1. Palliative care:
Answer
-Care or treatment focusing on reducing the severity ofsymptoms
-Begins during curative or restorative health care
-Extends into end-of-life care
-Bereavement care follows death
Goals:
-Regard dying as a normal process
-Provide relief from symptoms, including pain
-Affirm life and neither hasten nor postpone death
-Support holistic patient care and enhance quality of life
-Offer support to patients to live as actively as possible until death
-Offersupport to the family during the patient'sillness and in their own bereavement
-Indication: diagnosis of a life-limiting illness such as cancer, heart failure, COPD,
dementia, or ESRD
-Involves:
-Interprofessional collaboration: includes physicians, nurses, social workers, pharmacists,
chaplains, and others
-Ongoing communication: important for optimal care
-Care in multiple settings: home, long-term care, acute care, mental health facilities,
rehabilitation centers, and prisons
2. Hospice:
Answer
-Curative care is forgone
-Requires physician certification that life expectancy is 6 months or less
-Initiated only after the decision is made by the patient or a proxy not to pursue acure
3. Death:
Answer
-Occurs when all vital organs and body systems cease to function
-Irreversible cessation of cardiovascular, respiratory, and brain function
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