Prep (Module 1)|Latest Update Answers Graded A+
functions of palliative care
pain relief
affirms life and dying as normal processes
family support
understanding of illness
difference between palliative medicine and curative treatment
palliative goal is to relieve suffering
treat to relieve symptoms
social/emotional/spiritual focus
what is hospice
philosophy of care for incurably ill that does not seek to cure
when do you refer to hospice
when pt has 6 months or less anticipated life expectancy
when do you refer to palliative care
no life limitation needed
- just when seems appropriate
MC location for hospice care
at home (35.8%)
inpatient (31.7%)
eligibility criteria for hospice care
terminal illness
adult failure to thrive
cancer
dementia
what are some barriers to end-of-life care
no advanced directives
discomfort with death
, uncertainty of diagnosis/timeline
lack of confidence in skills
denial
MC type of pain
nocicpetive
- somatic
- viceral
describe somatic pain
innervation of skin, bone, muscle
sharp, aching, throbbing
describe visceral pain
pain mediated by ANS, GI tract, hallow organs
what is neuropathic pain
nerve pain due to a primary lesion
- burning, tingling, shooting pain, electricity
what can neuropathic pain be secondary to
trauma
ischemia
compression
infiltration
medication
indications for corticosteroids in adjuvant pain medications
increased intracranial pressure
nerve compression
(decreases edema/inflammation)
indications for cyclic antidepressants and anticonvulsants in adjuvant pain medications
neuropathies
indications for NSAIDs in adjuvant pain medications