Hospice and Palliative Care
Exam Bank – Solved Past Papers for Practice
Robert Pope - cancer patient (1956-1992)
artist that shared w the world the experience of a patient following a terminal illness diagnosis
There was stigma associated with palliative care, now there are federal and provincial changes
and palliative care is one of - the 4 pillars of healthcare and funding and resources are allocated
to end-of-life care
purpose of palliative care - • To relieve suffering and improve the quality of life for persons living
with or dying from advanced illness when a cure is no longer possible (no longer receiving
curative therapy)
• As acute care ramps down then, palliative care should be ramping up (inversely proportional)
• Not only limited to cancer but all chronic illness
objectives of palliative care - • COMFORT: Relieve of pain and symptoms.
• RESPECT: Address psychological, social, cultural, emotional, and spiritual needs
• HUMANE: Plan for death
DIGNITY: Support families in bereavement
Palliative vs. Hospice Care: Is there a difference? - • In Canada, we tend to use both terms to
refer to the same thing — as an approach to care.
• The Hospice and Palliative care organizations have merged nationally and provincially
• Some people use hospice care to describe care that is offered in the community (residential
site with nurses and a team) rather than in hospitals.
• US has different definitions based on Medicare/ funding systems
When someone is told of a terminal illness, key thoughts: - • I am dying
,• I am frightened
• I have limited life expectancy, how do I manage this?
These emotions are based on fear, fear of the unknown. HCP can provide resources and guide
through this process.
By 2056 - 1/10 Canadians will be over the age of 80. Current statistics 1/30.
Number of deaths in Canada will nearly double by 2056.
Fewer babies being born, population shift means - increase in caregiver burden; higher % of
population will be receiving palliative care
is there a federal palliative care framework? - There is not a federal palliative care framework. In
2017 announced a 5-year project.
Palliative Care as an Enforceable Human Right - A recent interesting development has been
some preliminary legal analysis on whether palliative care is an enforceable human right under
the Canadian Charter of Rights and Freedoms. The argument has certainly been made that it is a
moral right, but the possibility that it might be an enforceable right under the sections 7 (the
right to life and security of the person) and 15 (the equality provision) of the Charter is
intriguing.
EFPPEC - The Educating Future Physicians in Palliative and End-of-life Care
how many jurisdictions cover the cost of medical supplies and equipment for people dying at
home and cost of pharmaceuticals? - • 12/13 jurisdictions cover the cost of medical supplies
and equipment for people dying at home
• 11/13 jurisdictions cover the cost of a wide range of pharmaceuticals
Federal Compassionate Care benefit program 2004: - maximum 6 weeks paid leave for
caregivers at 55% income
, o Ontario government Bill 30 Family Caregiver leave
Compassionate care benefits are - Employment Insurance (EI) benefits paid to people who have
to be away from work temporarily to provide care or support to a family member who is gravely
ill and who has a significant risk of death within 26 weeks (six months). A maximum of six weeks
of compassionate care benefits may be paid to eligible people.
June 2016 - Euthanasia in Canada in its legal voluntary form is called medical assistance in dying
(MAID) and it first became legal along with assisted suicide in June 2016
In 2007, x% of Canadians cared for a loved one with a serious health problem in the last 12
months - 23%; 22% reported missing one or more months of work. These numbers represent a
significant loss of productivity to the Canadian economy.
Although palliative care is for everyone, x% of palliative patients are seniors - 75%
There are at least x% of Canadians who do not have access to palliative care. - 70%
Ontario Palliative Care Mandates: - • Shift care of persons from hospitals to home or setting of
choice (e.g., hospice)
• Enhance an interdisciplinary team approach to community care
• Better coordination and integration of local services.
• Health care consent and Advanced care planning best practice
how many patients had at least one unplanned ER visit in their last 30 days of life? - 62.7%
how many patients received palliative care home services in their last month of life? - 43%
Exam Bank – Solved Past Papers for Practice
Robert Pope - cancer patient (1956-1992)
artist that shared w the world the experience of a patient following a terminal illness diagnosis
There was stigma associated with palliative care, now there are federal and provincial changes
and palliative care is one of - the 4 pillars of healthcare and funding and resources are allocated
to end-of-life care
purpose of palliative care - • To relieve suffering and improve the quality of life for persons living
with or dying from advanced illness when a cure is no longer possible (no longer receiving
curative therapy)
• As acute care ramps down then, palliative care should be ramping up (inversely proportional)
• Not only limited to cancer but all chronic illness
objectives of palliative care - • COMFORT: Relieve of pain and symptoms.
• RESPECT: Address psychological, social, cultural, emotional, and spiritual needs
• HUMANE: Plan for death
DIGNITY: Support families in bereavement
Palliative vs. Hospice Care: Is there a difference? - • In Canada, we tend to use both terms to
refer to the same thing — as an approach to care.
• The Hospice and Palliative care organizations have merged nationally and provincially
• Some people use hospice care to describe care that is offered in the community (residential
site with nurses and a team) rather than in hospitals.
• US has different definitions based on Medicare/ funding systems
When someone is told of a terminal illness, key thoughts: - • I am dying
,• I am frightened
• I have limited life expectancy, how do I manage this?
These emotions are based on fear, fear of the unknown. HCP can provide resources and guide
through this process.
By 2056 - 1/10 Canadians will be over the age of 80. Current statistics 1/30.
Number of deaths in Canada will nearly double by 2056.
Fewer babies being born, population shift means - increase in caregiver burden; higher % of
population will be receiving palliative care
is there a federal palliative care framework? - There is not a federal palliative care framework. In
2017 announced a 5-year project.
Palliative Care as an Enforceable Human Right - A recent interesting development has been
some preliminary legal analysis on whether palliative care is an enforceable human right under
the Canadian Charter of Rights and Freedoms. The argument has certainly been made that it is a
moral right, but the possibility that it might be an enforceable right under the sections 7 (the
right to life and security of the person) and 15 (the equality provision) of the Charter is
intriguing.
EFPPEC - The Educating Future Physicians in Palliative and End-of-life Care
how many jurisdictions cover the cost of medical supplies and equipment for people dying at
home and cost of pharmaceuticals? - • 12/13 jurisdictions cover the cost of medical supplies
and equipment for people dying at home
• 11/13 jurisdictions cover the cost of a wide range of pharmaceuticals
Federal Compassionate Care benefit program 2004: - maximum 6 weeks paid leave for
caregivers at 55% income
, o Ontario government Bill 30 Family Caregiver leave
Compassionate care benefits are - Employment Insurance (EI) benefits paid to people who have
to be away from work temporarily to provide care or support to a family member who is gravely
ill and who has a significant risk of death within 26 weeks (six months). A maximum of six weeks
of compassionate care benefits may be paid to eligible people.
June 2016 - Euthanasia in Canada in its legal voluntary form is called medical assistance in dying
(MAID) and it first became legal along with assisted suicide in June 2016
In 2007, x% of Canadians cared for a loved one with a serious health problem in the last 12
months - 23%; 22% reported missing one or more months of work. These numbers represent a
significant loss of productivity to the Canadian economy.
Although palliative care is for everyone, x% of palliative patients are seniors - 75%
There are at least x% of Canadians who do not have access to palliative care. - 70%
Ontario Palliative Care Mandates: - • Shift care of persons from hospitals to home or setting of
choice (e.g., hospice)
• Enhance an interdisciplinary team approach to community care
• Better coordination and integration of local services.
• Health care consent and Advanced care planning best practice
how many patients had at least one unplanned ER visit in their last 30 days of life? - 62.7%
how many patients received palliative care home services in their last month of life? - 43%
