palliative care nursing exam
Questions and Answers| Already
Passed
In the better model of the continuum of care, what stages of care overlap? - ✔✔treatment
+ palliative, bereavement + death
What is the progression of care in the better continuum of care model? - ✔✔treatment,
palliative care, hospice, bereavement, death
What percent of US hospitals have a palliative care program? - ✔✔67%
What are the characteristics of palliative care philosophy and delivery? - ✔✔interdisciplinary,
collaborative, care is w/ or w/o curative treatment, peace and dignity, care in many settings
What are some barriers to quality of care at EOL? - ✔✔failure to acknowledge limits of
medicine, workforce too small, lack of training, services poorly understood, lack of research, lack of
payment models, rules/regulations, denial of death
What are 3 ways to overcome barriers in providing quality care at EOL? - ✔✔give providers
the language, collaborate w/ palliative team, automatic triggers for palliative consult
, What are the 4 principles of survival prediction? - ✔✔it's a process, evolves over disease trajectory,
accuracy varies, exact time of death not accurately predicted
What question should you ask yourself when trying to determine prognosis? - ✔✔would I
be surprised if this pt died in the next 6 months?
Which of the following pts could be palliative care pts?
A. 64 yo with CHF, HTN, and DM
B. 32 yo with AML
C. 57 yo with newly diagnosed amyotrophic lateral sclerosis
D. 76 yo with Parkinson's disease - ✔✔ABCD
What pt population did the pivotal study involve? - ✔✔metastatic non-small cell lung cancer
What was the design of the pivotal study? - ✔✔1/2 received palliative care w/ standard
oncology care, 1/2 received standard oncology care only
What was the outcome of the pivotal study for pts who received palliative care w/ standard
oncology care? - ✔✔increased QOL and mood, less aggressive care, longer survival
What are some benefits to earlier palliative/hospice referrals? - ✔✔decreased depression,
lower cost, increased QOL for pt/caregiver, increased survival time, better sx management,
decreased resources used
What were some impacts of Sutter Health's AIM program? (advanced illness management) -
✔✔fewer hospitalizations, lower cost, improved pt/fam satisfaction, better ACP compliance, fewer
days in hospital/ICU, less likely to die in hospital, admitted to hospice earlier, 80% responded positively
to care
Why do we not want palliative/hospice pts in the hospital for an extended period of time? -
✔✔functional decline, infections
Questions and Answers| Already
Passed
In the better model of the continuum of care, what stages of care overlap? - ✔✔treatment
+ palliative, bereavement + death
What is the progression of care in the better continuum of care model? - ✔✔treatment,
palliative care, hospice, bereavement, death
What percent of US hospitals have a palliative care program? - ✔✔67%
What are the characteristics of palliative care philosophy and delivery? - ✔✔interdisciplinary,
collaborative, care is w/ or w/o curative treatment, peace and dignity, care in many settings
What are some barriers to quality of care at EOL? - ✔✔failure to acknowledge limits of
medicine, workforce too small, lack of training, services poorly understood, lack of research, lack of
payment models, rules/regulations, denial of death
What are 3 ways to overcome barriers in providing quality care at EOL? - ✔✔give providers
the language, collaborate w/ palliative team, automatic triggers for palliative consult
, What are the 4 principles of survival prediction? - ✔✔it's a process, evolves over disease trajectory,
accuracy varies, exact time of death not accurately predicted
What question should you ask yourself when trying to determine prognosis? - ✔✔would I
be surprised if this pt died in the next 6 months?
Which of the following pts could be palliative care pts?
A. 64 yo with CHF, HTN, and DM
B. 32 yo with AML
C. 57 yo with newly diagnosed amyotrophic lateral sclerosis
D. 76 yo with Parkinson's disease - ✔✔ABCD
What pt population did the pivotal study involve? - ✔✔metastatic non-small cell lung cancer
What was the design of the pivotal study? - ✔✔1/2 received palliative care w/ standard
oncology care, 1/2 received standard oncology care only
What was the outcome of the pivotal study for pts who received palliative care w/ standard
oncology care? - ✔✔increased QOL and mood, less aggressive care, longer survival
What are some benefits to earlier palliative/hospice referrals? - ✔✔decreased depression,
lower cost, increased QOL for pt/caregiver, increased survival time, better sx management,
decreased resources used
What were some impacts of Sutter Health's AIM program? (advanced illness management) -
✔✔fewer hospitalizations, lower cost, improved pt/fam satisfaction, better ACP compliance, fewer
days in hospital/ICU, less likely to die in hospital, admitted to hospice earlier, 80% responded positively
to care
Why do we not want palliative/hospice pts in the hospital for an extended period of time? -
✔✔functional decline, infections
