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17 Cards in this Set

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Admitting requirements for hospice
Physician certifies terminal illnes, less than 6 mos to live
No more curative treatment, palliative care only
Understand hospice staff will plan care for comfort, not necessarily perfom life support measures
Understand prognosis and participate in plan of care
First hospice in US
Connecticut 1971
The Medicare Hospice Benefit came into effect in what year?
1983
What does hospice care emphasize?
Quality of life, not quantity of life
Hospice core interdisciplinary team members are?
Medical Director
Nurse Coordinator
Social Worker
Spiritual Coordinator
Who is the mediator between the hospice team and the primary physican?
Medical Director
Give 3 medications used in hospice care
Morphine Sulfate (Roxanol)
Droperidol (Inapsine)
Prochlorperazine (Compazine)
Senna (Senokot)
Lorazepam (Ativan)
Fentanyl (Duragesic Patch)
What is the most dreaded and feared symptom a dying patient experiences?
Pain
A period of relief from the responsibilities of caring for a terminally ill person
Respite Care
Somatice pain arises from?
The musculoskeletal system
Visceral pain arises from?
Internal Organs
Neuropathic pain arises from?
The nerves and the nervous system
To slowly increase the amount of a drug to find the therapeutic dose
Titrate
Common myths and fears related to undermedicating a terminally ill person
Addiction
Tolerance
Respiratory Depression
Hospice care usually continues for how long after the patient has died
1 year
Signs and symptoms of approaching death
Arms and legs become cool to the touch
Sleeps more, difficult to wake
Confusion
Incontinence (bladder & bowel)
Death Rattle
Cheyne-Stokes Respirations
Decreased need for food & drink
Pain assessment tool OLD CARTS stands for?
O- onset
L- location
D- duration
C- Character of pain
A- aggravating factors
R- relieving factors
T- treatments
S- severity