before and after the patient's death.- What is a living will?
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A written advance directive stating a person's wishes for medical treatment if they become unable to communicate.- What is a durable power of attorney for healthcare?
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A legal document naming a person to make medical decisions for the patient if they become incapacitated.- What does a DNR order mean?
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Do not attempt cardiopulmonary resuscitation if the patient's heart or breathing stops.- What is a POLST form?
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Physician Orders for Life-Sustaining Treatment, a portable medical order set that translates a patient's end-of-life wishes into actionable orders.- What are the four dimensions of 'total pain' in hospice care?
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Physical, emotional, social, and spiritual pain.- Why should chronic pain near the end of life be managed with around-the-clock dosing rather than PRN only?
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To maintain steady pain control and prevent pain from recurring before the next dose.- How does opioid tolerance differ from opioid addiction?
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Tolerance is a physiologic need for higher doses to achieve the same effect; addiction is compulsive drug use despite harm.
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